Nguyen Duy Thanh, Sauvage Chloé, Questienne Claire, Duchène Michel, Nguyen Duan Van, Nguyen Dung Tan, Penta Massimo
University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam; Faculty of Human Movement Sciences, Université Libre de Bruxelles, Brussels, Belgium.
Faculty of Human Movement Sciences, Université Libre de Bruxelles, Brussels, Belgium; Service de Kinésithérapie, Hôpital Universitaire de Bruxelles, Hôpital Erasme, Brussels, Belgium.
J Rehabil Med. 2025 Jun 25;57:jrm42665. doi: 10.2340/jrm.v57.42665.
To test the equivalence of the 6-minute walk test and the 2-minute walk test in stroke survivors in a multicultural setting, focusing on reliability, performance, and associations with clinical and anthropometric factors.
Cross-sectional observational study.
SUBJECTS/PATIENTS: 238 participants (119 stroke survivors and 119 healthy individuals matched for age and sex).
Participants were assessed using the 6-minute walk test and the 2-minute walk test in Belgium and Vietnam. Stroke survivors were assessed in the acute and subacute phases (17 days post-stroke) and reassessed after 1-3 days.
The 6-minute walk test and the 2-minute walk test showed high test-retest reliability (ICC > 0.96). The difference between the two tests was not significant in terms of walking distance reduction in stroke survivors relative to healthy participants (1.4%), not clinically meaningful for walking speed (0.026 m/s), and not significant in chronotropic response (1.6 bpm). The correlation between the 2 tests in stroke survivors was high (r = 0.93) and walking distance was moderately related to height, weight, and phase, and type of stroke (p < 0.05).
The 6-minute walk test and the 2-minute walk test exhibited similar results in measuring the impact of stroke on walking performance. The similarity between Belgium and Vietnam further supports the clinical equivalence of both tests among acute and subacute stroke survivors.
在多元文化背景下，测试6分钟步行试验和2分钟步行试验在中风幸存者中的等效性，重点关注可靠性、表现以及与临床和人体测量因素的关联。
横断面观察性研究。
受试者/患者：238名参与者（119名中风幸存者和119名年龄和性别匹配的健康个体）。
在比利时和越南，使用6分钟步行试验和2分钟步行试验对参与者进行评估。中风幸存者在急性期和亚急性期（中风后17天）接受评估，并在1 - 3天后重新评估。
6分钟步行试验和2分钟步行试验显示出较高的重测信度（组内相关系数>0.96）。在中风幸存者相对于健康参与者的步行距离减少方面，两种测试之间差异不显著（1.4%），对步行速度而言差异无临床意义（0.026米/秒），在变时反应方面差异也不显著（1.6次/分钟）。中风幸存者中两种测试之间的相关性较高（r = 0.93），步行距离与身高、体重、阶段以及中风类型存在中度相关性（p < 0.05）。
6分钟步行试验和2分钟步行试验在测量中风对步行表现的影响方面显示出相似结果。比利时和越南之间的相似性进一步支持了这两种测试在急性和亚急性中风幸存者中的临床等效性。
