The 4-metre gait speed in COPD: responsiveness and minimal clinically important difference
The 4-metre gait speed in COPD: responsiveness and minimal clinically important difference
复制标题
DOI：
10.1183/09031936.00088113
复制
发表时间：
2014-05-01
影响因子：
24.3
通讯作者：
Man, William D-C.
中科院分区：
文献类型：
--
作者：
Kon, Samantha S. C.;Canavan, Jane L.;Man, William D-C.
步行速度是社区居住老年人不良结局的一致预测因素。4米步态速度（4 MGS）的可靠性和有效性最近已被证明在慢性阻塞性肺疾病（COPD）患者。为评价4 MGS的反应性和最小临床意义差异（MCID），对301例COPD患者在肺康复治疗前后进行了4 MGS和递增穿梭步行（ISW）的测定。4 MGS和ISW也在基线和1年后在162例COPD患者的单独队列中测量。4 MGS的MCID使用分布和基于锚点的方法估计。4 MGS在肺康复后显著改善（平均变化0.08 m.s（-1），p
Usual gait speed is a consistent predictor of adverse outcomes in community-dwelling elderly people. The reliability and validity of the 4-m gait speed (4MGS) has recently been demonstrated in patients with chronic obstructive pulmonary disease (COPD). The aims of this study were to assess the responsiveness of the 4MGS and to estimate the minimal clinically important difference (MCID).In 301 COPD patients, 4MGS and incremental shuttle walk (ISW) were measured before and after pulmonary rehabilitation. 4MGS and ISW were also measured at baseline and 1 year later in a separate cohort of 162 COPD patients. The MCID of 4MGS was estimated using distribution and anchor-based methods.4MGS improved significantly with pulmonary rehabilitation (mean change 0.08 m.s(-1), p