Cardiopulmonary Outcome Measures Flashcards
What role do anxiety and depression play in cardiopulmonary patients, and how are they assessed?
Anxiety and depression are common; they can be assessed using tools like the Beck Depression Inventory and CES-D.
What is the significance of Health-Related Quality of Life (HRQOL) in cardiopulmonary patients?
HRQOL measures the patient’s perspective on their functional status, symptoms, and overall life satisfaction.
What is the Borg RPE scale, and how is it used during exercise?
The Borg RPE scale helps patients rate their perceived exertion during exercise, with values corresponding to heart rate intensity.
How does the Borg RPE scale correlate with percentage of maximum heart rate?
An RPE of 13-14 corresponds to about 70% of max HR, while RPE 11-13 represents the upper limit for early cardiac rehab.
What are MET levels, and how are they used to assess aerobic capacity?
MET levels measure energy expenditure during activities and are used to prescribe exercise intensity based on patient goals.
What activities correspond to different MET levels (light, moderate, vigorous)?
- Light (walking at 2.0 METs)
- Moderate (gardening at 3.5 METs)
- Vigorous (running at 11.5 METs).
What is the purpose of the 6-Minute Walk Test (6MWT)?
- The 6MWT measures endurance by assessing how far a patient can walk in 6 minutes, providing insight into functional capacity.
- Before test = The patient should rest for 10 minutes, measure vitals, assess contraindications, and explain the test script
What predictive equations are used for the 6MWT for males and females?
- Males: 6MWTD(m) = 867 - (5.71 x age) + (1.03 x height).
- Females: 6MWTD(m) = 525 - (2.86 x age) + (2.71 x height) - (6.22 x BMI).
What is the Chair Rise Test, and how is it performed?
The Chair Rise Test assesses lower extremity strength by having the patient perform sit-to-stand repetitions for 30 seconds.
What is the Seated Step Test, and how is it used for patients who cannot stand?
The Seated Step Test measures endurance using a step while the patient remains seated, with increasing step height to assess fatigue.
How is the 2-Minute Step Test performed, and what does it assess?
The patient steps in place raising knees to a marked height, assessing endurance and lower extremity strength.
What is gait speed, and how is it measured during the 10m Walk Test?
Gait speed is the time taken to walk a 6m distance, after 2m of acceleration. It predicts functional status and potential rehospitalizations.
What is the Modified Shuttle Test, and when is it used?
The Modified Shuttle Test measures incremental exercise capacity, with patients walking a set distance at increasing speeds.
How is the Timed Up and Go (TUG) test performed, and what does it measure?
The TUG test measures mobility, balance, and fall risk by timing how quickly a patient can rise from a chair, walk 3 meters, and return.
What is the Short Physical Performance Battery, and how is it used to predict functional decline?
The Short Physical Performance Battery assesses balance, gait speed, and sit-to-stand ability, predicting functional decline and rehospitalization.
