2 Minute Walk Test: Difference between revisions
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== Objective == | == Objective == | ||
The Two/2 Minute Walk Test (2MWT) measure of walking ability and functional capacity<ref name=":0">Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/pdf/bmjcred00608-0027.pdf Two-, six-, and 12-minute walking tests in respiratory disease]. Br Med J (Clin Res Ed). 1982. 29; 284(6329): 1607–1608. Accessed 19 February 2019.</ref>, particularly for those who cannot manage the longer [[Six Minute Walk Test / 6 Minute Walk Test|Six Minute Walk Test]] or 12 Minute Walk Test.<br> | The Two/2 Minute Walk Test (2MWT) is a measure of self-paced walking ability and functional capacity<ref name=":0">Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1498516/pdf/bmjcred00608-0027.pdf Two-, six-, and 12-minute walking tests in respiratory disease]. Br Med J (Clin Res Ed). 1982. 29; 284(6329): 1607–1608. Accessed 19 February 2019.</ref>, particularly for those who cannot manage the longer [[Six Minute Walk Test / 6 Minute Walk Test|Six Minute Walk Test]] or 12 Minute Walk Test.<br> | ||
== Intended Population == | == Intended Population == | ||
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== Method of Use == | == Method of Use == | ||
The 2MWT requires two practice walks before it is measured due to a training effect<ref name=":0" />. | The 2MWT requires two practice walks before it is measured due to a training effect<ref name=":0" /><ref name=":1" /><ref name=":3" />. | ||
== Reference == | == Reference == | ||
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Research shows the 2MWT does not discriminate as well as the longer six and 12 minute walk tests as less variation has been recorded | Research shows the 2MWT does not discriminate as well as the longer six and 12 minute walk tests as less variation has been recorded | ||
One study reported a minimum detectable change for the 2MWT of 42.5m<ref>Bohannon RW, Wang Y, Gershon RC. [https://www. | One study reported a minimum detectable change for the 2MWT of 42.5m<ref name=":3">Bohannon RW, Wang Y, Gershon RC. [https://www.researchgate.net/publication/269177497_Two-Minute_Walk_Test_2MWT_Performance_by_Adults_18-85_Years_Normative_Values_Reliability_and_Responsiveness Two-Minute Walk Test performance by adults 18 to 85 years: normative values, reliability, and responsiveness]. Arch Phys Med Rehab. 2015; 96:472-7. Accessed 19 February 2019.</ref>. | ||
=== Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> === | === Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span> === | ||
Age and gender explain 51% of variance in the distance walked (DW) in the 2MWT<ref name=":1" />, i.e.older age and female gender are associated with shorter distances walker. | Age and gender explain 51% of variance in the distance walked (DW) in the 2MWT<ref name=":1" />, i.e.older age and female gender are associated with shorter distances walker. Other studies have found some correlation between DW and height, weight, age and gender<ref name=":3" />. | ||
One study<ref name=":1" /> has shown that subjects reached 70% of their maximum heart rate which was comparable with similar testing of the 6MWT. Authors hypothesised that this could suggest that a steady state of exertion is reached after only a short period of walking, as both the two and six minute walk tests are self-paced. So the 2MWT is a useful measure instead of the 6MWT if it is not practical to perform. | One study<ref name=":1" /> has shown that subjects reached 70% of their maximum heart rate which was comparable with similar testing of the 6MWT. Authors hypothesised that this could suggest that a steady state of exertion is reached after only a short period of walking, as both the two and six minute walk tests are self-paced. So the 2MWT is a useful measure instead of the 6MWT if it is not practical to perform. | ||
==== Normative Data ==== | ==== Normative Data ==== | ||
One study<ref name=":1" /> has described, with evidence, an equation to predict the DW, regardless of health condition. It takes into account age and gender. The equation is 2MWTpredicted = 252.583 - (1.165 x age) + (19.987 x gender*), where * is | One study<ref name=":1" /> has described, with evidence, an equation to predict the DW, regardless of health condition. It takes into account age and gender. The equation is 2MWTpredicted = 252.583 - (1.165 x age) + (19.987 x gender*), where * is male= 1 and female= 0<ref name=":1" />. | ||
== Links == | == Links == | ||
Revision as of 07:08, 23 February 2019
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Objective[edit | edit source]
The Two/2 Minute Walk Test (2MWT) is a measure of self-paced walking ability and functional capacity[1], particularly for those who cannot manage the longer Six Minute Walk Test or 12 Minute Walk Test.
Intended Population[edit | edit source]
The 2MWT has been used in a variety of health conditions including COPD, lower limb amputation, neuromuscular disease, cardiac disease and the elderly[2].
Method of Use[edit | edit source]
The 2MWT requires two practice walks before it is measured due to a training effect[1][2][3].
Reference[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
Studies have shown that the 2MWT is consistently reproducible[1][2]
Validity[edit | edit source]
The 2MWT shows good construct validity with similar measures. The 2MWT correlates highly with the six and 12 minute walk tests indicating they are similar measures of exercise tolerance[1][4]. The 2MWT has also been shown to correlate with other gait measures such as speed, and the TUG[4].
Responsiveness[edit | edit source]
Research shows the 2MWT does not discriminate as well as the longer six and 12 minute walk tests as less variation has been recorded
One study reported a minimum detectable change for the 2MWT of 42.5m[3].
Miscellaneous[edit | edit source]
Age and gender explain 51% of variance in the distance walked (DW) in the 2MWT[2], i.e.older age and female gender are associated with shorter distances walker. Other studies have found some correlation between DW and height, weight, age and gender[3].
One study[2] has shown that subjects reached 70% of their maximum heart rate which was comparable with similar testing of the 6MWT. Authors hypothesised that this could suggest that a steady state of exertion is reached after only a short period of walking, as both the two and six minute walk tests are self-paced. So the 2MWT is a useful measure instead of the 6MWT if it is not practical to perform.
Normative Data[edit | edit source]
One study[2] has described, with evidence, an equation to predict the DW, regardless of health condition. It takes into account age and gender. The equation is 2MWTpredicted = 252.583 - (1.165 x age) + (19.987 x gender*), where * is male= 1 and female= 0[2].
Links[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed). 1982. 29; 284(6329): 1607–1608. Accessed 19 February 2019.
- ↑ 2.0 2.1 2.2 2.3 2.4 2.5 2.6 Selman, JPR, de Camargi AA, Santos J, Lanza FC, Dal Corso S. Reference Equation for the 2-Minute Walk Test in Adults and the Elderly. Respir Care. 2014; 59 (4): 525-530. Accessed 19 February 2019.
- ↑ 3.0 3.1 3.2 Bohannon RW, Wang Y, Gershon RC. Two-Minute Walk Test performance by adults 18 to 85 years: normative values, reliability, and responsiveness. Arch Phys Med Rehab. 2015; 96:472-7. Accessed 19 February 2019.
- ↑ 4.0 4.1 Scalzitti DA, Harwood KJ, Maring JR, Leach SJ, Ruckert EA, Costello E. Validation of the 2-Minute Walk Test with the 6-Minute Walk Test and other functional measures in persons with Multiple Sclerosis. Int J MS Care. 2018; 20(4): 158–163. Accessed 19 February 2019.
