Field tests (6MWT...)

Question 1

What are the contraindication for the 6MWT?

Answer 1

1. Absolute contraindications
   * Unstable angina
   * Recent myocardial infarction
2. Relative contraindications
   * HR rest > 120 bpm
   * PAS > 180 mmHg
   * PAD > 100 mmHg

Question 2

What can the patient do during the 6MWT?

Answer 2

• Walk
• Slow down
• Stop
• Rest

Question 3

What can not do the patient during the 6MWT?

Answer 3

• Run
• jog

Question 4

How should you encourage your patient during the 6MWT?

Answer 4

1min : “You are doing well. Ypu have 5 minutes to go.””
2 min : Keep up the good work. You have 4 min to go”
etc..

-> Standardized

Question 5

What should you monitor during the 6MWT?

Answer 5

• SpO2
• HR

Question 6

For what can you use the distance result of the 6MWT?

Answer 6

-> As a guide for walking prescription for patient w/ chronic obstructive pulmonary diseases (e.g : COPD)

actual 6MWT speed = actual6MWT/100 (en km/h)

Question 7

Describe the Gait speed test

Answer 7

It’s use to calculate the gait speed = distance (m) / time.
On a distance of 4 meters + 2 m of acc zone & 2 m of deceleration zone, we recored the speed only during the 4m in between.
x3 repetitions => calculate average

Question 8

How can you interpret the result of the Gait speed test?

(GST)

Answer 8

We calculate the gait speed test & then according to a table this distance in m/s “indicates” the level of fitness/mobility/Health & risk of hospitalisation, diseases or death in the years comming.

Question 9

Can you explain the Time up & go test?

(TUG)

Answer 9

We recorde the time (sec) taken to rise from sitting in an armchair, walk 3 m, turn, walk back & sit down using regular footwear & a walking aid if required.
x2 times, best result is used

Question 10

What does the test assesses? How can you interpret the result of the Time up & go test?

Answer 10

1. It assesses basic mobility skill, strengh, balance & agility
2. <=> level of independence

Question 11

Can you explain the shuttle walk test?

Answer 11

It’s an exercise test using a field walking test.
Need to walk around 2 cones set 9m apart (final d=10m) in time to a set of auditory beeps.
Walk as long as they can, until too breathless or can’t keep up w/ beeps.

Question 12

What do these tests assess?

Answer 12

The exercise capacity (bcause we assess HR, distance, speed)

Question 13

What kind of test are they?

Answer 13

Submaximal test ( 85% of HR max)

Question 14

When should you stop a test?

Answer 14

• If the patient doesn’t feel well
• If SpO2 < 90%
• If HR> 85% of HRmax
• If borg scale > 7
• If patient can’t keep the pace (for SWT)