Six-Minute Walk Test Paper

The energy system for muscle contraction during the first few seconds of exercise is the:

In “Walking Since Daybreak,” Modris Eksteins fuses personal narrative and wartime history, describing both the regional devastation and the ensuing refugee crisis that characterized post-war Europe. Expanding on a myriad of historical research of the era, he details the destruction, desolation, and disorder that not only illuminates the post-war position of Eastern Europe, but more specifically, the mental states of the Baltic peoples - devoid of direction. Through stunning prose often absent in historical analysis, Eksteins delves into a familial case study of eastern Europe, deftly honing in on the reduction of life “to [its] fundamental form, scurrying for survival” (pg. x).

Some assessment tests that can be done to determine areas of occupational dysfunction important to the person are the Canadian Occupational Performance (COPM) interview, the Robinson Bashall Functional Assessment, the Stanford Health Assessment Questionnaire, the Assessment of Motor and Process Skills (AMPS), manual muscle tests, the goniometer, and the dynamometer and pinch meter (Hammond, pp 257). The Robinson Bashall Functional Assessment, as well as the Stanford Health Assessment Questionnaire, is a functional assessment that allows the therapist to get a better understanding of the practical capabilities of patients that are suffering from RA. The Assessment of Motor and Process Skills allows an accurate estimate of ability to do IADLs based on performance of three tasks.

Patients with chronic heart failure present with decreased exercise tolerance. It is important that a well-designed exercise prescription is followed at all times and the appropriate health care provider such as the cardiologist is in agreement with your treatment plan. Query the physician if there is any specific exercise precautions or guidelines that are distinct to the patient. Furthermore, these particular patient populations may sometimes overexert themselves. Symptoms such as dyspnea, dizziness or lightheadedness,

I would perform a peripheral vascular assessment on both upper and lower extremities. First, I would inspect and palpate her face and both her arms for color and consistent warmth. Then, I would do skin turgor and assess for capillary refill time bilaterally. Since patient also has vitamin deficiencies, I would at that point inspect her nails. I would move on to palpate her radial pulse bilaterally. Then, I would move to her lower extremities and inspect and palpate for color and consistent warmth. I would then palpate for pretibial edema and pedal pulses bilaterally. After that, I would assess for capillary refill time bilaterally. If there were abnormalities, then I would do a more comprehensive cardiovascular assessment. Patient also has Spina Bifida. I would inspect her back, then have her bend to palpate her spinal curvature. Patient is deaf on her right ear, so I would start out by inspecting and palpating both her ears. I would then do a focus neurological assessment for her ears. I would test for cranial nerve 8, which is acoustic. Since patient has hearing loss on her right ear, I would then perform a whisper test. I would also do a screening of patient’s heart and lung. I would start out by inspecting patient’s anterior chest and cardiac landmark for pulsation. Then palpate and auscultate the patient’s cardiac landmark. If there are no abnormalities I would move on to the lungs. I would note the

Also, the therapist and I worked with the client on their functional mobility by instructing the client to walk from their wheelchair to a bathroom for patients within the rehabilitation gym. The client was instructed to use a rolling walker provided by the therapist, and we walked with him to the bathroom, using both contact guard and supervision. The therapist noticed a major safety issue, which is that the client is not abducting their legs far apart while walking. The therapist and I consistently told him to spread their legs apart as a way to have a larger base of support

Hypothesis: Patients suffering from leg and low back pain would experience less pain and increased function from walking on a treadmill utilizing a partial body weight support system (PBWS).

The doctors and authors had strong evidence that when patients visited the treatment center and when directed to do physical exercise at home by a doctor, all patients whether directed to come into a clinic or do their exercises at home, all patients had shown significant improvements with the recovery of their knees. The study had proven that the patients who were directed to come into a clinic instead of doing physical therapy at home had proven to be a better off then the patients who did their physical therapy in the comfort of their own home. The patients progress was tested by a six minute walk that they completed a couple times during and after physical therapy was finished. “Both groups showed clinically and statistically significant improvements in six minute walk distances and WOMAC scores at 4 weeks; improvements were still evident in both groups at eight

General: Describes health status as “fair”. Height attained 5’2” weight 183 lbs. Patient states she has not experienced any changes in her weight over the past couple of months. Her ability to do activities has decreased since diagnosed with COPD and Congestive Heart Failure. She notices walking from the car into the house or activities such as watering the garden take more of an effort and her breathing becomes labored. Denies fever, chills, sweats, or night sweats unless exacerbation of respiratory problem. She states her living situation is “good”; she lives in a single story house on her own and able to perform activities of daily living.

participation level impairments. The progress in AROM, muscle strength, dynamic balance, single leg power, and coordination all attributed to the patient’s ability to climb stairs without handrails reciprocally, ambulate on uneven terrain, jump, and run pain-free after five weeks of intervention.

In the case study it discusses a patient, Mrs. Harris, who is a 72 year old and is complaining of fatigue and swelling in her feet. Mrs. Harris also expresses her concern on the swelling, as some days she is unable to put her shoes on despite proper elevation. She also states walking to her mailbox can be challenging because it causes her to feel more tired and to have shortness of breath, also known as dyspnea. Mrs. Harris is currently taking medication for high blood pressure, hypertension; and is also drinking approximately 8-12 glasses of wine a week. While examining Mrs. Harris it’s clear she is a little overweight and has swollen ankles. Upon listening to Mrs. Harris’s breathing, crackles are heard. Therefore, Mrs. Harris seems to have congestive heart failure.

A study titled Effects of FES-Ambulation Training on Locomotor Function and Health-Related Quality of Life in Individuals With Spinal Cord Injury, found that those with Asia D Spinal Cord injuries showed significant improvement in the 6 minute walk test, and body weight support training. ASIA is a spinal cord impairment scale and those who are ASIA D are classified with motor function preserved below neurological level and more than half of key muscles below the level have a grade of 3 or more.7 The study also showed a non-significant increase with 10 meter walk test for walking speed. Patients showed an increase with the Walking Index for Spinal Cord Injury II (WISCI II) and in the Short Term Form -36 pain score. The WISCI II is used to look at the amount of assistance needed with walking and assistive devices used with those who have an SCI. There were 6 participants in the study with an average of 9.3 years post injury. They excluded those that took part in FES training within 3 months, those with a history of heart disease, current pressure ulcers, unpredictable autonomic dysreflexia, fractures, and other musculoskeletal issues that would make it unsafe to exercise. They took measurements 24-48 hours before the first exercise program and then 48-72 hours after the last exercise

Short term goal is to increase range of motion by 5 degrees. Long term goal is to bring the patient as close as possible to pre-accident status, perform his activities of daily living safely and return to work. He will continue PT 3 days per week with goals of reducing pain, improving range of motion and improving overall function.

important test of an individuals physical health since unhealthy levels can lead to heart attacks,

Physical therapy has grown increasing more useful as the years’ progress and more is learned about the human body and its movements, interactions, and mechanisms. Someone may go to physical therapy for injury, recovery, in order to maintain function, or even due to a stroke and is trying to work on walking again. Patients of a physical therapist can include, but is not limited to, elderly, children, accident victims, athletes, those with conditions such as arthritis or fractures, etc. The possibilities are endless for potential physical therapy patients (Mayo Clinic School of Health Sciences).