Concurrent Validity of Abbreviated Walk Tests Among Adults With Mild to Moderate Intellectual Disability

J Appl Res Intellect Disabil. 2024 Nov;37(6):e13304. doi: 10.1111/jar.13304.

Abstract

Background: Walk tests are common gait speed and endurance assessments. Shorter test versions could benefit adults with intellectual disability. Thus, the concurrent validity of shorter tests was studied.

Methods: Thirty-five adults with mild to moderate intellectual disability, aged 21-64 years, were assessed with the 4-m walk test, 10-m walk test for gait speed, 2-min walk test, and 6-min walk test for endurance. Correlation and Bland-Altman plots analyses were used to establish concurrent validity between shorter and standard tests.

Results: Strong positive relationships were found for gait speed tests, r = 0.94, p < 0.001, and endurance tests, r = 0.83, p < 0.001, and differences between shorter and standard tests were within limits of agreement.

Conclusions: The concurrent validity of shorter walk tests was established in this study. This would mean that adults with intellectual disability with lower levels of fitness could be assessed.

Trial registration: Australian New Zealand Clinical Trial Registry: ACTRN12624000203550.

Keywords: assessment; endurance; gait speed; outcome measure; rehabilitation.

Publication types

  • Validation Study

MeSH terms

  • Adult
  • Female
  • Humans
  • Intellectual Disability* / physiopathology
  • Male
  • Middle Aged
  • Physical Endurance / physiology
  • Reproducibility of Results
  • Severity of Illness Index
  • Walk Test*
  • Walking Speed / physiology
  • Young Adult