Effect of Scapular Retraction Exercise on Shoulder Alignment, Pulmonary Function and Aerobic Capacity in Subjects with Forward Shoulder Posture

Background: Forward shoulder posture is identified when the acromion process is most anteriorly positioned when compared with the position of mastoid process, which is characterized by acromion protraction infront of the line of gravity as well as protraction, downward rotation and anterior tilt of scapula. It is one of the common postural abnormality that accounts for 60% of shoulder abnormalities, with an incidence of 75% in the right side and 66% in left side. The study aims to find the effect of scapular retraction exercises on shoulder alignment, pulmonary function and aerobic capacity in subjects with forward shoulder posture. Methods: The study was conducted on 14 subjects with FSP within the age group of 18 to 25. Scapular retraction exercises were given to the subjects for a duration of 3 weeks. Pre and post test values of scapular index, chest expansion, incentive spirometry and six minute walk test was taken. Results: Subjects showed statistically significant differences with a mean difference of 0.7(cm) for scapular index right, 0.68(cm) for scapular index left, 0.59(cm) for upper chest expansion, 1.21(secs) for inspiratory hold time using incentive spirometry and 6.79(m) for aerobic capacity (p<0.05, CI =95%). Pre and post mean scores of scapular index, chest expansion, inspiratory hold time and 6 minute walk test reveals that scapular retraction exercises has a positive impact on improving shoulder alignment, pulmonary function, and aerobic capacity Conclusion: Scapular retraction exercises is effective in improving shoulder alignment, pulmonary function and aerobic capacity in subjects with Forward shoulder posture KEY WORDS: Forward shoulder posture, rounded shoulder, pulmonary function, aerobic capacity, scapular retraction exercises, lung volume.

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Changes in physiological variables in patients with diffuse interstitial lung disease in the six-minute walk test

Current Respiratory Medicine Reviews ◽

10.2174/1573398x17666211201114933 ◽

2021 ◽

Vol 17 ◽

Author(s):

Jhonatan Betancourt-Peña ◽

Daniela Domínguez-Muñoz ◽

Paola Salazar ◽

Juan Carlos Ávila-Valencia

Keyword(s):

Interstitial Lung Disease ◽

Lung Disease ◽

Aerobic Capacity ◽

Pulmonary Rehabilitation ◽

Lower Limbs ◽

Walk Test ◽

Physiological Variables ◽

Six Minute Walk Test ◽

Informed Consent Form ◽

Minute Walk

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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Glucose Intolerance in Patients With Cystic Fibrosis: Sex-Based Differences in Clinical Score, Pulmonary Function, Radiograph Score, and 6-Minute Walk Test

Respiratory Care ◽

10.4187/respcare.00726 ◽

2011 ◽

Vol 56 (3) ◽

pp. 290-297 ◽

Cited By ~ 12

Author(s):

B. Ziegler ◽

C. L. Oliveira ◽

P. M. E. Rovedder ◽

S. J. Schuh ◽

F. A. Abreu e Silva ◽

...

Keyword(s):

Cystic Fibrosis ◽

Pulmonary Function ◽

Glucose Intolerance ◽

Clinical Score ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk

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Correlation of six-minute walk test, pulmonary function test and radiation pneumonitis in the management of carcinoma of oesophagus: A prospective pilot study

Journal of Radiotherapy in Practice ◽

10.1017/s146039691000035x ◽

2010 ◽

Vol 10 (3) ◽

pp. 191-199 ◽

Cited By ~ 3

Author(s):

Sheh Rawat ◽

Gaurav Kumar ◽

Abhishek Puri ◽

Manoj Kumar Sharma ◽

Anjali Kakria ◽

...

Keyword(s):

Pulmonary Function ◽

Pulmonary Function Test ◽

Radiation Pneumonitis ◽

Organs At Risk ◽

Conformal Radiotherapy ◽

Walk Test ◽

Six Minute Walk Test ◽

Lung Dysfunction ◽

Function Test ◽

Minute Walk

AbstractPurpose: To correlate six-minute walk test (6MWT) and pulmonary function test (PFT) with incidence of radiation pneumonitis (RP) while treating patients with oesophageal cancer with conformal radiotherapy.Methods: Forty-five patients were selected to the study protocol. Pulmonary evaluation was done objectively by chest x-ray (CXR), 6MWT and PFT and subjectively by symptoms of cough, dyspnoea and fatigue. These tests were performed before radiation and then repeated at 1, 3, 6 and 9 months after treatment. The dose-volume histogram (DVH) was used to derive doses received by lung and organs at risk. χ2-test was used for calculating the p value.Results: The walk distance change (WDC) correlated with the changes in PFT values (p = 0.001) were done at 3 and 9 months after radiation, respectively. V30 values of ≥20% correlated with the incidence of acute pneumonitis (p = 0.007). 6MVT/vital capacity (VC) values of ≤4 ft/l had a correlation with the incidence of clinically symptomatic RP at 9 months.Conclusion: 6MWT and PFT are supplementary to each other for assessing the lung function status; but their individual role in predicting RP is weak. However, they are complementary to each other in assessing the risk of radiation-induced lung dysfunction.

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Possibilities in short-term pulmonary rehabilitation in preoperative preparation of patients with lung cancer against the background of COPD

Siberian medical review ◽

10.20333/25000136-2021-3-66-72 ◽

2021 ◽

pp. 66-72

Author(s):

N.A. Shefer ◽

◽

E.B. Topolnitskiy ◽

E.S. Drozdov ◽

G.Ts. Dambayev ◽

...

Keyword(s):

Lung Cancer ◽

Surgical Treatment ◽

Pulmonary Function ◽

Pulmonary Rehabilitation ◽

Walk Test ◽

Physical Status ◽

Short Term ◽

6 Minute Walk Test ◽

Functional Indices ◽

Minute Walk

The aim of the study is to investigate the influence exerted by short-term outpatient pulmonary rehabilitation on functional indices and the course of the perioperative period for patients with lung cancer against the background of COPD Material and methods. According to the study design, lung cancer patients with planned surgical treatment were distributed between groups according to the COPD severity (stages II-IV). At the outpatient stage, evaluation of the pulmonary function and 6-minute walk test were performed. The results of the test and the functional indices were registered with further establishment of the pulmonary rehabilitation procedure complex for the patient. The exercises were performed at home and designed for the duration of two weeks. The complex included cycles of breathing, strength and aerobic exercises with individually adjusted intensity depending on the severity of clinical COPD manifestations and the baseline physical status. Upon completion of the training course, the patients underwent repeated spirometry and the 6-minute walk test. The results obtained were registered and analysed with subsequent surgical treatment of the patients. Results. Minimal changes in functional indices upon completion of the course were registered in patients with COPD stage II, which prevented achievement of statistical significance. Therewith, patients with COPD stages III and IV who had undergone the course of exercises were noted to show statistically reliable improvement of pulmonary function (FEV1) and improvement of the overall physical status, which is testified to by enhanced tolerance to externally imposed physical loads (p<0.01). Apart from that, decreased HR values (p<0.01)) growth of SpO2 values (p<0.01) and decreased shortness of breath (p<0.01) were registered in these groups after the 6-minute walk test. No statistically significant differences in relation to the number of postoperative complications or the term of in-hospital stay were revealed between the groups in the postoperative period. Conclusion. Performance of a pulmonary rehabilitation course during the preoperative period reliably improves functional indices in patients with COPD stage III and IV, which may be of crucial significance for determination of functional operability at the outpatient stage

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The 6-minute walk-test in type 2 diabetics predicts to some extent maximal aerobic capacity but not its training-induced improvement

Annals of Musculoskeletal Medicine ◽

10.17352/amm.000020 ◽

2020 ◽

pp. 003-009

Author(s):

Brun Jean-Frederic ◽

Myzia Justine ◽

Bui Gaspard ◽

Grubka Elizabeth ◽

Karafiat Marie ◽

...

Keyword(s):

Aerobic Capacity ◽

Walk Test ◽

Maximal Aerobic Capacity ◽

Type 2 Diabetics ◽

6 Minute Walk Test ◽

Minute Walk

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Pulmonary Function, CT Features and 6-Minute Walk Test at 3-Months in Severe COVID-19 Patients Treated with Intravenous Pulsed Methylprednisolone: A Follow-Up Study

10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a2644 ◽

2021 ◽

Author(s):

C. Van Zeller ◽

A. Anwar ◽

N. Bascon ◽

N. Barnes ◽

B. Madden

Keyword(s):

Pulmonary Function ◽

Walk Test ◽

Follow Up Study ◽

6 Minute Walk Test ◽

Minute Walk ◽

Ct Features

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Comparative Analysis of Assessment of RV Dysfunction using 2D FAC and TAPSE in Patients of COPD and their Correlation with Pulmonary Function Test (PFT) and 6 Minute Walk Test (6MWT)

International Journal of Current Research and Academic Review ◽

10.20546/ijcrar.2017.501.006 ◽

2017 ◽

Vol 5 (1) ◽

pp. 54-60

Author(s):

Manish Kumar Bansal ◽

Bechan Kumar Gautam

Keyword(s):

Comparative Analysis ◽

Pulmonary Function ◽

Pulmonary Function Test ◽

Walk Test ◽

Function Test ◽

6 Minute Walk Test ◽

Minute Walk

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C-2. Eteplirsen, a Phosphorodiamidate Morpholino Oligomer (PMO) for the Treatment of Duchenne Muscular Dystrophy (DMD): 168 Week Update on Six-Minute Walk Test (6MWT), Pulmonary Function Testing (PFT), and Safety

Molecular Therapy ◽

10.1016/s1525-0016(16)33641-3 ◽

2015 ◽

Vol 23 ◽

pp. S16

Author(s):

Jerry R. Mendell ◽

Louise Rodino-Klapac ◽

Zarife Sahenk ◽

Kandice Rouch ◽

Lauren Bird ◽

...

Keyword(s):

Duchenne Muscular Dystrophy ◽

Muscular Dystrophy ◽

Pulmonary Function ◽

Pulmonary Function Testing ◽

Walk Test ◽

Six Minute Walk Test ◽

Function Testing ◽

Minute Walk

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

Neurorehabilitation and Neural Repair ◽

10.1177/1545968308326426 ◽

2008 ◽

Vol 23 (4) ◽

pp. 398-406 ◽

Cited By ~ 90

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.

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