Six-minute walk test (6MWT) in children with cerebral palsy. Systematic review and proposal of an adapted version

Introduction: Children with cerebral palsy (CP), six-minute walk test (6MWT) is more difficult to perform because some children have communication impairment. The objective to study the distance of 6MWT among different level of communication in children with CP.Methods: This study was cross-sectional study , in a Rehabilitation Clinic, on Juli to December 2018. The subjects were children aged 7-18 years old with cerebral palsy with Gross Motor Function Classification System (GMFCS) I-III, Communication Function Classification System (CFCS) I-III, able to walkindependently with or without aid, and understand the instruction of 6MWT. All the subjects performed 6MWT. Level of communication function was evaluated by CFCS. The 6MWD between CFCS groups were compared.Results: There were 23 subjects mean aged 9 years old, consisted of 17(73.9%) male and 6(26.1%) female, with GMFCS level I-III in sequence were 3(13%), 11(47.8%), and 9(39.1%), also with CFCS level I-III in sequence were 5(21.7%), 7(30.4%), and 11(47.8%). Subjects with verbal communicationwere 14(60.9%) and nonverbal communication were 9(39.1%). The median of 6MWD in group with CFCS level I, II, and III respectively were 115 (60-282), 161 (17.5-281), and 135 (23-280) m. There was no significant difference in 6MWD between different groups of CFCS (p=0.960).Conclusion: There were no difference in walking distance on 6MWT among different level of communication function in children with CP.Keywords: Cerebral palsy, Six-minute walk-test, Six-minute walking-distance, Communication Function Classification System (CFCS)

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Six-Minute Walk Test in Children With Cerebral Palsy Gross Motor Function Classification System Levels I and II: Reproducibility, Validity, and Training Effects

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2012.06.005 ◽

2012 ◽

Vol 93 (12) ◽

pp. 2333-2339 ◽

Cited By ~ 50

Author(s):

Angeline Nsenga Leunkeu ◽

Roy J. Shephard ◽

Said Ahmaidi

Keyword(s):

Cerebral Palsy ◽

Motor Function ◽

Classification System ◽

Walk Test ◽

Training Effects ◽

Gross Motor ◽

Six Minute Walk Test ◽

Children With Cerebral Palsy ◽

And Training ◽

Minute Walk

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Six-minute walk test as a determinant of the functional capacity of children and adolescents with cystic fibrosis: A systematic review

Respiratory Medicine ◽

10.1016/j.rmed.2018.02.016 ◽

2018 ◽

Vol 137 ◽

pp. 83-88 ◽

Cited By ~ 6

Author(s):

Cibelle Andrade Lima ◽

Armèle Dornelas de Andrade ◽

Shirley Lima Campos ◽

Daniella Cunha Brandão ◽

Ianny Pereira Mourato ◽

...

Keyword(s):

Systematic Review ◽

Cystic Fibrosis ◽

Children And Adolescents ◽

Functional Capacity ◽

Walk Test ◽

Six Minute Walk Test ◽

Minute Walk

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1112: THE SIX-MINUTE WALK TEST AFTER CRITICAL ILLNESS: A SYSTEMATIC REVIEW AND META-ANALYSIS

Critical Care Medicine ◽

10.1097/01.ccm.0000643384.29545.63 ◽

2020 ◽

Vol 48 (1) ◽

pp. 535-535

Author(s):

Swaroopa Nalamalapu ◽

Selina Parry ◽

Krishidhar Nunna ◽

Anahita Rabiee ◽

Lisa Friedman ◽

...

Keyword(s):

Systematic Review ◽

Critical Illness ◽

Meta Analysis ◽

Walk Test ◽

Six Minute Walk Test ◽

Minute Walk

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The Six-Minute Walk Test in Chronic Pediatric Conditions: A Systematic Review of Measurement Properties

Physical Therapy ◽

10.2522/ptj.20120210 ◽

2013 ◽

Vol 93 (4) ◽

pp. 529-541 ◽

Cited By ~ 82

Author(s):

Bart Bartels ◽

Janke F. de Groot ◽

Caroline B. Terwee

Keyword(s):

Systematic Review ◽

Strong Evidence ◽

Methodological Quality ◽

Measurement Properties ◽

Walk Test ◽

Test Procedures ◽

Six Minute Walk Test ◽

Patient Groups ◽

Minute Walk

Background The Six-Minute Walk Test (6MWT) is increasingly being used as a functional outcome measure for chronic pediatric conditions. Knowledge about its measurement properties is needed to determine whether it is an appropriate test to use. Purpose The purpose of this study was to systematically review all published clinimetric studies on the 6MWT in chronic pediatric conditions. Data Sources The databases MEDLINE, EMBASE, CINAHL, PEDro, and SPORTDiscus were searched up to February 2012. Study Selection Studies designed to evaluate measurement properties of the 6MWT in a chronic pediatric condition were included in the systematic review. Data Extraction The methodological quality of the included studies and the measurement properties of the 6MWT were examined. Data Synthesis A best evidence synthesis was performed on 15 studies, including 9 different chronic pediatric conditions. Limited evidence to strong evidence was found for reliability in various chronic conditions. Strong evidence was found for positive criterion validity of the 6MWT with peak oxygen uptake in some populations, but negative criterion validity was found in other populations. Construct validity remained unclear in most patient groups because of methodological flaws. Little evidence was available for responsiveness and measurement error. Studies showed large variability in test procedures despite existing guidelines for the performance of the 6MWT. Limitations Unavailability of a specific checklist to evaluate the methodological quality of clinimetric studies on performance measures was a limitation of the study. Conclusions Evidence for measurement properties of the 6MWT varies largely among chronic pediatric conditions. Further research is needed in all patient groups to explore the ability of the 6MWT to measure significant and clinically important changes. Until then, changes measured with the 6MWT should be interpreted with caution. Future studies or consensus regarding modified test procedures in the pediatric population is recommended.

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