The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream

Our aim was to evaluate the use and impact of the practice walk test on enrolment, completion, and clinical functional response to pulmonary rehabilitation (PR) using the 2015 UK National Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Rehabilitation audit data. Patients were assessed accordi...

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Main Authors: Hakamy, Ali, McKeever, Tricia M., Steiner, Michael C., Roberts, C. Michael, Singh, Sally J., Bolton, Charlotte E.
Format: Article
Published: Dove Medical Press 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/46739/
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author Hakamy, Ali
McKeever, Tricia M.
Steiner, Michael C.
Roberts, C. Michael
Singh, Sally J.
Bolton, Charlotte E.
author_facet Hakamy, Ali
McKeever, Tricia M.
Steiner, Michael C.
Roberts, C. Michael
Singh, Sally J.
Bolton, Charlotte E.
author_sort Hakamy, Ali
building Nottingham Research Data Repository
collection Online Access
description Our aim was to evaluate the use and impact of the practice walk test on enrolment, completion, and clinical functional response to pulmonary rehabilitation (PR) using the 2015 UK National Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Rehabilitation audit data. Patients were assessed according to whether a baseline practice walk test was performed or not. Study outcomes included use of the practice walk test, baseline and change in incremental shuttle walk test distance (ISWD) or 6-minute walk test distance (6MWD), and enrolment to and completion of PR program. Of 7,355 patients, only 1,666 (22.6%) had a baseline practice test. At baseline, the practice walk test group walked further as compared to the no practice walk test group: ISWD, 17.9 m [95% confidence interval (CI) 8.2–27.5 m] and 6MWD, 34.8 m (95% CI 24.7–44.9 m). The practice walk test group were 2.2 times (95% CI 1.8–2.6) more likely to enroll and 17% (95% CI 1.03–1.34) more likely to complete PR. Although the change in ISWD and 6MWD with PR was lower in the practice walk test group, they walked further at discharge assessment. Only 22.6% of the patients in the 2015 National PR audit had a practice walk test at assessment. Those who did had better enrolment, completion, and better baseline walking distance, from which the prescription is set.
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spelling nottingham-467392020-05-04T19:05:19Z https://eprints.nottingham.ac.uk/46739/ The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream Hakamy, Ali McKeever, Tricia M. Steiner, Michael C. Roberts, C. Michael Singh, Sally J. Bolton, Charlotte E. Our aim was to evaluate the use and impact of the practice walk test on enrolment, completion, and clinical functional response to pulmonary rehabilitation (PR) using the 2015 UK National Chronic Obstructive Pulmonary Disease (COPD) Pulmonary Rehabilitation audit data. Patients were assessed according to whether a baseline practice walk test was performed or not. Study outcomes included use of the practice walk test, baseline and change in incremental shuttle walk test distance (ISWD) or 6-minute walk test distance (6MWD), and enrolment to and completion of PR program. Of 7,355 patients, only 1,666 (22.6%) had a baseline practice test. At baseline, the practice walk test group walked further as compared to the no practice walk test group: ISWD, 17.9 m [95% confidence interval (CI) 8.2–27.5 m] and 6MWD, 34.8 m (95% CI 24.7–44.9 m). The practice walk test group were 2.2 times (95% CI 1.8–2.6) more likely to enroll and 17% (95% CI 1.03–1.34) more likely to complete PR. Although the change in ISWD and 6MWD with PR was lower in the practice walk test group, they walked further at discharge assessment. Only 22.6% of the patients in the 2015 National PR audit had a practice walk test at assessment. Those who did had better enrolment, completion, and better baseline walking distance, from which the prescription is set. Dove Medical Press 2017-09-08 Article PeerReviewed Hakamy, Ali, McKeever, Tricia M., Steiner, Michael C., Roberts, C. Michael, Singh, Sally J. and Bolton, Charlotte E. (2017) The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream. International Journal of Chronic Obstructive Pulmonary Disease, 12 . pp. 2681-2686. ISSN 1176-9106 pulmonary rehabilitation COPD functional performance test functional exercise test https://www.dovepress.com/the-use-of-the-practice-walk-test-in-pulmonary-rehabilitation-program--peer-reviewed-article-COPD doi:10.2147/COPD.S141620 doi:10.2147/COPD.S141620
spellingShingle pulmonary rehabilitation
COPD
functional performance test
functional exercise test
Hakamy, Ali
McKeever, Tricia M.
Steiner, Michael C.
Roberts, C. Michael
Singh, Sally J.
Bolton, Charlotte E.
The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title_full The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title_fullStr The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title_full_unstemmed The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title_short The use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream
title_sort use of the practice walk test in pulmonary rehabilitation program: national copd audit pulmonary rehabilitation workstream
topic pulmonary rehabilitation
COPD
functional performance test
functional exercise test
url https://eprints.nottingham.ac.uk/46739/
https://eprints.nottingham.ac.uk/46739/
https://eprints.nottingham.ac.uk/46739/