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dc.contributor.authorHakamy, Ali-
dc.contributor.authorMcKeever, Tricia M.-
dc.contributor.authorSteiner, Michael C.-
dc.contributor.authorRoberts, C. Michael-
dc.contributor.authorSingh, Sally J.-
dc.contributor.authorBolton, Charlotte E.-
dc.identifier.citationInternational Journal of Chronic Obstructive Pulmonary Disease, 2017, 12, pp. 2681-2686en
dc.description.abstractOur 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.en
dc.publisherDove Medical Pressen
dc.rightsCopyright © the authors, 2017. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-commercial License (, which permits unrestricted use, distribution, and reproduction in any medium non-commercially, provided the original author and source are credited.en
dc.subjectfunctional exercise testen
dc.subjectfunctional performance testen
dc.subjectpulmonary rehabilitationen
dc.subjectAged, 80 and overen
dc.subjectExercise Toleranceen
dc.subjectHealth Statusen
dc.subjectMedical Auditen
dc.subjectMiddle Ageden
dc.subjectPredictive Value of Testsen
dc.subjectProgram Evaluationen
dc.subjectPulmonary Disease, Chronic Obstructiveen
dc.subjectRecovery of Functionen
dc.subjectTime Factorsen
dc.subjectTreatment Outcomeen
dc.subjectUnited Kingdomen
dc.subjectWalk Testen
dc.titleThe use of the practice walk test in pulmonary rehabilitation program: National COPD Audit Pulmonary Rehabilitation Workstream.en
dc.typeJournal Articleen
dc.description.versionPublisher Versionen
dc.type.subtypeJournal Article-
pubs.organisational-group/Organisation/COLLEGE OF LIFE SCIENCESen
pubs.organisational-group/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicineen
pubs.organisational-group/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Infection, Immunity and Inflammationen
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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