Validation of the Six-Minute Walking Distance Measured by FeetMe® Insoles

Abstract

Abstract The six-minute walk test (6MWT) is widely used to assess functional capacity in patients with various diseases. Use of wearable devices can make this test more accurate and easier to administer, and may even enhance it by providing additional information. The purpose of this study was to evaluate the validity and reliability of FeetMe® insoles for assessing the total six-minute walking distance (6MWD) by comparing the FeetMe® estimates to those obtained by a rater and to the ground truth measured with a surveyor’s wheel. Data were analyzed from healthy volunteers who performed the 6MWT on 10-m and 30-m tracks while wearing FeetMe® insoles (n = 32), and being simultaneously assessed by a rater (n = 33) and followed by an investigator with a surveyor’s wheel. The mean average error (MAE) of the estimates was below 13 m on both tracks for FeetMe®, whereas it ranged from 16.24 m to 38.88 m on the 30-m and 10-m tracks for the rater. Thus, the FeetMe® insoles provided a more precise estimate than the rater, and the precision of the FeetMe® estimates did not vary according to the track length. We conclude that the FeetMe insoles are a reliable and accurate solution for measuring the 6MWD.