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Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction

It is a challenge to manage and assess heart failure with preserved left ventricular ejection fraction (HFpEF) patients. Six-Minute Walk Test (6MWT) is used in this clinical population as a functional test. The objective of the study was to assess gait and kinematic parameters in HFpEF patients duri...

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Autores principales: Fuentes-Abolafio, Iván José, Trinidad-Fernández, Manuel, Escriche-Escuder, Adrian, Roldán-Jiménez, Cristina, Arjona-Caballero, José María, Bernal-López, M. Rosa, Ricci, Michele, Gómez-Huelgas, Ricardo, Pérez-Belmonte, Luis Miguel, Cuesta-Vargas, Antonio Ignacio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821146/
https://www.ncbi.nlm.nih.gov/pubmed/36615043
http://dx.doi.org/10.3390/jcm12010241
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author Fuentes-Abolafio, Iván José
Trinidad-Fernández, Manuel
Escriche-Escuder, Adrian
Roldán-Jiménez, Cristina
Arjona-Caballero, José María
Bernal-López, M. Rosa
Ricci, Michele
Gómez-Huelgas, Ricardo
Pérez-Belmonte, Luis Miguel
Cuesta-Vargas, Antonio Ignacio
author_facet Fuentes-Abolafio, Iván José
Trinidad-Fernández, Manuel
Escriche-Escuder, Adrian
Roldán-Jiménez, Cristina
Arjona-Caballero, José María
Bernal-López, M. Rosa
Ricci, Michele
Gómez-Huelgas, Ricardo
Pérez-Belmonte, Luis Miguel
Cuesta-Vargas, Antonio Ignacio
author_sort Fuentes-Abolafio, Iván José
collection PubMed
description It is a challenge to manage and assess heart failure with preserved left ventricular ejection fraction (HFpEF) patients. Six-Minute Walk Test (6MWT) is used in this clinical population as a functional test. The objective of the study was to assess gait and kinematic parameters in HFpEF patients during the 6MWT with an inertial sensor and to discriminate patients according to their performance in the 6MWT: (1) walk more or less than 300 m, (2) finish or stop the test, (3) women or men and (4) fallen or did not fall in the last year. A cross-sectional study was performed in patients with HFpEF older than 70 years. 6MWT was carried out in a closed corridor larger than 30 m. Two Shimmer3 inertial sensors were used in the chest and lumbar region. Pure kinematic parameters analysed were angular velocity and linear acceleration in the three axes. Using these data, an algorithm calculated gait kinematic parameters: total distance, lap time, gait speed and step and stride variables. Two analyses were done according to the performance. Student’s t-test measured differences between groups and receiver operating characteristic assessed discriminant ability. Seventy patients performed the 6MWT. Step time, step symmetry, stride time and stride symmetry in both analyses showed high AUC values (>0.75). More significant differences in velocity and acceleration in the maximum Y axis or vertical movements. Three pure kinematic parameters obtained good discriminant capacity (AUC > 0.75). The new methodology proved differences in gait and pure kinematic parameters that can distinguish two groups according to the performance in the 6MWT and they had discriminant capacity.
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spelling pubmed-98211462023-01-07 Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction Fuentes-Abolafio, Iván José Trinidad-Fernández, Manuel Escriche-Escuder, Adrian Roldán-Jiménez, Cristina Arjona-Caballero, José María Bernal-López, M. Rosa Ricci, Michele Gómez-Huelgas, Ricardo Pérez-Belmonte, Luis Miguel Cuesta-Vargas, Antonio Ignacio J Clin Med Article It is a challenge to manage and assess heart failure with preserved left ventricular ejection fraction (HFpEF) patients. Six-Minute Walk Test (6MWT) is used in this clinical population as a functional test. The objective of the study was to assess gait and kinematic parameters in HFpEF patients during the 6MWT with an inertial sensor and to discriminate patients according to their performance in the 6MWT: (1) walk more or less than 300 m, (2) finish or stop the test, (3) women or men and (4) fallen or did not fall in the last year. A cross-sectional study was performed in patients with HFpEF older than 70 years. 6MWT was carried out in a closed corridor larger than 30 m. Two Shimmer3 inertial sensors were used in the chest and lumbar region. Pure kinematic parameters analysed were angular velocity and linear acceleration in the three axes. Using these data, an algorithm calculated gait kinematic parameters: total distance, lap time, gait speed and step and stride variables. Two analyses were done according to the performance. Student’s t-test measured differences between groups and receiver operating characteristic assessed discriminant ability. Seventy patients performed the 6MWT. Step time, step symmetry, stride time and stride symmetry in both analyses showed high AUC values (>0.75). More significant differences in velocity and acceleration in the maximum Y axis or vertical movements. Three pure kinematic parameters obtained good discriminant capacity (AUC > 0.75). The new methodology proved differences in gait and pure kinematic parameters that can distinguish two groups according to the performance in the 6MWT and they had discriminant capacity. MDPI 2022-12-28 /pmc/articles/PMC9821146/ /pubmed/36615043 http://dx.doi.org/10.3390/jcm12010241 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Fuentes-Abolafio, Iván José
Trinidad-Fernández, Manuel
Escriche-Escuder, Adrian
Roldán-Jiménez, Cristina
Arjona-Caballero, José María
Bernal-López, M. Rosa
Ricci, Michele
Gómez-Huelgas, Ricardo
Pérez-Belmonte, Luis Miguel
Cuesta-Vargas, Antonio Ignacio
Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title_full Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title_fullStr Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title_full_unstemmed Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title_short Kinematic Parameters That Can Discriminate in Levels of Functionality in the Six-Minute Walk Test in Patients with Heart Failure with a Preserved Ejection Fraction
title_sort kinematic parameters that can discriminate in levels of functionality in the six-minute walk test in patients with heart failure with a preserved ejection fraction
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821146/
https://www.ncbi.nlm.nih.gov/pubmed/36615043
http://dx.doi.org/10.3390/jcm12010241
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