Reproducibility of the six-minute walk test and Glittre ADL-test in patients hospitalized for acute and exacerbated chronic lung disease

Background:

The 6-minute walk test (6MWT) and the Glittre ADL-test (GT) are used to assessfunctional capacity and exercise tolerance; however, the reproducibility of thesetests needs further study in patients with acute lung diseases.

Objectives:

The aim of this study was to investigate the reproducibility of the 6MWT and GTperformed in patients hospitalized for acute and exacerbated chronic lungdiseases.

Method:

48 h after hospitalization, 81 patients (50 males, age: 52±18 years,FEV₁: 58±20% of the predicted value) performed two 6MWTs and two GTsin random order on different days.

Results:

There was no difference between the first and second 6MWT (median 349 m [284-419]and 363 m [288-432], respectively) (ICC: 0.97; P<0.0001). A difference betweenthe first and second tests was found in GT (median 286 s [220-378] and 244 s[197-323] respectively; P<0.001) (ICC: 0.91; P<0.0001).

Conclusion:

Although both the 6MWT and GT were reproducible, the best results occurred in thesecond test, demonstrating a learning effect. These results indicate that at leasttwo tests are necessary to obtain reliable assessments.