Is the one-minute sit-to-stand test an appropriate replacement for the six-minute walk test in community pulmonary rehabilitation programmes?

Objective: Diffuse Interstitial Lung Disease (DILD) is a pathology with a high mortality rate in Colombia as well as around the world. Linking patients to pulmonary rehabilitation programs is essential to improve their quality of life and aerobic capacity; thus, all patients perform the six-minute walk test (6-MWT). This study aimed to describe the changes in physiological and aerobic capacity-related variables in patients with DILD in the 6-MWT at admission to a pulmonary rehabilitation program and determine possible differences between patients with idiopathic pulmonary fibrosis (IPF) and other DILDs. Methods: This is a cross-sectional descriptive study on patients with DILD who performed the 6-MWT between January 2017 and February 2019. Sociodemographic, clinical, physiological, and exercise tolerance variables were taken into account at four different times of the 6-MWT: Rest time, the end, and the first and the fifth minute after the end of the test. The Human Ethics Committee endorsed the study, and all participants signed the informed consent form. Results: There were 64 patients with DILD. The average age was 60.84 years, 53.1% were female, 73.4% required home oxygen, and 53.1% had a diagnosis of IPF. There were no statistically significant differences in the heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), Borg scale, and fatigue in lower limbs at the four evaluated moments of the test for both groups of patients with DILD (p=0.000); moreover, the FEV1/FVC ratio for patients with other DILD was higher (p=0.000). The distance traveled for IPF was 339.26±124.84, while for other DILDs, it was 365.63±113.00 (p=0.382). Conclusions: Patients with other DILDs have better FEV1/FVC and travel longer distances with less dyspnea and fatigue than patients with IPF during the 6-MWT. Both groups' HR, RR, SpO2, Borg, and fatigue variables presented significant changes during the 6-MWT.

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The 1-Minute Sit-to-Stand Test in Adults With Cystic Fibrosis: Correlations With Cardiopulmonary Exercise Test, 6-Minute Walk Test, and Quadriceps Strength

Respiratory Care ◽

10.4187/respcare.04821 ◽

2016 ◽

Vol 61 (12) ◽

pp. 1620-1628 ◽

Cited By ~ 13

Author(s):

M. Gruet ◽

L. A. Peyre-Tartaruga ◽

L. Mely ◽

J.-M. Vallier

Keyword(s):

Cystic Fibrosis ◽

Exercise Test ◽

Quadriceps Strength ◽

Cardiopulmonary Exercise Test ◽

Walk Test ◽

Stand Test ◽

Cardiopulmonary Exercise ◽

Sit To Stand ◽

6 Minute Walk Test ◽

Minute Walk

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Study to assess exercise capacity in patients with copd on pulmonary rehabilitation through six minute walk test

IP Indian Journal of Immunology and Respiratory Medicine ◽

10.18231/j.ijirm.2019.040 ◽

2019 ◽

Vol 4 (3) ◽

pp. 181-184

Author(s):

Kanabur Prashanth ◽

Kolla Vinod ◽

K N. Mohan Rao ◽

Rohit R Chandran ◽

K Thirthashree

Keyword(s):

Exercise Capacity ◽

Pulmonary Rehabilitation ◽

Walk Test ◽

Six Minute Walk Test ◽

Minute Walk

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Six Minute Walk Test as a Monitoring tool in Chronic Obstructive Pulmonary Disease on Pulmonary Rehabilitation

Journal of Advances in Internal Medicine ◽

10.3126/jaim.v2i2.8774 ◽

2013 ◽

Vol 2 (2) ◽

pp. 35-41

Author(s):

Vignan Kumar Gali Prakash ◽

Sujath Gogineni ◽

Rajesh Kumar ◽

Mahaboob V Shaik

Keyword(s):

Pulmonary Rehabilitation ◽

Forced Expiratory Volume ◽

Chronic Obstructive ◽

Walk Test ◽

Walk Distance ◽

Obstructive Pulmonary Disease ◽

Six Minute Walk Test ◽

The Mean ◽

Minute Walk Distance ◽

Minute Walk

Background and Aims- The six minute walk test is widely used as an outcome measure in pulmonary rehabilitation programs. The objective of this study is to report the magnitude of change in the six minute walk test with test repetition in patients with chronic obstructive pulmonary disease on pulmonary rehabilitation program. Methods: A prospective study of 51 patients with moderate to very severe COPD was carried out. Clinical examination, spirometry, six minute walk distance were done. All were advised regular follow up visits at three, six and twelve months. Results: Four (8%) very severe cases completed all visits and one in those showed improvement in Forced Expiratory Volume in 1 second by 6% and six minute walk distance by 71 metres. Seven (31.37%) severe cases completed all visits; showed improvement in Forced Expiratory Volume in 1 second by 2.5%; the distance walked was a mean 381.5 metres and this was 2.5 % improvement over base line walking distance. Six (11%) moderately severe cases completed the study; the mean distance walked at the end of the study was 451 metres, which is an improvement of 53% and the mean change in Forced expiratory volume in 1 second was <2%. Totally, the mean of modified Burden of Lung disease Dyspnoea scale was 1.7 (baseline) and 4 (after the test). Conclusions: These findings support the recommendation of practice six minute walk test at baseline assessment in order to provide an accurate measure of the effects of rehabilitation on six minute walk distance.DOI: http://dx.doi.org/10.3126/jaim.v2i2.8774 Journal of Advances in Internal Medicine 2013;02(02):35-41.

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