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The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study Nury Nusdwinuringtyas; Johan Talesu; Anita Ratnawati; Sabarinah B. Prasetyo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.296

ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD

The Validity and Reliability of Six Minute Walk Test in a 15 Meter Track Nury Nusdwinuringtyas; Kevin Triangto; Idrus Alwi; Faisal Yunus
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 02 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v10i02.303

ABSTRACTIntroduction: Endurance is one of the key fitness measure that should be evaluated daily. Clinicalassessment of endurance in daily practice is usually hurdled by limitation of hospital spaces. Anotherobstacle arise that shorter six-minute walk test (6MWT) track will lead to more turning motion, yieldingshorter straight walking distance with increased ener gy expenditure.Methods: This cross sectional study compares 6MWT on a 15 meter corridor, to the gold standardBiodex® gait trainer for healthy adults aged 18-50 years. Subjects without any anatomical abnormalitiesor systemic disorders were recruited, and instructed to turn in a three-step method at track ends tomaximize walking distance. Furthermore, validity and reliability assessments to obtain both Pearsoncorrelation and Cronbach Alpha values were performed respectively.Results: Among 123 subjects, 58 males aged ranging from 18 to 45 years, and females between 18 to42 years were recruited. Anthropometrical values were similar between gender. Significant differencein walking distance and walking speed was observed. Comparison of walking distance between the twomodalities were seen to be statistically similar (p=0.693). Pearson validity test was proven significant (p<0.001) with a correlation coefficient of r = 0.998, while reliability test obtained Cronbach’s Alpha valueof 0.999, hence showing that these are both valid and reliable.Conclusion: Good validity and reliability of 6MWT in 15 meter track as compared to the gold standardBiodex® gait trainer was demonstrated in this study. Moreover, shorter track is a potential modificationadhering to the limitation of operational space. The three-step turning method could significantlyimproves total walk distance, and thus is suggested.Keywords: clinical assessment, endurance, six-minute walk test, walk dist ance, walking speed

The Effect of Low-Intensity Hairmyres Exercises on Six-Minute Walk Distance in Patients with Chronic Obstructive Pulmonary Disease: A Preliminary Study Nury Nusdwinuringtyas; Johan Talesu; Anita Ratnawati; Sabarinah B. Prasetyo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 9 No 02 (2020): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v9i2.296

ABSTRACTIntroduction: Therapeutic exercise is the main rehabilitation program in patients with ChronicObstructive Pulmonary Disease (COPD). Shortness of breath due to persistent obstruction causesdisability in the form of decreased functional capacity. Hairmyers is an isolated group of exercise torecondition the limb muscles without weights. The purpose of this study was to assess the efficacy oflow-intensity Hairmyres exercise in improving Six-Minute Walk Distance (6MWD).Methods: This is a pre-post interventional study held from January to April 2005. Hairmyres exerciseswere given to the patients (n=14) with moderate and severe COPD for eight weeks, five times a weekwith two exercises performed in front of the researcher. Six-Minute Walk Distance was measured before,at the end of the 4 th week, and after the exercise program.Results: Compared to the beginning, the 6MWD increased by 27 meters at the end of the 4th week and62.29 meters at the end of the program in moderate COPD patients, while the increase in severe COPDpatients were 39.71 and 76 meters, respectively. There was a significant difference (p <0.05) betweenthe first and the last measurement in both groups. This difference also surpassed the minimal clinicallyimportant difference (MCID) of 6MWD.Keywords: COPD, Hairmyers, Low-Intensity Exercise, 6MWD

The Validity and Reliability of Six Minute Walk Test in a 15 Meter Track Nury Nusdwinuringtyas; Kevin Triangto; Idrus Alwi; Faisal Yunus
Indonesian Journal of Physical Medicine & Rehabilitation Vol 10 No 02 (2021): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v10i02.303

ABSTRACTIntroduction: Endurance is one of the key fitness measure that should be evaluated daily. Clinicalassessment of endurance in daily practice is usually hurdled by limitation of hospital spaces. Anotherobstacle arise that shorter six-minute walk test (6MWT) track will lead to more turning motion, yieldingshorter straight walking distance with increased ener gy expenditure.Methods: This cross sectional study compares 6MWT on a 15 meter corridor, to the gold standardBiodex® gait trainer for healthy adults aged 18-50 years. Subjects without any anatomical abnormalitiesor systemic disorders were recruited, and instructed to turn in a three-step method at track ends tomaximize walking distance. Furthermore, validity and reliability assessments to obtain both Pearsoncorrelation and Cronbach Alpha values were performed respectively.Results: Among 123 subjects, 58 males aged ranging from 18 to 45 years, and females between 18 to42 years were recruited. Anthropometrical values were similar between gender. Significant differencein walking distance and walking speed was observed. Comparison of walking distance between the twomodalities were seen to be statistically similar (p=0.693). Pearson validity test was proven significant (p<0.001) with a correlation coefficient of r = 0.998, while reliability test obtained Cronbach’s Alpha valueof 0.999, hence showing that these are both valid and reliable.Conclusion: Good validity and reliability of 6MWT in 15 meter track as compared to the gold standardBiodex® gait trainer was demonstrated in this study. Moreover, shorter track is a potential modificationadhering to the limitation of operational space. The three-step turning method could significantlyimproves total walk distance, and thus is suggested.Keywords: clinical assessment, endurance, six-minute walk test, walk dist ance, walking speed

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