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    6 Minute Walk Test Instructions

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    cpradheep
    The document provides instructions for administering a six-minute walk test to assess patient progress. It outlines the test procedure which involves having patients walk as far as possible over a six minute period while tracking laps completed. Examiners are instructed to track laps, provide time updates and encouragement to patients, and note any pain, resting, or premature stoppage during the test. Calculations are then made to determine walking distance and impairment scores.

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    6 Minute Walk Test Instructions

    Uploaded by

    cpradheep
    6K views6 pages
    The document provides instructions for administering a six-minute walk test to assess patient progress. It outlines the test procedure which involves having patients walk as far as possible over a six minute period while tracking laps completed. Examiners are instructed to track laps, provide time updates and encouragement to patients, and note any pain, resting, or premature stoppage during the test. Calculations are then made to determine walking distance and impairment scores.

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    6 Minute Walk Test Instructions

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    The document provides instructions for administering a six-minute walk test to assess patient progress. It outlines the test procedure which involves having patients walk as far as possible over a six minute period while tracking laps completed. Examiners are instructed to track laps, provide time updates and encouragement to patients, and note any pain, resting, or premature stoppage during the test. Calculations are then made to determine walking distance and impairment scores.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6K views6 pages

    6 Minute Walk Test Instructions

    Uploaded by

    cpradheep
    The document provides instructions for administering a six-minute walk test to assess patient progress. It outlines the test procedure which involves having patients walk as far as possible over a six minute period while tracking laps completed. Examiners are instructed to track laps, provide time updates and encouragement to patients, and note any pain, resting, or premature stoppage during the test. Calculations are then made to determine walking distance and impairment scores.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Six-Minute Walking Test Instructions

    To the participants
     The object of this test is to walk as far as possible for 6 minutes.
     You will walk back and forth in this hallway around the marker cones
    (20 meters).
     Pleas inform the examiner immediately when you start feeling the
    claudication pain on your legs.
     Six minutes is a long time to walk, you will probably get claudication
    pain or out of breath or become exhausted.
     Walk at your own pace. This test is to asses your progress. It’s not a
    competition or comparison with others performance, so please walk at
    your own pace and take rest if you required.
     You are permitted to slow down, to stop, and to rest as necessary.
     You may rest in the chair provided near the track, but resume walking
    as soon as you are able.
     You will be walking back and forth around the cones.
     You should pivot briskly around the cones and continue back the other
    way without hesitation.
     I am going to use this chart to keep track of the number of laps you
    complete. I will tick it each time you turn around at this starting line.
     I will inform you after completion of every minute and 15 seconds
    before end of the test. At the end of 6 minutes I will tell you to stop.
    When I do, just stop right where you are and I will come to you.
     The object is to walk AS FAR AS POSSIBLE for 6 minutes, but don't
    run or jog.

    Demonstration: (Walking one lap by the examiner.)


    Now I'm going to demonstrate the test to you. Please watch the way I walk
    and pivot around the cones briskly without hesitation.

    The above guidance is based on: ATS Statement: Guidelines for the Six-Minute Walk Test. ATS Committee on
    Proficiency Standards for Clinical Pulmonary Function Laboratories.
    American Journal of Respiratory and Critical Care Medicine Vol 166. pp. 111-117, (2002)

    1
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006
    www.scribd.com/cpradheep

    Six-Minute Walking Test Instructions


    To the examiner
     Stand near the starting line during the test.
     Do not walk with the patient. Do not talk to anyone during the walk.
     As soon as the patient starts to walk, start the timer.
     Watch the patient. Do not get distracted and lose count of the laps.
     Each time the participant completes a lap mark on the worksheet. Let
    the participant see you do it. Exaggerate the click using body language.
     If the patient stops walking during the test and needs a rest, say this:
    "You can sit if you would like; then continue walking whenever you feel
    able." Do not stop the timer.
     Please mark the time when participant complains of claudication pain
    symptom as well as the rest and restart time.
     Inform the participant after completion of every minute and 15 seconds
    before end of the test. At the end of 6 minutes say this: "Stop!" and
    walk over to the patient and mark the spot where they stopped by
    placing a bean bag or a piece of tape on the floor.
     Please use the standard phrases given below under the heading
    “Encouragement” when informing the participant after completion of
    every minute,15 seconds before end of the test and at the end of 6
    minutes.
     Record the additional distance covered (the number of meters in the
    final partial lap).
     If the patient stops before the 6 minutes are up and refuses to continue
    (or if you decide that they should not continue), wheel the chair over for
    the patient to sit on, discontinue the walk, and note on the worksheet
    the distance, the time stopped, and the reason for stopping
    prematurely.
     Reasons to immediately stop a 6MWT include the following: chest
    pain, intolerable dyspnea, leg cramps, exes of sweating, and pale
    appearance.

    2
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006
    www.scribd.com/cpradheep

    Six-Minute Walking Test Instructions


    Encouragement
    Use an even tone of voice when using the standard phrases of
    encouragement. Do not use other words of encouragement (or body language
    to speed up).
     After the first minute, tell the patient the following (in even tones): "You
    are doing well. You have 5 minutes to go."
     When the timer shows 4 minutes remaining, tell the patient the
    following: "Keep up the good work. You have 4 minutes to go."
     When the timer shows 3 minutes remaining, tell the patient the
    following: "You are doing well. You are halfway done."
     When the timer shows 2 minutes remaining, tell the patient the
    following: "Keep up the good work. You have only 2 minutes left."
     When the timer shows only 1 minute remaining, tell the patient the
    following: "You are doing well. You have only 1 minute to go."
     When the timer is 15 seconds from completion, say this: "In a moment
    I'm going to tell you to stop. When I do, just stop right where you are
    and I will come to you."
     When the timer rings (or buzzes), say this: "Stop!" Walk over to the
    patient. Consider taking the chair if they look exhausted.

    If the patient stops walking during the test and needs a rest, say this:
     "You can sit if you would like; then continue walking whenever you feel
    able." (Do not stop the timer).

    The above guidance is based on:

    ATS Statement: Guidelines for the Six-Minute Walk Test. ATS Committee on Proficiency Standards for Clinical
    Pulmonary Function Laboratories.
    American Journal of Respiratory and Critical Care Medicine Vol 166. pp. 111-117, (2002)

    Please ask the participants to complete the Walking Impairment


    Questionnaire and answer all the questions by ticking the appropriate box in
    0-3 scale. (3-is easiest / not a problem and 0-is hardest / much a problem)

    3
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006
    www.scribd.com/cpradheep

    Six-Minute Walking Test


    Name: DoB: Date:

    Symptoms: Calves R/L Buttock R/L Thigh R/L


    Others

    Lap 1 2 3 4 5 6 7 8 9 10
    Pain/
    Rest

    11 12 13 14 15 16 17 18 19 20

    21 22 23 24 25 26 27 28 29 30

    31 32 33 34 35 36 37 38 39 40

    41 42 43 44 45 46 47 48 49 50

    Claudication Distance :

    6 Minutes Distance :

    Reason for stopping the test:

    Any comments:

    4
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006
    www.scribd.com/cpradheep

    Name of the examiner Signature

    Calculation of WIQ

    1, Patient Impairment Distance Score Calculation:


    3 2 1 0
    Difficulty walking a distance during the Manage With some With much Score x Dist.=
    past month / week well difficulty difficulty Unable to Factor
    do

    Walking indoors (around the house) X20=

    Walking 17 yards / 50 feet X50=

    Walking 50 yards / 150 feet X150=

    Walking 100 yards / 300 feet X300=

    Walking 200 yards / 600 feet X 600=

    Walking 300 yards / 900 feet X 900=

    Walking 500 yards or more / ¼ mile X 1500=

    Patient Impairment Distance Score

    Patient Impairment Distance Score = / 10,560

    2, Patient Impairment Speed Score Calculation:


    3 2 1 0
    Difficulty walking at a certain speed Manage With some With much Score x Speed=
    during the past month / week well difficulty difficulty Unable to Factor
    do

    Walking 100 yards/300 feet slowly? X1.5=

    Walking 100 yards/300 feet at an average X2=


    speed?

    Walking 100 yards/300 feet quickly? X3=

    Running or jogging 100 yards/300 feet? X5=

    Patient Impairment Speed Score

    Patient Impairment Speed Score = / 34.5

    5
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006
    www.scribd.com/cpradheep

    1, Walking Distance:

    3 2 1 0
    Difficulty walking a distance during the Manage With some With much
    past month / week well difficulty difficulty Unable to
    do

    Walking indoors (around the house)


    60 40 20 0

    Walking 17 yards / 50 feet


    150 100 50 0

    Walking 50 yards / 150 feet


    450 300 150 0

    Walking 100 yards / 300 feet


    900 600 300 0

    Walking 200 yards / 600 feet


    1800 1200 600 0

    Walking 300 yards / 900 feet


    2700 1800 900 0

    Walking 500 yards or more / ¼ mile


    4500 3000 1500 0

    2, Walking Speed:

    3 2 1 0
    Difficulty walking at a certain speed Manage With some With much
    during the past month / week well difficulty difficulty Unable to
    do

    Walking 100 yards/300 feet slowly?


    4.5 3.0 1.5 0.0

    Walking 100 yards/300 feet at an average


    speed?
    6 4 2 0.0

    Walking 100 yards/300 feet quickly?


    9 6 3 0.0

    Running or jogging 100 yards/300 feet?


    15 10 5 0.0

    2, Walking Speed Totals & Percentages

    Total % Total %
    1.5 4.3 3 8.6
    3.5 10.1 4.5 13.0
    5 14.4 6.5 18.8
    7 20.2 8 23.1
    8.5 24.6 10 28.9
    11.5 33.3 13 37.6
    14.5 42.0 15 43.4
    16.5 47.8 19.5 56.5
    21.5 62.3 24.5 71.0
    26.5 76.8 29.5 85.5
    34.5 100.0

    6
    Prepared by: Pradeep Chockalingam, Snr 2 Physio
    1/3/2006

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