Promoting hemiplegic gait

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.

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

Pulmonary Circulation ◽

10.1177/2045894020988437 ◽

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.

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Fall risk classification for people with lower extremity amputations using random forests and smartphone sensor features from a 6-minute walk test

PLoS ONE ◽

10.1371/journal.pone.0247574 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0247574

Author(s):

Kyle J. F. Daines ◽

Natalie Baddour ◽

Helena Burger ◽

Andrej Bavec ◽

Edward D. Lemaire

Keyword(s):

Older Adults ◽

Feature Selection ◽

Lower Limb ◽

Fall Risk ◽

Random Forest Classifier ◽

Risk Classification ◽

Walk Test ◽

Correlation Based Feature Selection ◽

6 Minute Walk Test ◽

Minute Walk

Fall-risk classification is a challenging but necessary task to enable the recommendation of preventative programs for individuals identified at risk for falling. Existing research has primarily focused on older adults, with no predictive fall-risk models for lower limb amputees, despite their greater likelihood of fall-risk than older adults. In this study, 89 amputees with varying degrees of lower limb amputation were asked if they had fallen in the past 6 months. Those who reported at least one fall were considered a fall risk. Each participant performed a 6 minute walk test (6MWT) with an Android smartphone placed in a holder located on the back of the pelvis. A fall-risk classification method was developed using data from sensors within the smartphone. The Ottawa Hospital Rehabilitation Center Walk Test app captured accelerometer and gyroscope data during the 6MWT. From this data, foot strikes were identified, and 248 features were extracted from the collection of steps. Steps were segmented into turn and straight walking, and four different data sets were created: turn steps, straightaway steps, straightaway and turn steps, and all steps. From these, three feature selection techniques (correlation-based feature selection, relief F, and extra trees classifier ensemble) were used to eliminate redundant or ineffective features. Each feature subset was tested with a random forest classifier and optimized for the best number of trees. The best model used turn data, with three features selected by Correlation-based feature selection (CFS), and used 500 trees in a random forest classifier. The resulting metrics were 81.3% accuracy, 57.2% sensitivity, 94.9% specificity, a Matthews correlation coefficient of 0.587, and an F1 score of 0.83. Since the outcomes are comparable to metrics achieved by existing clinical tests, the classifier may be viable for use in clinical practice.

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Abstract 15403: Is the Sum Greater Than the Whole? Association of Heart Risk Factors and Echocardiographic Parameters With Reduction in 6-Minute Walk Test in Stage A Heart Failure

Circulation ◽

10.1161/circ.132.suppl_3.15403 ◽

2015 ◽

Vol 132 (suppl_3) ◽

Author(s):

Mark T Nolan ◽

Ying Wang ◽

Hilda Yang ◽

Thomas H Marwick

Keyword(s):

Risk Factors ◽

Heart Failure ◽

Walk Test ◽

Prior Chemotherapy ◽

6Mwt Distance ◽

Significant Difference ◽

Echocardiographic Parameters ◽

6 Minute Walk Test ◽

Minute Walk

Introduction: Chemotherapy increases long-term risk of heart failure (HF), but its impact relative to other HF risk factors is unknown. 6 minute walk test (6MWT) provides prognostic information regarding hospitalization and mortality in HF patients. We sought the relative role of these factors on echocardiographic changes and 6MWT. Hypothesis: Prior chemotherapy is associated with greater functional impairment than other stage A HF risk factors. Methods: We recruited 521 asymptomatic pts from the community aged ¬>65 years with stage A heart failure (SAHF, based on at least one of: diabetes, obesity, hypertension, coronary artery disease or chemotherapy). All went echocardiographic studies and 6MWT. 45 patients had previous chemotherapy (mean interval 7±7.5 years) and underwent 6MWT. These patients were matched 2:1 using demographic and clinical characteristics with patients who did not receive chemotherapy. Fisher’s test and independent t-test were used for statistical analysis. Results: There were no significant difference in demographic variables. The chemotherapy group had a significantly lower 6MWT distance (mean difference -155m) and significantly higher proportion of patients with 6MWT distance < 400m (26.7% vs. 11%, p=0.043). There were no significant difference in other echocardiographic parameters assessing systolic, diastolic and geometrical parameters. Conclusion: Prior chemotherapy has a significant long-term effect on functional capacity in comparison with other SAHF factors. As no one echo parameter was associated with this difference, this could potentially be secondary to noncardiac (including vascular) parameters.

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

Journal of Physical Therapy Science ◽

10.1589/jpts.27.3571 ◽

2015 ◽

Vol 27 (11) ◽

pp. 3571-3578 ◽

Cited By ~ 10

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

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Impact of aerobic exercise against general mobilisation exercise on exercise tolerance among type 2 diabetes mellitus

Comparative Exercise Physiology ◽

10.3920/cep210002 ◽

2021 ◽

pp. 1-4

Author(s):

I.V. Chandrashekaran ◽

N. Ravi ◽

B. Srinivasagopalane

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Aerobic Exercise ◽

Exercise Tolerance ◽

Walk Test ◽

Significant Difference ◽

Group B ◽

Minute Walk

The objective of the study was to compare general mobilisation exercises with aerobic exercises on exercise tolerance in subjects with type 2 diabetes mellitus. Thirty type 2 diabetes mellitus subjects of both the genders in age-group between 35 and 60 years were divided into 2 groups (A and B) and were subjected to a 6-minute walk test pre- and post-training exercise. Group A participants were subjected to general mobilisation exercises and group B to aerobic exercises. The six-minute walk test between the two groups (A and B) was statistically different at P=0.03. Our study showed a significant difference in improvement of exercise tolerance in Group-B subjects, who underwent aerobic exercise. In conclusion, aerobic exercise is a better health intervention in the improvement of exercise tolerance among type 2 diabetes mellitus subjects, which could improve their cardio-respiratory fitness and thereby prevent further cardiovascular complications and improve their well-being.

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

The Journals of Gerontology Series A ◽

10.1093/gerona/glab044 ◽

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.

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A comparison of 6-minute walk test distance between asthmatic children and normal healthy children

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20210870 ◽

2021 ◽

Vol 9 (3) ◽

pp. 735

Author(s):

Pratibha Gaikwad ◽

Bharati Asgaonkar ◽

Bhagyashree Karande ◽

Shruti Shah

Keyword(s):

Exercise Capacity ◽

Healthy Children ◽

Walk Test ◽

Exclusion Criteria ◽

Asthmatic Children ◽

Post Test ◽

Level Of Significance ◽

Test Distance ◽

6 Minute Walk Test ◽

Minute Walk

Background: To calculate and compare the six - minute walk test distance between asthmatic children and normal healthy children.Methods: A comparative analysis study was performed to assess the exercise capacity between asthmatic and normal healthy children in the age group of 7 to 12 years. 100 subjects with random sampling were recruited over a period of 1 year according to the inclusion and exclusion criteria, each assigned into 2 groups (n=50). All the Subjects performed the 6MWT successfully and were analysed on parameters like HR, RR, RPE and 6MWTD pre and post-test.Results: Intergroup analysis was done using unpaired t test and level of significance was taken as p<0.05. The results were statistically significant for 6MWTD, HR and RR between asthmatic and normal healthy children, except RPE as no changes were seen in normal healthy children as compared to asthmatic children.Conclusions: Asthmatic children have lower 6MWTD as compared to normal healthy children. This indicates Low exercise capacity in asthmatic children. Additionally, increased HR, RR and RPE were seen in asthmatic children pre as well as post-test.

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Abstract W P141: Anti-Gravity Treadmill Training Leads to Superior Walking Ability Compared to Conventional Physical Therapy in Chronic Community Dwelling Stroke Survivors

Stroke ◽

10.1161/str.46.suppl_1.wp141 ◽

2015 ◽

Vol 46 (suppl_1) ◽

Author(s):

Heather Popp ◽

Joan Breen ◽

Tom Ferlito ◽

Sandy Kiley

Keyword(s):

Physical Therapy ◽

Community Dwelling ◽

Treadmill Training ◽

Walking Ability ◽

Walk Test ◽

Stroke Patients ◽

Gait Quality ◽

Blood Pressures ◽

6 Minute Walk Test ◽

Minute Walk

The Anti-gravity (AG) treadmill is a new modality, initially used by athletes and astronauts allowing precise unweighting up to 80% of body weight. Patients are enclosed in a cockpit which unweights by filling with air, allowing patients to be safely progressed at higher speed and longer durations than the conventional treadmill. Only a few case studies report outcomes of stroke patients using this system. Methods: We trialled the AG system on 9 (5 men, 4 women) community dwelling, chronic stroke patients between 6/2014 and 8/2014 as part of an outpatient physical therapy (PT) program. 7/9 patients received AG treatment following conventional treadmill training, while 2 began new PT treatments with the AG system. Endurance was measured with the standardized 6 minute walk test before initiation and after completion of AG system treatments. Various other PT and stroke outcomes were measured. Results: 8 ischemic and 1 hemorrhage stroke patients with average age 63 (49-79); average NIHSS of 7.9 (range 3-15) and Modified Rankin Scores of 4 for 5 patients and 3 for 4 were treated an average of 21.4(range 11-86) months post stroke. Patients received an average of 5 sessions (2-8) over an average of 2.8 weeks ((1-4). Blood Pressures monitored pre and post each treatment were stable. No adverse complications or pain occurred. All patients reported subjectively experiencing improvement in gait quality with AG system use. 89% (8/9) patients had improved 6" walk test scores following AG treatments. 7/9 patients had received conventional treadmill training during skilled PT prior to initiation of AG treatments. In the 1 month prior to AG treatment, 3/7 of these patients had worsening of 6" walk scores; 2/7 improved, and 2/7 had no change. Of the 7/9 patients receiving AG treatment following usual treadmill training, 6/7 had improved 6" walk scores (range 2-17%). 6 minute walk scores improved by 81% and 1% in 2 patients initiating AG training without preceding treadmill training. All patients had improved walking duration and speed on AG compared to traditional treadmill. Conclusions: AG treadmill treatment was reported to be positive and led to improved walking and endurance compared to conventional treadmill training in this pilot group of chronic community dwelling stroke patients.

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Differences between Proximal and Distal Muscle Activity of the Lower Limbs of Community-dwelling Women during the 6-minute Walk Test

Journal of Physical Therapy Science ◽

10.1589/jpts.24.205 ◽

2012 ◽

Vol 24 (2) ◽

pp. 205-209 ◽

Cited By ~ 2

Author(s):

Hikaru Ihira ◽

Hiroyuki Shimada ◽

Megumi Suzukawa ◽

Taketo Furuna ◽

Kiyoji Matsuyama ◽

...

Keyword(s):

Muscle Activity ◽

Community Dwelling ◽

Lower Limbs ◽

Walk Test ◽

Distal Muscle ◽

6 Minute Walk Test ◽

Minute Walk

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Effectiveness of High Intensity Exercise Program on Cardiovascular Endurance in Overweight Children

Biomedical & Pharmacology Journal ◽

10.13005/bpj/2187 ◽

2021 ◽

Vol 14 (02) ◽

pp. 845-851

Author(s):

D. Malarvizhi ◽

R. Devika

Keyword(s):

High Intensity ◽

Exercise Program ◽

Walk Test ◽

Overweight Children ◽

Mean Values ◽

Cardiovascular Endurance ◽

Post Test ◽

Group A ◽

Group B ◽

Minute Walk

BACKGROUND: Overweight is defined as excessive or abnormal accumulation of fat that produces risk to health .The childhood overweight is epidemic, accelerating throughout the world and the fundamental cause of overweight is an energy imbalance between calories consumed and expended. OBJECTIVE: The main objective of the study was to find the effect of high intensity exercise program on cardiovascular endurance in overweight children. METHODOLOGY: Quasi experimental study, pre and post test type, Study duration is 4weeks at Sree Sankara balavidhyalaya school pallikarani. Thirty overweight children were divided into two groups Group A=15, Group B= 15.Both Group A and Group B performed six minute walk test and distance walked in6- minute was measured and recorded Group A:high intensity exercises were taught to them along with that diet chart was given. Group B:The diet chart was given to them. After 4 weeks the post test was conducted and the data were analyzed. The outcome measure vo2 max was calculated by 6 -minute walk test. RESULTS: The post test mean value of Group A is20.3 and Group B is 17.58, statistical result shows that there was significant change in mean values between pre and post test. Thus both Group A and Group B mean values shows statistical significance p<0.05. CONCLUSION: The study concluded that the high intensity circuit training program with diet was effective when compared to diet protocol among overweight children.

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