Analysis of exercise tolerance on the basis of six-minute walk test – 6MWT and Borg RPE scale in men with inguinal hernia before and after Lichtenstein repair

Abstract

Assessment of exercise tolerance (ET) plays an important role in qualifications for treatment and rehabilitation. The aim of the study was to assess ET in patients before and after inguinal hernia operations with Lichtenstein method. The cohort study included men with inguinal hernia divided into the study group (SG) (n=50) and control (CG) (n=50) undergone the Lichtenstein surgery. Patients from the SG met the criterion of coexistence of cardiovascular and respiratory diseases. Day before and on the second day after surgery, patients performed 6MWT and subjectively rate the exertion according to Borg- RPE- Scale (before, immediately after and 10 minutes after the test). 6MWT distance, Borg scale ratings were analysed. On the second day after surgery 66% of patients from the SG and 58% from the CG did not complete the test. Patients from the SG before (500,07±40,38 m) and on the second day after surgery (243,46±18,18 m) achieved shorter distances compared to the CG (565,93±20,41 m; 249,47±26,66 m), p<0,001 i p= 0,481. A statistically significant negative correlation between 6MWT distance before surgery and age of the patients was confirmed. Patients who did not develop complications achieved significantly longer distances on admission (p= 0,003 for SG, p=0,004 for CG). For 6MWT before surgery and 2 days after surgery, patients from the SG showed a significantly higher level of fatigue compared to the CG after the test (before: p = 0,001, after: p = 0,001). Patients form the SG often discontinued 6MWT and less tolerated effort compared to the CG. Hence, 6MWT is useful tool for ascertaining physical capacity and ET.

Immersive Experience and Climate Change Monitoring in Digital Landscapes: Evidence from Somatosensory Sense and Comfort

“…Finding 4.1 confirms that a higher gaze frequency and a longer gaze duration indicate that subjects are more interested in digital landscape roaming scenes, which is consistent with the findings of Chuang et al (2015) and Machała (2020) [ 59 , 60 ]. Chuang and Machała propose an interactive information retrieval model for eye-tracking technology to analyze cognitive load.…”

The effect of an abdominal binder on postoperative outcome after open incisional hernia repair in sublay technique: a multicenter, randomized pilot trial (ABIHR-II)

“…The study relied on subjective measures, such as the VAS for pain at rest and mobility. Objective measures, such as pain medication intake and the six-minute walk test, could improve the study's reliability and generalizability [ 21 ]. Future studies with power-calculated sample size, stratified randomization (hernia size) using the same mesh should consider these limitations to achieve more robust and reliable results.…”

Efektifitas dari 6MWT untuk Meningkatkan Kapasitas Berjalan pada Pasien Gagal Jantung: Studi Kasus

“…Pada grafik 1 didapati hasil, penurunan sesak nafas yang signifikan dari skala 12 hingga skala 8 yang di ukur dengan borgscale. Saat melakukan 6MWT seluruh system tubuh terintegrasi termasuk system peredaran darah, pernafasan, dan Gerakan (Machała et al, 2020). Mekanisme berjalan melibatkan otot rangka, lalu peningkatan kekuatan otot pernafasan yang diikuti dengan peningkatan ventilasi semenit , peningkatan volume sekuncup, tidak terjadi akumulasi cairan di atrium sehingga terjadi penurunan dypsnea (Long et al, 2019).…”

“…Pada akhirnya pasokan oksigen dalam tubuh tercukupi. Hal ini akan berdampak pada penurunan dispnea (Machała et al, 2020).…”