COSMIN database

Walking tests for stroke survivors: a systematic review of their measurement properties

van Bloemendaal, M., van de Water, A. T. M., and van de Port, I. G. L.
Purpose: To provide an overview of walking tests including their measurement properties that have been used in stroke survivors. Method: Electronic databases were searched using specific search strategies. Retrieved studies were selected by using specified inclusion criteria. A modified consensus-based standards for the selection of health status measurement instruments (COSMIN) checklist was applied for methodological quality assessment of the included studies. A quality assessment for statistical outcomes was used to assess measurement properties of the walking tests. Tests that were included were categorized according to the framework of the international classification of functioning, disability and health (ICF). Results: Thirty-two studies, evaluating 23 walking tests, were included. The tests assessed walking using the outcome measures of walking speed, walking distance, functional ambulation and walking on different surfaces. The methodological design and statistical methods of most studies evaluating reliability and criterion validity were sufficient, and found the outcome measures to be reliable and valid. However, data on measurement error, minimal important difference and minimal important change were lacking and responsiveness was correctly evaluated in one study only. Conclusions: Many walking tests have been clinimetrically evaluated in stroke survivors. Most walking tests were found to be reliable and valid.
<Go to ISI>://WOS:000310007000001
Disability and Rehabilitation
Publication year:
Functional status:
Physical functioning
Adults (18-65)
Seniors (65+)
Diseases of and symptoms related to the circulatory system
Diseases of and symptoms related to the nervous system
PRO / non-PRO:
Non-patient Reported Outcome
Type of measurement instrument:
4 - Performance-based tests
6 - Clinical rating scales
7 - Observations
10mFWT - 10 meter Fast Walk Test
10mWTT - 10 meter Walk Turn Test
12MinWT - 12 Minute Walk Test (12MWT)   
2MWT - 2 Minute Walk Test   
300mWT - Three hundred metre Walk Test in community
5mFWT - Five metre Fast Walk Test
5MWT - 5 Meter Walk Test
6minWTDE - Six minute Walk Test in Different Environments
6MWT - 6 Minute Walk Test    |  | also see:
6mWTPC - Six metre Walk Test on parquet and carpet
Accelerometry [alias: accelerometer]
CWT - Comfortable Walk Test (versions: 3M; 4M; 5M; 6M; 7M; 8M; 10M; 12M; 30Metre)
DGI - Dynamic Gait Index (versions: DGI-4 or 4DGI)   
FAC - Functional Ambulation Classification   
FACHS - Functional Ambulation Classification Hospital Sagunto
FGA - Functional Gait Assessment
FS - Footswitch System (versions: Stride analyzer; SoleSound; SMTEC)