Gait Speed (10-mWT) Flashcards
Set up:
Measure and mark a 10 meter (32.8 feet) distance. Then measure and mark 2 meters (6.6 feet) from the start and 2 meters from the finish
The central 6 meters are timed, the 2 meters on either side are not timed and are intended for acceleration and deceleration.
Can pt use an assistive device for the 10-mWT?
* can the therapist assit?
Yes, but it should be kept consistent and documented.
If assistance is required, this test should not be performed.
What does the 10 meter walk test measure?
Gait speed (thats why you have 2 meters for acceleration and 2 meters for decceleration)
Instructions for 10-mWT
Start timing when the toes of the leading foot cross the 2 meter mark
Stop timing when the toes of the leading foot cross the 8 meter mark
NOTE: This test can be conducted for normal gait speed or fast gait speed
Normal: “I will say read, set, go. When I say go, walk at your normal comfortable speed until I say stop”
Fast: “I will say ready, set, go. When I say go, walk as fast as you safely can until I say stop”
How many trials is the 10-mWT?
Collect 3 trials and calculate the average of the 3 trials
What is the equation to calculate gait speed w/ this test?
Gait speed = 6 meters / time to complete
(m/s)
What is our community ambulator range?
0.8-1.2 m/s
How fast do they have to be able to go to safely cross streets?
1.2 m/s
What is Standard Error of Measurement?
Error associated w/ a given measurement
What is minimal detectable change?
The smallest detectable difference, represents the safest threshold for identifying stastically detectable individual changes
What is Minimally Clinical Important Difference (MCID)
The smallest difference in a score of a domain of interest that patients percieve to be beneficial and that would mandate a change in the pts manageement
Considerations:
* Document any assistive device/bracing used
* Document the amount of assisatnce using the 7-point ordinal scale described in the standaized adminstration protocol
* if a pt requires total assistance, is unable to ambulate, or requires assistance for limg swing or forward propulsion, a sore of 0 should be documented
* Avoid “pacing” the patient by not walking in front of or next to the patient. Instead, walk at least a half step behind the pt
What is the cutoff score for healthly older adults?
< 0.7 m/s is indicative of increased risk of adverse events (fall, hospitalization, need for caregiver, fracture, etc)
The total time taken to ambulate 6 meters (m) is recorded to the nearest hundredth of a second. 6 m is then divided by the total time (in seconds) taken to ambulate and recorded in m/s
Walk behind the patient. Not to the side or infront to avoid pacing them
If a patient requires assistance, only the minimum amount of assistance required for a
patient to complete the task should be provided. The level of assistance documented,
however, should reflect the greatest amount of assistance provided during the test. For
example, if a patient required minimum assistance for the majority of the test but required
moderate assistance for stability on one occasion, the patient should be rated as requiring
moderate assistance. Assistance should be provided to prevent a fall or collapsing (i.e.
knee buckling, trunk collapse, etc). If assistance is needed for limb swing, or any other
manner in which the assistance is propelling the patient forward, this limiting factor
should be noted along with a score of 0 for the test
