Validity and Reliability Test of Four-Meter Gait Speed on Six Meter Track for Indonesian Adults

Nury Nusdwinuringtyas, Tresia Fransiska, Peggy Sunarjo, Kevin Triangto, Sopiyudin Dahlan


Walking is an essential component of daily life and studies have shown the growing number of clinicians performing walking tests in their daily practice. This study is aimed to assess the validity and reliability of the Four-Meter Gait Speed (4MGS) test for healthy Indonesian adults (Mongoloid race). Data collection were conducted at the Rehabilitation Department of Dr. Cipto Mangunkusumo General Hospital during the period of August 2016 to March 2017. Two observers and two trials were involved in measuring the gait speed in the 4MGS test with a 6 meter track. All accumulated data were analyzed for validity using the Bland-Altman test, while test re-test reliability was done using Cronbach's alpha for internal consistency. Sixty-one subjects were involved in this study. There were no significant differences in inter-trial comparison from both observers (P=0.262 and P=0.954). Similarly, intra-observer walking speed comparison in both trials were also not significantly different (P=0.117 and P=0.869). The intraclass correlation coefficient (ICC) value between the first and second tests from observer I was 0.839 (Cronbach Alpha,0.911) while the value for observer II was 0.902 (Cronbach Alpha, 0.948). The ICC value between observer I and II in the first trial was 0.906 (Cronbach Alpha, 0.950); whereas the second trial demonstrated a value of 0.890 (Cronbach Alpha, 0.941). Thus, the 6 meter track 4MGS has a good validity and reliability for healthy Indonesian adults. It is expected that the walking speed from this study can be used for Mongoloid race living in other countries and the 4MGS can become an alternative speed-based walk test, especially during COVID-19 pandemic, due to its practicality in measuring functional capacity in a shorter duration.


4MGS; 6 meters track; mongoloid race

Full Text:



American Thoracic Society (ATS). Erratum: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2016;193(10):1185.

Wong PF, Chan EY, Ng DK, Kwok KL, Yip AY, Leung SY. Correlation between 6-min walk test and cardiopulmonary exercise test in Chinese patients. Pediatr Respirol Crit Care Med. 2018;2:32–5.

Middleton A, Fritz SL, Lusardi M. Walking Speed: The functional vital sign. J Aging Phys. 2015;23(2):314–22.

Morse CI, Bostock EL, Twiss HM, Kapp LH, Orme P, Jacques MF. The cardiorespiratory response and physiological determinants of the assisted 6-minute handbike cycle test in adult males with muscular dystrophy. Muscle and Nerve. 2018;58(3):427–33.

Nusdwinuringtyas N, Alwi I YF. Kesahihan dan keandalan uji jalan 6-menit pada lintasan 15-meter. Media Litbangkes. 2018;28(2):131–6.

Unver B, Baris RH, Yuksel E, Cekmece S, Kalkan S, Karatosun V. Reliability of 4-meter and 10-meter walk tests after lower extremity surgery. Disabil Rehabil. 2017;39(25):2572–6.

Kim H, Park I, On L. The reliability and validity of gait speed with different walking pace and distances against general health , physical function , and chronic disease in aged adults. J Exerc Nutr Biochem. 2016;20(3):46–50.

Nusdwinuringtyas N. Six minute walking distance cut-off point in Indonesian (Mongoloid ) population. J Indon Med Assoc. 2018;68(8):389–94.

Nusdwinuringtyas N. Six minute walk test as a measurement tool for functional capacity. J Indon Med Assoc. 2018;68(4):159–60.

Nusdwinuringtyas N, Fransiska T. Compatibility test between the six minutes walking test and four meter walking test. Ann Phys Rehabil Med. 2018;61(2018):e547.

Koo TK, Li MY. A Guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2017; 16(4):346.

Parreira VF, Janaudis-Ferreira T, Evans RA, Mathur S, Goldstein RS, Brooks D. Measurement properties of the incremental shuttle walk test: A systematic review. Chest. 2014;145(6):1357–69.

Karpman C, Lebrasseur NK, Depew ZS, Novotny PJ, Benzo RP. Measuring gait speed in the out-patient clinic : methodology and feasibility. Respir Care. 2014;59(4):531–7.

Peters DM, Fritz SL, Krotish DE. Assessing the reliability and validity of a shorter walk test compared with the 10-meter walk test for measurements of gait speed in healthy, older adults. J Geriatr Phys. 2013;36(1):24–30.

Karpman C, Benzo R. Gait speed as a measure of functional status in COPD patients. Int J Chron Obstruct Pulmon Dis. 2014;9:1315–20.

Venkataraman K, Amis K, Landerman LR, Caves K, Koh GC, Hoenig H. Teleassessment of gait and gait aids: validity and interrater Reliability. Phys Ther. 2020;100(4):708–17.

Li J. Rehabilitation management of patients with COVID-19: lessons learned from the first experience in China. Eur J Phys Rehabil Med. 2020;56(3):335–8.

Dolmage T, Rozenberg D, Malek N, Evans R, Goldstein R. saving time for patients with moderate to severe copd: endurance test speed set using usual and fast walk speeds. Chronic Obstr Pulm Dis J COPD Found. 2014;1(2):193–9.

Tino VYK, Morita AA, Bisca GW, Guzzi G, Machado FVC, Hernandes NA, et al. Which is the best protocol and cut-off point in the 4-metre gait speed test to discriminate exercise capacity in copd?. J Bras Pneumol. 2020;46(6):1–6.

Giavarina D. Understanding bland altman analysis. biochem Medica. 2015;25(2):141–51.

Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155–63.

Bohannon RW, Wang Y. Four-meter gait speed: normative values and reliability determined for adults participating in the NIH toolbox study. 2020;100(3):509–13.


Article Metrics

Abstract view : 491 times
PDF - 405 times

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Creative Commons License
MKB is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License


View My Stats