Validation of the Two-minute Walk Test and the Ten-meter Walk Test in Individuals With Cancer

Overview

The aim of this study is to assess the feasibility and the validity of the 2-minute walk test (2MWT) and the 10-meter walk test (10MeWT) compared to the 6-minute walk test (6MWT) for subjects with onco-hematological disease.

Full Title of Study: “Comparison of the 2MWT, the 10MeWT and the 6MWT in Individuals With Cancer, a Validation Observational Study.”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Cross-Sectional
  • Study Primary Completion Date: March 31, 2021

Detailed Description

Cancer and its treatments have an impact on the body as a whole. The analysis of the subject's physical capacity is essential to know the basic level of the subject pre-treatment, to evaluate progress following rehabilitation, to set goals to prevent decline in physical capacity or to evaluate changes in physical capacity at different stages of survival. The 6-minute walk test (6MWT) is frequently used in the clinic to assess the physical capacity of the subject in oncology. A variant of the 6MWT exists and has been little studied in an oncological context: the 2-minute walk test (2MWT). The 2MWT is performed in the same way as the 6MWT: the same instructions and the same test procedure. It offers the advantage of being less tiring for the test subjects and saves clinicians time. The 2MWT has been validated in the past for people with COPD or after cardiac surgery. To our knowledge, it has not been validated for cancer patients. The 10-meter walk test (10MeWT) is frequently used in practice to assess patients' functional capacity. It would be another way to assess the walking ability with a short test. However, the relationship between the 2MWT, 6MWT and 10MeWT in an oncological context remain unclear.

Interventions

  • Diagnostic Test: 6-minute walking test
    • The subject walks as far as possible for 6 minutes along a 30m long corridor.
  • Diagnostic Test: 2-minute walking test
    • The subject walks as far as possible for 2 minutes along a 30m long corridor.
  • Diagnostic Test: 10-meter walk test
    • The natural and fast walking speeds of the subject are measured over 10m. This speed is measured by the examiner as well as by the subject (self-tested version).
  • Diagnostic Test: One leg stance test
    • The time held in unipodal equilibrium is measured by the examiner.

Arms, Groups and Cohorts

  • Cancer
    • Individuals with an oncology disease will be included in the study.

Clinical Trial Outcome Measures

Primary Measures

  • Primary endpoint: feasibility of the 2MWT and the 10MeWT
    • Time Frame: through study completion, an average of 1 year
    • The feasibility of the different tests will be assessed in an oncological setting.
  • Primary endpoint: criterion validity with the 6MWT
    • Time Frame: through study completion, an average of 1 year
    • Criterion validity will be assessed by calculating the strength of the correlation between the 2MWT/10MeWT and the 6MWT.

Secondary Measures

  • Secondary endpoint: convergent construct validity
    • Time Frame: through study completion, an average of 1 year
    • Convergent construct validity will be evaluated by calculating the strength of the correlation between the 2MWT and the 10m walk test at comfortable/fast speed
  • Secondary endpoint: criterion validity between 10m walk test and 10m walk test self-tested
    • Time Frame: through study completion, an average of 1 year
    • Criterion validity will be assessed by calculating the strength of the correlation between the 10m walk test self-tested and the 10m walk test timed by the examiner.

Participating in This Clinical Trial

Inclusion Criteria

  • Have an onco-hematologic disease – Have medical authorization from the patient's oncologist authorizing gait tests – Participate in the HUG rehabilitation program – Be able to give consent by signature – To be of legal age – Do not present pain when walking more than 2/10 – Be able to walk with or without technical aids for a period of 6 minutes (as per patient's statement) Exclusion Criteria:

  • Suffer from heart problems – Bone metastases at risk of fracture – Osteoporosis at high risk of fracture – Unbalanced Hypertension (hypertension) – Not being able to carry out the walk tests in their entirety – Not being able to perform the gait tests for reasons related to the side effects of the treatments (anemia, undernutrition, vomiting, severe fatigue, risk of thrombocytopenia, pain). – Not being able to carry out the walking test because of a lack of understanding of the instructions or because of psychological problems.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Aline Reinmann
  • Provider of Information About this Clinical Study
    • Sponsor-Investigator: Aline Reinmann, Principal Investigator – School of Health Sciences Geneva
  • Overall Official(s)
    • Aline Reinmann, Principal Investigator, School of Health Sciences Geneva

References

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Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed). 1982 May 29;284(6329):1607-8. doi: 10.1136/bmj.284.6329.1607. No abstract available.

Chan WLS, Pin TW. Reliability, validity and minimal detectable change of 2-minute walk test, 6-minute walk test and 10-meter walk test in frail older adults with dementia. Exp Gerontol. 2019 Jan;115:9-18. doi: 10.1016/j.exger.2018.11.001. Epub 2018 Nov 10.

Eden MM, Tompkins J, Verheijde JL. Reliability and a correlational analysis of the 6MWT, ten-meter walk test, thirty second sit to stand, and the linear analog scale of function in patients with head and neck cancer. Physiother Theory Pract. 2018 Mar;34(3):202-211. doi: 10.1080/09593985.2017.1390803. Epub 2017 Oct 25.

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Kosak M, Smith T. Comparison of the 2-, 6-, and 12-minute walk tests in patients with stroke. J Rehabil Res Dev. 2005 Jan-Feb;42(1):103-7. doi: 10.1682/jrrd.2003.11.0171.

Leung AS, Chan KK, Sykes K, Chan KS. Reliability, validity, and responsiveness of a 2-min walk test to assess exercise capacity of COPD patients. Chest. 2006 Jul;130(1):119-25. doi: 10.1378/chest.130.1.119.

Reid L, Thomson P, Besemann M, Dudek N. Going places: Does the two-minute walk test predict the six-minute walk test in lower extremity amputees? J Rehabil Med. 2015 Mar;47(3):256-61. doi: 10.2340/16501977-1916.

Scalzitti DA, Harwood KJ, Maring JR, Leach SJ, Ruckert EA, Costello E. Validation of the 2-Minute Walk Test with the 6-Minute Walk Test and Other Functional Measures in Persons with Multiple Sclerosis. Int J MS Care. 2018 Jul-Aug;20(4):158-163. doi: 10.7224/1537-2073.2017-046.

Schmidt K, Vogt L, Thiel C, Jager E, Banzer W. Validity of the six-minute walk test in cancer patients. Int J Sports Med. 2013 Jul;34(7):631-6. doi: 10.1055/s-0032-1323746. Epub 2013 Feb 26.

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