exercise capacity Flashcards
what is involved in Cardiopulmonary exercise test
-treadmill
-Intensity is incremental
-close clinical supervision= controlled environment
-ECG, ventilation, O2 and CO2 routinely measured
Cardiopulmonary exercise test
What are the outputs?
-Peak VO2=max O2 consumption during exercise
ECG changes
Advantages Cardiopulmonary exercise test
-[Quantifies performance] in relation to metabolism
-Precise and reproducible
-Continuous monitoring for safety
disadvantages Cardiopulmonary exercise test
-Requires skilled technical support
-Very expensive
-Needs dedicated space
Six-minute walk test- what’s involved
20-30 m corridor.
=cover greatest distance as possible in six minutes
->timed by assessor.
Sub-maximal test
Six-minute walk test
-outputs?
-total distance walked in six minutes
Secondary variables may be ‘perceived exertion’ scales, heart rate and pulse oximetry
Six-minute walk test
Advantages
-Patient-driven pace
-Cheap
-Validated in many clinical populations
Six-minute walk test
disadvantages
-significant unobstructed course
-pace is not reregulated
Incremental shuttle walk test
what it involves
10 m circuit
-paced by bleep
add an extra length to each minute
(e.g. minute 1 = 3 lengths of 20s; minute 2 = 4 lengths of 15s)
Incremental shuttle walk test
-outputs
-total distance walked
-Secondary variables may be ‘perceived exertion’ scales, heart rate and pulse oximetry
Incremental shuttle walk test
Advantages
-Cheap to deploy
-Validated in many clinical populations
-The external pacing helps some to achieve maximum levels
Incremental shuttle walk test
disadvantage
-unobstructed course
-Patient can be penalised for poor pace management