Clinical trial NCT04898296: Exploration of Possible Reasons for the Discrepancy Between Expectation and Indication of Subjective Perceived Exertions
Official title: Exploration of Possible Reasons for the Discrepancy Between Expectation and Indication of Subjective Perceived Exertions of Patients Over 55 Years of Age With Coronary Heart Disease in 6-min Walking Test in Cardiorespiratory Physiotherapy
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Coronary Disease
Exercise Test
Physical Exertion
Cardiac Rehabilitation
Physical Therapy
Lead sponsor: Klinik Barmelweid
Sponsor class: OTHER
First posted: 2021-05-24
Enrollment: 16
Sex: ALL
Minimum age (years): 55
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: patients from the department of cardiology in the rehabilitation centre of Klinik Barmelweid AG,

Brief summary: The 6-minute walk test is a test of physical performance in physiotherapy with lungs and heart patients (Pollentier 2010). However, only 8 and 11% of patients in everyday test situations report a score of 7 or higher on a scale of 0-10 for effort (Jehn 2009). This study is intended to explore, based on grounded theory, why the majority of patients do not assess themselves according to the almost maximum performance.


Eligibility criteria: Inclusion Criteria:

* Patients with coronary artery disease undergoing in-patient cardiovascular rehabilitation; over 55 years of age. Patients underwent a 6-minute walk test with assessment of the intensity of the exercise

Exclusion Criteria:

* no understanding of the German language
* Patients would not be able to perform a 6-minute walk test, e. g. surgery on the large joints of the lower extremities, unstable heart disease or predominant neurological symptoms.

Primary outcomes:
measure: semi-structured interview about reasons, that could influence the rating of patients
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: reasons, what might patients influence for ratings of patients given from physical therapist
timeFrame: with the beginning of the study within 4 weeks, before the patients' questionnaire and interview
Secondary outcomes:
Other outcomes:
measure: Patients' experience with the conduction of the six-minute-walking test
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Patients' honesty of the statement of effort
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Patients' exertion and performance limit
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Patients' safety during the six-minute-walking test
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Patients' performance limit before and after the heart disease
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Patients' sportiness
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
measure: Experience of maximal exertion of activity in the past
timeFrame: during inpatient rehabilitation after the 1st six-minute-walking test within 3 weeks
Locations:
city: Barmelweid
country: Switzerland
facility: Klinik Barmelweid AG
state: Aargau
Study officials:
affiliation: Klinik Barmelweid AG
name: Gilbert Büsching
role: PRINCIPAL_INVESTIGATOR
References:
citation: Jehn M, Halle M, Schuster T, Hanssen H, Weis M, Koehler F, Schmidt-Trucksass A. The 6-min walk test in heart failure: is it a max or sub-maximum exercise test? Eur J Appl Physiol. 2009 Oct;107(3):317-23. doi: 10.1007/s00421-009-1128-0. Epub 2009 Jul 18.
citation: Pollentier B, Irons SL, Benedetto CM, Dibenedetto AM, Loton D, Seyler RD, Tych M, Newton RA. Examination of the six minute walk test to determine functional capacity in people with chronic heart failure: a systematic review. Cardiopulm Phys Ther J. 2010 Mar;21(1):13-21.