ANALYSIS OF EXERCISE TOLERANCE ON THE BASIS OF SIX MINUTE WALK TEST- 6MWT AND BORG- RPE- SCALE IN MEN WITH INGUINAL HERNIA BEFORE AND AFTER LICHTENSTEIN SURGERY

2020 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Ewa Machała ◽  
Magdalena Redynk ◽  
Aneta Gruchała ◽  
Krzysztof Kołomecki
Keyword(s):  
Inguinal Hernia ◽  
Exercise Tolerance ◽  
Respiratory Diseases ◽  
Significant Negative Correlation ◽  
Borg Scale ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Before And After ◽  
And Control ◽  
Minute Walk

Assessment of exercise tolerance (ET) plays an important role in qualifications for treatment and rehabilitation. The aim of the study was to assess ET in patients before and after inguinal hernia operations with Lichtenstein method. The cohort study included men with inguinal hernia divided into the study group (SG) (n=50) and control (CG) (n=50) undergone the Lichtenstein surgery. Patients from the SG met the criterion of coexistence of cardiovascular and respiratory diseases. Day before and on the second day after surgery, patients performed 6MWT and subjectively rate the exertion according to Borg- RPE- Scale (before, immediately after and 10 minutes after the test). 6MWT distance, Borg scale ratings were analysed. On the second day after surgery 66% of patients from the SG and 58% from the CG did not complete the test. Patients from the SG before (500,07±40,38 m) and on the second day after surgery (243,46±18,18 m) achieved shorter distances compared to the CG (565,93±20,41 m; 249,47±26,66 m), p<0,001 i p= 0,481. A statistically significant negative correlation between 6MWT distance before surgery and age of the patients was confirmed. Patients who did not develop complications achieved significantly longer distances on admission (p= 0,003 for SG, p=0,004 for CG). For 6MWT before surgery and 2 days after surgery, patients from the SG showed a significantly higher level of fatigue compared to the CG after the test (before: p = 0,001, after: p = 0,001). Patients form the SG often discontinued 6MWT and less tolerated effort compared to the CG. Hence, 6MWT is useful tool for ascertaining physical capacity and ET.

scholarly journals Methodological Issues of Assessment of Six-minute Walk Test in Patients with Coronary Artery Disease

2021 ◽  
Vol 20 (3) ◽  
pp. 37-44
Author(s):  
Tatiana V. Mikhailovskaya ◽  
Olga A. Nazarova ◽  
Yuriy V. Dovgalyuk ◽  
Yulia V. Chistyakova ◽  
Irina E. Mishina
Keyword(s):  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Exercise Tolerance ◽  
Walk Test ◽  
Risk Of Death ◽  
Coronary Syndrome ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Artery Disease ◽  
Minute Walk

The six-minute walk test (6MWT) is an easily performed and well-studied method for assessing exercise tolerance. Despite its availability, there are no standardized approaches to the evaluation of test results in patients with coronary artery disease (CAD). The current review summarizes the evidence and the practical issues of the 6MWT data interpretation in CAD patients. It is recommended by researches to follow current recommendations and protocols of 6MWT in order to achieve high accuracy and reproducibility of the test. The value of the 6MWT distance depends on gender, age, anthropometric and echocardiography parameters. Multiple tests on the same patient cannot be recommended due to the possible development of the “learning effect”. The prognostic value of the 6MWT results was recently established in patients with various diseases. The value of the 6MWT distance ≤ 300 meters in patients with heart failure with a reduced ejection fraction was associated with a significant increase in the risk of death and cardiovascular events; stable results of the 6MWT within one year were associated with a higher survival rate of patients. The concept of the minimally clinically significant difference (MCSD) in the distance of the 6MWT during cardiac rehabilitation of patients was presented. According to the recent data, the MCSD of the 6MWT distance in patients after acute coronary syndrome was 25 meters. The data of our research, the main methods and examples of calculating changes in the 6MWT distance are presented in the article. The results obtained indicate that a comprehensive analysis and simultaneous use of several methods of the 6MWT distance assessment improve the accuracy of rehabilitation results evaluation. Thus, the 6MWT is an affordable way to assess exercise tolerance. It may provide reliable information about changes in the functional capacity of CAD patients in everyday clinical practice.

scholarly journals Six minute walk test in Italian children with cystic fibrosis aged 6 and 11

2021 ◽  
Author(s):  
Diletta Innocenti ◽  
Eleonora Masi ◽  
Giovanni Taccetti ◽  
Marco Genito ◽  
Elena Balestri ◽  
...  
Keyword(s):  
Physical Activity ◽  
Functional Performance ◽  
Health State ◽  
Walk Test ◽  
Peripheral Oxygen Saturation ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Before And After ◽  
Italian Children ◽  
Minute Walk

Six Minute Walk Test (6MWT) is a field exercise test widely used in clinical practice, both in adults and in pediatric patients. The primary aim of the study is to evaluate the physical performance of the subjects and compare them with the predicted Italian values. The secondary aim is to verify the possible relationship between the 6MWT distance (6MWD) and the clinical variables of the sample. Italian children between 6-11 years affected by CF were recruited from 9 regional centres for CF. Short questionnaire assessments about their health state and physical activity routine was administered. Anthropometric characteristics were measured before the test and, peripheral oxygen saturation (SpO2), heart and respiratory rate were measured before and after a 6-minute walk test. The tests were performed according to the American Thoracic Society (ATS) guidelines. 6MWD was compared with the predicted distance calculated by the reference equation for healthy subjects of the same age.A total of 132 children were recruited (70 male) and completed the assessment. The mean (±SD) for 6MWD was 557.4(±69.9), male = 551.4(±80.0), female = 560.4(±63.3), however the predicted distance mean was 605m. A total of 101(76.5%) subjects practice regular physical activity. A total of 31(23%) had a FEV1 lower than their Lower Limits of Normal (LLN). Functional performance on the 6MWT was poorer among the CF patients than among the predicted distance estimated with Italian values. The correlation with the amount of physical activity and 6MWD has been verified.

scholarly journals Treinamento Físico Combinado Melhora a Tolerância ao Exercício e o Prognóstico em Indivíduos com DPOC

2020 ◽  
pp. 282-290
Author(s):  
Victor Fernando Couto ◽  
Cilso Dias Paes ◽  
Bruna Varanda Pessoa ◽  
Marcos Rassi Fernandes ◽  
Maurício Jamami ◽  
...  
Keyword(s):  
Exercise Tolerance ◽  
Aerobic Training ◽  
Chronic Obstructive ◽  
Incremental Test ◽  
Six Minute Walk Test ◽  
Healthy Elderly ◽  
Bode Index ◽  
Before And After ◽  
And Training ◽  
Minute Walk

Objective: To identify the effect of this training on exercise tolerance in people with COPD and on the prognosis of the disease. Method: Nine elderly patients with COPD (COPDG) and nine healthy elderly (HG), were avaluated before and after physical training to: six-minute walk test (6MWT), incremental test (ICT), body composition and test 1 repetition maximum (1RM), it was avaluated also in COPDG the BODE index. The training consisted of thirty minutes of aerobic training and three sets of fifteen repetitions of resistance training in leg press horizontal with 40-60% of 1RM, with an interval of five minutes for recovery. Three weekly sessions were held for six weeks. Results: In COPDG, there was a significant increase in the distance covered and an improvement in the BODE index. Conclusion: The 6-week CPT evidence to be effective in improving exercise tolerance in both elderly COPD subjects and the prognosis of disease. Descriptors: Pulmonary disease chronic obstructive; Physical education and training; Exercise tolerance; Elderly.

scholarly journals Effect of Circuit Training on TNF Alpha Levels and Six Minutes Walk Test in Patients with Chronic Heart Failure

2018 ◽  
Vol 14 (2) ◽  
pp. 115
Author(s):  
Fauzan Muttaqien ◽  
Sri Wahyudati ◽  
SefriNoventi Sofia ◽  
Sodiqur Rifqi
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Control Group ◽  
Walk Test ◽  
Circuit Training ◽  
Six Minute Walk Test ◽  
Tnf Α ◽  
Before And After ◽  
And Control ◽  
Minute Walk

Abstract: Physical exercise in patients with heart failure can decrease the level of proinflammatory biomarkers andincrease functional capacity. Circuit training is one of the most advantageous exercise models because it improves cardiorespiratory fitness and muscle strength.This study aimed to investigate the effect of circuit training on TNF alphaandsix minutes walk test in patients with chronic heart failure in RSUP Dr. Kariadi. Twenty-six stable chronic heart failure with reduced ejection fraction patients were randomized into exercise group that received circuit training in the rehabilitation center of Kariadi Hospital for a month and control group. TNF- α levels as a inflammatory biomarker and distance of six minute walk test as a functional capacity parameter were taken before and after the exercise period.Nine-teensubjects completed the study without any significant side effects.There was no significant difference in TNF-α levels before and after treatment between treatment groups and control groups (p=0,513). The treatment group with circuit training showed a greater increase in distance of six minute walk test than the control group (p=0,034).It was concluded that circuit training in patients with chronic heart failure can increase distance of six minute walk test, but no changes in TNF alpha levels. Keywords: Circuit training, TNF-a, six minute walk test

scholarly journals Correlation of spirometry and six minute walk test in patients with chronic obstructive pulmonary disease from Sundargarh, Odisha, India

2019 ◽  
Vol 8 (1) ◽  
pp. 205
Author(s):  
Yara Dinakar ◽  
Pradeep Panchadi Kiran ◽  
Akshaya K. Mohanty ◽  
Praveen Kishore Sahu ◽  
Anita Mohanty
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Significant Positive Correlation ◽  
Significant Negative Correlation ◽  
Chronic Obstructive ◽  
Walk Test ◽  
Obstructive Pulmonary Disease ◽  
Positive Correlation ◽  
Six Minute Walk Test ◽  
Copd Patients ◽  
Minute Walk

Background: Six‑Minute Walk Test (6MWT) is a simple, objective, reproducible test which correlated well with different spirometric indices, and thus able to predict severity of Chronic Obstructive Pulmonary Disease (COPD) and can replace spirometry in resource poor set‑up. Here, author evaluated the correlation of 6 minute walk distance (6MWD) with spirometric indices in COPD patients and the potential of 6MWT as an alternative to the assessment of severity of COPD.Methods: This cross-sectional observational study included a total of 80 COPD patients, diagnosed by GOLD criteria (Post bronchodilator FEV1/ FVC ratio <0.7). Modified Medical Research Council (mMRC) grading was used (age, weight, height, body mass index- BMI and breathlessness) and all the patients underwent spirometric measurement of FEV1, FVC and FEV1/ FVC ratio and tests were repeated after bronchodilation using 200-400 μg of salbutamol. 6MWT was performed following American Thoracic Society (ATS) protocol of 6MWT and distance was measured in meters.Results: Author found significant negative correlation of 6MWT with age (r=-0.384, p=0.00) and mMRC grading of dyspnea (r=-0.559, p=0.00) and significant positive correlation with height (r=0.267, p=0.019) and weight (r=0.293, p=0.008). Significant positive correlation of 6MWD was noted with post bronchodilator FEV1(r=0.608, p=0.00), FEV1% (r=0.429, p=0.00), FVC (r=0.514 p=0.00), FVC% (r=0.313 p=0.005), FEV1/FVC % (r=0.336, p=0.001). Positive correlation was also observed between 6MWT and BMI but statistically insignificant (r=0.177, p=0.116). There was significant negative correlation between 6MWT and GOLD staging (r=-0.536, p=0.00).Conclusions: This finding concludes that 6MWT can be used for the assessment of severity of disease in COPD patients in places where spirometry is not available.

Demographic/anthropometric factors and physiological performance-related parameters associated with the six-minute walk test in bariatric surgery candidates, from Valdivia, Chile

2021 ◽  
Vol 28 (3) ◽  
pp. 267-275
Author(s):  
Mariana Kalazich-Rosales ◽  
Camila Mautner-Molina ◽  
Cecilia König-Araya ◽  
Francisca Fuentes-Leal ◽  
Carlos Cárcamo-Ibaceta ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Heart Rate ◽  
Perceived Exertion ◽  
Cross Sectional Study ◽  
Walk Test ◽  
Cross Sectional ◽  
Physiological Factors ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Minute Walk

ABSTRACT The six-minute walk test (6MWT) is widely used to measure functional capacity in special populations. However, the factors associated with its performance in candidates for bariatric surgery are unclear. Therefore, this study aimed to investigate the influence of anthropometric and physiological factors in the 6MWT performance in bariatric surgery candidates. This cross-sectional study included 107 candidates for bariatric surgery. Anthropometric factors considered: gender, weight, height, body mass index (BMI), waist-to-hip, and waist-to-height ratios. Along with distance covered during 6MWT, physiological factors such as ratings of perceived exertion (RPE) and heart rate reserve percentage used (%HRR) were recorded. Among the 107 patients (mean age: 39.6 years), 83 volunteers were accepted to perform the 6MWT. No gender differences were observed in terms of distance covered, %HRR, and RPE during the 6MWT. Moreover, BMI and %HRR explained 21% of the 6MWT distance covered. Furthermore, participants with BMI ≤41.5 kg/m2 walked ~50 meters more than their peers above this level (p=0.05). Interestingly, heart rate increase during the 6MWT was lower than described for healthy populations. BMI and %HRR partially explain the variability of the 6MWT performance in bariatric surgery candidates.

scholarly journals POSTOPERATIVE EFFECT OF PHYSICAL THERAPY RELATED TO FUNCTIONAL CAPACITY AND RESPIRATORY MUSCLE STRENGTH IN PATIENTS SUBMITTED TO BARIATRIC SURGERY

2016 ◽  
Vol 29 (suppl 1) ◽  
pp. 43-47 ◽  
Author(s):  
Josélia Jucirema Jarschel de OLIVEIRA ◽  
Alexandre Coutinho Teixeira de FREITAS ◽  
Andréa Adriana de ALMEIDA
Keyword(s):  
Bariatric Surgery ◽  
Functional Capacity ◽  
Perceived Exertion ◽  
Intervention Group ◽  
Control Group ◽  
Borg Scale ◽  
Six Minute Walk Test ◽  
Post Surgery ◽  
Post Operative Period ◽  
Minute Walk

ABSTRACT Background: Respiratory physiotherapy plays an important role preventing complications in bariatric surgery. Aim: To assess the effects of out-patient physiotherapy during post-operative period through respiratory pressures and functional capacity in individuals submitted to bariatric surgery. Method: A prospective longitudinal and controlled study was done in adults with body mass index (BMI) equal or greater than 40 kg/m², who have been submitted to bariatric surgery. They were divided into two groups: intervention-group, who performed out-patient physiotherapy twice a week, from thirty to sixty days after surgery; and the control-group, who only followed home instructions. Both groups were evaluated before surgery and sixty days after surgery through manovacuometry, six-minute walk test and the Borg Scale of perceived exertion. Results: Twenty participants were included the intervention-group and twenty-three in the control-group. Both groups had significant and similar weight loss after surgery. The manovacuometry presented no differences comparing pre- and post-surgery and in the comparison between the groups. The result of the six-minute walk test for the intervention-group increased by 10.1% in the post-operative period in relation to pre-. The Borg scale of perceived exertion in the intervention-group in pre-surgery decreased by 13.5% in the post-surgery compared to pre-surgery. In the control-group there was no difference comparing pre- and post-operative values, as in the comparison with the intervention-group. Conclusion: The low-intensity exercise program, carried out between the 30th and the 60th day after bariatric surgery provided better functional capacity; did not change respiratory muscle strength; and improved the perceived exertion rate.

scholarly journals Acute effect of oxygen therapy on exercise tolerance and dyspnea perception in ILD patients

2021 ◽  
Author(s):  
Josuel Ora ◽  
Angelo Coppola ◽  
Andrea Perduno ◽  
Gian Marco Manzetti ◽  
Ermanno Puxeddu ◽  
...  
Keyword(s):  
Exercise Tolerance ◽  
Oxygen Therapy ◽  
Acute Effect ◽  
Oxygen Supplementation ◽  
Frequent Use ◽  
6Mwt Distance ◽  
Neurophysiological Mechanisms ◽  
Exercise Induced ◽  
Effect Of Oxygen ◽  
Minute Walk

Ambulatory oxygen therapy (AOT) is commonly prescribed in Interstitial Lung Disease (ILD) patients, with the aim of reducing dyspnea and increasing exercise tolerance. Despite its frequent use and a reasonable physiological rationale, there is a lack of evidence supporting the effect of AOT on improving dyspnea during exercise. Moreover, dyspnea encompasses distinct sensory (intensity, quality) and affective (anxiety, fear) components with different underlying neurophysiological mechanisms. The aim of this study was to evaluate the effect of oxygen supplementation on exercise tolerance and dyspnea in ILD patients with exercise induced hypoxia (EIH). Forty-seven ILD patients performed a six minute walk test (6MWT) on room air (RA) and with oxygen supplementation (Ox). The 6MWT distance (6MWD) was significantly greater with oxygen supplementation (RA: 242±143 m vs Ox: 345±106 m p<0,01). With oxygen supplementation, the overall dyspnea and anxiety significantly decreased both at rest (1,1±1,4 Borg Unit (BU) vs 0,4±0,9BU , p.<0.01, and 1,1±1,6BU vs 0,5±1,3 BU, p.<0.05, respectively) and at the end of exercise (5,1±2,6 BU vs 3,7±2,5 BU, p.<0.001 and 3,4 ±2,9 vs 2,5 ±2,8, p.<0.01, respectively) despite a greater walked distance. In ILD patients with EIH, oxygen supplementation increases the exercise tolerance and reduces overall dyspnea perception and the anxiety component of breathlessness.

Abstract 005: Six-Minute Walk Test Predicts Heart Failure, Myocardial Infarction, and Death in Patients with Stable Ischemic Heart Disease: Data from the Heart and Soul Study

Circulation ◽  
2012 ◽  
Vol 125 (suppl_10) ◽  
Author(s):  
Alexis L Beatty ◽  
Nelson B Schiller ◽  
Mary A Whooley
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Exercise Capacity ◽  
Treadmill Exercise ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
6Mwt Distance ◽  
Minute Walk

Background: The six-minute walk test (6MWT) is commonly used to assess functional exercise capacity in patients with heart or lung disease. However, its ability to predict events in patients with stable ischemic heart disease (IHD) is unknown. Methods: We measured 6MWT distance and treadmill exercise capacity in 556 outpatients with stable IHD between September 2000 and December 2002. Participants were followed for an average of 7.7 years to determine cardiovascular (CV) events (myocardial infarction, heart failure, or death). We used Cox proportional hazards models to evaluate 6MWT distance and treadmill exercise capacity as predictors of subsequent events. Results: Among the 556 patients, there were 82 heart failure hospitalizations, 63 myocardial infarctions, and 184 deaths from any cause. Patients in the lowest quartile of 6MWT distance (284-1375 ft) were 3 times as likely as patients in the highest quartile (1786-2746 ft) to experience CV events (62% vs. 22%, age-adjusted HR 3.15, 95%CI 1.98-5.03, p<0.0001). Each standard deviation (SD) decrease in 6MWT distance (342 ft) was associated with an 86% greater risk of heart failure (age-adjusted HR 1.86, 95%CI 1.51-2.31, p<0.0001), a 47% greater risk of myocardial infarction (age-adjusted HR 1.47, 95%CI 1.15-1.89, p=0.002), a 54% greater risk of death (age-adjusted HR 1.54, 95%CI 1.32-1.80, p<0.0001), and a 55% greater risk of any event (age-adjusted HR 1.55, 95%CI 1.35-1.78, p<0.0001). After adjustment for traditional risk factors and measures of cardiac disease severity (left ventricular ejection fraction, inducible ischemia, diastolic dysfunction, NT-proBNP and CRP), each SD decrease in 6MWT remained associated with a 38% greater risk of CV events (HR 1.38, 95%CI 1.10-1.74, p=0.005). 6MWT distance was similar to treadmill exercise capacity for predicting CV events (age-adjusted c-statistics 0.72 vs. 0.71, p=0.73 for comparison). Conclusions: Distance walked on 6MWT is as good as treadmill exercise capacity for predicting CV events in patients with stable IHD.

Sign in / Sign up

Export Citation Format

Share Document