Assisted 6-minute cycling test: An exploratory study in children

Muscle Nerve. 2016 Aug;54(2):232-8. doi: 10.1002/mus.25021. Epub 2016 Jun 13.

Abstract

Introduction: The 6-minute walk test (6MWT) is frequently used as an outcome measure for clinical trials in neuromuscular disease. Because this submaximal endurance test is not feasible for nonambulatory patients, the motor-assisted 6-minute cycling test (A6MCT) was developed.

Methods: Nineteen children with neuromuscular disorders and children with OXPHOS-dysfunction performed the a6MCT and the 6MWT to explore feasibility and construct validity. Test-retest reproducibility was evaluated within 3 weeks.

Results: The assisted 6-minute cycling test was feasible in 90% and 78% of the patients with a neuromuscular disorder and OXPHOS-dysfunction, respectively. The A6MCT for legs correlated with the 6MWT in both patient groups. The assisted 6-minute cycling showed good reproducibility for both legs and arms.

Conclusions: This exploratory study indicates that the assisted 6-minute cycling test is a promising outcome measure for patients with a neuromuscular disorder and patients with OXPHOS-dysfunction. Muscle Nerve, 2015. Muscle Nerve 54: 232-238, 2016.

Keywords: 6-minute walk test (6MWT); OXHPOS dysfunction in muscle; assisted 6-minute cycling test (A6MCT); neuromuscular disorders; outcome measure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Exercise Test
  • Female
  • Humans
  • Male
  • Mitochondrial Diseases / complications
  • Mitochondrial Diseases / rehabilitation*
  • Netherlands
  • Neuromuscular Diseases / physiopathology*
  • Neuromuscular Diseases / rehabilitation*
  • Psychometrics
  • Reproducibility of Results
  • Walking / physiology*