ความสัมพันธ์ระหว่างผลการทดสอบสมรรถภาพทางกายด้วยการลุกนั่ง 30 วินาทีและการเดิน 6 นาที ในผู้ป่วยโรคหลอดเลือดหัวใจที่เข้ารับการฟื้นฟูสมรรถภาพหัวใจระยะที่ 2 โรงพยาบาลสวรรค์ประชารักษ์ จังหวัดนครสวรรค์

Supapich  Nimithpornchai

Authors

Supapich Nimithpornchai Sawanpracharak Hospital

Keywords:

coronary artery disease, 6-minute walk test, 30-second sit-to-stand test, cardiac rehabilitation

Abstract

Objectives: To investigate the correlation between results from the 6-minute walk test (6MWT) and the 30-second sit-to-stand test (30-s STS) in cardiac rehabilitation phase 2 of coronary artery disease patients.

Method: A cross-sectional study was conducted on patients with coronary artery disease who underwent either Percutaneous Coronary Intervention (PCI) or Coronary Artery Bypass Grafting (CABG) and participated in phase 2 of cardiac rehabilitation at Sawanpracharak Hospital. Participants first performed 6MWT, followed by a 30-s STS with adequate rest between the two tests. The results were recorded in blood pressure, heart rate, rate of perceived exertion (RPE), oxygen saturation, distance from 6MWT, and the number of stands completed during the 30-s STS test.

Results: There were a total of 30 participants. The vital signs recorded after both tests showed no significant differences, and the correlation coefficient (r) between distance from 6MWT and number of standing from 30-s STS was 0.72 (p-value<0.01), which demonstrated a highly significant correlation.

Conclusions: 30-s STS could be considered as an alternative to submaximal exercise testing, apart from 6MWT, for patients with coronary artery disease in the cardiac rehabilitation phase 2.

Keywords: coronary artery disease, 6-minute walk test, 30-second sit-to-stand test, cardiac rehabilitation

References

Araya-Ramírez F, Briggs KK, Bishop SR, Miller CE, Moncada-Jiménez J, Grandjean PW. Who is likely to benefit from phase II cardiac rehabilitation? Journal of cardiopulmonary rehabilitation and prevention. 2010;30(2):93-100.

Piepoli MF, Corrà U, Benzer W, Bjarnason-Wehrens B, Dendale P, Gaita D, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2010;17(1):1-17.

Bellet RN, Adams L, Morris NR. The 6-minute walk test in outpatient cardiac rehabilitation: validity, reliability and responsiveness--a systematic review. Physiotherapy. 2012;98(4):277-86.

Wang Z, Yan J, Meng S, Li J, Yu Y, Zhang T, et al. Reliability and validity of sit-to-stand test protocols in patients with coronary artery disease. Front Cardiovasc Med. 2022;9:841453.

Meriem M, Cherif J, Toujani S, Ouahchi Y, Hmida AB, Beji M. Sit-to-stand test and 6-min walking test correlation in patients with chronic obstructive pulmonary disease. Ann Thorac Med. 2015;10(4):269-73.

Reychler G, Boucard E, Peran L, Pichon R, Le Ber-Moy C, Ouksel H, et al. One minute sit-to-stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients. Clin Respir J. 2018;12(3):1247-56.

Díaz-Balboa E, González-Salvado V, Rodríguez-Romero B, Martínez-Monzonís A, Pedreira-Pérez M, Cuesta-Vargas AI, et al. Thirty-second sit-to-stand test as an alternative for estimating peak oxygen uptake and 6-min walking distance in women with breast cancer: a cross-sectional study. Support Care Cancer. 2022;30(10):8251-60.

Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. J Am Coll Cardiol. 2016;67(1):1-12.

ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166(1):111-7.

Evans JD. Straightforward statistics for the behavioral sciences. Belmont, CA, US: Thomson Brooks/Cole Publishing Co; 1996. xxii, 600-xxii, p.

Carvalho LP, Di Thommazo-Luporini L, Aubertin-Leheudre M, Bonjorno Junior JC, de Oliveira CR, Luporini RL, et al. Prediction of Cardiorespiratory Fitness by the Six-Minute Step Test and Its Association with Muscle Strength and Power in Sedentary Obese and Lean Young Women: A Cross-Sectional Study. PloS one. 2015;10(12):e0145960.

Muoneme AS, Isiguzo GC, Iroezindu MO, Okeahialam BN. Relationship between Six-Minute Walk Test and Left Ventricular Systolic Function in Nigerian Patients with Heart Failure. West Afr J Med. 2015;34(3):133-8.

Rosu AM, Badea TG, Tomescu FL, Rosu AL, Radu ES, Popa OA, et al. Clinical and Electrocardiographic Predictors of Cardiac Resynchronization Therapy Response That Correlate with the 6 min Walking Test. J Clin Med. 2024;13(20).