Characteristics of people with chronic lung disease who rest during the six-minute walk test.
OBJECTIVE
To examine the incidence of resting during the 6-minute-walk test (6MWT) in patients with chronic lung disease (CLD) and to explore differences in functional exercise capacity and response to pulmonary rehabilitation (PR) between resters and nonresters.


METHODS
Retrospective chart review.


METHODS
Inpatient PR program.


METHODS
Individuals (N=211) who performed the 6MWT at admission and discharge from PR.


METHODS
Not applicable.


METHODS
Primary outcomes were total distance walked (6-minute walk distance [6MWD]) and rest frequency and duration. Secondary outcomes were walking speed, end-test dyspnea, and the Chronic Respiratory Questionnaire (CRQ).


RESULTS
At admission, 45 people (21%) rested 1 to 4 times during the 6MWT (total duration, 105±80s) and 166 people walked continuously. At discharge, 9 people continued to rest (total duration, 28±55s). At admission, nonresters walked 315±93m, whereas resters walked 197±83m (P<.0001), and 6MWD increased in both groups after PR (P<.0001). Nonresters increased their walking speed at discharge, but resters did not (interaction P<.001). At admission, the mastery domain of the CRQ was 0.8 point lower in resters (3.7±1.2) compared with nonresters (4.5±1.7; P=.01). Resters' end-test dyspnea scores decreased from 5.7±0.3 to 4.3±0.2 from admission to discharge, whereas nonresters' end-test dyspnea scores did not significantly change from 4.5±0.2 to 4.2±0.2 at discharge (interaction P<.05).


CONCLUSIONS
One in 5 individuals with CLD rest during the 6MWT. Decreasing rest duration or increasing walking speed reflects different strategies used to improve 6MWD after rehabilitation, both suggesting a positive effect of PR. This may be related to improvements in an individual's sense of control over dyspnea. Future work should investigate potential factors related to resting during the 6MWT.
Department of Physical Therapy, University of Toronto, ON, Canada.
Rebecca
R
Wong
Kathryn M
KM
Sibley
Munira
M
Hudani
Samantha
S
Roeland
Marco
M
Visconti
Joey
J
Balsano
Kylie
K
Hill
Dina
D
Brooks
D000368:Aged; D015992:Body Mass Index; D004185:Disability Evaluation; D004417:Dyspnea / Q000453:epidemiology; D005080:Exercise Test / Q000706:statistics & numerical data*; D017079:Exercise Tolerance / Q000502:physiology*; D005260:Female; D005500:Follow-Up Studies; D005541:Forced Expiratory Volume; D006801:Humans; D015994:Incidence; D007297:Inpatients; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000503:physiopathology* / Q000534:rehabilitation; D015203:Reproducibility of Results; D012146:Rest / Q000502:physiology*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016138:Walking / Q000502:physiology*