Evaluation of three measures of cardiorespiratory fitness in independently ambulant stroke survivors.

Measuring cardiorespiratory fitness (CRF) in the stroke population is challenging. Currently, the recommended method is a graded exercise test (GXT) on an ergometer such as a treadmill or cycle, which may not always be possible. We investigated whether walking tests such as the six-minute walk test...

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Publicado en:Physiotherapy Theory & Practice Vol. 35; no. 7; pp. 622 - 633
Autores principales: Dunn, Ashlee, Marsden, Dianne L., Barker, Daniel, van Vliet, Paulette, Spratt, Neil J., Callister, Robin
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2019
      vid: 35
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        136607934
        10.1080/09593985.2018.1457746
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        atl: Evaluation of three measures of cardiorespiratory fitness in independently ambulant stroke survivors.
      aug:
        au:
          Dunn, Ashlee
          Marsden, Dianne L.
          Barker, Daniel
          van Vliet, Paulette
          Spratt, Neil J.
          Callister, Robin
        affil: School of Biomedical Sciences and Pharmacy, University of Newcastle, NSW, Australia
      sug:
        subj:
          Cardiorespiratory Fitness Evaluation
          Stroke Patients Psychosocial Factors
          Exercise Test, Cardiopulmonary Methods
          Walking Physiology
          Human
          Female
          Male
          Adult
          Middle Age
          Aged
          Nonexperimental Studies
          Oxygen Consumption
          Heart Rate
          Electrocardiography
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Clinical Assessment Tools
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Measuring cardiorespiratory fitness (CRF) in the stroke population is challenging. Currently, the recommended method is a graded exercise test (GXT) on an ergometer such as a treadmill or cycle, which may not always be possible. We investigated whether walking tests such as the six-minute walk test (6MWT) and the shuttle walk test (SWT) may be appropriate indicators of CRF in the stroke population. Twenty-three independently ambulant stroke survivors (11 men, age 61.5 ± 18.4 years) within one-year post stroke performed the 6MWT, SWT, and cycle GXT, during which peak oxygen consumption (VO2peak) and heart rate (HRpeak) were recorded. There were no differences (p > 0.05) in mean VO2peak among the three tests (min-max: 17.08–18.09 mL kg−1 min−1). For individuals, small discrepancies in VO2peak between the 6MWT and other tests were greater with higher fitness levels. HRpeak was significantly (p = 0.005) lower during the 6MWT. Correlations between VO2peak and performance measures within each test were high (6MWT VO2peak and distance: r = 0.78, SWT VO2peak and shuttles: r = 0.73, cycle GXT VO2peak and workload: r = 0.77) suggesting the performance measures may be clinically useful as proxy measures of CRF. Common comorbidities, such as lower-limb joint pain and poor balance, and participant's fastest walking speed, should inform the choice of CRF test.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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