Six Minute Walk Test as a Monitoring tool in Chronic Obstructive Pulmonary Disease on Pulmonary Rehabilitation
Journal Title: Journal of Advances in Internal Medicine - Year 2013, Vol 2, Issue 4
Abstract
Background and Aims- The six minute walk test is widely used as an outcome measure in pulmonary rehabilitation programs. The objective of this study is to report the magnitude of change in the six minute walk test with test repetition in patients with chronic obstructive pulmonary disease on pulmonary rehabilitation program. Methods: A prospective study of 51 patients with moderate to very severe COPD was carried out. Clinical examination, spirometry, six minute walk distance were done. All were advised regular follow up visits at three, six and twelve months. Results: Four (8%) very severe cases completed all visits and one in those showed improvement in Forced Expiratory Volume in 1 second by 6% and six minute walk distance by 71 metres. Seven (31.37%) severe cases completed all visits; showed improvement in Forced Expiratory Volume in 1 second by 2.5%; the distance walked was a mean 381.5 metres and this was 2.5 % improvement over base line walking distance. Six (11%) moderately severe cases completed the study; the mean distance walked at the end of the study was 451 metres, which is an improvement of 53% and the mean change in Forced expiratory volume in 1 second was <2%. Totally, the mean of modified Burden of Lung disease Dyspnoea scale was 1.7 (baseline) and 4 (after the test). Conclusions: These findings support the recommendation of practice six minute walk test at baseline assessment in order to provide an accurate measure of the effects of rehabilitation on six minute walk distance.
Authors and Affiliations
Vignan Kumar Gali Prakash*| Associate Professor & Incharge Head, Department of Pulmonary Medicine, Sujatha Gogineni| Department of Pulmonary Medicine, Rajesh Kumar| Professor, Department of Pulmonary Medicine, Mahaboob V Shaik| Research Scientist, Advance Research Centre
Keywords
Related Articles
- EP ID EP4766
- DOI http://dx.doi.org/10.3126/jaim.v2i2.8774
- Views 419
- Downloads 21
Hair Dye poisoning – A rare case Report
Hair dye poisoning is not uncommon but an emerging entity in India with increased morbidity and mortality. The main component of hair dye poisoning is paraphenylenediamine(PPD), which is highly toxic thus making it life...
Accuracy of commonly used equations for estimating glomerular filtration rate in Nepalese population
Introduction - Estimation of glomerular filtration is of utmost importance in clinical practice. Various equations have been developed in different populations based on serum creatinine. These equations have not yet been...
GROWTH AND YIELD PERFORMANCE OF DIFFERENT EXOTIC STRAINS OF EIGHT PLEUROTUS SPECIES CULTIVATED ON TRIPLOCHITON SCLEROXYLON IN GHANA
The mycelia growth rate, physical characteristics of first flush, number of flushes and biological efficiency of twenty three exotic strains of eight Pleurotus species grown on composted sawdust of Triplochiton scleroxyl...
Psychiatric Illnesses among the Patients Admitted for Self-poisoning in a Tertiary Care Hospital of Nepal
Background and Aims- Self-poisoning is the commonest mode of suicide in our part of the world. Patients attempting suicide by self-poisoning usually land up in the Emergency. They are admitted for management of medical...
Schizophrenia and its Correlation with Parental Age
Background and aim - Schizophrenia is considered to be a Neuro developmental disorder with its pathogenesis going back to gestation and early childhood. New mutations secondary to advanced paternal age may operate to inc...