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1 Minute Walk Test (1MWT)

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Purpose
A valid measure used to assess functional ability in children with ambulatory cerebral palsy. Can be used as a clinical assessment tool and outcome measure.

Assesment Type

Objective

Patient Group

Cerebral Palsy

Age Group

Children (3-12 years) | Adolescents (13-17 years) | Young Adult (18+ years)

ICF domain

Activity & Participation | Body Structure & Function

Area of assessment

Activities of Daily Living | Gross Motor

Key description

For use with children with ambulatory cerebral palsy (GMFCS Levels 1, 2 and 3).

The child is asked to walk as quickly as possible around a circular measured track for a period of 1 minute.  The distance walked within 1 minute is measured and recorded.

The measure is user friendly, quick to administer and cost effective.

Cost

Free

Equipment required

Space, measuring tape and chalk

Training required

None

Considerations & references

  1. A 1-min walk test is a reliable method od assessing finction in children with ambulatory CP and shows a significant correlation with the GMFM - Validity of a 1 minute walk test for children with cerebral palsy (McDowell et al, 20007)
  2. A 1-min walk test is a reliable method of assessing function in children with CP but care must be taken when interpreting changes in individual patient data. Test-retest reliability of a 1-min walk test in children with bilateral spastic cerebral palsy (BSCP) (McDowell et al, 2009)
  3. Using the generated centiles clinicians may monitor 1MWT changes over 6 months.  One-Minute Walk Test in Children with Cerebral Palsy GMFCS Level 1 and 2: Reference Values to Identify Therapeutic Effects after Rehabilitation (Martakis et al, 2020)

If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk