Six-minute walk test There are many tools to assess functional exercise capacity most of which provide good information about body system. The most popular clinical exercise tests are stair climbing, a 6MWT, a shuttle-walk test, detection of exercise-induced asthma, a cardiac stress test and a cardiopulmonary exercise test) (ATS, 2002). In the past, the functional exercise capacity was assessed by asking patients “How many flights of stairs can you climb or how many blocks can you walk?”; but, this assessment was a subjective measurement. In addition, the first objective tool was in 1960s which was 12 minute walking test; however, it was so exhausting for patients. As a result from that, a 6 minute walking test (6MWT) was found to be used as an objective measurement tool for functional exercise capacity in patients with mild or moderate respiratory diseases and cardiac diseases (ATS, 2002). Many studies have concluded that 6MWT is inexpensive test and“… it is easy to administer, better tolerated, and more reflective of activities of daily living than the other walk tests” (ATS, 2002). Therefore, this essay will describe the 6MWT and comment on administration, application, reliability and validity based on the literature reviews. Chang (2006) mentioned that 6MWT measures the distance that patients can walk on a flat surface as fast as they can with stops needed by patients within 6 minute. In addition, 6 MWT can reflect the exercise level needed for daily tasks. Morales-Blanhir, Vidal, Romero, Castro, Villegas, Zamboni (2010) showed that the major indications for 6MWT are to measure the response to the intervention given to the patients and it can be used for measuring the functional status of patients, as well as a predic... ... middle of paper ... ...patients with Left Ventricular Dysfunction were involved in the study. 6MWT was one of the assessment tools and the authors have done the 6MWT in the beginning then they repeat it after 242 days. The authors have compared patients with high 6MWD with patients with lower 6MWD. As a result, they concluded that patients with lower 6MWD had a significantly greater chance of dying (Morales-Blanhir et al, 2010). The 6MWT is the best indicator of existing types of walk tests of functional capacity for children and it can be used to evaluate cardiopulmonary disease. In 2005 a group of authors have examined 74 patients with a mean age of 14.2 ± 1.2 years, and they concluded that 6MWT can be used to evaluate and assess pediatric patients with cardiac and lung diseases such as cystic fibrosis or bronchiolitis obliterans (Morales-Blanhir et al, 2010). .
Submaximal and maximal exercise testing are two analytic methods that can be used to examine the cardiovascular, and cardiorespiratory fitness/health levels of the individual being examined. Submaximal testing is usually preferred over maximal mainly because the submaximal exam is more practical in a fitness/health environment. Both test require the individual being examined to perform controlled exercise on a(n) treadmill/ergometer until either steady state has consecutively been reached (submax), or the individual reaches their max (close to it). Being that both test are set to exceed time limits of more than 3 minutes we examine the use of the ATP-PC, Glycolytic, and Oxidative energy systems. Although a huge portion of the test involves the use of the oxidative energy system, we must remember that the three systems are co-occurrent.
The Queens College/McArdle Step Test, the Rockport One Mile Walk Test, and the 1.5 Mile Run Test are three different field tests that were performed in this lab that were used to measure and predict an individual’s aerobic capacity. The measurement of aerobic capacity, or VO2 max, is a valid way to assess an individual’s cardiorespiratory fitness level. VO2 max refers to the maximal amount of oxygen an individual utilizes during intensive exercise. A higher VO2 max demonstrates a more efficient cardiorespiratory system as an individual with a higher VO2 max can sustain a higher intensity for a longer
The first component of the MUST involves measuring the patient’s height and weight to establish their Body Mass Index (BMI). BMI is the’ relationship b...
Thompson, P. D., Buchner, D., Pina, I. L., Balady, G. J., Williams, M. A., Marcus, B. H., ... Wenger, N. K. (2003). Exercise in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology. Journal of the American Heart Association, 3110-3116. http://dx.doi.org/doi: 10.1161/01.CIR.0000075572.40158.77
Taylor RS, Sagar VA, Davies EJ, Briscoe S, Coats AJS, Dalal H, Lough F, Rees K, Singh S. Exercise-based rehabilitation for heart failure. Cochrane Database of Systematic Reviews 2014, Issue 4. Art. No.: CD003331. DOI: 10.1002/14651858.CD003331.pub4.
McKenzie, D. C. (2012). Respiratory physiology: Adaptations to high-level exercise. British Journal of Sports Medicine, 46(6), 381. doi:10.1136/bjsports-2011-090824
Systolic and Diastolic are the two types of Heart Failure. Systolic dysfunction occurs when the heart muscle doesn't contract with enough force, which means there is less oxygen-rich blood that is pumped throughout the body. Diastolic dysfunction is the heart contracts normally, but the ventricle does not relax properly, reducing the amount of blood that can enter the heart and raise the blood pressure in the lungs. Heart failure is a progressive condition and can worsen over time. There are four stages of heart failure that have been classified by the AHA and ACC. Stage A are people that are at a high risk for developing heart failure. This includes people with high blood pressure, Diabetes, coronary artery disease and metabolic syndrome. Stage A also include people with a history of alcohol abuse, cardiotoxic drug therapy, rheumatic fever, and family history of cardiomyop...
During testing, most patients are found to need correction in all 14 balance tests, depending on the ailment the patient complains of and how well they react to the muscle correction will tell whether or not further treatment is needed. The physical aspect of the therapy, despite the name and basic principles, is not the only aspect required for optimal results. One must also report lifestyle and diet changes ranging from daily stress levels to pat...
...the study the participants had to be female and obtain permission from a doctor to clear them for physical activity. The setting was semi-naturalistic. Participants were randomly assigned to the control or the experimental group. Measurements were taken for BMI and blood pressure, as well as a blood sample to determine the participant’s baseline. They were also assessed for activity tolerance, agility and flexibility. The participants in the experimental group underwent 16 weeks of exercise training that consisted of walking, stretching and balance exercises. The classes were held three-times per week, for a duration of about 60-70 minutes. The results showed that there was a significant decrease in all variables measured in the experimental group. Triglycerides, total cholesterol, HDL, LDL and VLDL cholesterols as well as BMI and blood pressure had all decreased.
The assumed etiology of exercise induced asthma has two basic theories. One theory concerns the water content of the air that is being breathed in to the lungs (dry) and the other theory concern...
Senthil, K. S., Vivek, K. S., & Vinayathan, A. (2013). Comparison of effect of regular unstructured physical training and athletic level training on body composition and cardio respiratory fitness in adolescents. 7(9), 1878 - 1882. Retrieved from http://jcdr.net/article_abstract.asp?issn=0973-709&xyear=2013&volume=7&issue=9&page=1878&issn=0973-709&xid=3340
Due to the strong and growing evidence in scientific literature on the beneficial effects of physical activity on health and well-being, the importance of Clinical Exercise Science has increased. Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure. Exercise, is a subcategory of physical activity that is planned, structured, repetitive, and purposeful in the sense that the improvement or maintenance of one or more components of physical fitness is the objective (http://www.who.int/dietphysicalactivity/pa/en/; last accessed on 30 April 2016). Generally speaking, Clinical Exercise Science is an applied clinical branch which deals with the application of various exercise modalities for
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
For example a young child may participate in an after school football club, a teenager up to 30 years may consider taking up physical activity or sports professionally. A middle aged may join a club for eg. Running if they feel they are overweight. The elderly may take place in activity such as bowls or even just everyday walking to the local shops. For each of these examples a person who does not participate in exercise may experience becoming breathless at minimal tasks such as a light jog or walking up or down the stairs, this is because the heart is not able to cope with additional stress as it has no...
The minimum exercise recommendations according to the Physical Activity Guidelines for Americans my age and cohort should complete at least two and a half hours of moderate intensity aerobic physical activity every week to gain health benefits (“Physical Activity Guidelines”, n.d). Based on my cohort, I should focus most on physical activities that strengthen my muscles as well as, some form of aerobic training. Some more common muscle strengthening activities are things like weight training and resistance training which overwhelm the muscles (“Physical Activity Guidelines”, n.d). Other activities are things like pushups, pullups, sit-ups, and even heavy gardening and lifting (“Physical Activity Guidelines”, n.d). According to the text these activities help to raise muscular fitness as well as bone strength within my age and cohort. Activities for the also important aerobic aspect of the physical guidelines are things like swimming, running, playing basketball, dancing, bicycling, and even vigorous walking (“Physical Activity Guidelines”, n.d). According to the text these activities are endurance activities where muscles are moved for a more continuous period of time which. These activities are exercising the heart which makes the heart stronger over