4 Metre Walk Test: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [[User:Saud Alghamdi|Saud Alghamdi]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | <div class="editorbox"> '''Original Editor '''- [[User:Saud Alghamdi|Saud Alghamdi]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
== Objective == | == Objective == | ||
| Line 16: | Line 13: | ||
== Method of Use == | == Method of Use == | ||
Equipment: | Equipment: | ||
*A clear and even walkway of 4M | |||
*Measuring tool | |||
*Stopwatch | |||
*Chair (Optional to allow the patient to rest on if needed) | |||
Set-up: | |||
* A | * Measure and mark a clear path of 4M | ||
* Add a clear mark at 0M | |||
* Add a clear mark at 4M | |||
Instructions: | |||
# Instruct your patient to stand with both feet behind the first mark (0M mark). | |||
# Instruct the patient to walk at their normal pace. | |||
# Begin timing through your stopwatch as soon as one foot strikes past the first mark (0M mark). | |||
# Stop timing as soon as one foot strikes past the final mark (4M). | |||
# You may repeat the test if needed to calculate and average. | |||
{{#ev:youtube|RMdC8Pa3VbU}} | |||
== Interpreting the Test's Results == | |||
A normal value is approximately 3.57 seconds. (1.12 m/s). <ref>Bohannon RW, Wang YC. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6363908/ Four-Meter GAIT Speed: Normative values and reliability determined for adults participating in the NIH toolbox study]. Archives of Physical Medicine and Rehabilitation [Internet]. 2019 Mar 1;100(3):509–13.</ref>Furthermore, walking speeds of less than 0.8 m/s (5 seconds or longer in the 4MWT) have been associated with falls risk. <ref name=":0" /><ref>Van Kan GA, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, et al. [https://www.sciencedirect.com/science/article/pii/S1279770723019887?via%3Dihub Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force]. The Journal of Nutrition, Health & Aging/ The Journal of Nutrition, Health and Aging [Internet]. 2009 Dec 1;13(10):881–9.</ref> | |||
== Evidence == | |||
There is strong evidence to support that the 4MWT has a high test re-test reliability. <ref name=":0" />Furthermore, in patients undergoing lower extremity surgeries such as total knee and hip arthroplasty, the 4MWT showed excellent reliability. <ref>Unver B, Baris RH, Yuksel E, Cekmece S, Kalkan S, Karatosun V. Reliability of 4-meter and 10-meter walk tests after lower extremity surgery. Disability and Rehabilitation [Internet]. 2016 Oct 11;39(25):2572–6.</ref> | |||
==References== | |||
<references /> | |||
Latest revision as of 14:39, 11 June 2024
Original Editor - Saud Alghamdi Top Contributors - Saud Alghamdi
Objective[edit | edit source]
The 4 Metre Walk Test (4MWT) is a walking speed test that assesses for functional limitations and physical performance.[1]The 4MWT is a commonly used test due to its simplicity and high test-retest reliability. [1]
Intended Population[edit | edit source]
Method of Use[edit | edit source]
Equipment:
- A clear and even walkway of 4M
- Measuring tool
- Stopwatch
- Chair (Optional to allow the patient to rest on if needed)
Set-up:
- Measure and mark a clear path of 4M
- Add a clear mark at 0M
- Add a clear mark at 4M
Instructions:
- Instruct your patient to stand with both feet behind the first mark (0M mark).
- Instruct the patient to walk at their normal pace.
- Begin timing through your stopwatch as soon as one foot strikes past the first mark (0M mark).
- Stop timing as soon as one foot strikes past the final mark (4M).
- You may repeat the test if needed to calculate and average.
Interpreting the Test's Results[edit | edit source]
A normal value is approximately 3.57 seconds. (1.12 m/s). [2]Furthermore, walking speeds of less than 0.8 m/s (5 seconds or longer in the 4MWT) have been associated with falls risk. [1][3]
Evidence[edit | edit source]
There is strong evidence to support that the 4MWT has a high test re-test reliability. [1]Furthermore, in patients undergoing lower extremity surgeries such as total knee and hip arthroplasty, the 4MWT showed excellent reliability. [4]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 Nguyen AT, Nguyen HTT, Nguyen HTT, Nguyen TX, Nguyen TN, Nguyen TTH, et al. Walking speed assessed by 4-Meter Walk Test in the Community-Dwelling Oldest Old Population in Vietnam. International Journal of Environmental Research and Public Health/International Journal of Environmental Research and Public Health [Internet]. 2022 Aug 9;19(16):9788.
- ↑ Bohannon RW, Wang YC. Four-Meter GAIT Speed: Normative values and reliability determined for adults participating in the NIH toolbox study. Archives of Physical Medicine and Rehabilitation [Internet]. 2019 Mar 1;100(3):509–13.
- ↑ Van Kan GA, Rolland Y, Andrieu S, Bauer J, Beauchet O, Bonnefoy M, et al. Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force. The Journal of Nutrition, Health & Aging/ The Journal of Nutrition, Health and Aging [Internet]. 2009 Dec 1;13(10):881–9.
- ↑ Unver B, Baris RH, Yuksel E, Cekmece S, Kalkan S, Karatosun V. Reliability of 4-meter and 10-meter walk tests after lower extremity surgery. Disability and Rehabilitation [Internet]. 2016 Oct 11;39(25):2572–6.
