{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T17:03:51Z","timestamp":1789405431962,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,1,23]],"date-time":"2015-01-23T00:00:00Z","timestamp":1421971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Institute for Health Research (NIHR) East Midlands Collaboration for Leadership in Applied Health Research and Care (EM CLAHRC)"},{"name":"Leicester Respiratory Biomedical Research Unit"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Patients with interstitial lung disease (<jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>) are increasingly being referred to pulmonary rehabilitation (<jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>) where exercise capacity is measured, often by an incremental shuttle walk test (<jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content>). These patients are frequently limited by severe dyspnoea and exertional desaturation. Available guidelines suggest two <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> are needed; however, this is time consuming and it has not been reported whether a practice <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> is necessary in <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content>. We aimed to investigate if a practice <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> is needed for patients with <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content> referred to <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with <jats:styled-content style=\"fixed-case\">ILD<\/jats:styled-content> who attended a <jats:styled-content style=\"fixed-case\">PR<\/jats:styled-content> assessment performed two <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> as per standard protocol. Hospital notes were retrieved and relevant data extracted and validated. Endurance shuttle walk test (<jats:styled-content style=\"fixed-case\">ESWT<\/jats:styled-content>) level was calculated at 85% <jats:styled-content style=\"fixed-case\"><jats:roman>VO<jats:sub>2<\/jats:sub><\/jats:roman><\/jats:styled-content> peak as estimated from the first <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 1) and second <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010three patients were included (18 with idiopathic pulmonary fibrosis). There was a mean change of 28.84 (31.71) m between the two <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) with 72.1% of patients walking further on <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 2. A <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>land\u2013<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ltman plot showed good agreement between the <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content>s; however, the limits of agreement were wide. There was a significant difference in <jats:styled-content style=\"fixed-case\">ESWT<\/jats:styled-content> levels (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) when calculated from <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 1 and <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 2. <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 1 distance, post\u2010<jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> 1 heart rate and baseline <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>org breathlessness score were significant variables (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05) in linear regression, but this only explained 42.6% of the variance (<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> 0.426).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A practice <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content> is necessary to accurately assess exercise capacity. It was not possible to predict which patients did not need to complete two <jats:styled-content style=\"fixed-case\">ISWT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12469","type":"journal-article","created":{"date-parts":[[2015,1,23]],"date-time":"2015-01-23T09:40:23Z","timestamp":1422006023000},"page":"434-438","source":"Crossref","is-referenced-by-count":9,"title":["Do we need a practice incremental shuttle walk test for patients with interstitial lung disease referred for pulmonary rehabilitation?"],"prefix":"10.1111","volume":"20","author":[{"given":"Vicki","family":"Johnson\u2010Warrington","sequence":"first","affiliation":[{"name":"University Hospitals Coventry and Warwickshire NHS Trust  Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Sewell","sequence":"additional","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Morgan","sequence":"additional","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Singh","sequence":"additional","affiliation":[{"name":"Centre for Exercise and Rehabilitation Science University Hospitals of Leicester NHS Trust  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,1,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7525-3-61"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD006322.pub2"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1479972309348654"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200508-1211ST"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-1458"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2007.088070"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2009-040GL"},{"key":"e_1_2_7_9_1","unstructured":"National Institute for Health and Care Excellence.Idiopathic pulmonary fibrosis. 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