Vous êtes sur la page 1sur 10

Name DoB Telephone Note Age Sex Height

MALE = 17 This Database is Password Protected

FEMALE = 0

Predicted Value

Pre Rehab Performance Value

Post Rehab Performance Value

Pre & Post Rehab Performance Diffrence / Improvement


Weight 75% of Max 6MWD Pre Rehab ICD Pre Rehab 6MWD Pre Speed Km/H Pre 6MWD %

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

393 0.0 -100

Database Prepared by: Pradeep Chockalingam

Date Created: 05/03/2006 Senior Physiotherapist

Reference: Paul LE et al (2003); The 6-min Walk Test: A Quick Measure of Fun

Reference: Regensteiner JG et al 1990; Evaluation of Walking Impairme

www.scribd.com/cpradheep
Rest Post Rehab ICD Post Rehab 6MWD Post Speed KM/H Post 6MWD % Rest

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

0.0 -100

st: A Quick Measure of Functional Status in Elderly Adults. Chest; Vol 123; Page 387-398.

uation of Walking Impairment by Questionnaire in Patients with Peripheral Arterial Disease; Journal of Vascular Med
Pre & Post ICD Diff Pre & Post 6MWD Diff ICD Pre & Post % 6MWD Pre & Post %

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

0 0 #DIV/0! #DIV/0!

Page 387-398.

Arterial Disease; Journal of Vascular Medicine and Biology. Vol- 2, No-3, Page 142-152.
Pre W.I.Q Dis W.I.Q Dis% Pre W.I.Q Speed W.I.Q Speed % No of Symptoms Factor

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
Post W.I.Q Distance W.I.Q Distance% Post W.I.Q Speed W.I.Q Speed % No of Symptoms Factor

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0
WIQ Distance WIQ Speed

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

0 0

Vous aimerez peut-être aussi