Tesis

Kesesuaian Six Minute Walk Test Dengan Incremental Shuttle Walk Test Pada Orang Dewasa Sehat Sedenter = Agreement Between Six Minute Walk Test and Incremental Shuttle Walk Test In Healthy Sedentary Adult.

Objektif: Penelitian ini bertujuan untuk mengetahui kesesuaian antara jarak tempuh, skala Borg usaha, skala Borg sesak, skala Borg kaki lelah dan denyut jantung antara uji 6MWT dan ISWT. Metode: Penelitian ini adalah penelitian kuantitatif dengan analitik pada dewasa sehat sedenter. Subjek penelitian melakukan uji jalan enam menit sebanyak dua kali dengan istirahat 30 menit di antaranya kemudian dilanjutkan pada hari berikutnya dengan uji jalan ISWT sebanyak 2 kali dengan istirahat 30 menit diantaranya. Pemeriksaan tanda vital termasuk denyut jantung, skala Borg usaha, sesak dan kaki lelah sebelum dan sesudah uji jalan. Hasil: Jumlah subjek penelitian sebesar 100 subjek (25 laki-laki dan 75 perempuan. Rerata jarak tempuh 6MWT dan ISWT berbeda secara signifikan (nilai p < 0.001). Skala Borg usaha antara 6MWT dan ISWT tidak berbeda pada pre (nilai p 0,214) dan post uji jalan (nilai p 0,241), terdapat bias proporsional signifikan (nilai p < 0,05). Skala Borg sesak post uji jalan pada 6MWT dan ISWT berbeda bermakna (nilai p 0,024). Skala Borg kaki lelah antara 6MWT dan ISWT tidak berbeda bermakna baik pada pre (nilai p 0,871) maupun post uji jalan (nilai p 0,828) dan tidak terdapat bias proporsional (p > 0,05). Denyut jantung post uji jalan ISWT denyut jantung lebih tinggi dari 6MWT (nilai p 0,004). Rerata persentase denyut jantung maksimal uji 6MWT adalah sebesar 67.876±10.897 % HR maksimal, sedangkan ISWT sebesar 70.863±9.231 % DJJ maksimal (nilai p < 0,05) Kesimpulan: Terdapat perbedaan rerata jarak tempuh, skala Borg sesak dan denyut jantung, namun tidak terdapat perbedaan rerata skala Borg usaha dan kaki lelah antara uji 6MWT dengan ISWT pada dewasa sehat sedenter. Terdapat kesesuaian pada Borg kaki lelah sedangkan tidak terdapat kesesuaian pada skala Borg usaha, antara uji 6MWT dengan ISWT pada dewasa sehat sedenter
Kata kunci: Uji Jalan 6 Menit, 6MWT, Incremental Shuttle Walk Test, ISWT


Objective: This study aims to determine the agreement between walking distance, Borg RPE scale, Borg dyspnea scale, Borg leg fatigue scale and heart rate between the 6MWT and ISWT tests. Method: This research is quantitative research on healthy sedentary adults. Research subjects performed the six-minute walking test twice with a 30-minute rest in between, then continued the next day with the ISWT walking test twice with a 30-minute rest in between. Vital signs including heart rate, Borg effort scale, shortness of breath and leg fatigue were examined before and after the walking test. Result: Total subjects were 100 subjects (25 men and 75 women). The average distance traveled for 6MWT and ISWT is significantly different (p value < 0.001). The Borg effort scale between 6MWT and ISWT did not differ at pre (p value 0.214) and post walking test (p value 0.241), and there was a significant proportional bias (p value < 0.05). The Borg dyspnea scale after the walking test on the 6MWT and ISWT was significantly different (p value 0.024). The Borg fatigue scale between 6MWT and ISWT were not significantly different both pre (p value 0.871) and post walking test (p value 0.828) and there was no proportional bias (p > 0.05). Post ISWT walking test heart rate was higher than 6MWT (p value 0.004). The mean percentage of maximum heart rate for the 6MWT test was 67.876 ± 10.897% of maximum HR, while ISWT was 70.863 ± 9.231% of HRmax(p value < 0.05). Conclusion: There were significant differences in walking distance, Borg dyspnea scale and heart rate, but there were no significant differences in the average Borg dyspnea scale and Borg leg fatigue scale between the 6MWT and ISWT tests in healthy sedentary adults. There is an agreement on the Borg leg fatigue scale while there is no agreement on the Borg RPE scale between the 6MWT and ISWT tests in healthy sedentary adults
Key words: Six Minute Walking Test, 6MWT, Incremental Shuttle Walk Test, ISWT