Research Article
Year 2025,
Volume: 12 Issue: 2, 120 - 127, 01.08.2025
Abstract
Amaç: Multipl sklerozlu bireylerin egzersiz kapasitesinin azaldığı ve saha testlerinin egzersiz kapasitesini değerlendirmek için pratik olduğu bilinmektedir. Bu çalışma, multipl sklerozlu bireylerde mekik yürüme testinin (MYT) güvenilirliğini, geçerliliğini ve minimal klinik anlamlılık değerini (MDC) araştırmayı amaçlamaktadır.
Yöntem: Bu çalışmaya McDonald's kriterlerine göre multipl skleroz tanısı almış, genişletilmiş engellilik durumu ölçeği (EDSS) ≤3 olan ve bağımsız yürüyüşe sahip bireyler dahil edildi. Dahil etme kriterlerini karşılayan 38 katılımcının sosyo-demografik bilgileri kaydedildi. Altı Dakika Yürüme Testi (6DYT), MYT I ve II bir saatlik dinlenme aralıklarıyla iki kez değerlendirildi. Testlerin sonunda yürüme mesafeleri kaydedildi.
Bulgular: 6DYT ve MYT I'den sonra ölçülen vital bulgular, yorgunluk, dispne, yürüme mesafesi ve VO2max değerleri arasında güçlü ilişki vardı (p<0,05). Ayrıca, MYT I ve MYT II'den sonra ölçülen vital bulgular, yorgunluk dispnesi, yürüme mesafesi ve VO2max değerleri arasında orta düzeyde ilişki olduğu belirlendi (p<0,05). MYT için MDC değeri 133,62m idi.
Tartışma: MYT, EDSS≤3 multipl sklerozlu bireylerde olan egzersiz kapasitesini belirlemede güvenilir ve geçerlidir.
References
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- Kamm CP, Uitdehaag BM, Polman CH. Multiple sclerosis: Current knowledge and future outlook. Eur Neurol. 2014;72:132-141.
- Langeskov-Christensen M, Heine M, Kwakkel G, et al. Aerobic capacity in persons with multiple sclerosis: a systematic review and meta-analysis. Sports Med. 2015;45:905-923.
- Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007;131(5 Suppl):4S-42S..
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- Dawes H, Collett J, Meaney A, et al. Delayed recovery of leg fatigue symptoms following a maximal exercise session in people with multiple sclerosis. Neurorehabil Neural Repair. 2014;28:139-148.
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- Bozdemir Ozel C, Arikan H, Demirtas RN, et al. Evaluation of exercise capacity using two field tests in patients with metabolic syndrome. Disabil Rehabil. 2019;43:1015-1021.
- Probst VS, Hernandes NA, Teixeira DC, et al. Reference values for the incremental shuttle walking test. Respir Med. 2012;106:243-248.
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- Quintino LF, Aguiar LT, de Brito SAF, et al. Reliability and validity of the incremental shuttle walking test in individuals after stroke. Top Stroke Rehabil. 2021;28:331-339.
- Savci S, Inal-Ince D, Arikan H, et al. Six-minute walk distance as a measure of functional exercise capacity in multiple sclerosis. Disabil Rehabil. 2005;27:1365-1371.
- Wasserman K, Hansen JE, Sue DY, et al. Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications: Fifth Edition; 2011.
- Chetta A, Rampello A, Marangio E, et al. Cardiorespiratory response to walk-in multiple sclerosis patients. Respir Med. 2004;98:522-529.
- Wetzel JL, Fry DK, Pfalzer LA. Six-minute walk test for persons with mild or moderate disability from multiple sclerosis: Performance and explanatory factors. Physiother Can. 2011;63:166-180.
Year 2025,
Volume: 12 Issue: 2, 120 - 127, 01.08.2025
Abstract
Purpose: It is known that people with multiple sclerosis (PwMS) have reduced exercise capacity, and field tests are practical for assessing exercise capacity. This study aims to investigate the reliability, validity, and minimal detectable change (MDC) of the shuttle walk test (SWT) in PwMS.
Methods: This study included people diagnosed with multiple sclerosis according to McDonald's criteria, with an expanded disability status scale (EDSS)≤3, and with independent walking. The socio-demographic information of 38 participants who met the inclusion criteria was recorded. Six Minute Walk Test (6MWT), SWT I and II were evaluated twice with one-hour rest intervals. At the end of the tests, walking distances were recorded.
Results: PwMS showed strong correlations between vital signs, fatigue, dyspnea, walking distance, and VO2max values measured after 6MWT and SWT I (p<0.05). Also, there was a moderate agreement between the vital signs, fatigue dyspnea, walking distance, and VO2max values measured after SWT I and SWT II (p<0.05). MDC value for SWT was 133,62m.
Conclusion: The SWT was reliable and valid in determining exercise capacity in PwMS with EDSS≤3.
References
- Granberg T, Fan Q, Treaba CA, et al. In vivo cortical and white matter neuroaxonal pathology characterization in early multiple sclerosis. Brain. 2017;140:2912-2926.
- Kamm CP, Uitdehaag BM, Polman CH. Multiple sclerosis: Current knowledge and future outlook. Eur Neurol. 2014;72:132-141.
- Langeskov-Christensen M, Heine M, Kwakkel G, et al. Aerobic capacity in persons with multiple sclerosis: a systematic review and meta-analysis. Sports Med. 2015;45:905-923.
- Ries AL, Bauldoff GS, Carlin BW, et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007;131(5 Suppl):4S-42S..
- Lan C-C, Yang M-C, Lee C-H, et al. Pulmonary rehabilitation improves exercise capacity and quality of life in underweight patients with chronic obstructive pulmonary disease. Respirology. 2011;16:276-283.
- Dawes H, Collett J, Meaney A, et al. Delayed recovery of leg fatigue symptoms following a maximal exercise session in people with multiple sclerosis. Neurorehabil Neural Repair. 2014;28:139-148.
- Chiang AT, Chen Q, Wang Y, et al. Kinect-based ın-home exercise system for lymphatic health and lymphedema ıntervention. IEEE J Transl Eng Health Med. 2018;6:1-13.
- Heine M, Hoogervorst ELJ, Hacking HGA, et al. Validity of maximal exercise testing in people with multiple sclerosis and low to moderate levels of disability. Phys Ther. 2014;94:1168-1175.
- Motl RW, Fernhall B. Accurate prediction of cardiorespiratory fitness using cycle ergometry in minimally disabled persons with relapsing-remitting multiple sclerosis. Arch Phys Med Rehabil. 2012;93:490-495.
- Goldman MD, Marrie RA, Cohen JA. Evaluation of the six-minute walk in multiple sclerosis. Mult Scler. 2008;14:383-390.
- van Bloemendaal M, Kokkeler AM, van de Port IG. The shuttle walk test: a new approach to functional walking capacity measurements for patients after stroke? Arch Phys Med Rehabil. 2012;93:163-166.
- Parreira VF, Janaudis-Ferreira T, Evans RA, et al. Measurement properties of the ıncremental shuttle walk test. Chest. 2014;145:1357-1369.
- Ozcan Kahraman B, Tanriverdi A, Sezgin N, et al. Comparison of physiological responses after incremental shuttle walking test and 6-minute walk test in patients with systemic sclerosis. Wien klin Wochenschr. 2024;136:169-176.
- Clague-Baker N, Robinson T, Hagenberg A, et al. The validity and reliability of the Incremental Shuttle Walk Test and Six-minute Walk Test compared to an Incremental Cycle Test for people who have had a mild-to-moderate stroke. Physiotherapy (United Kingdom). 2019;105:275-282.
- Dunn A, Marsden DL, Barker D, et al. Cardiorespiratory fitness and walking endurance improvements after 12 months of an individualized home and community-based exercise program for people after stroke. Brain Inj. 2017;31:1617-1624.
- Dunn A, Marsden DL, Barker D, et al. Evaluation of three measures of cardiorespiratory fitness in independently ambulant stroke survivors. Physiother Theory Pract. 2018;35:1-11.
- Itaki M, Kozu R, Tanaka K, et al. Reference equation for the incremental shuttle walk test in Japanese adults. Respir Investig. 2018;56:497-502.
- Weisman IM, Weisman IM, Marciniuk D, et al. ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167:211-277.
- Borg GA V. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-81. Med Sci Sports Exerc. 1982;14:377-381.
- Jay SJ, Enright P. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med. 2000;161:1396.
- Bozdemir Ozel C, Arikan H, Demirtas RN, et al. Evaluation of exercise capacity using two field tests in patients with metabolic syndrome. Disabil Rehabil. 2019;43:1015-1021.
- Probst VS, Hernandes NA, Teixeira DC, et al. Reference values for the incremental shuttle walking test. Respir Med. 2012;106:243-248.
- Fleiss JL. The Design and Analysis of Clinical Experiments. John Wiley and Sons. 1999.
- Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Phys Ther. 2006;86:735-743.
- O’Brien E, Pickering T, Asmar R, et al. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Press Monit. 2002;7:3-17.
- Evans RA, Singh SJ. Minimum important difference of the incremental shuttle walk test distance in patients with COPD. Thorax. 2019;74:994-995.
- Houchen-Wolloff L, Boyce S, Singh S. The minimum clinically important improvement in the incremental shuttle walk test following cardiac rehabilitation. Eur J Prev Cardiol. 2015;22:972-978.
- Quintino LF, Aguiar LT, de Brito SAF, et al. Reliability and validity of the incremental shuttle walking test in individuals after stroke. Top Stroke Rehabil. 2021;28:331-339.
- Savci S, Inal-Ince D, Arikan H, et al. Six-minute walk distance as a measure of functional exercise capacity in multiple sclerosis. Disabil Rehabil. 2005;27:1365-1371.
- Wasserman K, Hansen JE, Sue DY, et al. Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications: Fifth Edition; 2011.
- Chetta A, Rampello A, Marangio E, et al. Cardiorespiratory response to walk-in multiple sclerosis patients. Respir Med. 2004;98:522-529.
- Wetzel JL, Fry DK, Pfalzer LA. Six-minute walk test for persons with mild or moderate disability from multiple sclerosis: Performance and explanatory factors. Physiother Can. 2011;63:166-180.
There are 32 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Physiotherapy, People With Disability |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 1, 2025 |
| Submission Date | January 31, 2025 |
| Acceptance Date | March 6, 2025 |
| Published in Issue | Year 2025 Volume: 12 Issue: 2 |
