Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis

Although guidelines are established for performing the six-minute walking test (6MWT), it is not always possible to implement this test in any setting, due to physical and space limitations. Yet, variations in the conditions of the test could be responsible for heterogeneous outcomes. However, the i...

Full description

Saved in:
Bibliographic Details
Main Authors: Armelle-Myriane Ngueleu, Solène Barrette, Coralie Buteau, Chloé Robichaud, Michelle Nguyen, Gauthier Everard, Charles Sebiyo Batcho
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/25/1/17
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841548993109164032
author Armelle-Myriane Ngueleu
Solène Barrette
Coralie Buteau
Chloé Robichaud
Michelle Nguyen
Gauthier Everard
Charles Sebiyo Batcho
author_facet Armelle-Myriane Ngueleu
Solène Barrette
Coralie Buteau
Chloé Robichaud
Michelle Nguyen
Gauthier Everard
Charles Sebiyo Batcho
author_sort Armelle-Myriane Ngueleu
collection DOAJ
description Although guidelines are established for performing the six-minute walking test (6MWT), it is not always possible to implement this test in any setting, due to physical and space limitations. Yet, variations in the conditions of the test could be responsible for heterogeneous outcomes. However, the impact of the condition of the 6MWT is not clearly established in literature. The objective is to determine the influence of different implementation conditions on the validity of the 6MWT. Seventeen articles were retained after a literature review, including 597 participants. Seven articles mention that performing the test on a predetermined short back-and-forth pathway led to lower performance than when the test was performed on pathways of greater distances. The walking distance covered on a rectangular path or on a 10-m eight-form path is greater than with the back and forth on a five- to ten-meter path. Seven articles suggest that the performance achieved on a treadmill is generally lower than that obtained while walking on the ground. Evidence shows that the conditions while performing the 6MWT significantly influence the score, hence the validity of the results. The use of a ground pathway, comprising the longest linear distance possible, seems critical to ensure good validity.
format Article
id doaj-art-62d8307bb0bc4233b362e8407e6d1269
institution Kabale University
issn 1424-8220
language English
publishDate 2024-12-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj-art-62d8307bb0bc4233b362e8407e6d12692025-01-10T13:20:33ZengMDPI AGSensors1424-82202024-12-012511710.3390/s25010017Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-AnalysisArmelle-Myriane Ngueleu0Solène Barrette1Coralie Buteau2Chloé Robichaud3Michelle Nguyen4Gauthier Everard5Charles Sebiyo Batcho6Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC G1M 2S8, CanadaSchool of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC G1V 0A6, CanadaSchool of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC G1V 0A6, CanadaSchool of Rehabilitation Sciences, Faculty of Medicine, Université Laval, Quebec City, QC G1V 0A6, CanadaCentre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC G1M 2S8, CanadaCentre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC G1M 2S8, CanadaCentre for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC G1M 2S8, CanadaAlthough guidelines are established for performing the six-minute walking test (6MWT), it is not always possible to implement this test in any setting, due to physical and space limitations. Yet, variations in the conditions of the test could be responsible for heterogeneous outcomes. However, the impact of the condition of the 6MWT is not clearly established in literature. The objective is to determine the influence of different implementation conditions on the validity of the 6MWT. Seventeen articles were retained after a literature review, including 597 participants. Seven articles mention that performing the test on a predetermined short back-and-forth pathway led to lower performance than when the test was performed on pathways of greater distances. The walking distance covered on a rectangular path or on a 10-m eight-form path is greater than with the back and forth on a five- to ten-meter path. Seven articles suggest that the performance achieved on a treadmill is generally lower than that obtained while walking on the ground. Evidence shows that the conditions while performing the 6MWT significantly influence the score, hence the validity of the results. The use of a ground pathway, comprising the longest linear distance possible, seems critical to ensure good validity.https://www.mdpi.com/1424-8220/25/1/17functional assessmentwalking testwalked distancepsychometricvalidity
spellingShingle Armelle-Myriane Ngueleu
Solène Barrette
Coralie Buteau
Chloé Robichaud
Michelle Nguyen
Gauthier Everard
Charles Sebiyo Batcho
Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
Sensors
functional assessment
walking test
walked distance
psychometric
validity
title Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
title_full Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
title_fullStr Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
title_full_unstemmed Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
title_short Impact of Pathway Shape and Length on the Validity of the 6-Minute Walking Test: A Systematic Review and Meta-Analysis
title_sort impact of pathway shape and length on the validity of the 6 minute walking test a systematic review and meta analysis
topic functional assessment
walking test
walked distance
psychometric
validity
url https://www.mdpi.com/1424-8220/25/1/17
work_keys_str_mv AT armellemyrianengueleu impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT solenebarrette impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT coraliebuteau impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT chloerobichaud impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT michellenguyen impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT gauthiereverard impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis
AT charlessebiyobatcho impactofpathwayshapeandlengthonthevalidityofthe6minutewalkingtestasystematicreviewandmetaanalysis