Zusammenfassung
Viele Patienten mit chronischer Herzinsuffizienz und chronischen respiratorischen Leiden sind durch die Krankheit in ihren Aktivitäten limitiert. Bei diesen Patienten können standardisierte Gehtests den funktionellen Status erfassen und zur Therapiekontrolle dienen. Der 6-min-Gehtest bei selbst gewählter Geschwindigkeit ist als verbreiteter, wenig komplexer Test geeignet, die funktionelle Kapazität auf submaximalem Level zu erfassen. Shuttle-Walk-Tests mit vorgegebener und sich steigernder Geschwindigkeit spiegeln die funktionelle Kapazität auf maximalem Level wider.
Abstract
Activity levels of many patients suffering from chronic cardiac insufficiency and chronic respiratory diseases are often limited. Standardized walk tests can be used to evaluate the functional status as well as monitoring therapy in these patients. The self-paced 6-min walk test is a widely used low complexity test to measure functional capacity on a submaximal level. Shuttle walk tests are controlled-pacing walk tests to evaluate functional capacity on maximal levels.
Notes
Da der mit den Gehtests zu Untersuchende in den meisten Fällen krank ist, wird im Folgenden der Ausdruck „Patient“ auch als Synonym für „Proband“ verwendet.
Literatur
ATS-Statement (2002) Guidelines for the six-minute walk-test. Am J Respir Crit Care Med 166:111–117
Bansal V, Hill K, Dolmage TE et al (2008) Modifying track layout from straight to circular has a modest effect on the 6-min walk distance. Chest 133:1155–1160
Brown CD, Wise RA (2007) Field test of exercise in COPD: the six-minute walk test and the shuttle walk test. COPD 4:217–224
Callens E, Graba S, Gillet-Juvin K et al (2009) Measurement of dynamic hyperinflation after a 6-minute walk test in patients with COPD. Chest 136:1466–1472
Camarri B, Eastwood PR, Cecin NM et al (2006) Six minute walk distance in healthy subjects aged 55–75 years. Respir Med 100:658–665
Cardoso F, Tufanin AT, Colucci M et al (2007) Replacement of the 6-min walk test with maximal oxygen consumption in the BODE index applied to patients with COPD: an equivalence study. Chest 132:477–482
Carter R, Holiday DB, Nwasoruba C et al (2003) 6-minute walk work for assessement of functional capacity in patients with COPD. Chest 123:1408–1415
Casanova C, Cote C, Marin JM et al (2008) Distance and oxygen desaturation during the 6-min walk test as predictors of long term mortality in patients with COPD. Chest 134:746–752
Casanova C, Celli BF, Barria P et al (2010) The 6 minute walk distance in healthy subjects: reference standards from seven countries. Eur Respir J [Epub ahead, doi:10.1183/090331936.00194909]
Casas A, Vilaro J, Rabinovich R et al (2005) Encouraged 6-min walking test indicates maximum sustainable exercise in COPD patients. Chest 128:55–61
Celli BR, MacNee W (2004) Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. Eur Respir J 23:932–946
Celli BR, Cote CG, Marin JM et al (2004) The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 350:1005–1012
Chetta A, Zanini A, Pisi G et al (2006) Reference values for the 6-min walk test in healthy subjects 20–50 years old. Respir Med 100:1573–1578
Cote C, Pino-Plata V, Kasprzyk K et al (2007) The 6-min walk distance, peak oxygen uptake, and mortality in COPD. Chest 132:1778–1785
Cote CG, Casanova C, Marin JM et al (2008) Validation and comparison of reference equations for the 6-min walk distance test. Eur Respir J 31:571–578
Demers C, McKelvie RS, Negassa A et al (2001) Reliability, validity, and responsiveness of six-minute walk test in patients with heart failure. Am Heart J 142:698–703
Enright PL, Sherill DL (1998) Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 158:1384–1387
Enright PL, McBurnie MA, Bittner V et al (2003) The 6-min walk test: a quick measure of functional status in elderly adults. Chest 123:387–398
Geiger R, Strasak A, Tremel B et al (2007) Six-minute walk test in children and adolescents. J Pediatr 150:395–399
Gibbons W, Fruchter N, Sloan S et al (2001) Reference values for a multiple repetition 6-minute-walk test in healthy adults older than 20 years. J Cardiopulm Rehabil 21:87–93
Kroidl RF, Schwarz S, Lehnigk B (2006) Belastungsuntersuchungen in der Pneumologie. Pneumologie 3:149–170
Lama VN, Flaherty KR, Toews GB et al (2003) Prognostic value of desaturation during a 6-minute walk test in idiopathic interstitial pneumonia. Am J Respir Crit Care Med 168:1084–1090
Lee W-TN, Peacock AJ, Johnson MK (2010) The role of percent predicted six-minute walk distance in pulmonary arterial hypertension. Eur Respir J [Epub ahead, doi: 10.1183/090331936.00155009]
Olsson LG, Swedberg K, Clark AL et al (2005) Six minute corridor walk test as an outcome measure for the assessment of treatment in randomized, blinded intervention trials of chronic heart failure: a systematic review. Eur Heart J 26:778–793
Oudiz RJ, Barst RJ, Hansen JE et al (2006) Cardiopulmonary exercise testing and six-minute walk correlations in pulmonary arterial hypertension. Am J Cardiol 997:123–126
Palange A, Ward SA, Carlsen K-H et al (2007) Recommendations on the use of exercise testing in clinical practice. Eur Respir J 29:185–209
Pepin V, Brodeur J, Lacasse Y et al (2007) Six-minute walking versus shuttle walking: responsiveness to bronchodilatation in chronic obstructive pulmonary disease. Thorax 62:291–298
Poulain M, Durand F, Palomba B et al (2003) 6-minute walk testing is more sensitive than maximal incremental cycle testing for detecting oxygen desaturation in patients with COPD. Chest 123:1401–1407
Puhan MA, Chandra D, Mosenifar Z et al (2010) The minimal important difference of exercise tests in severe COPD. Eur Respir J [Epub ahead of print, doi: 10.1183/09031936.00063810]
Pulz C, Diniz R, Avez AN et al (2008) Incremental shuttle and six-minute walking tests in the assessment of functional capacity in chronic heart failure. Can J Cardiol 24:131–135
Rostagno C, Olivo G, Comeglio M et al (2003) Prognostic value of 6-minute walk corridor test in patients with mild to moderate heart failure: comparison with other methods of functional evaluation. Eur J Heart Fail 5:247–252
Salzman SH (2009) The 6-min walk test: clinical and research role, technique, coding, and reimbursement. Chest 135:1345–1352
Shah MR, Hasselblad V, Gheorghiade M et al (2001) Prognostic usefulness of the six-minute walk in patients with advanced congestive heart failure secondary to ischemic or nonischemic cardiomyopathy. Am J Cardiol 88:987–993
Singh SJ, Jones PW, Revans R, Morgan MDL (2008) Minimum clinically important improvement for the incremental shuttle walking test. Thorax 63:775–777
Solway S, Brooks D, Lacasse Y, Thomas S (2001) A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest 119:256–270
Swigris JJ, Swick J, Wamboldt FS (2009) Heart rate recovery after 6-min walk test predicts survival in patients with idiopathic pulmonary fibrosis. Chest 136:841–848
Troosters T, Gosselink R, Decramer M (1999). Six minute walking distance in healthy elderly subjects. Eur Respir J 14:270–274
Villalba WO, Sampaio-Barros PD, Pereira MC et al (2007) Six-minute-walk test for the evaluation of pulmonary disease severity in scleroderma patients. Chest 131:217–222
Weber N, Brandl P, Kohlhäufl M, Häußinger K (2005) Sechs-Minuten-Gehtest mit und ohne Sauerstoff bei Patienten mit COPD: Vergleich von Gehstrecke und Sauerstoffsättigung bei unterschiedlichen Applikationsformen. Pneumologie 60:220–228
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Petermann, W., Buschmann, HC. Gehtests. Pneumologe 8, 78–84 (2011). https://doi.org/10.1007/s10405-010-0450-x
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10405-010-0450-x
Schlüsselwörter
- 6-min-Gehtest
- Shuttle-Walk-Test
- Funktionelle Kapazität
- Chronische Herzinsuffizienz
- Chronische respiratorische Erkrankungen