Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer

Background: Breathlessness is common in patients with thoracic cancer but difficult to manage. The Incremental Shuttle Walking Test (ISWT) can help assess new treatments, but its repeatability has not been described in this group. Aim: To examine within and between day repeatability of the ISWT...

Full description

Bibliographic Details
Main Authors: Wilcock, Andrew, Koon, Sim, Manderson, Cathann, Taylor, Vicky, Maddocks, Matthew
Format: Article
Published: Elsevier 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/51941/
_version_ 1848798609040998400
author Wilcock, Andrew
Koon, Sim
Manderson, Cathann
Taylor, Vicky
Maddocks, Matthew
author_facet Wilcock, Andrew
Koon, Sim
Manderson, Cathann
Taylor, Vicky
Maddocks, Matthew
author_sort Wilcock, Andrew
building Nottingham Research Data Repository
collection Online Access
description Background: Breathlessness is common in patients with thoracic cancer but difficult to manage. The Incremental Shuttle Walking Test (ISWT) can help assess new treatments, but its repeatability has not been described in this group. Aim: To examine within and between day repeatability of the ISWT in this setting. Methods: Patients with incurable thoracic cancer were recruited from outpatient clinics at a University Hospital. Two ISWTs were completed one hour apart on two consecutive days, with the first test for familiarization purposes only. Repeatability of distance walked was examined using Bland and Altman plots and assessed as the single determination (within subject) standard deviation of the difference between tests and its 95% range. Results: Forty-one patients participated and completed all tests. Mean (SD) distance walked was 333 (134), 349 (129) and 353 (130) m over the three tests, with the mean difference significantly different from zero between days (16 m, 95% CI 8–24 m, P = 0.043) but not within days (5 m, 95% CI –2 to 12 m, P = 0.47). Within and between day single determination SD and 95% ranges were 30 (−31 to 91) m and 36 (−37 to 109) m respectively. Conclusions: These data help inform the design of studies making use of the ISWT and the interpretation of their findings.
first_indexed 2025-11-14T20:22:29Z
format Article
id nottingham-51941
institution University of Nottingham Malaysia Campus
institution_category Local University
last_indexed 2025-11-14T20:22:29Z
publishDate 2018
publisher Elsevier
recordtype eprints
repository_type Digital Repository
spelling nottingham-519412020-05-04T19:50:44Z https://eprints.nottingham.ac.uk/51941/ Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer Wilcock, Andrew Koon, Sim Manderson, Cathann Taylor, Vicky Maddocks, Matthew Background: Breathlessness is common in patients with thoracic cancer but difficult to manage. The Incremental Shuttle Walking Test (ISWT) can help assess new treatments, but its repeatability has not been described in this group. Aim: To examine within and between day repeatability of the ISWT in this setting. Methods: Patients with incurable thoracic cancer were recruited from outpatient clinics at a University Hospital. Two ISWTs were completed one hour apart on two consecutive days, with the first test for familiarization purposes only. Repeatability of distance walked was examined using Bland and Altman plots and assessed as the single determination (within subject) standard deviation of the difference between tests and its 95% range. Results: Forty-one patients participated and completed all tests. Mean (SD) distance walked was 333 (134), 349 (129) and 353 (130) m over the three tests, with the mean difference significantly different from zero between days (16 m, 95% CI 8–24 m, P = 0.043) but not within days (5 m, 95% CI –2 to 12 m, P = 0.47). Within and between day single determination SD and 95% ranges were 30 (−31 to 91) m and 36 (−37 to 109) m respectively. Conclusions: These data help inform the design of studies making use of the ISWT and the interpretation of their findings. Elsevier 2018-07 Article PeerReviewed Wilcock, Andrew, Koon, Sim, Manderson, Cathann, Taylor, Vicky and Maddocks, Matthew (2018) Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer. Respiratory Medicine, 140 . pp. 39-41. ISSN 1532-3064 Exercise; Incremental shuttle walking test; Lung cancer; Mesothelioma; Non-small cell lung cancer; Small cell lung cancer https://www.sciencedirect.com/science/article/pii/S095461111830180X doi:10.1016/j.rmed.2018.05.018 doi:10.1016/j.rmed.2018.05.018
spellingShingle Exercise; Incremental shuttle walking test; Lung cancer; Mesothelioma; Non-small cell lung cancer; Small cell lung cancer
Wilcock, Andrew
Koon, Sim
Manderson, Cathann
Taylor, Vicky
Maddocks, Matthew
Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title_full Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title_fullStr Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title_full_unstemmed Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title_short Within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
title_sort within and between day repeatability of the incremental shuttle walking test in patients with thoracic cancer
topic Exercise; Incremental shuttle walking test; Lung cancer; Mesothelioma; Non-small cell lung cancer; Small cell lung cancer
url https://eprints.nottingham.ac.uk/51941/
https://eprints.nottingham.ac.uk/51941/
https://eprints.nottingham.ac.uk/51941/