Article

The six-minute walk test (6MWT) is a sub-maximal exercise test measuring
the distance that a patient can walk quickly in a period of 6 minutes (6MWD). The objectives of this systematic review are to evaluate the 6MWT's suitability for
measuring the impact of an intervention, to compare the 6MWD walked by patients
with schizophrenia with data for the general population or matched controls, to
identify the determinants of 6MWD and to examine the measurement properties and
quality procedures of the 6MWT. METHODS: Using five databases, we performed a
systematic review of full-text articles published through August 2013. RESULTS:
Sixteen studies met our selection criteria. The assessment of the 6MWT's
suitability for measuring the impact of interventions was not made because none
of the interventional studies reported a significant increase in 6MWD. The
distance walked by adults with schizophrenia seemed generally shorter than that
walked by healthy adults. Mean 6MWDs ranged from 421 m to 648 m in the included
studies. The 6MWD is usually negatively associated with a higher Body Mass Index,
increased cigarette consumption, higher doses of antipsychotic medication and
lower physical self-worth in individuals with schizophrenia. The 6MWT
demonstrates high reliability. To date, however, its criterion validity has not
been investigated. In spite of existing guidelines, the test procedures used in
the studies reviewed varied significantly. CONCLUSIONS: Future physical health
monitoring recommendations for patients with schizophrenia should include the
6MWT. Future studies should investigate its predictive role and continue to
assess its measurement properties. IMPLICATIONS FOR REHABILITATION: The
Six-Minute Walk Test reliably assesses the functional exercise capacity in
patients with schizophrenia. The impact of therapeutic interventions on patients,
as measured by the 6MWT, cannot be confirmed. Clinicians should take into account
overweight, antipsychotic medication use and the physical self-perception when
considering the functional exercise capacity in schizophrenia. Clinicians should
follow International standards such as these of the American Thoracic Society
when using the Six-Minute Walk Test in patients with severe mental illnesses.

Langue : ANGLAIS