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  4. Are the 10 Meter and 6 Minute Walk Tests Redundant in Patients with Spinal Cord Injury?

Are the 10 Meter and 6 Minute Walk Tests Redundant in Patients with Spinal Cord Injury?

PLoS ONE, 2014 · DOI: 10.1371/journal.pone.0094108 · Published: May 1, 2014

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study examines whether the 10 Meter Walk Test (10MWT) and the 6 Minute Walk Test (6MWT) provide the same information about walking ability in people with incomplete spinal cord injuries (iSCI). The researchers wanted to know if one test could predict the results of the other, which would mean one of the tests is unnecessary. They also looked at whether the tests are useful for measuring different levels of walking ability, from walking at home to walking in the community. The study found that while the two tests are related, they don't measure exactly the same thing. This suggests that both tests can be helpful for understanding a person's walking ability after a spinal cord injury.

Study Duration
February 2008 through April 2011
Participants
249 patients with motor incomplete spinal cord injury
Evidence Level
Prospective observational cohort

Key Findings

  • 1
    Walking speeds from the 10MWT and 6MWT were highly correlated, but the 10MWT speeds were generally faster.
  • 2
    The error in predicting 6MWT speed from 10MWT speed increased as gait speed increased, indicating the tests are not entirely redundant.
  • 3
    Different speed thresholds were identified for community ambulation for each test, and the smallest real difference (SRD) and minimally clinically important difference (MCID) values were distinct.

Research Summary

This study evaluated the relationship and redundancy between gait speeds measured by the 10MWT and 6MWT after motor incomplete spinal cord injury (iSCI). While the speeds were correlated between the 6MWT and 10MWT, redundancy in the tests using predictive modeling was not observed. Different speed thresholds and separate MCIDs were defined for community ambulation for each test.

Practical Implications

Comprehensive Assessment

Both the 10MWT and 6MWT should be used to get a complete picture of a person's walking ability after a spinal cord injury.

Targeted Rehabilitation

Rehabilitation programs can be tailored to improve specific aspects of walking, based on the results of each test.

Meaningful Progress

Using the MCID values specific to each test, clinicians can better determine if a patient's improvement is clinically meaningful.

Study Limitations

  • 1
    The SCI-FAI mobility subscale demonstrates significant ceiling effects.
  • 2
    Walking speed is only included in the description of category 5, where speed is expected to be ‘‘at least 50% of normal’’
  • 3
    The differences between our gait speed data per SCI-FAI category and the original SCI-FAI work warrants further investigation.

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