Zuha farooq roll no.37

1. Page No.Topic..
*****seeses***esseeensssnsss. Date....
Physiotheuaby in Laudioulmonay LonditiensBPT Y03
Hssignment Ttle (alculating ereucioeidensity baled on eyeucetest Uesul& ana
Oyspnaeq akement
lopic lssignment an Pulmon.aiy Kehabiltauon
Name Zuha fa9uong9
Roll No-
enozollment No
3
1-1424
aSubmiHed To Do 1amal AL Maix
Datee alubmfcsian 15 O1 202 Eiday
NDCeNTRE
RE HAB.2LLTAT1ON aCNENCES
fOR PHYSTOTHERAPY
JAMTA MLLLCA
NCN DELHT O025
NSLAMCA

2. Page No.
Topic... ... Date....****RerE5ere**epe#ee*ar ****
Ques1-HoLO to CalculatExoucise intenutiy ps alkinglab
*****kNAAHauexnsexsvsbseeuxe4ee*exunau*oaikp
based n 6MaT Gtesultok
he GMAT is eten used to meaAuse_dundiona
exeu.ciose caba.city akess bstog.oosfs and evaluat
9Aesonse to aentment
chounnic iesbisuatosuyoliaeases.
The
OcMDSSaLuldeange
the indiiclual
olaily living
t Heleet thecobacity
to beusoOumn ochiitiec
Poueolicted Noamal Vaueso the6MNT
Malus: 561-022-(2-507xagelyea 1)+_505xweight[kl
0-055 x height Com])_
femalus 30325-0-809x age (yeasus] 2-074xoeight
lkg3t4:235 x height om)
To Coleula the Ereuek intensit o
LOalkin9 laps based pn6Mw
&o x (6MWD*6]x_�oescoibed dlunatien)
ukalt
distance �n 1 minute6MWD 6
fost dfstance in 20 minuts= One minutti distanc1 x 20
fo9t
fo dfstance in 30 minuztea= one minute distance x 30
fost cdistance in 10 minutes= one minute distanea x 10
Teacher's Sign.... *�******

3. Topic..
Page No.
2
.. Date.
Eamble'
1 he botient_walked 220min six minute
One minutn latance=220 6 =36:Tm
30 minute ktance 36.1x30 = |lDOm
8o e 1100= 280 m in 0minnles
an eLamble fo walking toaining
intensty
Hhe
e &8 O m_in 30 dlnutes
Lwlking Laack_fs 32m hen he
battent
30 minuitis
walk_27.5 dab
275 laps
nebds
ie 8A0 32
27 D.L 28lapospluAcLbe

4. Page No.
Topic... .... Date........oos
Ques2 Hou nCalulate Exeucihe jntenkin sose Lwalkingon 2aclmillbased en 6MAT Heokuubts
To Calculatt an abbunbinte intenaityosu
aeadmillLoalkinng on
Toveacdmil sheed= 80 x 6MWT avecuage Specol
6 MWT avesage sbeed= 6MWT distance x lo)J000kmht
Dn a xeadallhe batfent oshould be Subevised
and he s�eeol adiuated bygetting
initiallyunt
aeLaalking
he batientSloLae beed
techniquemagteed_
and scee
he
Oncethe batienti Conident
he eodmill,increaie he
he
LOkin4 on
sheed DccosLdingly t calculatid walking
odpeed.
Example
9 he batient Lalkeol300m in he
hen
6MWT
(300 x lo)
80 e 3.0 kmhs 2.4 km|h9t
ooo =3.0kmhn9t.
Thecose,heinirtial taeodmill ospeed toould besdt
at 2.4kmhat he txendmi may be siagted ot
abbtnximatel 15-2.0kmh t accourt oae batient
heingbeingunsamilias th tseadmal walking.
Teacher's Sign... **** **

5. Topic..
Page No.
ues s HoLD to Caleulate exeucige intensty o Locking-Labs based o ISWT
he ISW JA an extenally bacLal maximalexeoucse test Loheue the heed
Loalkin9 incQLLaRe& uoell Lrch level,Contaclecl
odignals.
pLe- Hecnadeo
lhe test_continues until he pauicipant
LAnnot keeb ub
LOn
Longeu Conl�nue
Lequired 9ne
lhe SLT io yalud mensuTE_
euefseCabaid LoPD And
bhlsiolngical shonse
test
aCanoiopulmonauy
boLDvok es
ogimilat
exenecseCandiobulmonau
Kele uence Values and buealictiive equalten
eblaineahe sollouefng_eexeDce equation u2as
h gencle Value. emalu ii 0Lasheoue
molhs_
n d
Tuo.351-(5-616 xaget (99-00xgendeSLLD meteus
Teacher's Sign...

6. Topic. Page No.
en.Date....
5
reucice�ntens?ty sos olking Jlabd- bauedISWT On
The olitance that_the batient wclked duwingbe uwed to odetemine
he SI_Coh
the Lwalking 8beed sa he balient's
unalkinq brognom.
Coe -the table helow lo ind Hhe distance m)lhathe batient_Lclked anlineheLorespondlingwalkingQsbeedkmh).
Poedfcted
VO2peatt
No 0
Shutle8
medlevel Sbeed
ls kmh) (m) mlka|mia)G) level) lelal)
Distance
1 O50 -80 O-30
4.4-4-9 20 00 3
32 O 67 2-41 Ho-70 5-2-5.9 15 0o4
80-120 62-1.2 12 0o5
130-180 7.4-8.7 lo.0o
3 O84 3 63
12
|1.o1 3 63
18
190-250 89-lo.48-57 7
260- 330 o7-12.4 7-50 | 8
4-255 |1.18
1-35 256 -86
33
340 20 12.7-1-7 6-67 9
14-17.2 600 lo
6-69 530-630 --19.9546
1-52 5.47 92
6.08 y30-520
52
1.69
9 1.86
63
2 03
7.31 640-15o 20-22-22.9 5-bo 12 15
|2-20 .92 16o-88023-2 26.2 4-62 13
8812 2-37 8.53 890-lo20 26 302 4.29 14 lo2
Teacher's Sig..

7. Topic.. Page No.
Date.....
NO2 pecukmk mun= 4-j9 +
(o-025x distance m))
beexbeceted to wclk od-he
Paties Loould nat
beed hoon on the table olusing-Baei
nduKLnce eyeocis e aaining Sssion.
lhexesoe 15 hehe beak Speeo
Only
shoulal be paescabeo Q& he Looulking
speed
exeucaeEadenit o troinin9
A 15 peak sheed he boutient Lull
be Oalking at
abbximately 60 e
breolicted beak VO2
At thebeginning a pangam atients.
nosebastirulady
sedenta
uoho nave been
be able to Loalk
minutes hese patients
Loith o minul
uoalking and build ub
may nat
Continuously
to StasdaslhouulLa
Continuous
30 minutes
he OyL-97aune
J
he dfstance
knoLon- dktanceLoclkinn9 tack_io8
lab taack
md t ecsieo to
be taanslated intoCAn
tOLunt Patients m
labd hey need(
the nuumbe
CAunt _ he numbex_
D Loalk, 9Hcuthe han
metae

8. Page No.
Topic.
sosreese...seeesnos DdtE.......one
yamble
he patiend Loalked 190 to 250m duing e
ISWL hen -
he eak uclking sbeeo(as shoLOD Onhe tolbleLonuld_be 25 kmhs Level 5)he aining akin Sbeed LOould be 15
beck abeed 5 25 kmh2e
3-2 km b
heneoxe lA onehout he batient uoLule
�xbected toLalk 3.2 km
fo9
be
a 30 minude training Loclk, he
LOOulel LOclk 6 Wo
20 minute taaininq Lalk he
patfert
uouldLoalk abboximately 1 km
tooininq
attent
fo l6 minuute LOck he
patf ent LOOud10lk 0.5 km
he distane_ Can be (onventeo To_a numbe
boitient'3Loalking track
hen he batient woulo need
20-minute
heLab
32 m
t comblete 31 labA hn o
ouug Oclk Session
3LabsO00 m 2

9. Page No.
Topic.......****s******************* Page No.
8
*********** * **
. Date....
**oo*********** *********
uLs4- Ho fb Colculolr Exeueiseintensity based ondyhnoeo a3ekment Hesulta
esenuch Haat Jeuels olabnoea n
showai
batient Lwtl COPD can equuatt _lvelOxyoen2
Con&umptian lheueoue, theotie lexel olusbnoea bebe u&edmonitD QL Leuckke intenstty
he doo19 alcale
Nothing at all
0.5
1
2
3
Slust h t _ / t s
seGht
Vegu Vesuy olght ust noticeable)
Neo
Let)
Moderate
oSomeLahat Seve uLe
5
6
aSeueue heavy
Ves evegue
8
9
Ye NeLy evexe maimal
Mast clinicuani encauQLAge het patients tn
about3-4 anduuat oSomedhat oaeveun on
0-10 dcal as hk
Bco9ue2exeucise at a-dlyspnnea
on
ae an.dlidiited Baag
exeoucisding a
Cle txoining
equas t

10. Page No.
Topic. ** ******************** ** ******e***** *aa**** Date...........***** ***
botfent
ot thi
abbsuDximately15) NO2 beak 1huafose
Lould be
Jevel alybncca
OncoLsIageol tb exeu.cioM�
he e The sbno.eadcou Lan helb
the level e exeuciate hat
beuviceol ereuc~e
eXeueialehat
peosum oluuing
Tthe
1,
batient
they
egiiotz
beuyoum oeing-the
Hhe leuelbaogaam
Hhey
the
laaue been askeod t
bome exeucike bLOgnam
moirtain o aimula lvel _e_olysphoea, hey
eyesueisiiz9 0t a imila idenily8hauulol he

11. Page No.Topic... e****************** **see******to Date.........
* * * * a * * * * * e *
Quus 5- HoL to Calculalt eXeucse intensiho lationauyCycing hased on 6MWT_u�sultok.
he uecommencded intenauly Lwhen bKeoicibin9 Cycle
eugometuy touaining ai haat 6o/ e
b�ak wouk_Hate achievea on ar
incoLemental gmbtamlimitedCye
teat
an
eugometLLY
hatienta
eugomety tut
Hoeve9 elinically many
do not undleugo Cycle
dnAn etamble bLDvialed belou t calculati
intensitCuyclu uaining DLom the 6 MNT.
Based on the 6MT he ollousing equatioDr
i l l give an ectimate he batient'
heak w0uk uate
Peak wosuk uah latt) =0:122 x6MWD)+12.683 x
Ht[m -1111oq
Caleulateho thi salue as a inauting intengit
o ccl txauning Plobthis is Onlu anestinmatel
Hheintensity titante LwOSuk 91t hat
Hhe paliend'a dyshnaea O9L Quatu euceiueal
3- on he Bosug O-l0scale
atabout
exesctionocnouei
Ths oshould equntet
VD2
exeucising
18 beak