scholarly journals 6-Minute Push Test in Youth Who Have Spina Bifida and Who Self-Propel a Wheelchair: Reliability and Physiologic Response

2020 ◽  
Vol 100 (10) ◽  
pp. 1852-1861
Author(s):  
Karlijn M S Damen ◽  
Tim Takken ◽  
Janke F de Groot ◽  
Frank J G Backx ◽  
Bob Radder ◽  
...  
Keyword(s):  
Heart Rate ◽  
Spina Bifida ◽  
Performance Test ◽  
Functional Performance ◽  
Minute Ventilation ◽  
Intraclass Correlation ◽  
Sports Participation ◽  
Exercise Tests ◽  
Physiologic Response ◽  
Smallest Detectable Change

Abstract Objective Despite the common occurrence of lower levels of physical activity and physical fitness in youth with spina bifida (SB) who use a wheelchair, there are very few tests available to measure and assess these levels. The purpose of this study was to determine reliability and the physiologic response of the 6-minute push test (6MPT) in youth with SB who self-propel a wheelchair. Methods In this reliability and observational study, a sample of 53 youth with SB (5–19 years old; mean age = 13 years 7 months; 32 boys and 21 girls) who used a wheelchair performed 2 exercise tests: the 6MPT and shuttle ride test. Heart rate, minute ventilation, respiratory exchange ratio, and oxygen consumption were measured using a calibrated mobile gas analysis system and a heart rate monitor. For reliability, intraclass correlation coefficients (ICCs), SE of measurement, smallest detectable change for total covered distance, minute work, and heart rate were calculated. Physiologic response during the 6MPT was expressed as percentage of maximal values achieved during the shuttle ride test. Results The ICCs for total distance and minute work were excellent (0.95 and 0.97, respectively), and the ICC for heart rate was good (0.81). The physiologic response during the 6MPT was 85% to 89% of maximal values, except for minute ventilation (70.6%). Conclusions For most youth with SB who use a wheelchair for mobility or sports participation, the 6MPT is a reliable, functional performance test on a vigorous level of exercise. Impact This is the first study to investigate physiologic response during the 6MPT in youth (with SB) who are wheelchair using. Clinicians can use the 6MPT to evaluate functional performance and help design effective exercise programs for youth with SB who are wheelchair using.

Validation of the Hexoskin wearable vest during lying, sitting, standing, and walking activities

2015 ◽  
Vol 40 (10) ◽  
pp. 1019-1024 ◽  
Author(s):  
Rodrigo Villar ◽  
Thomas Beltrame ◽  
Richard L. Hughson
Keyword(s):  
Heart Rate ◽  
Ventilatory Threshold ◽  
Minute Ventilation ◽  
Intraclass Correlation ◽  
Relative Magnitude ◽  
Mean Value ◽  
Maximal Heart Rate ◽  
Mean Values ◽  
Exercise Condition ◽  
The Mean

We tested the validity of the Hexoskin wearable vest to monitor heart rate (HR), breathing rate (BR), tidal volume (VT), minute ventilation, and hip motion intensity (HMI) in comparison with laboratory standard devices during lying, sitting, standing, and walking. Twenty healthy young volunteers participated in this study. First, participants walked 6 min on a treadmill at speeds of 1, 3, and 4.5 km/h followed by increasing treadmill grades until 80% of their predicted maximal heart rate. Second, lying, sitting, and standing tasks were performed (5 min each) followed by 6 min of treadmill walking at 80% of their ventilatory threshold. Analysis of each individual’s mean values under each resting or exercise condition by the 2 measurement systems revealed low coefficient of variation and high intraclass correlation values for HR, BR, and HMI. The Bland–Altman results from HR, BR, and HMI indicated no deviation of the mean value from zero and relatively small variability about the mean. VT and minute ventilation were provided in arbitrary units by the Hexoskin device; however, relative magnitude of change from Hexoskin closely tracked the laboratory standard method. Hexoskin presented low variability, good agreement, and consistency. The Hexoskin wearable vest was a valid and consistent tool to monitor activities typical of daily living such as different body positions (lying, sitting, and standing) and various walking speeds.

scholarly journals Continuous-Scale Physical Functional Performance Test: Validity, Reliability, and Sensitivity of Data for the Short Version

2005 ◽  
Vol 85 (4) ◽  
pp. 323-335 ◽  
Author(s):  
M Elaine Cress ◽  
John K Petrella ◽  
Trudy L Moore ◽  
Margaret L Schenkman
Keyword(s):  
Performance Test ◽  
Functional Performance ◽  
Pearson Correlation ◽  
Intraclass Correlation ◽  
Test Validity ◽  
Exercise Program ◽  
Upper Body ◽  
Short Version ◽  
Continuous Scale ◽  
Physical Functional Performance

Abstract Background and Purpose. The Continuous-Scale Physical Functional Performance Test (CS-PFP) can be used to obtain valid, reliable, and sensitive measurements of physical functional capacity. This test requires a fixed laboratory space and approximately 1 hour to administer. This study was carried out in 4 steps, or substudies, to develop and validate a short, community-based version (PFP-10) that requires less space and equipment than the CS-PFP. Subjects and Methods. Retrospective data (n=228) and prospective data (n=91) on men and women performing the CS-PFP or the PFP-10 are reported. A 12-week exercise program was used to examine sensitivity to change. Data analyses were done using paired t-test, Pearson correlation, intraclass correlation coefficient (ICC), and delta index (DI) procedures. Results. The PFP-10 total score and 4 of the 5 domain scores were statistically similar (within 3%) to those of the CS-PFP. The PFP-10 upper-body strength domain score was 17% lower, but was highly correlated (ICC=.97). Community and established laboratory PFP-10 scores were similar (ICC=.85–.97). The PFP-10 also is sensitive to change (DI=.21–.54). Discussion and Conclusion. The PFP-10 yields valid, reliable, and sensitive measurements and can be confidently substituted for the CS-PFP.

scholarly journals In vitro validation of Digital Image Analysis Sequence (DIAS) for the assessment of the marginal fit of cement-retained implant-supported experimental crowns

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Aristeidis A. Villias ◽  
Stefanos G. Kourtis ◽  
Hercules C. Karkazis ◽  
Gregory L. Polyzois
Keyword(s):  
Image Analysis ◽  
Digital Image ◽  
Confidence Level ◽  
Digital Image Analysis ◽  
Statistical Tests ◽  
Interobserver Reliability ◽  
Intraclass Correlation ◽  
Marginal Fit ◽  
Smallest Detectable Change ◽  
The Mean

Abstract Background The replica technique with its modifications (negative replica) has been used for the assessment of marginal fit (MF). However, identification of the boundaries between prosthesis, cement, and abutment is challenging. The recently developed Digital Image Analysis Sequence (DIAS) addresses this limitation. Although DIAS is applicable, its reliability has not yet been proven. The purpose of this study was to verify the DIAS as an acceptable method for the quantitative assessment of MF at cemented crowns, by conducting statistical tests of agreement between different examiners. Methods One hundred fifty-one implant-supported experimental crowns were cemented. Equal negative replicas were produced from the assemblies. Each replica was sectioned in six parts, which were photographed under an optical microscope. From the 906 standardized digital photomicrographs (0.65 μm/pixel), 130 were randomly selected for analysis. DIAS included tracing the profile of the crown and the abutment and marking the margin definition points before cementation. Next, the traced and marked outlines were superimposed on each digital image, highlighting the components’ boundaries and enabling MF measurements. One researcher ran the analysis twice and three others once, independently. Five groups of 130 measurements were formed. Intra- and interobserver reliability was evaluated with intraclass correlation coefficient (ICC). Agreement was estimated with the standard error of measurement (SEM), the smallest detectable change at the 95% confidence level (SDC95%), and the Bland and Altman method of limits of agreement (LoA). Results Measured MF ranged between 22.83 and 286.58 pixels. Both the intra- and interobserver reliability were excellent, ICC = 1 at 95% confidence level. The intra- and interobserver SEM and SDC95% were less than 1 and 3 pixels, respectively. The Bland–Altman analysis presented graphically high level of agreement between the mean measurement of the first observer and each of the three other observers’ measurements. Differences between observers were normally distributed. In all three cases, the mean difference was less than 1 pixel and within ± 3 pixels LoA laid at least 95% of differences. T tests of the differences did not reveal any fixed bias (P > .05, not significant). Conclusion The DIAS is an objective and reliable method able to detect and quantify MF at ranges observed in clinical practice.

scholarly journals Effects of face masks on performance and cardiorespiratory response in well-trained athletes

2021 ◽  
Author(s):  
Florian Egger ◽  
Dominic Blumenauer ◽  
Patrick Fischer ◽  
Andreas Venhorst ◽  
Saarraaken Kulenthiran ◽  
...  
Keyword(s):  
Oxygen Consumption ◽  
Minute Ventilation ◽  
Anaerobic Exercise ◽  
Peak Oxygen Consumption ◽  
Exercise Tests ◽  
Maximum Performance ◽  
Outdoor Sports ◽  
Cardiorespiratory Response ◽  
Individual Anaerobic Threshold ◽  
The Individual

Abstract Background During the COVID-19 pandemic, compulsory masks became an integral part of outdoor sports such as jogging in crowded areas (e.g. city parks) as well as indoor sports in gyms and sports centers. This study, therefore, aimed to investigate the effects of medical face masks on performance and cardiorespiratory parameters in athletes. Methods In a randomized, cross-over design, 16 well-trained athletes (age 27 ± 7 years, peak oxygen consumption 56.2 ± 5.6 ml kg−1 min−1, maximum performance 5.1 ± 0.5 Watt kg−1) underwent three stepwise incremental exercise tests to exhaustion without mask (NM), with surgical mask (SM) and FFP2 mask (FFP2). Cardiorespiratory and metabolic responses were monitored by spiroergometry and blood lactate (BLa) testing throughout the tests. Results There was a large effect of masks on performance with a significant reduction of maximum performance with SM (355 ± 41 Watt) and FFP2 (364 ± 43 Watt) compared to NM (377 ± 40 Watt), respectively (p < 0.001; ηp2 = 0.50). A large interaction effect with a reduction of both oxygen consumption (p < 0.001; ηp2 = 0.34) and minute ventilation (p < 0.001; ηp2 = 0.39) was observed. At the termination of the test with SM 11 of 16 subjects reported acute dyspnea from the suction of the wet and deformed mask. No difference in performance was observed at the individual anaerobic threshold (p = 0.90). Conclusion Both SM and to a lesser extent FFP2 were associated with reduced maximum performance, minute ventilation, and oxygen consumption. For strenuous anaerobic exercise, an FFP2 mask may be preferred over an SM.

scholarly journals Walking time measures for evaluating OA of the knee

2019 ◽  
Vol 50 (1) ◽  
pp. 5-8
Author(s):  
R. Marks
Keyword(s):  
Functional Performance ◽  
Intraclass Correlation ◽  
Knee Extensor ◽  
Quadriceps Strength ◽  
Knee Extensor Strength ◽  
Before And After ◽  
Walking Tests ◽  
Experimental Subjects ◽  
Test Retest Reliability ◽  
Walking Time

This study assessed the test-retest reliability and the sensitivity of self-paced walking time measurements for evaluating the functional performance of persons with knee osteoarthritis (OA). The 13 m timed walking tests were carried out on two separate occasions over a six-week period for 10 patients using a standardised protocol. The same measurements were recorded also for three additional patients before and after a six-week quadriceps strength training regimen. As indicated by an intraclass correlation coefficient of 0.83 with no significant intersession test differences for the group (P=0.98), the gait measurements were reliable. However, despite marked increase in knee extensor strength and significant subjective improvements in walking time for the three experimental subjects were smaller than the error of measurement. The findings suggest that regardless of reliability, measurements of self-paced level walking time might not be sufficiently sensitive for evaluating longitudinal changes in functional performance in this patient population.

Influence of prior ventilatory experience on the estimation of breathlessness during exercise

1990 ◽  
Vol 78 (2) ◽  
pp. 149-153 ◽  
Author(s):  
Rachel C. Wilson ◽  
P. W. Jones
Keyword(s):  
Exercise Test ◽  
Prior Experience ◽  
Minute Ventilation ◽  
Normal Subjects ◽  
Resistive Load ◽  
Inspiratory Time ◽  
Borg Scale ◽  
Exercise Tests ◽  
Loaded Breathing ◽  
Inspiratory Load

1. The intensity of breathlessness was measured during exercise in nine normal subjects using a modified Borg scale to examine the effect of prior experience of breathlessness on subsequent estimates of breathlessness. 2. Each subject performed four exercise tests, each of which consisted of two identical runs of workload incrementation (run 1 and run 2). An inspiratory resistive load of 3.8 cmH2O s−1 l−1 was applied during the appropriate run of the exercise test to examine the effect of (a) prior experience of ‘loaded’ breathing on breathlessness estimation during ‘unloaded’ breathing, and (b) prior experience of ‘unloaded’ breathing on breathlessness estimation during ‘loaded’ breathing. Run 1 was the conditioning run; run 2 was the run in which the effect of conditioning was measured. 3. There was a good correlation between breathlessness and minute ventilation during both unloaded’ breathing (median r = 0.93) and ‘loaded’ breathing (median r = 0.95). 4. The slope of the Borg score/minute ventilation relationship was greater during ‘loaded’ breathing than during ‘unloaded’ breathing (P < 0.01). There was no difference in mean Borg score between ‘unloaded’ and ‘loaded’ breathing. 5. After a period of ‘loaded’ breathing during run 1, estimated breathlessness was significantly reduced during ensuing ‘unloaded’ breathing in run 2 (P < 0.01) compared with the exercise test in which ‘unloaded’ breathing was experienced throughout both run 1 and run 2. 6. After a period of ‘unloaded’ breathing in run 1, estimated breathlessness was significantly increased during ensuing ‘loaded’ breathing in run 2 (P < 0.01) compared with the exercise test in which the inspiratory load had already been experienced in run 1. 7. Changes in the pattern of breathing (inspiratory time, expiratory time, total breath duration, inspiration time/total breath duration ratio and tidal volume) were not consistent with the changes in breathlessness. 8. We suggest that perception of breathlessness may be influenced by a subject's immediate prior experience of an altered relationship between breathlessness and ventilation.

Validation of a Knowledge Transfer Tool for the Knee Inflammation MRI Scoring System for Bone Marrow Lesions According to the OMERACT Filter: Data from the Osteoarthritis Initiative

2017 ◽  
Vol 44 (11) ◽  
pp. 1718-1722 ◽  
Author(s):  
Jacob L. Jaremko ◽  
Omar Azmat ◽  
Robert G. Lambert ◽  
Paul Bird ◽  
Ida K. Haugen ◽  
...  
Keyword(s):  
Bone Marrow ◽  
Scoring System ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Average Score ◽  
Therapeutic Trial ◽  
Web Based ◽  
Bone Marrow Lesions ◽  
Smallest Detectable Change ◽  
Osteoarthritis Initiative

Objective.To assess feasibility and reliability of scoring bone marrow lesions (BML) on knee magnetic resonance imaging (MRI) in osteoarthritis using the Outcome Measures in Rheumatology Knee Inflammation MRI Scoring System (KIMRISS), with a Web-based interface and online training with real-time iterative calibration.Methods.Six readers new to the KIMRISS (3 radiologists, 3 rheumatologists) scored sagittal T2-weighted fat-saturated MRI in 20 subjects randomly selected from the Osteoarthritis Initiative data, at baseline and 1-year followup. In the KIMRISS, the reader moves a transparent overlay grid within a Web-based interface to fit bones, then clicks or touches each region containing BML per slice, to score 1 if BML is present. Regional and total scores are automatically calculated. Outcomes include the interreader intraclass correlation coefficients (ICC) and the smallest detectable change (SDC).Results.Scoring took 3–12 min per scan and all readers rated the process as moderately to very user friendly. Despite a low BML burden (average score 2.8% of maximum possible) and small changes, interobserver reliability was moderate to high for BML status and change in the femur and tibia (ICC 0.78–0.88). Four readers also scored the patella reliably, whereas 2 readers were outliers, likely because of image artifacts. SDC of 1.5–5.6 represented 0.7% of the maximum possible score.Conclusion.We confirmed feasibility of knee BML scoring by new readers using interactive training and a Web-based touch-sensitive overlay system, finding high reliability and sensitivity to change. Further work will include adjustments to training materials regarding patellar scoring, and study in therapeutic trial datasets with higher burden of BML and larger changes.

scholarly journals A Comparison of Physical Functional Performance and Strength in Women With Fibromyalgia, Age- and Weight-Matched Controls, and Older Women Who Are Healthy

2006 ◽  
Vol 86 (11) ◽  
pp. 1479-1488 ◽  
Author(s):  
Lynn B Panton ◽  
J Derek Kingsley ◽  
Tonya Toole ◽  
M Elaine Cress ◽  
George Abboud ◽  
...  
Keyword(s):  
Older Women ◽  
Performance Test ◽  
Functional Performance ◽  
Handgrip Strength ◽  
Women Subjects ◽  
Leg Strength ◽  
Continuous Scale ◽  
Body Strength ◽  
Lower Body Strength ◽  
Physical Functional Performance

Abstract Background and Purposes. The purpose of this study was to compare functionality and strength among women with fibromyalgia (FM), women without FM, and older women. Subjects. Twenty-nine women with FM (age [X̅±SD]=46±7 years), 12 age- and weight-matched women without FM (age=44±8 years), and 38 older women who were healthy (age=71±7 years) participated. Methods. The Continuous Scale–Physical Functional Performance Test (CS-PFP) was used to assess functionality. Isokinetic leg strength was measured at 60°/s, and handgrip strength was measured using a handgrip dynamometer. Results. The women without FM had significantly higher functionality scores compared with women with FM and older women. There were no differences in functionality between women with FM and older women. Strength measures for the leg were higher in women without FM compared with women with FM and older women, and both women with and without FM had higher grip strengths compared with older women. Discussion and Conclusion. This study demonstrated that women with FM and older women who are healthy have similar lower-body strength and functionality, potentially enhancing the risk for premature age-associated disability.

Cerebral oxygen availability by NIR spectroscopy during transient hypoxia in humans

1990 ◽  
Vol 69 (3) ◽  
pp. 907-913 ◽  
Author(s):  
N. B. Hampson ◽  
E. M. Camporesi ◽  
B. W. Stolp ◽  
R. E. Moon ◽  
J. E. Shook ◽  
...  
Keyword(s):  
Heart Rate ◽  
Blood Volume ◽  
Near Infrared ◽  
Cerebral Blood Volume ◽  
Minute Ventilation ◽  
Nir Spectroscopy ◽  
Redox Status ◽  
Total Blood ◽  
Arterial Ph

The effects of mild hypoxia on brain oxyhemoglobin, cytochrome a,a3 redox status, and cerebral blood volume were studied using near-infrared spectroscopy in eight healthy volunteers. Incremental hypoxia reaching 70% arterial O2 saturation was produced in normocapnia [end-tidal PCO2 (PETCO2) 36.9 +/- 2.6 to 34.9 +/- 3.4 Torr] or hypocapnia (PETCO2 32.8 +/- 0.6 to 23.7 +/- 0.6 Torr) by an 8-min rebreathing technique and regulation of inspired CO2. Normocapnic hypoxia was characterized by progressive reductions in arterial PO2 (PaO2, 89.1 +/- 3.5 to 34.1 +/- 0.1 Torr) with stable PETCO2, arterial PCO2 (PaCO2), and arterial pH and resulted in increases in heart rate (35%) systolic blood pressure (14%), and minute ventilation (5-fold). Hypocapnic hypoxia resulted in progressively decreasing PaO2 (100.2 +/- 3.6 to 28.9 +/- 0.1 Torr), with progressive reduction in PaCO2 (39.0 +/- 1.6 to 27.3 +/- 1.9 Torr), and an increase in arterial pH (7.41 +/- 0.02 to 7.53 +/- 0.03), heart rate (61%), and ventilation (3-fold). In the brain, hypoxia resulted in a steady decline of cerebral oxyhemoglobin content and a decrease in oxidized cytochrome a,a3. Significantly greater loss of oxidized cytochrome a,a3 occurred for a given decrease in oxyhemoglobin during hypocapnic hypoxia relative to normocapnic hypoxia. Total blood volume response during hypoxia also was significantly attenuated by hypocapnia, because the increase in volume was only half that of normocapnic subjects. We conclude that cytochrome a,a3 oxidation level in vivo decreases at mild levels of hypoxia. PaCO is an important determinant of brain oxygenation, because it modulates ventilatory, cardiovascular, and cerebral O2 delivery responses to hypoxia.

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