6 minute walk test 2026

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166 votes

The document provides detailed instructions for conducting the Six Minute Walk Test, a lung function assessment primarily for participants with COPD and/or asthma. It outlines preparation requirements, safety protocols, participant eligibility criteria, and data recording procedures. Key elements include setting up a 30m walking course, monitoring vital signs, using specific scales for breathlessness and exertion, and documenting medications and oxygen use. The test aims to measure the distance walked in six minutes while ensuring participant safety throughout the process.

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Click ‘Get Form’ to open the Six Minute Walk Test Form in the editor.
Begin by filling out the header information. Record the FORM DATE using the pop-up calendar or type it in mm/dd/yyyy format. Enter your INITIALS, which is your assigned staff code.
Proceed to Item 1 regarding medications taken since post-bronchodilator spirometry. Mark ‘Y’ for Yes or ‘N’ for No. If Yes, complete Items 1a-c with medication details.
For Item 2, indicate if blood pressure was recorded more than 4 hours prior to the test. If Yes, fill in systolic and diastolic pressures in Items 2a and 2b.
In Item 3, specify if supplemental oxygen was used during the test. If Yes, record flow rate and type in Items 3a and 3b.
Complete Items 4 through 10 as instructed, ensuring all relevant data such as SpO2 levels, pulse rates, and reasons for stopping are accurately recorded.

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Versions	Form popularity	Fillable & printable
2011	4.8 Satisfied (166 Votes)

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