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Exploring the minimal or more, moderate or more , and much better differences for the 6 MWT post total knee arthroplasty

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EXPLORING THE MINIMAL, MODERATE AND MAXIMAL IMPORTANT DIFFERENCES FOR THE 6MWT POST TOTAL KNEE ARTHROPLASTY: WHICH IS THE APPROPRIATE CHANGE METRIC?

Presenter: Naylor JM

This module addresses:

Question: Is the minimal, moderate or maximal important difference (MID,

MoID, MaID) the most appropriate change metric for the 6 minute walk test

(6MWT) post total knee arthroplasty (TKA)?

Conclusion: Thresholds for important improvements were obtained,

however, no threshold classification method was a good predictor of

change.

Key Practice Points:

• A patient-perceived important change threshold may not be a possible

metric for the 6MWT post-TKA

• Identifying important change remains challenging for clinician

and researcher

• Linking a change in 6MWT to a functional change may be more relevant

CPD Points: 0.5

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