https://doi.org/10.4081/monaldi.2024.3195

Correlation of distance walked in audio signal-modified shuttle walk test with six-minute walk test

Early Access
Submitted: September 7, 2024
Accepted: October 31, 2024
Published: December 2, 2024
Walk test, exercise test, spirometry, cardio pulmonary exercise testing
Abstract Views: 126
PDF_EARLY VIEW: 9
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Rishi Gopalakrishnan
https://orcid.org/0009-0005-9707-8473
Department of Respiratory Diseases, The Hillingdon Hospital NHS Trust, Uxbridge, London, United Kingdom.
Richa Hirendra Rai
richahrai@gmail.com
https://orcid.org/0000-0003-0102-2773
School of Physiotherapy, Delhi Pharmaceutical Sciences and Research University, New Delhi, India.
Rupak Singla
https://orcid.org/0000-0003-1806-8831
Department of Tuberculosis and Respiratory Diseases, National Institute of Tuberculosis and Respiratory Diseases, Sri Aurobindo Marg, New Delhi, India.
Lokender Kumar
https://orcid.org/0000-0001-9699-940X
Department of Tuberculosis and Respiratory Diseases, National Institute of Tuberculosis and Respiratory Diseases, Sri Aurobindo Marg, New Delhi, India.
Nidhi Chandra Ponath Sivan
https://orcid.org/0009-0003-8877-0471
Department of General Medicine, Thrissur Medical College Hospital, Thrissur, Kerala, India.

The literature review suggested that the audio signal-modified shuttle walk test (SWTSR) was equally reliable and valid when compared to the conventional shuttle walk test. A comparison of SWTSR with the six-minute walk test (6MWT), which is considered the gold standard in walk tests, allowed us to evaluate the SWTSR and determine its validity and reliability as an alternative or supplement to the 6MWT. The objective of this study was to determine the correlation between the distances walked during a SWTSR and the 6MWT in healthy, normal adults. The study recruited 42 healthy normal adults who underwent 6MWT and SWTSR on the same day. The correlation was assessed by Pearson’s correlation coefficient, and agreement between the tests was assessed using a Bland-Altman plot. Additionally, the acceptability of the modified test in comparison to the 6MWT was assessed by the Likert scale. The distances walked (mean ± standard deviation) in the 6MWT and SWTSR were 693.8±58.3 and 951.4±139.7 m, respectively (Pearson’s correlation coefficient of 0.918). The distance covered by the study participants in the 6MWT and SWTSR showed a strong correlation with spirometry results. The SWTSR induced a greater physiological response compared to the 6MWT. The acceptability of the SWTSR was comparable to that of the 6MWT. The distance walked in the SWTSR shows a strong positive correlation with the 6MWT and has comparable acceptability with the 6MWT. The SWTSR may provide a better index of the patient’s ability for his activities of daily living and may be a better measure for studying exercise tolerance than the 6MWT in certain clinical settings.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Singh SJ, Puhan MA, Andrianopoulos V, et al. An official systematic review of the European Respiratory Society/American Thoracic Society: measurement properties of field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1447-78. DOI: https://doi.org/10.1183/09031936.00150414
Singla R, Rai R, Faye AA, et al. Reliability and validity of an audio signal modified shuttle walk test. Lung India 2017;34:517-21. DOI: https://doi.org/10.4103/0970-2113.217571
Holland AE, Spruit MA, Troosters T, et al. An official European Respiratory Society/American Thoracic Society technical standard: field walking tests in chronic respiratory disease. Eur Respir J 2014;44:1428-46. DOI: https://doi.org/10.1183/09031936.00150314
Noonan V, Dean E. Submaximal exercise testing: clinical application and interpretation. Phys Ther 2000;80:782-807. DOI: https://doi.org/10.1093/ptj/80.8.782
Man WDC, Polkey MI, Donaldson N, et al. Community pulmonary rehabilitation after hospitalisation for acute exacerbations of chronic obstructive pulmonary disease: randomised controlled study. BMJ 2004;329:1209. DOI: https://doi.org/10.1136/bmj.38258.662720.3A
Sewell L, Singh SJ, Williams JEA, et al. How long should outpatient pulmonary rehabilitation be? A randomised controlled trial of 4 weeks versus 7 weeks. Thorax 2006;61:767-71. DOI: https://doi.org/10.1136/thx.2005.048173
Jolly K, Taylor R, Lip G, et al. The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence. Health Technol Assess 2007;11:1-118. DOI: https://doi.org/10.3310/hta11350
Evans RA, Singh SJ, Collier R, et al. Generic, symptom based, exercise rehabilitation; integrating patients with COPD and heart failure. Respir Med 2010;104:1473-81. DOI: https://doi.org/10.1016/j.rmed.2010.04.024
Moloney ED, Clayton N, Mukherjee DK, et al. The shuttle walk exercise test in idiopathic pulmonary fibrosis. Respir Med 2003;97:682-7. DOI: https://doi.org/10.1053/rmed.2003.1501
Benzo RP, Sciurba FC. Oxygen consumption, shuttle walking test and the evaluation of lung resection. Respiration 2010;80:19-23. DOI: https://doi.org/10.1159/000235543
Revill SM, Morgan MDL, Singh SJ, et al. The endurance shuttle walk: a new field test for the assessment of endurance capacity in chronic obstructive pulmonary disease. Thorax 1999;54:213-22. DOI: https://doi.org/10.1136/thx.54.3.213
Chae G, Ko EJ, Lee SW, et al. Stronger correlation of peak oxygen uptake with distance of incremental shuttle walk test than 6-min walk test in patients with COPD: a systematic review and meta-analysis BMC Pulm Med 2022;22:102. DOI: https://doi.org/10.1186/s12890-022-01897-0
Green DJ, Watts K, Rankin S, et al. A comparison of the shuttle and 6 minute walking tests with measured peak oxygen consumption in patients with heart failure. J Sci Med Sport 2001;4:292-300. DOI: https://doi.org/10.1016/S1440-2440(01)80038-4
Onorati P, Antonucci R, Valli G, et al. Non-invasive evaluation of gas exchange during a shuttle walking test vs. a 6-min walking test to assess exercise tolerance in COPD patients. Eur J Appl Physiol 2003;89:331-6. DOI: https://doi.org/10.1007/s00421-003-0803-9
ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-7. DOI: https://doi.org/10.1164/ajrccm.166.1.at1102
Singh SJ, Morgan MD, Scott S, et al. Development of a shuttle walking test of disability in patients with chronic airways obstruction. Thorax 1992;47:1019-24. DOI: https://doi.org/10.1136/thx.47.12.1019

Ethics Approval

This study received approval from the research and ethical committee of the institute to ensure that it complied with ethical principles and standards (NITRD/RC/15/4753 dated 12/09/2015 & NITRD/PGEC/2015/7276 dated 02/12/2015 respectively).

How to Cite

Gopalakrishnan, Rishi, Richa Hirendra Rai, Rupak Singla, Lokender Kumar, and Nidhi Chandra Ponath Sivan. 2024. “Correlation of Distance Walked in Audio Signal-Modified Shuttle Walk Test With Six-Minute Walk Test”. Monaldi Archives for Chest Disease, December. https://doi.org/10.4081/monaldi.2024.3195.
Copyright (c) 2024 The Author(s) Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.


Similar Articles

<< < 3 4 5 6 7 8 9 10 11 12 > >> 

You may also start an advanced similarity search for this article.