• The 2-Minute Walk Test (2MWT) assesses walking performance by measuring the distance a person is able to walk within 2 min.
  • The 2MWT is suitable for use as an outcome measure for patients with a variety of conditions including stroke, spinal cord injury, amputation, Multiple Sclerosis, pulmonary disorders, or older adults.

    2 Minute Walk Test - Quick Guide for SCI Clinicians (Infographic)

Clinical Considerations

The 2MWT is a measure of self-paced walking ability and functional capacity, particularly for those who cannot manage longer duration tests, like the 6MWT.

ICF Domain

Activity ▶ Mobility

Administration

Clinician-administered.

Length

2 minutes

Equipment

  • Countdown timer.
  • Tape measure.
  • Mechanical lap counter.
  • Cones to mark the turnaround.
  • Chair that can be easily moved along the walking course.

Scoring

Total distance walked (rounding to the nearest meter) and the number and duration of rests during the test is reported.

Languages

N/A

Training Required

None

Availability

The 2MWT worksheet can be found here.

Measurement Property Summary

# of studies reporting psychometric properties: 1

Interpretability

MCID: not established in SCI.
SEM:

  • 7.5 m (overall)
  • 8.5 m (slow walkers)
  • 7.3 m (fast walkers)

MDC:

  • 20.9 m (overall)
  • 23.6 m (slow walkers)
  • 20.3 m (fast walkers)

(Willi et al. 2023; n=50; 33 males, 17 females; mean (SD) age: 52.6 (16.3) years; ASIA A-D; 24 tetraplegia, 26 paraplegia; mean time since injury 6.11 years)

Reliability – High

Test-retest reliability is High for the 2-MWT (ICC = 0.980).

(Willi et al. 2023; n=50; 33 males, 17 females; mean (SD) age: 52.6 (16.3) years; ASIA A-D; 24 tetraplegia, 26 paraplegia; mean time since injury 6.11 years)

Validity – Moderate to High

  • Correlation between the 6-MWT and the 2-MWT is High (r = 0.922).
  • Correlation between the 10-MWT and the 2-MWT is High (r = 0.932 – 0.964).
  • Correlation between the WISCI II and the 2-MWT is Moderate to High (r = 0.571 – 0.749).
  • Correlation between the SCI-FAI and the 2-MWT is High (r = 0.688 – 0.805).
  • Correlation with the Berg Balance Scale and the 2-MWT is High (r = 0.781).
  • Correlation with the TUG test and the 2-MWT is High (r = -0.623).

(Willi et al. 2023; n=50; 33 males, 17 females; mean (SD) age: 52.6 (16.3) years; ASIA A-D; 24 tetraplegia, 26 paraplegia; mean time since injury 6.11 years)
(Lemay & Nadeau 2010; n=32, 25 males, 7 females; mean (SD) age: 47.9 (12.8) years; ASIA D; tetraplegia and paraplegia; mean (SD) time since injury: 77.2 (44.3) days)

Responsiveness

No values were reported for the responsiveness of the 2MWT for the SCI population.

Floor/Ceiling Effect

No values were reported for the presence of floor/ceiling effects in the 2MWT for the SCI population.

Reviewers

Dr. Janice Eng, Dr. Carlos L. Cano-Herrera, Matthew Querée.

Date Last Updated

31 December 2024

Willi R, Widmer M, Merz N, Bastiaenen CHG, Zörner B, Bolliger M. Validity and reliability of the 2-minute walk test in individuals with spinal cord injury. Spinal Cord. 2023; 61: 15-21. doi: 10.1038/s41393-022-00847-1.
https://pubmed.ncbi.nlm.nih.gov/35999254/

Lemay JF, Nadeau S. Standing balance assessment in ASIA D paraplegic and tetraplegic participants: concurrent validity of the Berg Balance Scale. Spinal Cord. 2010 Mar;48(3):245-50. doi: 10.1038/sc.2009.119.
https://pubmed.ncbi.nlm.nih.gov/19773797/