The average speed from six minutes walk test as a parameter to determine the training load for physical reconditioning of chronic pulmonary disease patients

Authors

  • Pedro Henrique Scheidt Figueiredo Fundação Mineira de Educação e Cultura
  • Fernando Silva Guimarães Universidade Federal do Rio de Janeiro

DOI:

https://doi.org/10.11606/issn.2317-0190.v16i4a103224

Keywords:

Walking, Exercise, Lung Diseases, Dyspnea

Abstract

The purpose of this study was to evaluate the effectiveness of an aerobic reconditioning protocol to improve functional capacity and dyspnea of chronic pulmonary disease patients, based on the six-minute walk test (6MWD) for determining the load of training. Methodology: were selected 10 chronic pulmonary disease patients (9 M, 1 F) with average age of 61.5 ± 10.6 years, presenting clinical stability and without contraindications to the practice of aerobic exercise. The protocol was conducted in a treadmill, with 3 sessions per week, for along 8 weeks. The treadmill walking speed was set at 85% of average speed obtained from the 6MWD. Functional capacity and dyspnea were evaluated at the beginning and at the end of training. For statistical analysis were used paired t-test and Wilcoxon according to the variables characteristics. Differences were considered statistically significant when p < 0.05. Results: It was observed improves in functional capacity by increased distance on 6MWD (mean = 445.7 ± 175 m vs 565.8 ± 174 m, p <0.01) as well as reducing dyspnea by MMRC [median = 3 (2 - 4) vs 1 (0-3), p <0.05]. Conclusion: The 6MWD average speed is an effective parameter for determining the training load in aerobic reconditioning programs for pulmonary disease patients.

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References

Casaburi R. Limitation to exercise tolerance in chronic obstructive pulmonary disease: look to the muscles of ambulation. Am J Respir Crit Care Med. 2003;168(4):409-10.

Pulmonary rehabilitation-1999. American Thoracic Society. Am J Respir Crit Care Med. 1999;159(5 Pt 1):1666-82.

Lacasse Y, Maltais F, Goldstein RS. Pulmonary rehabilitation: an integral part of the long-term management of COPD. Swiss Med Wkly. 2004;134(41-42):601-5.

Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006;173(12):1390-413.

Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, et al. Pulmonary Rehabilitation: Joint ACCP/AACVPR Evidence-Based Clinical Practice Guidelines. Chest. 2007;131(5 Suppl):4S-42S.

American Association of Cardiovascular & Pulmonary Rehabilitation. Guidelines for Pulmonary Rehabilitation Programs. 2nd ed. Champaign: Human Kinetics; 1998.

Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest. 2001;119(1):256-70.

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7.

Fletcher CM: Standardized questionnaire on respiratory symptoms: a statement prepared and approved by the MRC Committee on the Aetiology of Chronic Bronchitis (MRC breathlessness score). BMJ. 1960;2:1665-6.

Borg G, Ljunggren G, Ceci R. The increase of perceived exertion, aches and pain in the legs, heart rate and blood lactate during exercise on a bicycle ergometer. Eur J Appl Physiol Occup Physiol. 1985;54(4):343-9.

British Thoracic Society Standards of Care Subcommittee on Pulmonary Rehabilitation. Pulmonary rehabilitation. Thorax. 2001;56(11):827-34.

Troosters T, Casaburi R, Gosselink R, Decramer M. Pulmonary rehabilitation in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2005;172(1):19-38.

O'Donnell DE, Ofir D, Laveneziana P. Patterns of cardiopulmonary response to exercise in lung diseases. Eur Respir Mon. 2007.40:49-92.

Carter R, Holiday DB, Nwasuruba C, Stocks J, Grothues C, Tiep B. 6-minute walk work for assessment of functional capacity in patients with COPD. Chest. 2003;123(5):1408-15.

Noseda A, Carpiaux JP, Prigogine T, Schmerber J. Lung function, maximum and submaximum exercise testing in COPD patients: reproducibility over a long interval. Lung. 1989;167(4):247-57.

Niederman MS, Clemente PH, Fein AM, Feinsilver SH, Robinson DA, Ilowite JS, et al. Benefits of a multidisciplinary pulmonary rehabilitation program. Improvements are independent of lung function. Chest. 1991;99(4):798-804.

Hyatt RE. Expiratory flow limitation. J Appl Physiol. 1983;55(1 Pt 1):1-7.

O'Donnell DE, Revill SM, Webb KA. Dynamic hyperinflation and exercise intolerance in chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2001;164(5):770-7.

Aliverti A, Stevenson N, Dellacà RL, Lo Mauro A, Pedotti A, Calverley PM. Regional chest wall volumes during exercise in chronic obstructive pulmonary disease. Thorax. 2004;59(3):210-6.

Diaz O, Villafranca C, Ghezzo H, Borzone G, Leiva A, Milic-Emil J, et al. Role of inspiratory capacity on exercise tolerance in COPD patients with and without tidal expiratory flow limitation at rest. Eur Respir J. 2000;16(2):269-75.

Somfay A, Pórszász J, Lee SM, Casaburi R. Effect of hyperoxia on gas exchange and lactate kinetics following exercise onset in nonhypoxemic COPD patients. Chest. 2002;121(2):393-400.

MacNee W. Pathophysiology of cor pulmonale in chronic obstructive pulmonary disease. Part One. Am J Respir Crit Care Med. 1994;150(3):833-52.

Debigaré R, Côté CH, Maltais F. Peripheral muscle wasting in chronic obstructive pulmonary disease. Clinical relevance and mechanisms. Am J Respir Crit Care Med. 2001;164(9):1712-7.

Casas A, Vilaro J, Rabinovich R, Mayer A, Barberà JA, Rodriguez-Roisin R, et al. Encouraged 6-min walking test indicates maximum sustainable exercise in COPD patients. Chest. 2005;128(1):55-61.

Celli BR, Cote CG, Marin JM, Casanova C, Montes de Oca M, Mendez RA, et al. The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med. 2004;350(10):1005-12.

Chuang ML, Lin IF, Wasserman K. The body weight-walking distance product as related to lung function, anaerobic threshold and peak VO2 in COPD patients. Respir Med. 2001;95(7):618-26.

Turner SE, Eastwood PR, Cecins NM, Hillman DR, Jenkins SC. Physiologic responses to incremental and self-paced exercise in COPD: a comparison of three tests. Chest. 2004;126(3):766-73.

Covey MK, Larson JL, Alex CG, Wirtz S, Langbein WE. Test-retest reliability of symptom-limited cycle ergometer tests in patients with chronic obstructive pulmonary disease. Nurs Res. 1999;48(1):9-19.

Harada ND, Chiu V, Stewart AL. Mobility-related function in older adults: assessment with a 6-minute walk test. Arch Phys Med Rehabil. 1999;80(7):837-41.

Servino, S, Marcello, M, Antonelli, S. Shuttle walking test induces a similar cardiorespiratory performance than 6 minute walking test in COPD patients [abstract]. Eur Respir J. 2000;16(Suppl):S29.

Lord SR, Menz HB. Physiologic, psychologic, and health predictors of 6-minute walk performance in older people. Arch Phys Med Rehabil. 2002;83(7):907-11.

Troosters T, Vilaro J, Rabinovich R, Casas A, Barberà JA, Rodriguez-Roisin R, et al. Physiological responses to the 6-min walk test in patients with chronic obstructive pulmonary disease. Eur Respir J. 2002;20(3):564-9.

Casas A, Vilaro J, Rabinovich RA, Mayer AF, Valera JL, Bertoni E, et al. Encouraged six minute walking test reflects "maximal" sustainable exercise performance in COPD patients. Eur Resp J. 2002;20:285S.

Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, et al. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet. 2000;355(9201):362-8.

Singh SJ, Sodergren SC, Hyland ME, Williams J, Morgan MD. A comparison of three disease-specific and two generic health-status measures to evaluate the outcome of pulmonary rehabilitation in COPD. Respir Med. 2001;95(1):71-7.

Spruit MA, Gosselink R, Troosters T, De Paepe K, Decramer M. Resistance versus endurance training in patients with COPD and peripheral muscle weakness. Eur Respir J. 2002;19(6):1072-8.

Ando M, Mori A, Esaki H, Shiraki T, Uemura H, Okazawa M, et al. The effect of pulmonary rehabilitation in patients with post-tuberculosis lung disorder. Chest. 2003;123(6):1988-95.

Published

2009-12-09

Issue

Section

Original Article

How to Cite

1.
Figueiredo PHS, Guimarães FS. The average speed from six minutes walk test as a parameter to determine the training load for physical reconditioning of chronic pulmonary disease patients . Acta Fisiátr. [Internet]. 2009 Dec. 9 [cited 2024 May 15];16(4):156-61. Available from: https://revistas.usp.br/actafisiatrica/article/view/103224