6 minute walk test procedure steps

The 6-Minute Walk Test (6MWT) is a simple exercise test that measures the distance an individual can quickly walk on a flat, hard surface in a period of six minutes.

6 minute walk test used to assess functional exercise capacity in people with conditions like COPD, heart failure, and pulmonary hypertension.

The test should be conducted on a flat, indoor hallway, ideally 30 meters (98 feet) in length. The distance should be measured precisely.

Here’s a 6 minute walk test procedure steps.

  • Instruct the patient to walk back and forth along the marked hallway as far as they can in six minutes.
  • They should aim to walk at a steady pace and can slow down or stop if they feel tired or breathless.
  • Inform them that you will provide feedback on the time remaining at one-minute intervals.
  • Start the timer when the patient begins walking.Stand by to observe the patient’s pace, symptoms, and form.
  • At each minute, inform the patient how much time is left (e.g., “Five minutes to go”).
  • Test Stopping Criteria ( stop the test if patient feel following)
    • Chest pain
    • Severe shortness of breath
    • Dizziness or lightheadedness
    • Leg cramps or pain
  • Stop the timer when the six minutes are up, and instruct the patient to stop walking.
  • Note the total distance walked by calculating the laps and the remainder distance at the stopping point.
  • Record heart rate, blood pressure, and oxygen saturation.
  • Document the total distance walked, any symptoms experienced, and post-test vital signs.

6 minute walk test result interpretation

  • Compare the distance walked to normative values based on age, sex, and clinical status if available.
  • Reduced walking distance may indicate reduced functional capacity and may help in monitoring disease progression, response to therapy, or rehabilitation outcomes.

Average Distances by Gender

  • Men: Typically walk between 500 – 700 meters in 6 minutes.
  • Women: Typically walk between 400 – 600 meters in 6 minutes.

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