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Title: | Changes in Gait Characteristics During and Immediately After the 6-Minute Walk Test in Persons With Multiple Sclerosis: A Systematic Review | Authors: | ABASIYANIK, Zuhal Kahraman, Turhan VELDKAMP, Renee Ertekin, Ozge Kalron, Alon FEYS, Peter |
Issue Date: | 2022 | Publisher: | OXFORD UNIV PRESS INC | Source: | Physical therapy, 102 (7) (Art N° pzac036) | Abstract: | Objective There is limited information about gait patterns during prolonged walking in people with multiple sclerosis (PwMS). The aim of this review was to report on gait metrics during and immediately after the 6-Minute Walk Test (6MWT) in PwMS with different levels of disability. Methods The systematic search was performed in 3 databases (PubMed, Web of Science, and SCOPUS) using keywords related to multiple sclerosis and 6MWT. Studies that reported on quantitative gait outcomes before and after the 6MWT or multiple time points during the 6MWT were included. The Hedges g effect size (ES) was calculated to determine the magnitude of change in each gait parameter. Results Fourteen studies (n = 534 PwMS; n = 166 healthy controls) were eligible. Five studies investigated gait parameters prior to and immediately after the 6MWT. Nine studies collected gait measures during the 6MWT. Speed (ES = -0.43 to 0.19), cadence (ES = -0.46 to 0.16), step length (ES = -0.46 to 0.14), stability (ES = -0.35 to 0.33), and regularity (ES = -0.25 to -0.15) decreased in most studies. In the majority of included studies, step time (ES = 0 to 0.35), stance period (ES = 0.12 to 0.58), double support phase (ES = 0.03 to 0.62), variability (ES = -0.19 to 1.13), and asymmetry (ES = -0.79 to 0.62) increased following the 6MWT. The kinetic and kinematic (mainly in dorsiflexion angle [ES = -0.08 to -0.36]) features of gait were also negatively changed after 6 minutes of walking. Walking speed, cadence, step length, stride length, and stride time after 6MWT at a comfortable speed all increased. Changes in the majority of spatiotemporal parameters were more pronounced in PwMS with moderate-to-severe disability compared with PwMS with mild disability. Conclusion Most quantitative gait parameters deteriorated during the 6MWT, especially in PwMS with moderate-to-severe disability. Impact The deterioration of gait patterns should be considered when designing therapeutic interventions to increase sustained walking capacity. | Notes: | Abasiyanik, Z (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL Rehabil Res Ctr, Hasselt, Belgium.; Abasiyanik, Z (corresponding author), Dokuz Eylul Univ, Grad Sch Hlth Sci, Izmir, Turkey.; Abasiyanik, Z (corresponding author), Izmir Katip Celebi Univ, Fac Hlth Sci, Dept Physiotherapy & Rehabil, Izmir, Turkey. zuhal.abasiyanik@uhasselt.be |
Keywords: | 6-Minute Walk Test;Fatigability;Fatigue;Gait;Multiple Sclerosis;Walking | Document URI: | http://hdl.handle.net/1942/37962 | ISSN: | 0031-9023 | e-ISSN: | 1538-6724 | DOI: | 10.1093/ptj/pzac036 | ISI #: | WOS:000827235000001 | Rights: | The Author(s) 2022. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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Microsoft Word - R3_6MWT SR_Manuscript_unmasked copy.docx.pdf | Peer-reviewed author version | 558.42 kB | Adobe PDF | View/Open |
Changes in Gait Characteristics During and Immediately After the 6-Minute Walk Test in Persons With Multiple Sclerosis_ A Systematic Review.pdf Restricted Access | Published version | 1.03 MB | Adobe PDF | View/Open Request a copy |
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