Department of Physical Therapy, Loewenstein Rehabilitation Hospital, Raanana, Israel.
Department of Pediatric and Youth Rehabilitation, Loewenstein Rehabilitation Hospital, Raanana, Israel.
NeuroRehabilitation. 2019;45(1):19-24. doi: 10.3233/NRE-192716.
Reliable evaluation is of utmost importance to the therapist and the patient. There is no data about the test-retest reproducibility of 6-Minute Walk Test (6MWT) and Energy Expenditure Index (EEI) for children and adolescents with an Acquired Brain Injury (ABI) in the sub-acute phase.
To determine test-retest reproducibility and smallest real differences (SRDs) of the 6MWT and EEI in children and adolescents with an ABI during rehabilitation in the sub-acute phase. Our second aim was to assess the correlation between the objective measure, the EEI, and the subjective perception of physical exertion obtained by using the pictorial children's effort rating scale (PCERT).
Twenty eight participants (12.5±4.3 years; 10 females) with an ABI in the sub-acute phase were asked to perform the 6MWT twice during their hospitalization. Heart rate was monitored during rest and throughout the 6MWT to calculate the EEI. Intra-class correlation coefficients (ICCs) and SRDs of the 6MWT and EEI were determined.
Test-retest reproducibility was excellent for the 6MWT (ICC = 0.98, SRD = 65.73 m) and EEI tests (ICC = 0.99, SRD = 0.65 beats/m). Excluding one participant who walked extremely slowly resulted in ICC = 0.97, SRD = 67.01 m for the 6MWT, and ICC = 0.91, SRD = 0.25 beats/m for the EEI. No significant correlations were found between the EEI and PCERT.
6MWT and EEI are reliable measures in children and adolescents with an ABI during hospitalization in the sub-acute phase.
可靠的评估对治疗师和患者都至关重要。目前尚无数据表明在亚急性期患有获得性脑损伤（ABI）的儿童和青少年的 6 分钟步行测试（6MWT）和能量消耗指数（EEI）的重测可重复性。
确定亚急性期康复期间患有 ABI 的儿童和青少年 6MWT 和 EEI 的重测可重复性和最小真实差异（SRD）。我们的第二个目的是评估客观测量指标 EEI 与使用儿童努力描绘评分量表（PCERT）获得的主观体力消耗感知之间的相关性。
28 名亚急性期 ABI 患者（12.5±4.3 岁；10 名女性）在住院期间被要求进行两次 6MWT。在休息和整个 6MWT 期间监测心率，以计算 EEI。确定了 6MWT 和 EEI 的组内相关系数（ICC）和 SRD。
6MWT（ICC=0.98，SRD=65.73 m）和 EEI 测试的重测可重复性均为极好（ICC=0.99，SRD=0.65 次/分）。排除一名行走非常缓慢的患者后，6MWT 的 ICC 为 0.97，SRD 为 67.01 m，EEI 的 ICC 为 0.91，SRD 为 0.25 次/分。未发现 EEI 与 PCERT 之间存在显著相关性。
6MWT 和 EEI 是亚急性期住院期间患有 ABI 的儿童和青少年可靠的测量指标。
