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Exercise Testing

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Pulmonary Function Tests in Clinical Practice

Part of the book series: In Clinical Practice ((ICP))

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Abstract

Exercise tests are often used to develop an accurate profile of an individual’s functional exercise capacity. The results of exercise tests form the basis of exercise prescription and assist in identifying underlying physiological factors limiting exercise tolerance. Certain measures taken during exercise tests may be used to indicate disease severity and prognosis as well as to evaluate treatment responses in disease populations. Exercise tests are subdivided into laboratory and field tests as well as submaximal and maximal tests. This chapter will discuss the technical features and interpretation of the six minute walk test and cardiopulmonary exercise test.

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Notes

  1. 1.

    Although this is the conventional formula typically used to express “breathing reserve”, the actual reserve is calculated as \( 100-\left({\dot{\mathrm{V}}}_{\mathrm{E}}\max /\mathrm{MVV}\times 100\right) \).

  2. 2.

    In reality VD doesn’t remain constant with exercise; it increases slightly and may reach 200 mL. This is due to a number of factors including, exercise-induced bronchodilatation and distention of airways related to the increased lung volumes [75].

  3. 3.

    This equation is derived from Bohr’s Law which states that the product of volume and concentration is the same under constant temperature.

  4. 4.

    Graphically, looking at \( \dot{\mathrm{V}}{\mathrm{O}}_2 \) vs. WR curve serves the same target. If the curve reaches the predicted peak \( \dot{\mathrm{V}}{\mathrm{O}}_2 \), then the exercise capacity is normal; Figure 9.11a. A subnormal exercise capacity is indicated when the curve doesn’t reach the predicted peak \( \dot{\mathrm{V}}{\mathrm{O}}_2 \), with or without an early plateau; Figure 9.11b,c.

  5. 5.

    Comment on the ABG result before and after exercise especially PaO2, PaCO2 & P(A-a)O2if ABG is available.

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Author information

Authors and Affiliations

  1. Prince Sultan Military Medical City, Riyadh, Saudi Arabia

    Ali Altalag

  2. University of British Columbia, Vancouver, BC, Canada

    Jeremy Road & Pearce Wilcox

  3. Cardiopulmonary Exercise Physiology Laboratory, St. Paul’s Hospital, Vancouver, BC, Canada

    Satvir S. Dhillon & Jordan A. Guenette

  4. Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada

    Jordan A. Guenette

  5. Centre for Heart Lung Innovation, St. Paul’s Hospital, Vancouver, BC, Canada

    Jordan A. Guenette

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  1. Ali Altalag
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  2. Jeremy Road
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  3. Pearce Wilcox
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  4. Satvir S. Dhillon
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  5. Jordan A. Guenette
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Corresponding author

Correspondence to Jordan A. Guenette .

Editor information

Editors and Affiliations

  1. Prince Sultan Military Medical City, Riyadh, Saudi Arabia

    Ali Altalag

  2. University of British Columbia, Vancouver, BC, Canada

    Jeremy Road

  3. University of British Columbia, Vancouver, BC, Canada

    Pearce Wilcox

  4. University of British Columbia, Victoria, BC, Canada

    Kewan Aboulhosn

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Altalag, A., Road, J., Wilcox, P., Dhillon, S.S., Guenette, J.A. (2019). Exercise Testing. In: Altalag, A., Road, J., Wilcox, P., Aboulhosn, K. (eds) Pulmonary Function Tests in Clinical Practice. In Clinical Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-93650-5_9

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