{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:11:08Z","timestamp":1786122668745,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Physiotherapy Res Intl"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Functional impairments are common in individuals with end\u2010stage renal disease (ESRD) undergoing hemodialysis (HD); however, the clinical assessment of physical function remains challenging due to the limited availability of simple and reliable functional tests validated for this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the test\u2010retest reproducibility of the 6\u2010minute step test (6MST) in individuals undergoing HD, including the interpretation of measurement error.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional, test retest\u2010 reliability study conducted in patients receiving maintenance HD. All assessments were performed immediately before the HD session. Participants completed the Kidney Disease Quality of Life 36\u2010Item Short Form questionnaire (KDQOL SF\u201036) and performed two 6MSTs under standardized conditions. Test\u2010retest reliability was assessed using the intraclass correlation coefficient (ICC). Absolute reliability was evaluated through the standard error of measurement (SEM) and minimal detectable change (MDC). Agreement between tests was examined using Bland\u2013Altman analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty patients completed both test sessions. The 6MST demonstrated good test\u2013retest reliability for total steps (ICC\u00a0=\u00a00.80), with most differences between tests remaining below the MDC95, indicating the absence of a clinically meaningful learning effect. Bland\u2013Altman analysis showed minimal bias and acceptable limits of agreement for both total steps and heart rate measured at the sixth minute of the test. Physiological responses, including oxygen saturation, blood pressure, and perceived exertion, remained stable between sessions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The 6\u00a0minute step test is a reliable and clinically applicable tool for assessing functional capacity in individuals undergoing hemodialysis. The absence of a relevant learning effect and the stability of physiological responses support its use for functional assessment and follow\u2010up, even when performed before the hemodialysis session. Further studies should investigate inter\u2010rater reproducibility and responsiveness to interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70291","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T19:15:17Z","timestamp":1784661317000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reproducibility of the 6\u2010Minute Step Test in Individuals on Hemodialysis"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6672-9548","authenticated-orcid":false,"given":"Heverson Felipe Pranches","family":"Carneiro","sequence":"first","affiliation":[{"name":"Universidade Nove de Julho  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6630-103X","authenticated-orcid":false,"given":"Thami\u00ea Cristina","family":"Stella","sequence":"additional","affiliation":[{"name":"Universidade Nove de Julho  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8566-7976","authenticated-orcid":false,"given":"Ivan Peres","family":"Costa","sequence":"additional","affiliation":[{"name":"Universidade Nove de Julho  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0110-7710","authenticated-orcid":false,"given":"Luciana Maria Malos\u00e1","family":"Sampaio","sequence":"additional","affiliation":[{"name":"Universidade Nove de Julho  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/JSM.0000000000000190"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581\u2010022\u201000542\u20107"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2020091319"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.891265"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physio.2015.11.003"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02743"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00094006"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104\u201042302003000400027"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0241372"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12882\u2010021\u201002292\u20103"},{"key":"e_1_2_11_12_1","article-title":"KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease","volume":"59","author":"KDIGO. 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