6-minute walk test score sheet pdf
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6-minute walk test score sheet pdf
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When I say ‘go’, I want you to walk around the hallway (track) forminutes Clinical note for using the recording sheet: You should record SpO2% and heart rate every minute. Date: Time: Bronchodilator/time since last dose: Limiting factor to the test: SOB Low SpOLeg fatigue Other: Distance: WALKBP Supplemental Equipment: Stopwatch, rolling tape measure, long hallway or loop walkway. Contraindications to 6MWT: Resting heart rate > beats min afterminutes rest (relative contraindication) Systolic blood pressure > mm Hg +/ diastolic blood pressure > mm Hg 6 Minute Walk Test Instructions General Informationindividual walks without physical assistance forminutes and the distance is measuredstart timing when the individual is instructed to “Go”stop timing atminutesassistive devices can be used but should be kept consistent and documented from test to test Important Difference for the Six-minute Walk Test and the Meter Fast-Walk Test During Cardiac Rehabilitation Program in Coronary Artery Disease Patients after Acute Coronary Syndrome Description: TheMinute Walk Test is a measure of endurance. You do not need to record dyspnoea every minute but there is space on the RATE OF PERCEIVED DYSPNEANot at allVery SlightSlightModerateSomewhat HardSevereVery SevereVery, very severe The six-minute-walk test (6MWT) is a common exercise or stress test. Medical history checked Medical clearance provided for the patient to participate in exercise testing. Document the amount of assistance using thepoint ordinal scale described in the standardized administration protocol. If a patient requires total assistance, is unable to 6 Minute Walk Test Instructions General Informationindividual walks without physical assistance forminutes and the distance is measuredstart timing when the individual Six Minute Walk Test (6MWT) recording form. The distance covered over a time ofminutes is used as the outcome Document the amount of assistance using thepoint ordinal scale described in the standardized administration protocol. Equipment: Stopwatch, rolling tape measure, long hallway or loop walkway. You do not need to record dyspnoea every minute but there is space on the table above if you wish to. Changes in theminute walk distance (6MWD) Description: TheMinute Walk Test is a measure of endurance. If a patient requires total assistance, is unable to ambulate, or requires assistance for limb swing or forward propulsion, a score ofshould be documented Six Minute Walk Test (6MWT) recording form. You report TheMinute Walk Test is a sub-maximal exercise test used to assess aerobic capacity and endurance. This test measures how far you can walk inminutes while reporting how you feel. Medical history checked Medical clearance provided for the patient to participate in exercise testing. Patient Instructions: “I am going to measure how far you can walk inminutes. Contraindications to 6MWT Important Difference for the Six-minute Walk Test and the Meter Fast-Walk Test During Cardiac Rehabilitation Program in Coronary Artery Disease Patients after Acute The 6MWT is a practical, simple, self-paced walking test that assesses the submaximal level of functional exercise capacity. Patient Instructions: “I am going to Clinical note for using the recording sheet: You should record SpO2% and heart rate every minute.
