scholarly journals Ankle Kinematics and Temporal Gait Characteristics over the Duration of a 6-Minute Walk Test in People with Multiple Sclerosis Who Experience Foot Drop

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Marietta L. van der Linden ◽  
Georgia Andreopoulou ◽  
Judy Scopes ◽  
Julie E. Hooper ◽  
Thomas H. Mercer
Keyword(s):  
Prolonged Exercise ◽  
Walking Speed ◽  
Foot Drop ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Gait Characteristics ◽  
Ankle Kinematics ◽  
Stride Parameters ◽  
6 Minute Walk Test ◽  
Minute Walk

Foot drop is a common gait impairment in people with MS (pwMS) but in some foot drop may only occur after a period of prolonged walking and may be a sign of motor fatigability. The purpose of the study was to explore whether, for pwMS, an adapted six-minute walk test (6minWT) would result in an increase in foot drop as measured using electrogoniometry. Sagittal ankle kinematics were recorded for fifteen participants (10 females and 5 males, aged 37-64) with MS (EDSS 4-6) throughout the 6minWT. Ankle kinematics and temporal stride parameters were compared between the first and last 10 gait cycles of the 6minWT. Peak dorsiflexion in swing was significantly reduced at the end of the 6minWT compared to the start, with six of the fifteen participants having a decrease of two degrees or more. Statistically significant changes in temporal stride parameters suggested a decrease in walking speed. Our results suggest that with the protocol used in this study it is feasible to identify patients who experience increased foot drop as a result of a prolonged exercise task.

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 6 Minute Walk Test (6-MWT) as a Tool for Predicting Post Operative Pulmonary Complications in Abdominal Surgeries

2021 ◽  
pp. 204-209
Author(s):  
K. Janani ◽  
K. Rajkumaran ◽  
S. Niranjani
Keyword(s):  
Abdominal Surgery ◽  
Pulmonary Complication ◽  
Tertiary Care ◽  
Pulmonary Complications ◽  
Uncontrolled Hypertension ◽  
Walk Test ◽  
Coronary Syndrome ◽  
Six Minute Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Background: Post operative pulmonary complications (PPC) contribute to increased morbidity and mortality. Thus pre operative assessment is required. Six minute walk test (6-MWT) is a simple and reliable test which is recently being included in pre operative evaluation. Objectives: The objective of this study is to determine the value of the six minute walk test as a reliable tool in detecting post operative pulmonary complications in patients undergoing abdominal surgery. Materials and Methods: It is a prospective observational study conducted in a tertiary care centre for a period of 3 months. 66 patients in the age group of 40-60 years undergoing elective abdominal surgery under general anaesthesia were included in this study based on universal sampling method. Patients with recent coronary syndrome, uncontrolled hypertension, cardiac diseases, pregnancy and conditions which impair walking (eg. Arthiritis) were excluded from the study.     6 minute walk test was performed before the surgery. The procedure was explained to the patients and consent was obtained. The test was conducted on a flat surface of 20m near our pre anaesthetic clinic and the patient was asked to walk for a period of 6 minutes in their own comfortable pace. The distance covered by the patients in the 6 minutes was noted. Vitals such a SpO2, heart rate, systolic and diastolic blood pressures were recorded before and after the test. The patients were followed up for the development of pulmonary complications in the post operative period. Results: Out of the 66 patients included in the study, 35 patients did not develop        PPC (Group 1) and 31 patients developed PPC (Group2) including one death due to respiratory failure. The six minute walk distance in the PPC group was significantly less (p=0.0001) when compared to that of the non PPC group. Patients in the PPC group also required prolonged hospital stay. Pneumonia was the most commonly developed post operative pulmonary complication. Conclusion: Six minute walk test is a useful tool in predicting post operative pulmonary complication in patients undergoing abdominal surgery.  

scholarly journals Diagnostic, prognostic and therapeutic potential of 6-minute walk test in patients with heart failure

2020 ◽  
Vol 19 (6) ◽  
pp. 2460
Author(s):  
A. V. Budnevsky ◽  
A. Ya. Kravchenko ◽  
R. E. Tokmachev ◽  
T. A. Chernik ◽  
E. V. Tokmachev ◽  
...  
Keyword(s):  
Heart Failure ◽  
Therapeutic Potential ◽  
Effective Control ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
Patients With Heart Failure ◽  
Appropriate Therapy ◽  
Heart Disorders ◽  
6 Minute Walk Test ◽  
Minute Walk

The six-minute walk test (6MWT) is a well-known exercise test used in medical practice to assess the functional status of patients with various chronic cardiovascular and respiratory diseases. The results of modern research describe new potential of 6MWT, which allow a more accurate interpretation and predict the course of diseases. Heart failure (HF) is the outcome of many structural and functional heart disorders. To improve the prognosis of patients with HF, early diagnosis, appropriate therapy and effective control of the disease course are important components. This review describes the diagnostic, prognostic and therapeutic potential of 6MWT in patients with HF.

scholarly journals Effect of Intensive Outpatient Physical Training on Gait Performance and Cardiovascular Health in People With Hemiparesis After Stroke

2010 ◽  
Vol 90 (4) ◽  
pp. 527-537 ◽  
Author(s):  
Jørgen Roed Jørgensen ◽  
Daniel Thue Bech-Pedersen ◽  
Peter Zeeman ◽  
Janne Sørensen ◽  
Lars L. Andersen ◽  
...  
Keyword(s):  
Physical Training ◽  
Cardiovascular Health ◽  
Walking Speed ◽  
Walk Test ◽  
Gait Performance ◽  
Chronic Stage ◽  
Level Of Functioning ◽  
Six Minute Walk Test ◽  
Blood Pressures ◽  
Minute Walk

Background Stroke can result in severe motor deficits, and many people who have survived a stroke have poor cardiovascular fitness, with potentially disabling effects on daily life. Objective The objective of this study was to evaluate the impact of intensive physical training on gait performance and cardiovascular health parameters in people with stroke in the chronic stage. Design This was a single-group, pretest-posttest experimental study. Methods Fourteen people with hemiparesis after cerebrovascular injury (mean age=58.4 years, mean time since injury=25 months) participated in a 12-week training intervention, 5 times per week for 1.5 hours per session. The intervention consisted of high-intensity, body-weight–supported treadmill training; progressive resistance strength training; and aerobic exercise. The main outcome measures were gait performance (Six-Minute Walk Test, 10-Meter Walk Test, and aerobic capacity) and parameters of cardiovascular health (systolic and diastolic blood pressures, body mass index, and resting heart rate). Results Significant improvements in all main outcome parameters were observed in response to the intervention. Gait speed during the Six-Minute Walk Test increased 62%, and systolic and diastolic blood pressures decreased 10% and 11%, respectively. Weekly testing of walking speed showed that most of the increase in the walking speed occurred in the first 8 weeks of training. Correlation analyses showed that improvements were unrelated to age, chronicity, or level of functioning. Conclusions High-intensity physical training for people with stroke in the chronic stage increased walking speed regardless of chronicity, age, or level of functioning. Further studies should investigate the intervention duration needed to reach the full potential of gait recovery.

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 Variáveis preditivas do teste de caminhada de seis minutos em crianças saudáveis: revisão de literatura

2019 ◽  
Vol 12 (1) ◽  
pp. 31699
Author(s):  
Fernanda Cabral Xavier Sarmento De Figueiredo ◽  
Luanna Oliveira Leal ◽  
Bianca Dana Horongozo Itaborahy ◽  
Fabiana De Figueiredo Ribeiro ◽  
Antônio Manoel Gulart ◽  
...  
Keyword(s):  
Reference Values ◽  
Walk Test ◽  
Six Minute Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Introdução: O teste de caminhada de seis minutos (TC 6 ) é comumente utilizado na faixa etária pediátrica, e variáveis preditivas e valores de referência têm sido estudados para o teste.Objetivo: Apresentar os achados na literatura sobre a determinação de variáveis preditivas e valores de referência para o TC 6 na população pediátrica.Materiais e Métodos: Revisão de literatura através de pesquisa nas bases de dados eletrônicas PubMed e EBSCO utilizando as palavras-chave: “child”, “six minute walk test”, “reference values” e “6-minute walk test”, buscando estudos que apresentassem valores e/ou equações de referência e apresentação de variáveis preditivas. Não foi utilizada restrição temporal e de idioma nas publicações.Resultados: De um total de 20 estudos, foram selecionados 11, os quais incluíram indivíduos entre 4 e 18 anos. A idade foi a variável de mais frequente relação com o desempenho no teste, seguida de massa corporal, estatura, sexo, variação da frequência cardíaca, índice de massa corporal e nível de atividade física . A altura foi a única variável preditiva comum em todos os estudos. Nota-se que diferentes metodologias e modificações são empregadas na realização do TC 6 .Conclusão: Diferentes equações de referência, bem como variáveis preditivas, são identificadas, sendo apenas a estatura comum nas diferentes publicações analisadas. Mesmo o TC 6 sendo um teste comumente utilizado, não há metodologia de aplicação e padronização em pediatria.

scholarly journals 'CORRELATION OF 6 MINUTE WALK TEST WITH CLINICO-RADIOLOGICAL PARAMETERS IN STABLE COPD PATIENTS

2020 ◽  
pp. 1-2
Author(s):  
Manish Meena ◽  
Aashish Kumar Singh* ◽  
Shashi Prakash Agnihotri
Keyword(s):  
Cross Sectional Study ◽  
Clinical Severity ◽  
Walk Test ◽  
Cross Sectional ◽  
Medical College ◽  
Six Minute Walk Test ◽  
Copd Patients ◽  
Severity Of The Disease ◽  
6 Minute Walk Test ◽  
Minute Walk

Background: Six minute walk test (6MWT), represent a useful marker for exercise capacity and dynamic hyperination of COPD patients.Highresolution computed tomography (HRCT) has allowed in detection of airway wall abnormalities and emphysema, whose extent may correlate with the clinical severity of the disease in COPD patients. Material & methods: A cross sectional study was carried in 100 COPD patients attending Department of Respiratory Medicine, Institute of respiratory diseases, SMS Medical College, Jaipur, during June 2018 to May 2019.All patients underwent clinically (Modied Medical Research Council), radiologically (HRCT) &6MWT. Results:The 6MWTshowed that a negative correlation to dyspnea (mMRC grading), emphysema score & post FEV1% predicted (p<0.0001). Conclusion:The HRCTemphysema score can be used as an initial parameter for identify patients with high risk for COPD.

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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