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| Name | Class |
|---|---|
| PSG College of Physiotherapy | OTHER |
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In view of assessing the uphill walking capacity and to provide a functional stress test with better sensitivity the investigators need a short term functional stress test over the gold standard six minute walk test....
To demonstrate the significance of 3 minutes ramp walk test over 6 minutes walk test as a functional stress test.
The investigators hypothesize that the investigators three minutes ramp walk test (3MRWT) will be superior to the existing six minutes level walk test (6MWT) in the measurement of functional capacity of post valve replacement patients.
The patients who have undergone valve replacement surgeries face difficulty in their functional activities especially during climbing stairs, walking uphill.
The six minute level walk test has been a gold standard in the assessment of functional capacity in cardio respiratory conditions like, coronary heart diseases , valvular heart diseases, chronic respiratory illness.
Moreover, six minute walk test has been framed to assess the functional capacity in level walking.so far, no test have been developed to assess the functional capacity of the patients during uphill walking and stair climbing.
Though ramp walking ( uphill walking) can be trained using treadmill, it is not feasible for the indian patients as they are not familiar in the treadmill and their fear may also show variation in the functional assessment.
Hence this study has been proposed..
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cardiac rehabilitation | Procedure | It is a cross over study in which the participants are assigned for two test simultaneously with washout time of 6 hrs . 5th POD patients are randomly assigned to either 6 minute walk test or 3 minute ramp walk test as first test with 6 hours of rest [Washout time] in between the two test. 6 MWT : The patient is instructed to walk for a period of 6 minute on a 30 meters Hallway with its extent being demarcated by the placement of 2 cones at the extremes of the Hall. 3 MRWT : The patient is instructed to walk for a period of 3 minute on a Ramp with an elevation of 30 degree and length of 20 meters with its extent being demarcated by the placement of 2 cones at the extremes of the ramp. The data of [HR, SPO2, PSG RPE scale, Distance walked, BP] the participants are collected before, during and after the completion of each lap [according to American Thoracic Society [ATS] protocol]. |
| Measure | Description | Time Frame |
|---|---|---|
| The distance walked during the test by the participants | The variables to be correlated are Distance walked [in meters], heart rate responses, , Saturation Responses | 6 minute level walk & 3 minute Ramp walk |
| Measure | Description | Time Frame |
|---|---|---|
| blood pressure before and after test | 6 minute level walk& 3minute Ramp walk | |
| Heart rate before and after test | 6 minute level walk& 3minute Ramp walk | |
| SpO2 % before and after test |
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Inclusion Criteria:
Exclusion Criteria:
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To find a smallest difference of 70% and a minimal correlation of 40%(r=0.4)between two test , walk distance , vital responses at level of significance of 95% and power of the study 90%, we needed at least 45 patients.to allow for drop outs and missing values,50 patients will be included
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| manivel arumugam, MPT | Contact | +919994672033 | arumani_005@yahoo.co.in | |
| mahesh ramaraja, MPT | Contact | 0422-2570170 | 5871 | maheshrehab@rediffmail.com |
| Name | Affiliation | Role |
|---|---|---|
| murugesan PR, MS,Mch,DNB | PSG Institute of Medical Science and Research | Study Chair |
| manivel arumugam, MPT | PSG Institute of Medical Science and Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PSG Hospitals | Recruiting | Coimbatore | Tamil Nadu | 641004 | India |
| Type | Date | Date Unknown |
|---|---|---|
| Release | Dec 28, 2014 | |
| Reset | Jan 8, 2015 | |
| Release | Jan 9, 2015 |
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| 6 minute level walk& 3minute Ramp walk |
| Reset | Jan 16, 2015 |
| Release | Jan 19, 2015 |
| Reset | Jan 28, 2015 |
| Release | Jan 29, 2015 |
| Reset | Feb 12, 2015 |
| Release | Mar 26, 2019 |
| Reset | Jun 20, 2019 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Dec 28, 2014 | Jan 8, 2015 | |||
| Jan 9, 2015 | Jan 16, 2015 | |||
| Jan 19, 2015 | Jan 28, 2015 | |||
| Jan 29, 2015 | Feb 12, 2015 | |||
| Mar 26, 2019 | Jun 20, 2019 |
| ID | Term |
|---|---|
| D000072038 | Cardiac Rehabilitation |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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