6/12/2023 0 Comments Aerobic enduranceThe median 6MWD was approximately 580 metres for 117 healthy men and 500 metres for 173 healthy women (Miyamoto et al., 2000).Therefore, prescribe approximately80% of the calculated distance.Ĩ0% of 1100 = 880 m target distance in 30 minutes Note: The client would not be expected to keep up the same walking pace throughout the walking training session that they achieved in the 6MWT. Note: The type of medication, dose and number of hours taken before test should be recorded.Ĭonverting 6MWT results into exercise intensityĦ-minute walk distance (6MWD)/6 = Distance in 1 minuteĭistance in 30 minutes = 1-minute distance x 30 carried oxygen bottle, pushed or pulled cylinder) (ATS, 2002). Note how the oxygen source was carried by the client (e.g. Note: Record the flow rate and the source of oxygen used by client. If a practice test is completed, wait for at least 1 hour before the second test and report the highest 6MWD as the client’s baseline (ATS, 2002). Note: A practice test is not required in most clinical settings however, it should be considered. Calculate the total distance walked, rounding to the nearest metre. Record the number of laps and any additional distance covered by using the markers on the wall. If using a pulse oximeter, measure oxygen saturation (SpO2) and pulse rate on the oximeter and then remove the sensor.ġ2. Post-test: Record the post-walk Borg and fatigue levels and ask: What, if anything, kept you from walking further?ġ1. When I do, just stop right where you are and I will come to you.ġ0. When the timer is 15 seconds from completion, say: In a moment I’m going to tell you to stop. If the client stops before the 6 minutes are up and refuses to continue (or the clinician decides that they should not continue), allow the client to sit down and note the distance, the time stopped and the reason for stopping prematurely. If the client stops walking or needs a rest during the test, say: You can lean against the wall if you would like then continue walking whenever you feel able. Note: Do not use other words of encouragement (or body language) to encourage the client to walk faster. Use a standard tone of voice during encouragement: “Start now, or whenever you are ready”.Ĩ. Remember that the object is to walk AS FAR AS POSSIBLE for 6 minutes, but don’t run or jog. I will click it each time you turn around at this starting line. Walk and pivot around the cones briskly without hesitation.Īre you ready to do that? I am going to use this counter to keep track of the number of laps you complete. Please watch the way I turn without hesitation.ĭemonstrate by walking one lap yourself. You should pivot briskly around the cones and continue back the other way without hesitation. You will be walking back and forth around the cones. You may lean against the wall while resting but resume walking as soon as you are able. You are permitted to slow down, to stop and to rest as necessary. You will probably get out of breath or become exhausted. Six minutes is a long time to walk, so you will be exerting yourself. You will walk back and forth in this hallway. The object of this test is to walk as far as possible for 6 minutes. Set the timer to 6 minutes, assemble all necessary equipment and move to the starting point. Have the client stand and rate their baseline dyspnoea and overall fatigue using the Borg Scale.Ħ. The pulse oximeter must be lightweight (less than 1 kg or 2 pounds), battery operated, and held in place so that the client does not have to hold or stabilise the pulse oximeter and therefore stride is not affected.ĥ. Note: If pulse oximeter is to be worn throughout the test, clinician is not to walk with the client. Make sure the readings are stable before recording. If performed, measure and record baseline heart rate and oxygen saturation. During this time, check for contraindications, measure pulse and blood pressure and ensure clothing and footwear are appropriate. The client should sit and rest in a chair for at least 10 minutes before the test.A ‘warm-up’ period before the test should not be performed.Repeat testing should be completed at the same time of day to minimise intra-day variability.Mark the start and finish lines with brightly coloured tape. The walking track must be 30 metres in length and marked every 3 metres, with the turn-around points marked with a cone. If weather permits, the test may be completed outdoors. The 6MWT should be performed indoors, along a long, flat, straight, enclosed corridor with a hard surface that is seldom travelled.
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