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TEST-RETEST STUDY OF THE SIX-MINUTE WALK TEST IN PEOPLE WITH BIPOLAR DISORDER

Davy Vancampfort ; Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium
Sabine Wyckaert ; Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium
Pascal Sienaert ; Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium
Marc De Hert ; Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium
Andrew Soundy ; School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK
Simon Rosenbaum ; School of Psychiatry, University of New South Wales, Sydney, Australia
Justin Richards ; School of Public Health & Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia
Michel Probst ; Department of Rehabilitation Sciences, KU Leuven – University of Leuven, Leuven, Belgium, KU Leuven – University of Leuven, Leuven-Kortenberg, Belgium

Sažetak

Background: The multidisciplinary care for bipolar disorder is highly fragmented with limited opportunities for prevention and
treatment of medical co-morbidities. We examined the reliability of the 6-minute walk test (6MWT). Secondary aims were to assess
minimal detectable changes (MDC95), practice effects and the impact of clinical conditions.
Subjects and methods: Two 6MWTs were administered within 3 days to 46 (23♂) inpatients with a DSM-V diagnosis of bipolar
disorder. Physical complaints before and after the 6MWT were recorded. Patients completed the Quick Inventory of Depressive
Symptomatology Self Report (QIDS-SR) and Hypomania Check List-32.
Results: Patients walked 594.7±121.3 meters and 600.0±122.9 meters at the first and second test. The intraclass correlation
coefficient was 0.98 (95% confidence interval 0.97-0.99). The MDC95 was 37.8 meters for men and 52.9 meters for women. No
practice effect was detected. Longer illness duration, higher QIDS-SR scores and the presence of feet or ankle static problems or
pain were independently related to shorter 6MWT distance accounting for 59.8% of the variance.
Conclusion: The 6MWT is a clinically feasible tool for evaluating the functional exercise capacity in patients with bipolar
disorder. Health care professionals should consider depression and physical pain when developing rehabilitation programmes.

Ključne riječi

exercise – walking – pain – depression - bipolar disorder - the 6-minute walk test

Hrčak ID:

154751

URI

https://hrcak.srce.hr/154751

Datum izdavanja:

29.3.2016.

Posjeta: 962 *