ИСТОРИЯ И РЕАЛЬНОСТЬ ПРИМЕНЕНИЯ ТЕСТА 6 МИНУТНОЙ ХОДЬБЫ У ДЕТЕЙ

Abstract

ntroduction. The application of the 6-minute walk test to assess the functional status of a patient is a safe, simple and easily accessible method in assessing the patient’s functional abilities, the effectiveness of treatment and rehabilitation and the prognosis of various diseases. Aim. TTo analyze the scientific medical literature containing the application of the 6-minute walk test in assessing the functional status of children and adolescents. Material and methods. The test was first described in 1963 in adult patients with diseases of the bronchopulmonary system, with subsequent improvements the test was used in patients with heart disease and became a simple objective indicator of functional physical performance. After the adoption of the standards for the 6-minute walk test by the American Thoracic Society jointly with the European Respiratory Society (2002), widespread application began not only in patients, but also in healthy adults. For the first time, the 6-minute walk test among healthy children was conducted in 2005 in China, later control test values, percentile curves, reference equations and formulas were presented by Austria, Great Britain, the USA, etc. Scientists confirmed the safety and simplicity of the 6-minute walk test, proved a high correlation of the test with gender, height, age, weight, body mass index, pulse and blood pressure, arm span, etc. They proved that the ethnicity and geographical differences of the subjects are very important indicators that affect the test results. In the Russian Federation, the implementation of the 6-minute walk test is limited to sick children and regulatory values, and we have not found reference formulas. Conclusion. The reference values obtained for the 6-minute walk test in healthy children in one country should not be used for children in other countries, since the analysis showed a significant difference in the control values of the distance traveled.