A model for incorporating a clinically-feasible exercise test in paraplegic annual reviews : a tool for stratified cardiopulmonary stress performance classification and monitoring

Coupaud, Sylvie and McLean, Alan N. and Grant, Stanley and Berry, Helen and Allan, David B. (2013) A model for incorporating a clinically-feasible exercise test in paraplegic annual reviews : a tool for stratified cardiopulmonary stress performance classification and monitoring. International Journal of Physical Medicine and Rehabilitation, 1 (9). pp. 1-9. 175. ISSN 2329-9096 (https://doi.org/10.4172/2329-9096.1000175)

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Abstract

To identify and characterize an exercise test for use in routine spinal cord injury clinical review, and (ii) to describe levels of, and factors affecting, cardiopulmonary stress performance during exercise in the chronic paraplegic population in Scotland, UK. Cross-sectional study Queen Elizabeth National Spinal Injuries Unit (Glasgow, Scotland) 48 subjects with chronic paraplegia resulting from spinal cord injury at neurological levels T2-L2 Peak oxygen uptake, peak power output, gas exchange threshold and peak heart rate were determined from an incremental arm-cranking exercise test. Using a general linear model, the effects of gender, high (injury level above T6) versus low paraplegia, time since injury, body mass and age on peak oxygen uptake and peak power output were investigated. All 48 subjects completed the arm-cranking exercise test, which was shown to be practical for fitness screening in paraplegia. Men (n=38) had a peak oxygen uptake of 1.302 +/- 0.326 l.min-1 (mean +/- s.d.) and peak power output of 81.6 +/- 23.2W, which was significantly higher than for women (n=10), at 0.832 +/- 0.277 l.min-1 and 50.1 +/- 27.8 W, respectively. There was large intersubject variability in cardiopulmonary performance during arm-cranking exercise testing, but the overall mean for the Scottish population was lower than reference values from other countries. Arm-cranking exercise tests are feasible in the clinical environment. The motivation for their implementation is threefold: (i) to determine cardiopulmonary stress performance of individual paraplegic patients, (ii) to stratify patients into cardiovascular risk categories, and (iii) to monitor the effects of targeted exercise prescription.

ORCID iDs

Coupaud, Sylvie ORCID logoORCID: https://orcid.org/0000-0003-3595-3402, McLean, Alan N., Grant, Stanley, Berry, Helen ORCID logoORCID: https://orcid.org/0000-0001-9008-9253 and Allan, David B.;
  • Item type:Article
    ID code:47018
    Dates:
    Date
    Event
    31 December 2013
    Published
    Subjects:Medicine
    Department:Faculty of Engineering > Biomedical Engineering
    Depositing user: Pure Administrator
    Date deposited:28 Feb 2014 12:37
    Last modified:11 Nov 2024 10:35
    URI:https://strathprints.strath.ac.uk/id/eprint/47018
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