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Six minute walk test

Jay R Ebert, Theertha Retheesh, Rinky Mutreja, Gregory C Janes
BACKGROUND: Hip abductor tendon (HAT) tearing is commonly implicated in greater trochanteric pain syndrome (GTPS), though limited information exists on the disability associated with this condition and specific presentation of these patients. PURPOSE: To describe the clinical, functional and biomechanical presentation of patients with symptomatic HAT tears. Secondary purposes were to investigate the association between these clinical and functional measures, and to compare the pain and disability reported by HAT tear patients to those with end-stage hip osteoarthritis (OA)...
October 2016: International Journal of Sports Physical Therapy
Päivi Kolu, Kari Tokola, Markku Kankaanpää, Jaana Suni
STUDY DESIGN: A cross-sectional study, part of a randomized controlled trial. OBJECTIVE: To evaluate the association of physical activity, cardiorespiratory fitness, and neuromuscular fitness with direct health-care costs and sickness-related absence among nursing personnel with nonspecific low back pain. SUMMARY OF BACKGROUND DATA: Low back pain creates a huge economic burden due to increased sick leave and use of health-care services. METHODS: Female nursing personnel with nonspecific low back pain were included (n = 219)...
October 6, 2016: Spine
Junfei Feng, Xuehui Wang, Xing Li, Dejun Zhao, Jinquan Xu
BACKGROUND: Acupuncture has been suggested to treat chronic obstructive pulmonary disease (COPD) in China. However, current evidence is insufficient to draw a firm conclusion regarding the effectiveness of acupuncture in COPD. Therefore, this multicenter, randomized, sham-controlled study was designed to evaluate the efficacy of acupuncture for treating patients with COPD. METHODS: This is a two-arm, parallel group, multicenter, randomized, sham-controlled trial with concealed allocation, and participants, assessor, and analyst blinding...
October 2016: Medicine (Baltimore)
Sarah Jones, William D-C Man, Wei Gao, Irene J Higginson, Andrew Wilcock, Matthew Maddocks
BACKGROUND: This review is an update of a previously published review in the Cochrane Database of Systematic Reviews Issue 1, 2013 on Neuromuscular electrical stimulation for muscle weakness in adults with advanced disease.Patients with advanced progressive disease often experience muscle weakness, which can impact adversely on their ability to be independent and their quality of life. In those patients who are unable or unwilling to undertake whole-body exercise, neuromuscular electrical stimulation (NMES) may be an alternative treatment to enhance lower limb muscle strength...
October 17, 2016: Cochrane Database of Systematic Reviews
Kanan Yatsuya, Satoshi Hirano, Eiichi Saitoh, Shigeo Tanabe, Hirotaka Tanaka, Masayuki Eguchi, Masaki Katoh, Yasuhiro Shimizu, Akito Uno, Hitoshi Kagaya
OBJECTIVE: To compare the energy efficiency of Wearable Power-Assist Locomotor (WPAL) with conventional knee-ankle-foot orthoses (MSH-KAFO) such as Hip and Ankle Linked Orthosis (HALO) or Primewalk. STUDY DESIGN: Cross over case-series. SETTING: Chubu Rosai Hospital, Aichi, Japan, which is affiliated with the Japan Organization of Occupational Health and Safety. METHODS: Six patients were trained with MSH-KAFO (either HALO or Primewalk) and WPAL...
October 17, 2016: Journal of Spinal Cord Medicine
Renata Spósito Roxo, Vivian Bertoni Xavier, Luiz Antônio Miorin, Andrea Olivares Magalhães, Yvoty Alves Dos Santos Sens, Vera Lúcia Dos Santos Alves
Introduction: Literature shows that patients undergoing hemodialysis present poor physical conditioning and low tolerance to exercise. They may also suffer from respiratory dysfunctions. The purpose of this study was to evaluate the effects of neuromuscular electrical stimulation on pulmonary function and functional capacity of patients with chronic kidney disease on hemodialysis. Methods: Forty adult patients with chronic kidney disease on hemodialysis were prospectively studied and randomized into two groups (control n = 20 and treatment n = 20)...
July 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Nathalie Goemans, Marleen Vanden Hauwe, James Signorovitch, Elyse Swallow, Jinlin Song
BACKGROUND: Deficits in ambulatory function progress at heterogeneous rates among individuals with Duchenne muscular dystrophy (DMD). The resulting inherent variability in ambulatory outcomes has complicated the design of drug efficacy trials and clouded the interpretation of trial results. We developed a prediction model for 1-year change in the six minute walk distance (6MWD) among DMD patients, and compared its predictive value to that of commonly used prognostic factors (age, baseline 6MWD, and steroid use)...
2016: PloS One
V A Nevzorova, E A Kochetkova, L G Ugai, Yu V Maistrovskaya, E A Khludeeva
AIM: To define the role of circulating biomarkers for the metabolism of collagen and intercellular substance and vascular remodeling in the development of osteoporosis (OP) in idiopathic pulmonary arterial hypertension (IPAH). MATERIAL AND METHODS: Functional hemodynamic parameters, bone mineral density (BMD) in the lumbar spine and femoral neck and the serum levels of matrix metalloproteinase-9 (MMP-9), tissue inhibitor of metalloproteinase-1 (TIMP-1), MMP-9/TIMP-1 complex, C-terminal telopeptide of collagen type 1 (CITP), and endothelin-1 (ET-1) were determined in 27 high-risk IPAH patients and 30 healthy volunteers...
2016: Terapevticheskiĭ Arkhiv
Fábio Lera Orsatti, Paulo Ricardo Prado Nunes, Aletéia de Paula Souza, Fernanda Maria Martins, Anselmo Alves de Oliveira, Rosekeila Simões Nomelini, Márcia Antoniazi Michelin, Eddie Fernando Cândido Murta
BACKGROUND: Menopause increases body fat and decrease muscle mass and strength which contribute to sarcopenia. The amount of appendicular muscle mass has been frequently used to diagnose sarcopenia. Different measures of appendicular muscle mass have been proposed. However, no studies compared the most salient measure (appendicular muscle mass corrected by body fat) of the appendicular muscle mass to physical function in postmenopausal women. OBJECTIVE: To examine the association of three different measures of appendicular muscle mass (absolute, corrected by stature and corrected by body fat) with physical function in postmenopausal women...
October 8, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
Davy Vancampfort, Michel Probst, Sabine Wyckaert, Marc De Hert, Brendon Stubbs, Simon Rosenbaum, Pascal Sienaert
The most significant contributor to premature mortality in patients with bipolar disorder is preventable cardiovascular diseases. This study investigated if the Physical Activity Vital Sign (PAVS) assessment (two questions which clarify if a person meets the recommended 150min of physical activity per week) can identify patients with bipolar disorder at higher risk of cardio-metabolic abnormalities. Clinical differences between those who adhere and those who did not adhere to the physical activity guidelines were investigated using an ANCOVA controlling for age and gender...
October 5, 2016: Psychiatry Research
Terry Trinh, Christine T Shiner, Angelica G Thompson-Butel, Penelope A McNulty
PURPOSE: Post-stroke hemiparesis may manifest as asymmetric gait, poor balance, and inefficient movement patterns. We investigated improvements in lower-limb muscle activation and function during Wii-based Movement Therapy (WMT), a rehabilitation program specifically targeting upper-limb motor-function. METHODS: Electromyography (EMG) was recorded bilaterally from tibialis anterior (TA) in 20 stroke patients during a 14-day WMT program. EMG amplitude and burst duration were analyzed during stereotypical movement sequences of WMT activities...
October 9, 2016: Disability and Rehabilitation
Sarah Svenningsen, Fumin Guo, David G McCormack, Grace Parraga
RATIONALE AND OBJECTIVES: Evidence-based treatment and management for patients with bronchiectasis remain challenging. There is a need for regional disease measurements as focal distribution of disease is common. Our objective was to evaluate the ability of magnetic resonance imaging (MRI) to detect regional ventilation impairment and response to airway clearance therapy (ACT) in patients with noncystic fibrosis (CF) bronchiectasis, providing a new way to objectively and regionally evaluate response to therapy...
October 4, 2016: Academic Radiology
Matthew Triplette, Engi Attia, Kathleen Akgün, Monica Campo, Maria Rodriguez-Barradas, Sudhakar Pipavath, Shahida Shahrir, Cherry Wongtrakool, Matthew Goetz, Joon Kim, Guy Soo Hoo, Sheldon Brown, Kristina Crothers
BACKGROUND: Emphysema is more prevalent in HIV-infected (HIV+) patients independent of smoking behavior. Nonetheless, health effects of emphysema in this population are poorly understood. We determined whether emphysema is associated with a greater burden of pulmonary symptoms and a lower six-minute walk distance (6MWD) in HIV+ compared to HIV-uninfected (HIV-) subjects. METHODS: We performed a cross-sectional analysis of 170 HIV+ and 153 HIV- subjects in the Examinations of HIV Associated Lung Emphysema (EXHALE) cohort study...
July 7, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Francois Vermeulen, Audrey Chirumberro, Peter Rummens, Marie Bruyneel, Vincent Ninane
OBJECTIVE: In asthma patients, the assessment of activity limitation is based on questions evaluating how limited the patient feels in their activities. However, the lack of functional data complicates the interpretation of the answers. We aimed to evaluate the intensity of relationships between the patient's perception of activity limitation and the results of several functional tests. METHODS: Twenty patients complaining of asthma exacerbation were invited to complete three scores (Chronic Respiratory Disease questionnaire, Asthma Control Questionnaire, Hospital Anxiety and Depression scale)...
October 7, 2016: Journal of Asthma: Official Journal of the Association for the Care of Asthma
Louise M Fuller, Brenda Button, Ben Tarrant, Ranjana Steward, Lisa Bennett, Greg Snell, Anne E Holland
OBJECTIVE: This study aimed to investigate the effects of a supervised longer (14 week) versus shorter duration, (7 week) rehabilitation program after lung transplantation (LTX). DESIGN: Randomised controlled trial SETTING: Post lung transplantation patients were randomised to either a shorter rehabilitation program (7 weeks) or a longer program (14 weeks) in an outpatient rehabilitation gym setting. PARTICIPANTS: Post lung transplantation patients aged 18 years or older who had undergone either single (SLTX) or bilateral lung (BSLTX) transplantation...
September 30, 2016: Archives of Physical Medicine and Rehabilitation
H Sankaranarayan, Anupam Gupta, Meeka Khanna, Arun B Taly, K Thennarasu
OBJECTIVE: To study role of ankle foot orthosis (AFO) in improving locomotion and functional recovery after stroke. SETTING: Neurological Rehabilitation Department of a university research tertiary hospital. PATIENTS AND METHODS: AFO and activity based rehabilitation. MAIN OUTCOME MEASURES: Distance (meters) covered during the 6-minute walk test (6MWT) and speed (meter/second) during the 10-meter walk test. Functional abilities assessed using Functional Independence Measure (FIM(®))...
October 2016: Journal of Neurosciences in Rural Practice
H B Waterson, N D Clement, K S Eyres, V I Mandalia, A D Toms
AIMS: Our aim was to compare kinematic with mechanical alignment in total knee arthroplasty (TKA). PATIENTS AND METHODS: We performed a prospective blinded randomised controlled trial to compare the functional outcome of patients undergoing TKA in mechanical alignment (MA) with those in kinematic alignment (KA). A total of 71 patients undergoing TKA were randomised to either kinematic (n = 36) or mechanical alignment (n = 35). Pre- and post-operative hip-knee-ankle radiographs were analysed...
October 2016: Bone & Joint Journal
Sara Maldonado-Martín, Peter H Brubaker, Joel Eggebeen, Kathryn P Stewart, Dalane W Kitzman
OBJECTIVE: To evaluate the change in six-minute walk test (6-MWT) relative to changes in key functional capacity measures after 16-week of exercise training in older (>65 years) heart failure with preserved ejection fraction (HFpEF) patients. DESIGN: Prospective, randomized single blinded (by researchers to patient group) comparison of two groups of HFpEF patients. SETTINGS: Hospital and clinic records. Ambulatory outpatients. PARTICIPANTS: Participants (N=47) randomized to attention control (n=24, AC) or exercise training (n=23, ET) group INTERVENTION: The ET group performed cycling and walking at 50-70% VO2peak intensity (3 days per week, 60 min each session)...
September 27, 2016: Archives of Physical Medicine and Rehabilitation
Vasileios Andrianopoulos, Bartolome R Celli, Frits M E Franssen, Victor M Pinto-Plata, Peter M A Calverley, Lowie E G W Vanfleteren, Ioannis Vogiatzis, Jørgen Vestbo, Alvar Agusti, Per S Bakke, Stephen I Rennard, William MacNee, Ruth Tal-Singer, Julie C Yates, Emiel F M Wouters, Martijn A Spruit
Exercise-induced oxygen desaturation (EID) is related to mortality in patients with chronic obstructive pulmonary disease (COPD). We investigated: (1) the prevalence of EID; (2) the relative-weight of several physiological determinants of EID including pulmonary emphysema, and (3) the relationship of EID with certain patients' clinical characteristics. Data from 2050 COPD patients (age: 63.3 ± 7.1years; FEV1: 48.7 ± 15.7%pred.) were analyzed. The occurrence of EID (SpO2post ≤88%) at the six-minute walking test (6MWT) was investigated in association with emphysema quantified by computed-tomography (QCT), and several clinical characteristics...
October 2016: Respiratory Medicine
Raquel Pinto Carbonera, Fernanda Maria Vendrusculo, Márcio Vinícius Fagundes Donadio
BACKGROUND: Interactive video games are recently being used as an exercise tool in cystic fibrosis (CF). This study aimed to assess the literature describing whether video games generate a physiological response similar to the exercise intensity needed for training in CF. METHODS: An online search in PubMed, Embase, Cochrane, SciELO, LILACS and PEDro databases was conducted and original studies describing physiological responses of the use of video games as exercise in CF were included...
October 2016: Respiratory Medicine
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