Field walking tests are reliable and responsive to exercise training in people with non'cystic fibrosis bronchiectasis

Annemarie L. Lee, Nola Cecins, Anne E. Holland, Catherine J. Hill, Christine F. McDonald, Angela T. Burge, Linda Rautela, Philip J. Thompson, Robert G. Stirling, Sue Jenkins

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8 Citations (Scopus)


PURPOSE: The 6-Minute Walk Test (6MWT) and Incremental Shuttle Walk Test (ISWT) are used to assess exercise capacity, but the reliability and responsiveness of these tests in individuals with non.cystic fibrosis (CF) bronchiectasis have not been determined. This study aimed to determine the reliability and responsiveness of both tests in adults with non-CF bronchiectasis. METHODS: Eighty-five participants completed 2 6MWTs and 2 ISWTs in random order. Testing was repeated at the conclusion of an 8-week intervention period of exercise training. Reliability was assessed using intraclass correlation coefficients (ICC) and Bland-Altman analysis. Responsiveness was measured by effect size (ES) and standardized response mean (SRM). RESULTS: At baseline, test-retest reliability was high for both tests (ICC . 0.95). The mean (95% CI) increase in the 6MWT from test 1 to test 2 was 20 m (13-26 m): 3% (0-5%) change. The mean (95% CI) increase in the ISWT was 15 m (4-25m): 4% (2-6%) change. A significant learning effect persisted after 8 weeks for the 6MWT ( P = .04), but not the ISWT ( P = .61). The 6MWT ES was 0.32 and SRM was 0.68; for the ISWT, ES was 0.42 with SRM of 0.71. CONCLUSION: The 6MWT and ISWT are reliable measures of exercise capacity in non-CF bronchiectasis and responsive to exercise training. The small learning effect in both measures at baseline suggests that 2 of each test are necessary to correctly assess exercise capacity. Completion of 2 6MWTs at followup may minimize the risk of underestimating a treatment effect.

Original languageEnglish
Pages (from-to)439-445
Number of pages7
JournalJournal of Cardiopulmonary Rehabilitation and Prevention
Issue number6
Publication statusPublished - 2015
Externally publishedYes


  • 6-Minute Walk Test
  • Incremental Shuttle Walk Test
  • Non'cystic fibrosis bronchiectasis
  • Reliability
  • Responsiveness

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