Why to evaluate the functional capacity in PAD patients?

Summary: In patients with peripheral arterial disease (PAD), the ability to perform physical exercise is an essential and most important indicator of a patient’s health and quality of life. In many cases, there exists a discrepancy between lower extremity blood flow, the extent of arterial occlusion shown by morphological investigation and functional impairment. Reversal of lower extremity arterial obstruction with revascularization does not always reverse functional impairment of diseased leg. Further, training exercise and drug treatment can improve functional performance although they are not associated with an improvement in arterial obstruction. Therefore, the determination of functional impairment and its recovery after different therapeutic procedures should be determined using objective tests. The most frequently used functional tests are treadmill exercise testing and a 6-minute walk test. The constant load test, in which results are expressed as a walked distance, does not always permit an accurate assessment of the full range of functional impairment of PAD patients. Recently, as a substitute for a constant-load test, the graded treadmill test is used. With this test, it is possible to identify those individuals with exercise limitations who are not caused only by deterioration of the blood flow of lower limbs. The 6-minute walk test is simple to perform and requires minimal equipment. However, the correlation between the 6-minute walk test and the graded treadmill test is relatively weak, indicating that peak performance on a graded treadmill may reflect different pathophysiological mechanisms of limitations. In conclusion: for the determination of limitations of mobility and quality of life in patients with PAD, objective measures of functional impairment are needed. The determination of functional capacity is related to the quality of life and is a useful tool for investigation of the success of revascularization of peripheral arteries and conservative treatment.

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Effects of Exercise Training versus Attention on Plasma B-type Natriuretic Peptide, 6-Minute Walk Test and Quality of Life in Individuals with Heart Failure

Cardiopulmonary Physical Therapy Journal ◽

10.1097/01823246-201223040-00004 ◽

2012 ◽

Vol 23 (4) ◽

pp. 19-25 ◽

Cited By ~ 14

Author(s):

Joseph F. Norman ◽

Bunny J. Pozehl ◽

Kathleen A. Duncan ◽

Melody A. Hertzog ◽

Steven K. Krueger

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Exercise Training ◽

Natriuretic Peptide ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk

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Effects of Ivabradine on 6-Minute Walk Test and Quality of Life in Patients With Previously Implanted CRT-D

Journal of Investigative Medicine ◽

10.2310/jim.0b013e31829614f0 ◽

2013 ◽

Vol 61 (6) ◽

pp. 1013-1017 ◽

Cited By ~ 2

Author(s):

Ismail Ates ◽

Asuman H. Yavuz ◽

Mehmet Doğru ◽

Ahmet Genç ◽

&Scedil;eref Ulucan ◽

...

Keyword(s):

Quality Of Life ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk

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Efficacy and Safety of an mHealth App and Wearable Device in Physical Performance for Patients With Hepatocellular Carcinoma: Development and Usability Study

JMIR mhealth and uhealth ◽

10.2196/14435 ◽

2020 ◽

Vol 8 (3) ◽

pp. e14435 ◽

Cited By ~ 3

Author(s):

Yoon Kim ◽

Jinserk Seo ◽

So-Yeon An ◽

Dong Hyun Sinn ◽

Ji Hye Hwang

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Body Composition ◽

Physical Fitness ◽

Exercise Program ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk ◽

Rehabilitation Exercise

Background Exercise is predicted to have a positive effect among hepatocellular carcinoma (HCC) patients. However, these patients are hesitant to start and build up an exercise program for one major reason: the vague fear of developing hepatic decompensation, a potentially fatal condition that can lead to death. Integrating mobile health (mHealth) with individualized exercise programs could be a possible option for promoting physical capacity among HCC patients. Objective The aim of this study was to evaluate the efficacy and safety of rehabilitation exercises, which have been individually prescribed via an mHealth app, on physical fitness, body composition, biochemical profile, and quality of life among HCC patients. Methods A total of 37 HCC patients were enrolled in a 12-week course with an mHealth app program targeted to HCC patients. The wearable wristband device Neofit (Partron Co) was provided to participants, and recorded daily physical data, such as the number of steps, calorie expenditure, exercise time, and heart rate. Each participant was given an individualized rehabilitation exercise program that was prescribed and adjusted at the 6-week midintervention period based on the assessment results. At baseline, 6-week, and 12-week sessions, participants’ physical fitness levels (ie, 6-minute walk test, grip strength test, and 30-second chair stand test) were measured. Physical activity levels, as measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF); body composition (ie, body mass index, body fat percentage, and muscle mass); biochemical profiles; and quality of life, as measured by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, were assessed at baseline and at the end point. At the 6-week midpoint, exercise intensity was individually adjusted. Results Of the 37 patients, 31 (84%) completed the 12-week intervention. Grip strength improved significantly after 12 weeks of the intervention. The 30-second chair stand test and the 6-minute walk test showed significant improvement from 0 to 6 weeks, from 0 to 12 weeks, and from 6 to 12 weeks. Muscle mass and the IPAQ-SF score increased significantly after 12 weeks of the intervention without biochemical deterioration. Conclusions Following 12 weeks of mHealth care, including an individually prescribed rehabilitation exercise program, we saw significant improvements in physical fitness, body composition, and physical activity without any complication or biochemical deterioration among compensated HCC patients who had completed therapy.

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Bariatric Surgery in a Morbidly Obese Achondroplasic Patient – Use of the 6-Minute Walk Test to Assess Mobility and Quality of Life

Obesity Surgery ◽

10.1007/s11695-007-9027-0 ◽

2007 ◽

Vol 17 (2) ◽

pp. 255-257 ◽

Cited By ~ 6

Author(s):

João Regis Ivar Carneiro ◽

Vinícius Gomes da Silveira ◽

Ana Carolina Nader Vasconcelos ◽

Luciana Lopes de Souza ◽

Denise Xerez ◽

...

Keyword(s):

Quality Of Life ◽

Bariatric Surgery ◽

Morbidly Obese ◽

Walk Test ◽

Patient Use ◽

6 Minute Walk Test ◽

Minute Walk

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The 6-Minute Walk Test in Female Fibromyalgia Patients: Relationship With Tenderness, Symptomatology, Quality of Life, and Coping Strategies

Pain Management Nursing ◽

10.1016/j.pmn.2011.01.002 ◽

2013 ◽

Vol 14 (4) ◽

pp. 193-199 ◽

Cited By ~ 14

Author(s):

Ana Carbonell-Baeza ◽

Jonatan R. Ruiz ◽

Virginia A. Aparicio ◽

Francisco B. Ortega ◽

Manuel Delgado-Fernández

Keyword(s):

Quality Of Life ◽

Coping Strategies ◽

Walk Test ◽

And Coping ◽

6 Minute Walk Test ◽

Minute Walk

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Efficacy and Safety of an mHealth App and Wearable Device in Physical Performance for Patients With Hepatocellular Carcinoma: Development and Usability Study (Preprint)

10.2196/preprints.14435 ◽

2019 ◽

Author(s):

Yoon Kim ◽

Jinserk Seo ◽

So-Yeon An ◽

Dong Hyun Sinn ◽

Ji Hye Hwang

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Body Composition ◽

Physical Fitness ◽

Exercise Program ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk ◽

Rehabilitation Exercise

BACKGROUND Exercise is predicted to have a positive effect among hepatocellular carcinoma (HCC) patients. However, these patients are hesitant to start and build up an exercise program for one major reason: the vague fear of developing hepatic decompensation, a potentially fatal condition that can lead to death. Integrating mobile health (mHealth) with individualized exercise programs could be a possible option for promoting physical capacity among HCC patients. OBJECTIVE The aim of this study was to evaluate the efficacy and safety of rehabilitation exercises, which have been individually prescribed via an mHealth app, on physical fitness, body composition, biochemical profile, and quality of life among HCC patients. METHODS A total of 37 HCC patients were enrolled in a 12-week course with an mHealth app program targeted to HCC patients. The wearable wristband device Neofit (Partron Co) was provided to participants, and recorded daily physical data, such as the number of steps, calorie expenditure, exercise time, and heart rate. Each participant was given an individualized rehabilitation exercise program that was prescribed and adjusted at the 6-week midintervention period based on the assessment results. At baseline, 6-week, and 12-week sessions, participants’ physical fitness levels (ie, 6-minute walk test, grip strength test, and 30-second chair stand test) were measured. Physical activity levels, as measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF); body composition (ie, body mass index, body fat percentage, and muscle mass); biochemical profiles; and quality of life, as measured by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, were assessed at baseline and at the end point. At the 6-week midpoint, exercise intensity was individually adjusted. RESULTS Of the 37 patients, 31 (84%) completed the 12-week intervention. Grip strength improved significantly after 12 weeks of the intervention. The 30-second chair stand test and the 6-minute walk test showed significant improvement from 0 to 6 weeks, from 0 to 12 weeks, and from 6 to 12 weeks. Muscle mass and the IPAQ-SF score increased significantly after 12 weeks of the intervention without biochemical deterioration. CONCLUSIONS Following 12 weeks of mHealth care, including an individually prescribed rehabilitation exercise program, we saw significant improvements in physical fitness, body composition, and physical activity without any complication or biochemical deterioration among compensated HCC patients who had completed therapy.

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ROLE OF PHYSIOTHERAPY IN IMPROVING QUALITY OF LIFE IN LIVER TRANSPLANT PATIENTS

QUALITY OF LIFE IN PATIENTS WITH NEUROGENIC COMMUNICATION DISORDER ◽

10.52567/trj.v3i02.19 ◽

2019 ◽

Vol 3 (2) ◽

pp. 126-130

Author(s):

Tausif Aamir ◽

◽

Sundas Iftikhar ◽

Rehan Ramzan Khan ◽

Muhammad Kashif Khan ◽

...

Keyword(s):

Quality Of Life ◽

Heart Rate ◽

Liver Transplantation ◽

Muscle Power ◽

Walk Test ◽

Sf 36 ◽

6 Minute Walk Test ◽

The Impact ◽

Minute Walk

Objective: To evaluate the impact of pre and early post operative physical therapy on quality of life (QOL) in patients of liver transplantation. Methods and materials: A Single group pre and post experimental study design was conducted in Shifa International Hospital in which 20 patients with cirrhotic liver waiting for transplant participated. Non probability Convenience Sampling technique was used. Data was collected over a period of six months using a standard questionnaire 36-Item Short Form Survey (SF-36)and a General demographic questionnaire which included age, gender, BMI, along with diabetes, hypertension, ECOG level, tidal volume, muscle power, 6 minute walk test(heart rate, SpO2, distance covered, exertion level measurement). Results: The mean ± SD age & Body Mass Index of the participants (N=20) were 47.20 ± 11.49 years and 24.83 ± 2.1 respectively. 6 Minute Walk Test Heart Rate, 6 Minute Walk Test Distance, , ECOG, 6 Minute Walk Test Exertion Level and Muscle power were shown significantly improved throughout the treatment duration (p<0.001). While 6 Minute Walk Test Oxygen Saturation showed significant improvement only in initial two weeks (p=0.01), but at the end of 2nd week and overall improvement was not significant (p≥0.05). The results of the study also showed significant improvement (p<0.001) in all domains of quality of life (SF-36) at the end of study. Conclusion: The study indicated that early pre and post physiotherapy interventions can improve the overall health-related quality of life including the aerobic physical fitness and muscle strength in patients having liver transplantation Keywords: 6 minute walk test, ECOG, Incentive spirometry, Liver transplantation, Muscle power, Physiotherapy, Quality of life.

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The Correlation between Functional Parameters (6-Minute Walk Test) and Life Quality of Silicosis Patients: Case Study in the Jerada City in Morocco

Integrative Journal of Medical Sciences ◽

10.15342/ijms.2021.491 ◽

2021 ◽

Vol 8 ◽

Author(s):

Meryem Karhate Andaloussi ◽

Lamiyae Senhaji ◽

Michele Germain ◽

Jean-Marie Casillas ◽

Abderrazak Hajjioui

Keyword(s):

Quality Of Life ◽

Life Quality ◽

Depression Scale ◽

The Other ◽

Walk Test ◽

Functional Parameters ◽

The Mean ◽

6 Minute Walk Test ◽

Minute Walk

Introduction: Silicosis is pneumoconiosis secondary to the inhalation of mineral dust containing silica. It represents a real public health problem in the city of Jerada.Purposes: To assess the functional parameters of silicosis patients (based on the 6-minute walk test (6MWT)) and their impact on our patients' quality of life (Saint George's respiratory questionnaire (SGRQ) and hospital anxiety and depression scale (HAD)).Materials and methodology: This is a cross-sectional study of 147 patients with silicosis, designed to collect their socio-demographic data, to assess their respiratory function (6MWT) and their quality of life (SGRQ).Findings: The average age of our patients was 64.08 +/- 6.46 years [46 -81]. At 6MWT, the mean distance walked by our patients is 326.8 +/-168.47 m (30 - 835) or 59% of the predicted distance, with a median of 360m. The mean total Saint George score (SGT) was 68.02 +/- 19.54%. The means of the other Saint George scores were: symptoms (SGS): 45.95 +/- 23.66%, activities (SGA): 79.58 +/- 19.8%, and impact (SGI): 68, Results: The average age of our patients was 64.08 +/- 6.46 years [46 -81]. At 6MWT, the mean distance walked by our patients is 326.8 +/-168.47 m (30 - 835) or 59% of the predicted distance, with a median of 360m. The mean total Saint George score (SGT) was 68.02 +/- 19.54%. The means of the other Saint George scores were: symptoms (SGS): 45.95 +/- 23.66%, activities (SGA): 79.58 +/- 19.8%, and impact (SGI): 68.32 +/- 22.33%. We found a statistically significant relationship between dyspnea, quality of life, anxiety and walking distance.Conclusion: The study demonstrated that silicosis is a pulmonary disease which causes significant functional limitation and deterioration of life quality.

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