scholarly journals The “Walking Estimated Limitation Stated by History” (WELSH) visual tool is applicable and accurate to determine walking capacity, even in people with low literacy level

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0260875
Author(s):  
Wendsèndaté Yves Sempore ◽  
Nafi Ouedraogo ◽  
Salifou Gandema ◽  
Samir Henni ◽  
Alassane Ilboudo ◽  
...  
Keyword(s):  
Walking Distance ◽  
Walk Test ◽  
Low Literacy ◽  
Walking Capacity ◽  
Bobo Dioulasso ◽  
Males And Females ◽  
A Prospective Study ◽  
6 Minute Walk Test ◽  
The City

Determination of the self-reported walking capacity by interview or standardized questionnaire is important. However, the existing questionnaires require the patient to be able to read and write in a specific language. We recently proposed the WELSH (Walking Estimated Limitation Stated by History) tool to be administrable to illiterate people. The main objective was to assess the applicability of WELSH tool in the community and in a large group. We performed a prospective study in the city of Bobo-Dioulasso in Burkina Faso during June 2020. We recruited 630 interviewers among medical students. They were trained to administer the WELSH, and to conduct a 6-minute walk test. We performed a Pearson’s “r” correlation between the WELSH and maximal walking distance (MWD). Of the 1723 participants available for the analysis, 757 (43.9%: 41.6–46.3) never went to school or attended only elementary school. The percentage of questionnaires with participant filling-in errors corrected by the investigator decreased with the decrease in educational level (p<0.001). The average WELSH score was 53 ± 22 and the average MWD was 383 ±142 meters. The Spearman correlation coefficient between the WELSH score and the MWD was r = 0.567 (p<0.001). Correlations ranged from 0.291 to 0.576 in males and females, (all p values < 0.05) and in different levels of education, with the highest coefficients found in illiterate people. The WELSH is feasible on the community by a wide variety of interviewers. It correlates with the MWD estimated by the 6-minutes’ walk test even for people with little or no schooling.

Walking capacity evaluated by the 6-minute walk test in spinal and bulbar muscular atrophy

2008 ◽  
Vol 38 (2) ◽  
pp. 964-971 ◽  
Author(s):  
Yu Takeuchi ◽  
Masahisa Katsuno ◽  
Haruhiko Banno ◽  
Keisuke Suzuki ◽  
Motoshi Kawashima ◽  
...  
Keyword(s):  
Muscular Atrophy ◽  
Walk Test ◽  
Walking Capacity ◽  
6 Minute Walk Test ◽  
Minute Walk

Determination Of Hemodynamic Parameters During 6-Minute Walk Test In Pulmonary Hypertension

2012 ◽  
Author(s):  
Vineesha Arelli ◽  
Jose Ramos ◽  
Kevin McCarthy ◽  
Adriano Tonelli ◽  
Raed A. Dweik ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Walk Test ◽  
Hemodynamic Parameters ◽  
6 Minute Walk Test ◽  
Minute Walk

Why to evaluate the functional capacity in PAD patients?

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 275-280
Author(s):  
Pavel Poredoš ◽  
Mateja K. Jezovnik
Keyword(s):  
Quality Of Life ◽  
Functional Impairment ◽  
Constant Load ◽  
Load Test ◽  
Walk Test ◽  
Treadmill Test ◽  
6 Minute Walk Test ◽  
Minute Walk

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.

scholarly journals Is There a Sex Difference in Accelerometer Counts During Walking in Older Adults?

2014 ◽  
Vol 11 (3) ◽  
pp. 626-637 ◽  
Author(s):  
Dane R. Van Domelen ◽  
Paolo Caserotti ◽  
Robert J. Brychta ◽  
Tamara B. Harris ◽  
Kushang V. Patel ◽  
...  
Keyword(s):  
Older Adults ◽  
Sex Difference ◽  
Walking Speed ◽  
Vertical Axis ◽  
Step Length ◽  
Walk Test ◽  
Free Living ◽  
Males And Females ◽  
6 Minute Walk Test ◽  
Minute Walk

Background:Accelerometers have emerged as a useful tool for measuring free-living physical activity in epidemiological studies. Validity of activity estimates depends on the assumption that measurements are equivalent for males and females while performing activities of the same intensity. The primary purpose of this study was to compare accelerometer count values in males and females undergoing a standardized 6-minute walk test.Methods:The study population was older adults (78.6 ± 4.1 years) from the AGES-Reykjavik Study (N = 319). Participants performed a 6-minute walk test at a self-selected fast pace while wearing an ActiGraph GT3X at the hip. Vertical axis counts·s−1 was the primary outcome. Covariates included walking speed, height, weight, BMI, waist circumference, femur length, and step length.Results:On average, males walked 7.2% faster than females (1.31 vs. 1.22 m·s−1, P < .001) and had 32.3% greater vertical axis counts·s−1 (54.6 vs. 39.4 counts·s−1, P < .001). Accounting for walking speed reduced the sex difference to 19.2% and accounting for step length further reduced the difference to 13.4% (P < .001).Conclusion:Vertical axis counts·s−1 were disproportionally greater in males even after adjustment for walking speed. This difference could confound free-living activity estimates.

scholarly journals Subtraction CT angiopulmonographic assessment of the vascular bed and lung perfusion in patients with chronic thromboembolic pulmonary hypertension: A pilot study

2017 ◽  
Vol 89 (4) ◽  
pp. 8-14 ◽  
Author(s):  
T N Veselova ◽  
A Yu Demchenkova ◽  
T V Martynyuk ◽  
N M Danilov ◽  
S K Ternovoy ◽  
...  
Keyword(s):  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Lung Perfusion ◽  
Walk Test ◽  
Test Results ◽  
Vascular Perfusion ◽  
Vascular Bed ◽  
Thromboembolic Pulmonary Hypertension ◽  
6 Minute Walk Test ◽  
Minute Walk

Aim. To evaluate the vascular bed and lung perfusion in patients with chronic thromboembolic pulmonary hypertension (CTEPH) by computed tomography (CT) and to compare the severity of pulmonary arterial (PA) thrombotic lesions concurrent with parenchymal perfusion disorders with angiopulmonographic findings and clinical and hemodynamic characteristics. Subjects and methods. In the period from November 2015 to May 2016, 22 patients (7 men, 15 women) aged 27 to 67 years with a verified diagnosis of CTEPH were examined using an Aquilion ONE VISION Edition 640 (Toshiba Medical Systems, Japan) CT scanner with a 320-row detector. Perfusion defect in this study was evaluated with the new software allowing one to combine contrast and contrast-free images by a subtraction method. CT data analysis included visual assessment of the vascular bed and lung parenchyma and quantitative assessment with perfusion map construction and semi-automatic determination of the obstruction index (OI) and perfusion defect index (PDI). OI was compared with PDI and mean LA pressure according to the data of right heart catheterization and 6-minute walk test. Results. A statistically significant correlation was found between OI and PDI in patients with CTEPH (Pearson r=0.56; p=0.0065). There were no relationships between mean LA pressure and vascular perfusion indices (OI and PDI) or between vascular perfusion parameters and 6-minute walk test results. Conclusion. CT angiopulmonography in conjunction with pulmonary perfusion assessment (within one study) allows evaluation of the severity of vascular lesions and perfusion disorders and determination of the efficiency of treatment in patients with CTEPH.

Graduated Compression Stockings Does Not Decrease Walking Capacity and Muscle Oxygen Saturation during 6-Minute Walk Test in Intermittent Claudication Patients

2017 ◽  
Vol 40 ◽  
pp. 239-242 ◽  
Author(s):  
Bruno Remígio Cavalcante ◽  
Raphael Mendes Ritti-Dias ◽  
Antônio Henrique Germano Soares ◽  
Wagner Jorge Ribeiro Domingues ◽  
Glauco Fernandes Saes ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Intermittent Claudication ◽  
Walk Test ◽  
Compression Stockings ◽  
Muscle Oxygen ◽  
Walking Capacity ◽  
Graduated Compression Stockings ◽  
6 Minute Walk Test ◽  
Minute Walk

Effects of an Aerobic Exercise Program on Aerobic Capacity, Spatiotemporal Gait Parameters, and Functional Capacity in Subacute Stroke

2008 ◽  
Vol 23 (4) ◽  
pp. 398-406 ◽  
Author(s):  
Ada Tang ◽  
Kathryn M. Sibley ◽  
Scott G. Thomas ◽  
Mark T. Bayley ◽  
Denyse Richardson ◽  
...  
Keyword(s):  
Aerobic Capacity ◽  
Cycle Ergometer ◽  
Exercise Group ◽  
Control Group ◽  
Walking Ability ◽  
Walk Test ◽  
Subacute Stroke ◽  
Walking Capacity ◽  
6 Minute Walk Test ◽  
Minute Walk

Background and objective. In spite of the challenges, engaging in exercise programs very early after stroke may positively influence aerobic capacity and stroke-related outcomes, including walking ability. The objective of this study was to evaluate the feasibility of adding aerobic cycle ergometer training to conventional rehabilitation early after stroke and to determine effects on aerobic capacity, walking ability, and health-related quality of life. Methods. A prospective matched control design was used. All participants performed a graded maximal exercise test on a semi-recumbent cycle ergometer, spatiotemporal gait assessments, 6-Minute Walk Test, and Stroke Impact Scale. The Exercise group added 30 minutes of aerobic cycle ergometry to conventional inpatient rehabilitation 3 days/week until discharge; the Control group received conventional rehabilitation only. Results. All Exercise participants (n = 23) completed the training without adverse effects. In the 18 matched pairs, both groups demonstrated improvements over time with a trend toward greater aerobic benefit in the Exercise group with 13% and 23% increases in peak VO2 and work rate respectively, compared to 8% and 16% in the Control group (group-time interaction P = .71 and .62). A similar trend toward improved 6-Minute Walk Test distance (Exercise 53% vs Controls 23%, P = .23) was observed. Conclusion. Early aerobic training can be safely implemented without deleterious effects on stroke rehabilitation. A trend toward greater improvement in aerobic capacity and walking capacity suggests that such training may have an early beneficial effect and should be considered for inclusion in rehabilitation programs.

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.

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