The 6-MAT assesses cardiovascular fitness in individuals with spinal cord injury (SCI).
1
6 minutes
Initially reviewed by Jennifer H. Kahn, PT, DPT, NCS; Candy Tefertiller, PT, DPT, ATP, NCS; and the SCI EDGE task force of the Neurology Section of the APTA in 5/2012.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (VEDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
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Abbreviations: |
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HR |
Highly Recommend |
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R |
Recommend |
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LS / UR |
Reasonable to use, but limited study in target group / Unable to Recommend |
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NR |
Not Recommended |
Recommendations for use based on acuity level of the patient:
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Acute (CVA < 2 months post) (SCI < 1 month post) (Vestibular < 6 weeks post) |
Subacute (CVA 2 to 6 months) (SCI 3 to 6 months) |
Chronic (> 6 months) |
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SCI EDGE |
NR |
LS |
LS |
Recommendations based on SCI AIS Classification:
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AIS A/B |
AIS C/D |
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SCI EDGE |
LS |
LS |
Recommendations for entry-level physical therapy education and use in research:
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Students should learn to administer this tool? (Y/N) |
Students should be exposed to tool? (Y/N) |
Appropriate for use in intervention research studies? (Y/N) |
Is additional research warranted for this tool (Y/N) |
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SCI EDGE |
No |
No |
No |
Not reported |
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Chronic SCI:
(Hol et al, 2007; n = 30; mean age 36.3 (9.3) years; 13 with paraplegia, 17 with tetraplegia; time since injury 12.0 (9.8) years; activity ranged from full time power w/c users to those who ambulate for exercise)
Chronic SCI:
(Hol et al, 2007)
Chronic SCI:
(Hol et al, 2007)
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6-MAT Variable Means in Persons with SCI |
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Variable (units) |
Mean (SD) |
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6-MAT PO (W) |
27.8 (17.0) |
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Heart Rate (beats/min) |
103 (21.0) |
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Percent heart rate max* |
56.0 (10.2) |
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VE (L/min) |
25.0 (5.7) |
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VO2 (mL*kg-1*min-1) |
13.1 (4.2) |
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VO2 (L/min) |
0.95 (0.28) |
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Percentage VO2 peak |
74.5 (13.0) |
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RER |
0.89 (0.07) |
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Blood lactate (mmol/L) (n = 28) |
3.0 (1.3) |
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*based on 220-age |
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Chronic SCI:
(Hol et al, 2007)
Convergent Validity
Chronic SCI:
(Hol et al, 2007)
Hol, A. T., Eng, J. J., Miller, W. C., Sproule, S., & Krassioukov, A. V. (2007). Reliability and validity of the six-minute arm test for the evaluation of cardiovascular fitness in people with spinal cord injury. Arch Phys Med Rehabil, 88(4), 489-495. doi: 10.1016/j.apmr.2006.12.044
Lewis, J. E., Nash, M. S., Hamm, L. F., Martins, S. C., & Groah, S. L. (2007). The relationship between perceived exertion and physiologic indicators of stress during graded arm exercise in persons with spinal cord injuries. [Research Support, Non-U S Gov't Research Support, U S Gov't, Non-P H S]. Archives of Physical Medicine and Rehabilitation, 88(9), 1205-1211.
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.