Observational Gait Analysis by Janet Adams & Kay Cerny

Author:Janet Adams & Kay Cerny [M. ADAMS, JANET]
Language: eng
Format: epub
ISBN: 9781630910419
Publisher: SLACK Incorporated

MMSE: Mini-Mental State Exam

Responsiveness/Sensitivity to Change

Not established

5.8: THE 6-MINUTE WALK TEST

Link to the Instrument

http://www.cscc.unc.edu/spir/public/UNLICOMMSMWSixMinuteWalkTestFormQxQ08252011.pdf

Purpose

The original purpose of the 6-minute walk test (6MWT) was to test exercise tolerance in patients with respiratory issues and heart disease.42 The test has since been used as a performance-based measure of functional exercise capacity in other populations including healthy, older adults.

Description

The 6MWT is a time limited test that assesses distance walked over 6 minutes within a designated test area. The testing area/walkway should be long, quiet, flat, have a hard surface, and be indoors. The American Thoracic Society suggests that the walking course be 30 m in length, marked by colored tape at every 3 m and the turnaround areas marked with a cone.43 Participants are instructed to report if they experience shortness of breath, muscular pain, dizziness, or anginal symptoms, at which time the test is terminated. Participants are also instructed to rest whenever necessary during the test. If a participant is unable to complete the full 6 minutes of walking, then the distance covered at termination is used. Subjects can use assistive walking devices during the test.

Scoring

Distance walked, and the number and duration of rests during the 6 minutes

Area of Assessment

Submaximal aerobic capacity and gait

ICF Domain

Activity

Time to Administer

6 to 30 minutes

Equipment

A stopwatch

A distance measuring wheel

A mechanical lap counter

Two cones to mark the turnaround points

A chair

In patients with pulmonary and cardiac dysfunction, vital signs monitor, pulse oximeter, Borg scale, oxygen source, and access to emergency assistance are important. For this patient population, consult the American Thoracic Society guidelines.43

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