People at a persistent pain service can walk it, but some struggle to talk about it: Reliability, detectable difference and clinically important difference of the six-minute walk test.
functional outcome
minimal detectable difference
outcome measure
persistent pain
persistent pain program
persistent pain programme
physical outcome measure
self-reported change
six-minute walk test
test-retest reliability
Journal
Musculoskeletal care
ISSN: 1557-0681
Titre abrégé: Musculoskeletal Care
Pays: England
ID NLM: 101181344
Informations de publication
Date de publication:
03 2023
03 2023
Historique:
revised:
25
08
2022
received:
04
08
2022
accepted:
25
08
2022
pubmed:
7
9
2022
medline:
15
3
2023
entrez:
6
9
2022
Statut:
ppublish
Résumé
The six-minute walk test (6MWT) is a commonly used measure of functional capacity. This study is the first to investigate the test-retest reliability, minimal detectable difference (MDD) and the minimal clinically important difference (MCID) for people attending a persistent pain service. Relationships between change in 6MWT performance and change in self-reported physical, functional and psychological outcome measures were also explored. A cross-sectional repeated measures design was used with people having >9 months of pain attending an 8-week outpatient persistent pain programme. For reliability and MDD, 27 people were recruited, for MCID calculations, 32 people were recruited. The MCID was examined by dichotomising people into "improvers", or "non-improvers" based upon the Global Rating of Change (GRC) in physical abilities score. The mean (SD) 6MWT distance was 389.4 (93.6) m at programme start, and 427.8 (83.0) m at week eight completion. The test-retest reliability was good (intraclass correlation coefficient = 0.89) and the MDD = 86.1 m. As there was no relationship between change in 6MWT distance and GRC physical abilities at week eight (r = 0.132, p = 0.472) the MCID could not be calculated. Furthermore, no relationships were found between change in 6MWT distance and other self-reported measures. Changes in GRC physical abilities and 6MWT were frequently discordant, with increased 6MWT for 7/11 "GRC non-improvers" and decreased 6MWT for 7/21 "GRC improvers". Amongst this cohort, change in physical ability may or may not be reflected by self-reported change. Objective tests of physical ability are recommended for people attending pain services, and validated tests should align with intervention aims.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
221-231Informations de copyright
© 2022 John Wiley & Sons Ltd.
Références
American Thoracic Society. (2002). ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166, 111-117.
Australian Institute of Health and Welfare. (2019). Disease expenditure in Australia. Retrieved from https://www.aihw.gov.au/reports/health-welfare-expenditure/disease-expenditure-australia
Benaim, C., Blaser, S., Léger, B., Vuistiner, P., & Luthi, F. (2019). “Minimal clinically important difference” estimates of 6 commonly-used performance tests in patients with chronic musculoskeletal pain completing a work-related multidisciplinary rehabilitation program. BMC Musculoskeletal Disorders, 20(1), 1-9. https://doi.org/10.1186/s12891-018-2382-2
Bergman, S., Jacobsson, L. T., Herrström, P., & Petersson, I. F. (2004). Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: A 3-year follow up study in the general population. Pain, 108(1-2), 115-123. https://doi.org/10.1016/j.pain.2003.12.013
Berryman, C., Stanton, T. R., Jane Bowering, K., Tabor, A., McFarlane, A., & Lorimer Moseley, G. (2013). Evidence for working memory deficits in chronic pain: A systematic review and meta-analysis. Pain, 154(8), 1181-1196. https://doi.org/10.1016/j.pain.2013.03.002
Bonett, D. G. (2002). Sample size requirements for estimating intraclass correlations with desired precision. Statistics in Medicine, 21(9), 1331-1335. https://doi.org/10.1002/sim.1108
Breda, C. A., Rodacki, A. L., Leite, N., Homann, D., Goes, S. M., & Stefanello, J. M. (2013). Physical activity level and physical performance in the 6-minute walk test in women with fibromyalgia. Revista Brasileira de Reumatologia, 53(3), 276-281. https://doi.org/10.1016/s2255-5021(13)70033-6
Butland, R. J., Pang, J., Gross, E. R., Woodcock, A. A., & Geddes, D. M. (1982). Two-six-and 12-minute walking tests in respiratory disease. British Medical Journal, 284(6329), 1607-1608. https://doi.org/10.1136/bmj.284.6329.1607
Carbonell-Baeza, A., Alvarez-Gallardo, I., Segura-Jiménez, V., Castro-Pinero, J., Ruiz, J., Delgado-Fernández, M., & Aparicio, V. (2015). Reliability and feasibility of physical fitness tests in female fibromyalgia patients. International Journal of Sports Medicine, 36(02), 157-162. https://doi.org/10.1055/s-0034-1390497
Casarett, D., Karlawish, J., Sankar, P., Hirschman, K., & Asch, D. A. (2001). Designing pain research from the patient's perspective: What trial end points are important to patients with chronic pain? Pain Medicine, 2(4), 309-316. https://doi.org/10.1046/j.1526-4637.2001.01041.x
Deloitte Access Economics. (2019). The cost of pain in Australia. Retrieved from https://www2.deloitte.com/au/en/pages/economics/articles/cost-pain-australia.html
Devji, T., Guyatt, G. H., Lytvyn, L., Brignardello-Petersen, R., Foroutan, F., Sadeghirad, B., Buchbinder, R., Poolman, R. W., Harris, I. A., Siemieniuk, R. A. C., Vandvik, P. O., & Carrasco-Labra, A. (2017). Application of minimal important differences in degenerative knee disease outcomes: A systematic review and case study to inform BMJ Rapid Recommendations. BMJ Open, 7(5), e015587. https://doi.org/10.1136/bmjopen-2016-015587
Eklund, A., De Carvalho, D., Pagé, I., Wong, A., Johansson, M. S., Pohlman, K. A., Hartvigsen, J., & Swain, M. (2019). Expectations influence treatment outcomes in patients with low back pain. A secondary analysis of data from a randomized clinical trial. European Journal of Pain, 23(7), 1378-1389. https://doi.org/10.1002/ejp.1407
Fors, M., Enthoven, P., Abbott, A., & Öberg, B. (2019). Effects of pre-surgery physiotherapy on walking ability and lower extremity strength in patients with degenerative lumbar spine disorder: Secondary outcomes of the PREPARE randomised controlled trial. BMC Musculoskeletal Disorders, 20(1), 1-11. https://doi.org/10.1186/s12891-019-2850-3
Fulk, G. D., & He, Y. (2018). Minimal clinically important difference of the 6-minute walk test in people with stroke. Journal of Neurologic Physical Therapy, 42(4), 235-240. https://doi.org/10.1097/npt.0000000000000236
Gatchel, R. J., & Mayer, T. G. (2010). Testing minimal clinically important difference: Consensus or conundrum? The Spine Journal, 10(4), 321-327. https://doi.org/10.1016/j.spinee.2009.10.015
Giannitsi, S., Bougiakli, M., Bechlioulis, A., Kotsia, A., Michalis, L. K., & Naka, K. K. (2019). 6-minute walking test: A useful tool in the management of heart failure patients. Therapeutic advances in cardiovascular disease, 13, 1753944719870084. https://doi.org/10.1177/1753944719870084
Guyatt, G. H., Norman, G. R., Juniper, E. F., & Griffith, L. E. (2002). A critical look at transition ratings. Journal of Clinical Epidemiology, 55(9), 900-908. https://doi.org/10.1016/s0895-4356(02)00435-3
Hill, J. C., Lewis, M., Sim, J., Hay, E. M., & Dziedzic, K. (2007). Predictors of poor outcome in patients with neck pain treated by physical therapy. The Clinical Journal of Pain, 23(8), 683-690. https://doi.org/10.1097/ajp.0b013e3181468e67
Hinkle, D. E., Wiersma, W., & Jurs, S. G. (2003). Applied statistics for the behavioral sciences (Vol. 663). Houghton Mifflin College Division.
Holland, A. E., Hill, C. J., Rasekaba, T., Lee, A., Naughton, M. T., & McDonald, C. F. (2010). Updating the minimal important difference for six-minute walk distance in patients with chronic obstructive pulmonary disease. Archives of Physical Medicine and Rehabilitation, 91(2), 221-225. https://doi.org/10.1016/j.apmr.2009.10.017
Holm, P. M., Nyberg, M., Wernbom, M., Schrøder, H. M., & Skou, S. T. (2021). Intrarater reliability and agreement of recommended performance-based tests and common muscle function tests in knee osteoarthritis. Journal of Geriatric Physical Therapy, 44(3), 144-152. https://doi.org/10.1519/jpt.0000000000000266
Kaleth, A. S., Slaven, J. E., & Ang, D. C. (2016). Determining the minimal clinically important difference for six-minute walk distance in fibromyalgia. American Journal of Physical Medicine and Rehabilitation, 95(10), 738-745. https://doi.org/10.1097/phm.0000000000000485
Kamper, S. J., Maher, C. G., & Mackay, G. (2009). Global rating of change scales: A review of strengths and weaknesses and considerations for design. Journal of Manual & Manipulative Therapy, 17(3), 163-170. https://doi.org/10.1179/jmt.2009.17.3.163
Keller, S., Bann, C. M., Dodd, S. L., Schein, J., Mendoza, T. R., & Cleeland, C. S. (2004). Validity of the brief pain inventory for use in documenting the outcomes of patients with noncancer pain. The Clinical Journal of Pain, 20(5), 309-318. https://doi.org/10.1097/00002508-200409000-00005
King, S., Wessel, J., Bhambhani, Y., Maikala, R., Sholter, D., & Maksymowych, W. (1999). Validity and reliability of the 6 minute walk in persons with fibromyalgia. Journal of Rheumatology, 26(10), 2233-2237.
Latorre-Román, P., Santos-Campos, M., Heredia-Jimenez, J., Delgado-Fernández, M., & Soto-Hermoso, V. (2014). Analysis of the performance of women with fibromyalgia in the six-minute walk test and its relation with health and quality of life. The Journal of Sports Medicine and Physical Fitness, 54(4), 511-517.
Lurie, J. D., Henderson, E. R., McDonough, C. M., Berven, S. H., Scherer, E. A., Tosteson, T. D., Hu, S. S., & Weinstein, J. N. (2016). The effect of expectations on treatment outcome for lumbar intervertebral disc herniation. Spine, 41(9), 803-809. https://doi.org/10.1097/brs.0000000000001333
Marshall, C., Dobson, F., Hinman, R., Sayer, T., Anderson, C., Newcomb, N., & Bennell, K. (2015). Reliability of the osteoarthritis research society international recommended performance-based tests of physical function in people with hip and knee osteoarthritis. Osteoarthritis and Cartilage, 23, A343-A344. https://doi.org/10.1016/j.joca.2015.02.630
Naylor, J. M., Hayen, A., Davidson, E., Hackett, D., Harris, I. A., Kamalasena, G., & Mittal, R. (2014). Minimal detectable change for mobility and patient-reported tools in people with osteoarthritis awaiting arthroplasty. BMC Musculoskeletal Disorders, 15(1), 1-9. https://doi.org/10.1186/1471-2474-15-235
Nicholas, M. K. (2007). The pain self-efficacy questionnaire: Taking pain into account. European Journal of Pain, 11(2), 153-163. https://doi.org/10.1016/j.ejpain.2005.12.008
Obradovic, M., Lal, A., & Liedgens, H. (2013). Validity and responsiveness of EuroQol-5 dimension (EQ-5D) versus Short Form-6 dimension (SF-6D) questionnaire in chronic pain. Health and Quality of Life Outcomes, 11(1), 1-9. https://doi.org/10.1186/1477-7525-11-110
O'Leary, S., Raymer, M., Window, P., Kelly, P. S., Elwell, B., McLoughlin, I., O'Sullivan, W., Phillips, B., Wake, A., O'Gorman, H., Jang, E., Groves, K., Hislop, A., Lee, D., Garsden, L., Conroy, M., Wickins, D., Vicenzino, B., & Ralph, A. (2020). Patient characteristics associated with a poor response to non-surgical multidisciplinary management of knee osteoarthritis: A multisite prospective longitudinal study in an advanced practice physiotherapist-led tertiary service. BMJ Open, 10(10), e037070. https://doi.org/10.1136/bmjopen-2020-037070
Osman, A., Barrios, F. X., Kopper, B. A., Hauptmann, W., Jones, J., & O'Neill, E. (1997). Factor structure, reliability, and validity of the Pain Catastrophizing Scale. Journal of Behavioral Medicine, 20(6), 589-605. https://doi.org/10.1023/a:1025570508954
Pankoff, B. A., Overend, T. J., Lucy, S. D., & White, K. P. (2000). Reliability of the six-minute walk test in people with fibromyalgia. Arthritis Care & Research, 13(5), 291-295. https://doi.org/10.1002/1529-0131(200010)13:5<291::aid-anr8>3.0.co;2-x
Parkitny, L., & McAuley, J. (2010). The depression anxiety stress scale (DASS). Journal of Physiotherapy, 56(3), 204. https://doi.org/10.1016/s1836-9553(10)70030-8
Portney, L. G., & Watkins, M. P. (2009). Foundations of clinical research: Applications to practice (Vol. 892). Pearson/Prentice Hall.
Revicki, D., Hays, R. D., Cella, D., & Sloan, J. (2008). Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. Journal of Clinical Epidemiology, 61(2), 102-109. https://doi.org/10.1016/j.jclinepi.2007.03.012
Romm, M. J., Ahn, S., Fiebert, I., & Cahalin, L. P. (2021). A meta-analysis of group-based pain management programs: Overall effect on quality of life and other chronic pain outcome measures, with an exploration into moderator variables that influence the efficacy of such interventions. Pain Medicine, 22(2), 407-429. https://doi.org/10.1093/pm/pnaa376
Shoemaker, M. J., Curtis, A. B., Vangsnes, E., & Dickinson, M. G. (2013). Clinically meaningful change estimates for the six-minute walk test and daily activity in individuals with chronic heart failure. Cardiopulmonary Physical Therapy Journal, 24(3), 21-29. https://doi.org/10.1097/01823246-201324030-00004
Singh, S. J., Puhan, M. A., Andrianopoulos, V., Hernandes, N. A., Mitchell, K. E., Hill, C. J., Lee, A. L., Camillo, C. A., Troosters, T., Carlin, B. W., Wanger, J., Pepin, V., Saey, D., Pitta, F., Kaminsky, D. A., McCormack, M. C., MacIntyre, N., Culver, B. H., & Spruit, M. A. (2014). An official systematic review of the European Respiratory Society/American Thoracic Society: Measurement properties of field walking tests in chronic respiratory disease. European Respiratory Journal, 44(6), 1447-1478. https://doi.org/10.1183/09031936.00150414
Sjöberg, V., Westergren, J., Monnier, A., Martire, R. L., Hagströmer, M., Äng, B. O., & Vixner, L. (2021). Wrist-Worn activity Trackers in laboratory and free-living settings for patients with chronic pain: Criterion validity study. JMIR mHealth and uHealth, 9(1), e24806. https://doi.org/10.2196/24806
Smeets, R. J., Hijdra, H. J., Kester, A. D., Hitters, M. W., & Knottnerus, J. A. (2006). The usability of six physical performance tasks in a rehabilitation population with chronic low back pain. Clinical Rehabilitation, 20(11), 989-997. https://doi.org/10.1177/0269215506070698
Solway, S., Brooks, D., Lacasse, Y., & Thomas, S. (2001). A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest, 119(1), 256-270. https://doi.org/10.1378/chest.119.1.256
Suwit, A., Rungtiwa, K., & Nipaporn, T. (2020). Reliability and validity of the osteoarthritis research society international minimal core set of recommended performance-based tests of physical function in knee osteoarthritis in community-dwelling adults. The Malaysian Journal of Medical Sciences: MJMS, 27(2), 77-89. https://doi.org/10.21315/mjms2020.27.2.9
Tardif, H., Arnold, C., Hayes, C., & Eagar, K. (2017). Establishment of the Australasian electronic persistent pain outcomes collaboration. Pain Medicine, 18(6), 1007-1018.
Tavares, L. F., Germano Maciel, D., Pereira Barros da Silva, T. Y., & Brito Vieira, W. H. (2020). Comparison of functional and isokinetic performance between healthy women and women with fibromyalgia. Journal of Bodywork and Movement Therapies, 24(1), 248-252. https://doi.org/10.1016/j.jbmt.2019.05.024
Tolk, J., Janssen, R., Prinsen, C., Latijnhouwers, D., van der Steen, M., Bierma-Zeinstra, S., & Reijman, M. (2019). The OARSI core set of performance-based measures for knee osteoarthritis is reliable but not valid and responsive. Knee Surgery, Sports Traumatology, Arthroscopy, 27(9), 2898-2909. https://doi.org/10.1007/s00167-017-4789-y
Turner, J. A., Jensen, M. P., Warms, C. A., & Cardenas, D. D. (2002). Blinding effectiveness and association of pretreatment expectations with pain improvement in a double-blind randomized controlled trial. Pain, 99(1-2), 91-99. https://doi.org/10.1016/s0304-3959(02)00060-x
UK National Guideline Centre. (2021). Evidence review for pain management programmes for chronic pain (chronic primary pain and chronic secondary pain).