Preferences help
enabled [disable] Abstract
Number of results
2018 | 107 | 125-135
Article title

Application of six minute walk test in clinical practice

Title variants
Languages of publication
The six-minute walk test is a recommended, practical, simple test for preliminary assessment of functional capacity, effort tolerance, adaptation to activities of daily living. The aim of the study was to analyze and summarize the current knowledge of guidelines, application and usefulness of a six-minute walk test in clinical practice. On the basis of the leading publications and the latest reports, articles the basic scope of knowledge on the assessment of the functional exercise capacity based on a six- minute walk test was synthesiezed. A set of examples of the application of the test in clinical practice in cardiology, pulmonology, rehabilitation and on the interventional branches of medicine such as surgery is mentioned in publication. Analysis of current state of knowledge shows that the six- minute walk test is used in cardiology to assess functional exercise capacity, effort tolerance, course and effects of treatment of patients with cardiovascular diseases, including coronary heart disease, arterial hypertension, after pacemaker implantation and other cardiac operations. A similar application was found in pulmonology in patients with COPD, lung restrictive diseases, before and after surgeries. The six- minute walk test has found a wide application in clinical practice in assessing efficiency, exercise tolerance, effects of rehabilitation in cardiology, pulmonology and other branches of medicine. The test has been used for preoperative and postoperative evaluation, measuring the response to intervetions, rehabilitation. Due to its universality and the ability to reflect the actual state of functional capacity, tolerance of effort it can be used in other areas of medicine according to its indications.
Physical description
  • Department of Endocrine, General and Oncological Surgery, Medical University of Lodz, Poland
  • Department of Endocrine, General and Oncological Surgery, Medical University of Lodz, Poland
  • Faculty of Medicine, Medical University of Lodz, Poland
  • Institute of Catholic Philosophy, Faculty of History of Philosophy, Pontificia Facultas Theologica Wratislaviensis, Wroclaw, Poland
  • [1] ATS Statement: Guidelines for the Six-Minute Walk Test, American Journal of Respiratory and Critical Care Medicine, 166, (2002) 111-117.
  • [2] Enright PL., The six minute walk test, Respiratory Care 48 (2003) 783-785.
  • [3] Reybrouck T., Clinical usefulness and limitations of 6-minute walk test in patients with cardiovascular or pulmonary disease, Chest, 123, (2003) 325-6.
  • [4] Wasserman K, Hansen JE, Sue DY, Casaburi R, Whipp BJ., Principles of exercise testing and interpretation, 3rd edition. Philadelphia: Lippincott, Williams & Wilkins; (1999).
  • [5] Weisman IM, Zeballos RJ., An integrated approach to the interpretation of cardiopulmonary exercise testing, Clinics in Chest Medicine, 15 (1994) 421-445.
  • [6] Balke B., A simple field test for the assessment of physical fitness, CARI Report (1963) 63: 18.
  • [7] McGavin CR, Gupta SP, McHardy GJR., Twelve-minute walking test for assessing disability in chronic bronchitis, British Medical Journal, 1 (1976) 822–823.
  • [8] Butland RJA, Pang J, Gross ER, Woodcock AA, Geddes DM., Two-, six-, and 12-minute walking tests in respiratory disease, British Medical Journal, 284 (1982) 1607–1608.
  • [9] Solway S, Brooks D, Lacasse Y, Thomas S., A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain, Chest, 119, (2001) 256–270.
  • [10] Cahalin L, Pappagianopoulos P, Prevost S, Wain J, Ginns L., The relationship of the 6-min walk test to maximal oxygen consumption in transplant candidates with end-stage lung disease, Chest, 108, (1995) 452–459.
  • [11] Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS), Guidelines on myocardial revascularization, European Heart Journal, 31, (2010) 2501−2555.
  • [12] American Thoracic Society, American College of Chest Physicians ATS/ACCP, Statement on cardiopulmonary exercise testing, American Journal of Respiratory Critical Care Medicine, 167, (2003) 211−277.
  • [13] Guyatt GH, Sullivan MJ, Thompson PJ, Fallen EL, Pugsley SO, Taylor DW, Berman LB, The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure, Canadian Medical Association Journal, 132, (1985) 919–923.
  • [14] Sciurba F., Criner GJ, Lee SM, et al., Six-minute walk distance in chronic obstructive pulmonary disease: reproducibility and effect of walking course layout and length, American Journal of Respiratory Critical Care Medicine, 167, (2003) 1522-1527.
  • [15] Gibbons WJ, Fruchter N., Sloan S., et al., Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years, Journal of Cardiopulmonary Rehabilitation, 21, (2001) 87-93.
  • [16] Enright P., McBurnie M., Bittner V., et al., The 6-min walk test: a quick measure of functional status in elderly adults, Chest, 123, (2003); 387-398.
  • [17] Fletcher GF, Balady G., Froelicher VF, Hartley LH, Haskell WL, Pollock ML, Exercise standards: a statement for healthcare professionals from the American Heart Association, Circulation, 91, (1995) 580–615.
  • [18] Rich MW, Assessing prognosis inheart failure: what is role of the 6- minute walk test,, 2007
  • [19] Redelmeier DA, Bayoumi AM, Goldstein RS, et al., Interpreting small differences in functional status: the six minute walk test in chronic lung disease patients, American Journal of Respiratory Critical Care Medicine, 155, (1997) 1278-1282.
  • [20] Singh S. J., An official systematic review of the European Respiratory Society/ American Thoracic Society: measurment properties of fields walking test in chronic respiratory disease, European Respiratory Journal, 44, 6 (2014) 1447-1478.
  • [21] Bautmas I., Lambert M., Mets T., The six-minute walk test in community dwelling elderly: influence of health status, BMC Geriatry, 4, (2004) 6.
  • [22] Gayda M., Temfemo A., Choquet D., Ahmaidi S., Cardiorespiratory requirements and reproducibitlity of the six-minute walk test in elderly patients with coronary artery disease, Archives of Physical Medical Rehabilitaion, 85, (2004) 1538-43.
  • [23] Berghmans D.D., Lenssen A. F., Bastiaenen C. H., Ilhan M., Lancer N. H., Roox G. M., Reliability, agrement and responsiveness of a 6- minute walk/ run test in patients with heart disease, European Journal of Preventive Cardiology, 20 (1), (2013) 135-141.
  • [24] Bruna F. A., Santos, Souza H., Miranda A., Cipriano F., Gastaldi A., Performance in the 6- minute walk test and postoperative pulmonary complications in pulmonary burgery: an observational study, Brazylian Journal of Physical Therapy, 20 (1), (2016) 66-72.
  • [25] Sue C. Jenkins, 6-Minute walk test in patients with COPD: clinical applications in pulmonary rehabilitation, Physiotherapy, 93, 3 (2007) 175-182.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.