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  1. Six Minute Walk Test Instructions and Tracking Sheet . 4. Instruct the patient as follows: "The object of this test is to walk as far as possible for 6 minutes. You will walk back and forth in this hallway. Six minutes is a long time to walk, so you will be exerting yourself. You will probably get out of breath or become exhausted.

  2. Six Minute Walk Test (6MWT) recording form (Affix patient label here) Patient ID: Family name: Given name(s): Date of birth: Sex: M F I Medical history checked Medical clearance provided for the patient to participate in exercise testing Contraindications to 6MWT: Resting heart rate > 120 beats / min after 10 minutes rest (relative ...

  3. Six-Minute Walk Test Key Points • The 6MWT must be performed twice to account for a learning curve. *Note: consistency in administering the test is imperative. • If the two tests are performed on the same day, at least 30 minutes rest should be allowed between tests.

  4. Six Minute Walk Test (6MWT) instructions Set up Ideally the test should be conducted on a straight 30 metre track1. If the track needs to be adapted or shortened due to lack of space, ensure that the patient walks the same course on each re-test. Suggested Equipment: • 6MWT recording form • Rate of perceived exertion - Borg scale

  5. You are doing well. You have 5 minutes to go. Page 1 of 1 6 Minute Walk Test Number of laps Distance of incomplete lap (m) Visit #: Date: (mm-dd-yyyy) After 5 minutes With 15 seconds to go Timepoint Keep up the good work. You have 4 minutes to go. You are doing well. You are halfway done. After 1 minute After 2 minutes When timer rings After 3 ...

  6. The object of this test is to walk as quickly as you can for six minutes up and down this hallway. You may slow down if necessary. If you stop, I want you to continue to walk again as soon as possible. Your goal is to walk as far as you can in six minutes.

  7. “The aim of this test is to walk as far as possible for 6 minutes. You will walk along this hallway between the pylons as many times as you can in 6 minutes. I will let you know as each minute goes past, and then at 6 minutes I will ask you to stop where you are. 6 minutes is a long time to walk, so you will be exerting yourself.

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