For a full list of the authors' affiliations please refer to the Acknowledgements
For a full list of the authors' affiliations please refer to the Acknowledgements.
Eur Respir J. 2014 Dec;44(6):1428-46. doi: 10.1183/09031936.00150314. Epub 2014 Oct 30.
Field walking tests are commonly employed to evaluate exercise capacity, assess prognosis and evaluate treatment response in chronic respiratory diseases. In recent years, there has been a wealth of new literature pertinent to the conduct of the 6-min walk test (6MWT), and a growing evidence base describing the incremental and endurance shuttle walk tests (ISWT and ESWT, respectively). The aim of this document is to describe the standard operating procedures for the 6MWT, ISWT and ESWT, which can be consistently employed by clinicians and researchers. The Technical Standard was developed by a multidisciplinary and international group of clinicians and researchers with expertise in the application of field walking tests. The procedures are underpinned by a concurrent systematic review of literature relevant to measurement properties and test conduct in adults with chronic respiratory disease. Current data confirm that the 6MWT, ISWT and ESWT are valid, reliable and responsive to change with some interventions. However, results are sensitive to small changes in methodology. It is important that two tests are conducted for the 6MWT and ISWT. This Technical Standard for field walking tests reflects current evidence regarding procedures that should be used to achieve robust results.
现场行走测试常用于评估慢性呼吸系统疾病患者的运动能力、预后评估和治疗反应。近年来，有关 6 分钟步行测试（6MWT）的文献层出不穷，描述递增耐力穿梭步行测试（ISWT 和 ESWT）的证据基础也在不断增长。本文件旨在描述 6MWT、ISWT 和 ESWT 的标准操作规程，以便临床医生和研究人员能够一致地使用。该技术标准由多学科和国际临床医生和研究人员组成的团队制定，他们在现场行走测试的应用方面具有专业知识。该程序基于对慢性呼吸系统疾病成人的测量特性和测试进行的相关文献的系统回顾。目前的数据证实，6MWT、ISWT 和 ESWT 具有有效性、可靠性和对某些干预措施的反应性，但结果对方法学的微小变化很敏感。6MWT 和 ISWT 最好进行两次测试。本现场行走测试技术标准反映了当前关于应采用哪些程序以获得稳健结果的证据。
