scholarly journals The Effect of Frailty on Walking Recovery After Hip Fracture: A Secondary Analysis of the Community Ambulation Project

2021 ◽  
Author(s):  
Kathleen K Mangione ◽  
Rebecca L Craik ◽  
Anne Kenny ◽  
Arteid Memaj ◽  
Melissa F Miller ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Community Dwelling ◽  
Walking Distance ◽  
Home Exercise ◽  
Walk Test ◽  
Community Ambulation ◽  
Walking Recovery ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Minute Walk

Abstract Background The impact of frailty on walking recovery after hip fracture has not been reported. We describe the prevalence of frailty approximately 3 months after hip fracture, and identify the impact of baseline frailty on ambulation recovery. Methods Data from the Community Ambulation Project, that examined the effects of 2 multicomponent home exercise programs on 6-minute walk test in participants post hip fracture, were used to reconstruct the 5-item frailty phenotype. We detailed the prevalence of frailty by subgroup and assessed the comparability between frailty groups for the categorical variable of achieving 300 m in 6-minute walk test (community ambulation threshold), and the continuous variable of total distance in 6-minute walk test before and after 16 weeks of intervention. Results Of the 210 participants, 9% were nonfrail, 59% were prefrail, and 32% were frail. The odds of a nonfrail participant achieving the 300-m threshold were 14.4 (95% CI: 2.4–87.6) times the odds of a frail participant, while a prefrail participant’s odds were 6.1 (95% CI: 1.3–28.4) times after controlling for treatment group and baseline walking distance. The nonfrail participants had an increase of 92.1 m from baseline to 16 weeks, the prefrail had a 50.8 m increase, and the frail group had the smallest increase of 36.6 m (p < .001 for all). Conclusions Prefrailty and frailty were highly prevalent in this sample of community-dwelling survivors of a recent hip fracture. Gains in walking distance and attaining a level of community ambulation were affected significantly by the level of baseline frailty.

Abstract 13462: 6-minute Walk Test Variability May be Reduced by a Structured Training and Monitoring Program, Potentially Facilitating Detection of Treatment Effects

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Judith A Hsia ◽  
Marc P Bonaca ◽  
Robin White ◽  
Victoria Anderson ◽  
William R Hiatt
Keyword(s):  
Heart Failure ◽  
Monitoring Program ◽  
Walking Distance ◽  
Walk Test ◽  
Weighted Mean ◽  
Test Variability ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Structured Approach ◽  
Minute Walk

Background: The 6-minute walk test (6MWT) is well established for evaluation of functional exercise capacity in patients with conditions such as pulmonary hypertension, peripheral arterial disease and heart failure. Its popularity as an endpoint in heart failure trials has increased in parallel with health authority acceptance of the test as a measure of patients' function. Minimizing variability is key to the successful conduct and outcome of trials with 6MWT endpoints. We assessed the impact on walking distance variability of a structured training and monitoring program Methods: After systematically observing conduct of 6MWT worldwide, our core lab developed a multifaceted approach including inspection and standardization of the walking course, standardized training, review of the first 3 tests for each test administrator and random tests thereafter, standardized data collection methods, and assessment of intra-test inconsistencies with feedback. Variability of walking distance using this structured approach is descriptively compared with 6MWT data from the literature. Results: In a multicenter trial which used the structured program, the standard deviation (SD) of distance walked was 21.7% of the mean at baseline and 22.6% at Week 4 (Table). For comparison, we reviewed 2018-19 reports of 6MWT not utilizing this structured approach and identified 5 multicenter studies of patients with heart failure which reported mean and SD of distance walked (Table). Baseline distance walked ranged from 104 to 385 m (weighted mean 220.4 m); SD of distance walked ranged from 28% to 135% of distance walked (weighted mean 70.9%). Conclusion: Standardization of the 6MWT walking course, structured training of test administrators and monitoring of test quality may reduce test variability which could improve accuracy of treatment effect assessment and possibly require smaller sample sizes.

scholarly journals Impact of Face Masks on 6-Minute Walk Test in Healthy Volunteers

2021 ◽  
Vol 11 (1) ◽  
pp. 204589402098843
Author(s):  
Kevin M. Swiatek ◽  
Charnetta Lester ◽  
Nicole Ng ◽  
Saahil Golia ◽  
Janet Pinson ◽  
...  
Keyword(s):  
Healthy Volunteers ◽  
Face Mask ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Significant Difference ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Minute Walk

Our objective was to establish the impact of wearing a face mask on the outcome of six-minute walk test in healthy volunteers. In a study of 20 healthy volunteers who each completed two 6MWTs, one with a mask and one without, there was no difference in distance walked. However, there was a significant difference in perception of dyspnea between the two groups.

scholarly journals Factors associated with the 6-minute walk test in nursing home residents and community-dwelling older adults

2015 ◽  
Vol 27 (11) ◽  
pp. 3571-3578 ◽  
Author(s):  
Vicent Benavent-Caballer ◽  
Juan Francisco Lisón ◽  
Pedro Rosado-Calatayud ◽  
Juan José Amer-Cuenca ◽  
Eva Segura-Orti
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Community Dwelling ◽  
Walk Test ◽  
Factors Associated ◽  
6 Minute Walk Test ◽  
Community Dwelling Older Adults ◽  
Minute Walk

scholarly journals Validity of the 6-Minute Walk Test in Patients with End-Stage Lung Diseases Wearing an Oronasal Surgical Mask in Times of the COVID-19 Pandemic

Respiration ◽  
2021 ◽  
pp. 1-6
Author(s):  
Isabell Anna Just ◽  
Felix Schoenrath ◽  
Philipp Passinger ◽  
Julia Stein ◽  
Dagmar Kemper ◽  
...  
Keyword(s):  
Exercise Capacity ◽  
Lung Diseases ◽  
Chronic Obstructive ◽  
Walk Test ◽  
Functional Exercise ◽  
Functional Exercise Capacity ◽  
End Stage ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Minute Walk

<b><i>Background and Objectives:</i></b> The 6-minute walk test (6MWT), as a clinical assessment tool for functional exercise capacity, is an integral component of lung allocation scores (LASs). In times of the coronavirus disease (COVID-19) pandemic, patients underwent 6MWTs wearing a surgical mask in ambulatory care. We investigated the impact of wearing a mask on 6-minute walk distances (6MWDs). <b><i>Method:</i></b> 6MWDs of 64 patients with end-stage lung diseases wearing an oronasal surgical mask were retrospectively compared to previously investigated 6MWDs of the same cohort, in a pre-COVID-19 pandemic era, without wearing a mask. Four patients were excluded due to a primary vascular disease, 29 patients due to clinically unstable pulmonary functions, and 1 patient due to a psychiatric disorder. <b><i>Results:</i></b> The median age of the patients included was 55 (46–58) years; 15 (48%) were male. Ten (32.2%) were on the Eurotransplant lung transplant waiting list with a median LAS of 34.3 (31.9–36.2). Twenty (64.5%) patients had chronic obstructive pulmonary diseases, 7 (22.6%) had interstitial lung diseases, and 4 (12.9%) had other end-stage lung diseases. The mean 6MWD without versus with wearing a mask was 306.9 (101.9) versus 305.7 (103.8) m, with a mean difference of −1.19 m (95% confidence interval −13.4 to 11.03). The observed difference is statistically equivalent to zero (<i>p</i> &#x3c; 0.001). No significant differences in 6MWDs were observed between the clinical groups. <b><i>Conclusion:</i></b> Wearing an oronasal surgical mask did not affect the 6MWDs of patients with advanced lung diseases. Therefore, a masked 6MWT appears to provide a reliable examination of functional exercise capacity in this cohort.

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

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.

scholarly journals Promoting hemiplegic gait

Biomedicine ◽  
2020 ◽  
Vol 39 (2) ◽  
pp. 310-318
Author(s):  
Logeshwari Selvaraj ◽  
Sakthi J
Keyword(s):  
Fall Risk ◽  
Community Dwelling ◽  
Walk Test ◽  
Significant Difference ◽  
Post Test ◽  
Assessment Time ◽  
Group B ◽  
6 Minute Walk Test ◽  
Hemiplegic Gait ◽  
Minute Walk

Introduction and Aim: Balance synergy includes a number of postural response that enable an individual to arise and remain erect during standing and locomotion. Balance deficits causes an insufficient coordination, postural instability and impaired gait. Maintaining the independence in activities of activities of daily living is an important factor for the quality of life. Hence this study is done to promote Hemiplegic Gait in stroke patients. Materials and Methods: 150 community dwelling hemiparetic subjects from Chennai aged <65 both male and female subjects were allocated in three groups (n=50) using convenient sampling method and were followed up for a period of 12 weeks with intervention duration of 45 mins daily and were assessed with POMA, FALL RISK , TUG and 6 minute walk test. Paired‘t’ test was used for assessing pre and post-test values. Results: There was significant difference with p < 0.001 at both Tinetti Performance oriented mobility assessment, Time up and Go Test, Fall Risk and 6 minute walk test minimal significant difference in  chair stand test in both the groups. Conclusion: There was significant difference in POMA, FALL RISK , TUG and 6 minute walk test p<.005 in Group C & Group B.  

scholarly journals Agreement in Walking Speed Measured Using Four Different Outcome Measures: 6-Meter Walk Test, 10-Meter Walk Test, 2-Minute Walk Test, and 6-Minute Walk Test

2021 ◽  
Author(s):  
James Roush ◽  
John Heick ◽  
Tanner Hawk ◽  
Dillon Eurek ◽  
Austin Wallis ◽  
...  
Keyword(s):  
Confidence Intervals ◽  
Walking Speed ◽  
Intraclass Correlation ◽  
Walking Distance ◽  
Walk Test ◽  
Reliable Measurement ◽  
Walking Tests ◽  
6 Minute Walk Test ◽  
Minute Walk ◽  
10 Meter Walk Test

Background: Walking speed is considered the sixth vital sign because it is a valid, reliable, and sensitive measure for assessing functional status in various populations. Purpose: The current study assessed agreement in walking speed using the 6-meter walk test, (6MWT) 10-meter walk test (10MWT), 2-minute walk test (2minWT), and 6-minute walk test (6minWT). We also determined differences in walking speed. Methods: Seventy-three healthy adults (44 females, 29 males; mean [SD] age=31.36 [10.33] years) participated. Lafayette Electronic timing devices measured walking speed for the 6MWT and 10MWT. Measuring wheels and stopwatches measured walking distance and speed for the 2minWT and 6minWT. Participants completed 1 trial, and all tests were administered simultaneously. Results: The intraclass correlation coefficient (2, 4) for the different measures of walking speed was excellent at 0.90 (95% confidence intervals, 0.86-0.93). The correlation was 0.95 between 6MWT and 10MWT, 0.94 between 2minWT and 6minWT, 0.67 between 6MWT and 2minWT, 0.63 between 10MWT and 2minWT, and 0.59 between 10MWT and 6minWT (all p < 0.05). No differences in walking speed were found between the four walking tests. Conclusion: Administration of any of the four walking tests provided reliable measurement of walking speed.

scholarly journals The Influence of Abdominal Obesity on Hip Pain, Function, and Walking Ability after Three Years of THA: A Prospective Cohort Study

2021 ◽  
Author(s):  
Xiang Wang ◽  
Ze Yang ◽  
Yang Zhang ◽  
Yuan Tian ◽  
Jing Shen ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Abdominal Obesity ◽  
Hip Pain ◽  
Walking Ability ◽  
Pain Rating ◽  
Walk Test ◽  
Postoperative Function ◽  
6 Minute Walk Test ◽  
The Impact ◽  
Minute Walk

Abstract Background: There are many clinical studies about the impact of obesity on postoperative function following THA, but their conclusions are different and even contradictory. Abdominal obesity is closely related to obesity, while its impact on postoperative function following THA remains to be elucidated.Methods: Four hundred and thirteen patients were included in this study. They were divided into an AO group (waist circumference ≥ 90 cm for men and ≥ 85 cm for women) and a non-AO group (waist circumference ≤ 90 cm for men and ≤ 85 cm for women). Preoperative assessments including numerical pain rating, the Oxford Hip Score, and 6-minute walk test were repeated at 1,2, and 3 years postoperatively. Postoperative assessments included the anteversion and inclination of the acetabular prosthesis and satisfaction survey.Results：At a mean follow-up of 48±1.3 months, there was a significant difference in the improvement of the 6-minute walk test (251.22 to 387.46, 410.34, 410.07 vs 207.79 to 362.17, 395.82, 403.36; p < 0.001) at 1, 2 and 3 years and the numerical pain rating scale (6.00 to 0.39 vs 5.76 to 0.80; p < 0.001) at 1 year between the non-AO group and AO group. There was no difference between both groups in inclination, anteversion, OHS, and satisfaction. Conclusion: AO does not increase the complications after THA, nor does it have a significant impact on the function after THA, but it seems to have a negative effect on the improvement of walking ability and the relief of hip pain.

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