Reliability of Effort Perception for Regulating Exercise Intensity in Children Using the Cart and Load Effort Rating (CALER) Scale

2000 ◽  
Vol 12 (4) ◽  
pp. 388-397 ◽  
Author(s):  
Roger G. Eston ◽  
Gaynor Parfitt ◽  
Laura Campbell ◽  
Kevin L. Lamb
Keyword(s):  
Young Children ◽  
Exercise Intensity ◽  
Intraclass Correlation ◽  
Preliminary Evidence ◽  
Cycle Ergometer ◽  
Limits Of Agreement ◽  
Warm Up ◽  
Effort Perception ◽  
Objective Feedback ◽  
Effort Rating

The purpose of this study was to assess whether young children could reliability regulate exercise intensity production after several practice trials, without reference to objective feedback measures. The study used a new 10-point scale (Cart and Load Effort Rating [CALER] Scale), which depicts a child on a bicycle, at various stages of exertion, towing a cart in which the load increases progressively. After warm-up, 20 children, aged 7–10 years, performed an intermittent, effort production protocol at CALER 2, 5, and 8 on a cycle ergometer. This was repeated on three further occasions in the next 4 weeks. An increase in PO across trials (44, 65, and 79 W at CALER 2, 5, and 8, respectively) confirmed that the children understood the scale. A Bland and Altman limits of agreement (LoA) analysis and an intraclass correlation analysis (ICC) between trials (T) indicated that reliability improved with practice. Intertrial comparisons of overall reliability from T1 to T2 and from T3 to T4 ranged from 0.76 to 0.97 and an improvement in the overall bias ± 95% limits of agreement from −12 ± 19 W to 0 ± 10 W. This study is the first to apply more than two repeated effort production trials in young children and provides strong evidence that practice improves the reliability of effort perception in children. The data also provide preliminary evidence for the validity of the CALER Scale in children aged 7–10 years.

scholarly journals High concurrent validity between digital and analogue algometers to measure pressure pain thresholds in healthy participants and people with migraine: a cross-sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
René F. Castien ◽  
Michel W. Coppieters ◽  
Tom S. C. Durge ◽  
Gwendolyne G. M. Scholten-Peeters
Keyword(s):  
Concurrent Validity ◽  
Tibialis Anterior Muscle ◽  
Intraclass Correlation ◽  
Cephalic Region ◽  
Limits Of Agreement ◽  
Temporal Muscle ◽  
Pain Thresholds ◽  
Pressure Pain ◽  
Pressure Pain Thresholds ◽  
Healthy Participants

Abstract Background Pressure pain thresholds (PPTs) are commonly assessed to quantify mechanical sensitivity in various conditions, including migraine. Digital and analogue algometers are used, but the concurrent validity between these algometers is unknown. Therefore, we assessed the concurrent validity between a digital and analogue algometer to determine PPTs in healthy participants and people with migraine. Methods Twenty-six healthy participants and twenty-nine people with migraine participated in the study. PPTs were measured interictally and bilaterally at the cephalic region (temporal muscle, C1 paraspinal muscles, and trapezius muscle) and extra-cephalic region (extensor carpi radialis muscle and tibialis anterior muscle). PPTs were first determined with a digital algometer, followed by an analogue algometer. Intraclass correlation coefficients (ICC3.1) and limits of agreement were calculated to quantify concurrent validity. Results The concurrent validity between algometers in both groups was moderate to excellent (ICC3.1 ranged from 0.82 to 0.99, with 95%CI: 0.65 to 0.99). Although PPTs measured with the analogue algometer were higher at most locations in both groups (p < 0.05), the mean differences between both devices were less than 18.3 kPa. The variation in methods, such as a hand-held switch (digital algometer) versus verbal commands (analogue algometer) to indicate when the threshold was reached, may explain these differences in scores. The limits of agreement varied per location and between healthy participants and people with migraine. Conclusion The concurrent validity between the digital and analogue algometer is excellent in healthy participants and moderate in people with migraine. Both types of algometer are well-suited for research and clinical practice but are not exchangeable within a study or patient follow-up.

Comparing Performance Across In-person and Videoconference-Based Administrations of Common Neuropsychological Measures in Community-Based Survivors of Stroke

2020 ◽  
pp. 1-14
Author(s):  
Jodie E. Chapman ◽  
Betina Gardner ◽  
Jennie Ponsford ◽  
Dominique A. Cadilhac ◽  
Renerus J. Stolwyk
Keyword(s):  
Neuropsychological Assessment ◽  
Language Impairment ◽  
Repeated Measures ◽  
Verbal Learning ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Preliminary Evidence ◽  
Service Access ◽  
Community Based ◽  
Neuropsychological Measures

Abstract Objective: Neuropsychological assessment via videoconference could assist in bridging service access gaps due to geographical, mobility, or infection control barriers. We aimed to compare performances on neuropsychological measures across in-person and videoconference-based administrations in community-based survivors of stroke. Method: Participants were recruited through a stroke-specific database and community advertising. Stroke survivors were eligible if they had no upcoming neuropsychological assessment, concurrent neurological and/or major psychiatric diagnoses, and/or sensory, motor, or language impairment that would preclude standardised assessment. Thirteen neuropsychological measures were administered in-person and via videoconference in a randomised crossover design (2-week interval). Videoconference calls were established between two laptop computers, facilitated by Zoom. Repeated-measures t tests, intraclass correlation coefficients (ICCs), and Bland–Altman plots were used to compare performance across conditions. Results: Forty-eight participants (26 men; M age = 64.6, SD = 10.1; M time since stroke = 5.2 years, SD = 4.0) completed both sessions on average 15.8 (SD = 9.7) days apart. For most measures, the participants did not perform systematically better in a particular condition, indicating agreement between administration methods. However, on the Hopkins Verbal Learning Test – Revised, participants performed poorer in the videoconference condition (Total Recall Mdifference = −2.11). ICC estimates ranged from .40 to .96 across measures. Conclusions: This study provides preliminary evidence that in-person and videoconference assessment result in comparable scores for most neuropsychological tests evaluated in mildly impaired community-based survivors of stroke. This preliminary evidence supports teleneuropsychological assessment to address service gaps in stroke rehabilitation; however, further research is needed in more diverse stroke samples.

scholarly journals Repeatability of automated measurements by a new anterior segment optical coherence tomographer and biometer and agreement with standard devices

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Domenico Schiano-Lomoriello ◽  
Kenneth J. Hoffer ◽  
Irene Abicca ◽  
Giacomo Savini
Keyword(s):  
Intraclass Correlation ◽  
Anterior Segment ◽  
Consecutive Series ◽  
Optical Coherence ◽  
Limits Of Agreement ◽  
Automated Measurements ◽  
Deviation Coefficient ◽  
Corneal Diameter ◽  
High Repeatability ◽  
Good Agreement

AbstractWe assess repeatability of automatic measurements of a new anterior segment optical coherence tomographer and biometer (ANTERION) and their agreement with those provided by an anterior segment-optical coherence tomography device combined with Placido-disk corneal topography (MS-39) and a validated optical biometer (IOLMaster 500). A consecutive series of patients underwent three measurements with ANTERION and one with MS-39. A subgroup of patients underwent biometry also with IOLMaster 500. Repeatability was assessed by means of within-subject standard deviation, coefficient of variation (COV), and intraclass correlation coefficient (ICC). Agreement was investigated with the 95% limits of agreement. Paired t-test and Wilcoxon matched-pairs test were performed to compare the measurements of the different devices. Repeatability of ANTERION measurements was high, with ICC > 0.98 for all parameters except astigmatism (0.963); all parameters apart from those related to astigmatism revealed a COV < 1%. Repeatability of astigmatism improved when only eyes whose keratometric astigmatism was higher than 1.0 D were investigated. Most measurements by ANTERION and MS-39 showed good agreement. No significant differences were found between measurements by ANTERION and IOLMaster, but for corneal diameter. ANTERION revealed high repeatability of automatic measurements and good agreement with both MS-39 and IOLMaster for most parameters.

Test–Retest Reliability of the Mini-BESTest in People With Mild to Moderate Multiple Sclerosis

2021 ◽  
Author(s):  
A Wallin ◽  
M Kierkegaard ◽  
E Franzén ◽  
S Johansson
Keyword(s):  
Multiple Sclerosis ◽  
Measurement Errors ◽  
Balance Control ◽  
Intraclass Correlation ◽  
Repeated Measurements ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Limits Of Agreement ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objective The mini-BESTest is a balance measure for assessment of the underlying physiological systems for balance control in adults. Evaluations of test–retest reliability of the mini-BESTest in larger samples of people with multiple sclerosis (MS) are lacking. The purpose of this study was to investigate test–retest reliability of the mini-BESTest total and section sum scores and individual items in people with mild to moderate overall MS disability. Methods This study used a test–retest design in a movement laboratory setting. Fifty-four people with mild to moderate overall MS disability according to the Expanded Disability Status scale (EDSS) were included, with 28 in the mild subgroup (EDSS 2.0–3.5) and 26 in the moderate subgroup (EDSS 4.0–5.5). Test–retest reliability of the mini-BESTest was evaluated by repeated measurements taken 1 week apart. Reliability and measurement error were analyzed. Results Test–retest reliability for the total scores were considered good to excellent, with intraclass correlation coefficients of .88 for the whole sample, .83 for the mild MS subgroup, and .80 for the moderate MS subgroup. Measurement errors were small, with standard error of measurement and minimal detectable change of 1.3 and 3.5, respectively, in mild MS, and 1.7 and 4.7, respectively, in moderate MS. The limits of agreement were − 3.4 and 4.6. Test–retest reliability for the section scores were fair to good or excellent; weighted kappa values ranged from .62 to .83. All items but 1 showed fair to good or excellent test–retest reliability, and percentage agreement ranged from 61% to 100%. Conclusions The mini-BESTest demonstrated good to excellent test–retest reliability and small measurement errors and is recommended for use in people with mild to moderate MS. Impact Knowledge of limits of agreement and minimal detectable change contribute to interpretability of the mini-BESTest total score. The findings of this study enhance the clinical usefulness of the test for evaluation of balance control and for designing individually customized balance training with high precision and accuracy in people with MS.

Ten-day endurance training attenuates the hyperosmotic suppression of cutaneous vasodilation during exercise but not sweating

2005 ◽  
Vol 99 (1) ◽  
pp. 237-243 ◽  
Author(s):  
Takashi Ichinose ◽  
Kazunobu Okazaki ◽  
Shizue Masuki ◽  
Hiroyuki Mitono ◽  
Mian Chen ◽  
...  
Keyword(s):  
Endurance Training ◽  
Exercise Intensity ◽  
Plasma Osmolality ◽  
Young Male ◽  
Cycle Ergometer ◽  
Peak Oxygen Consumption ◽  
Cutaneous Vasodilation ◽  
Thermoregulatory Responses ◽  
Before And After ◽  
The Individual

It is well known that hyperosmolality suppresses thermoregulatory responses and that plasma osmolality (Posmol) increases with exercise intensity. We examined whether the decreased esophageal temperature thresholds for cutaneous vasodilation (THFVC) and sweating (THSR) after 10-day endurance training (ET) are caused by either attenuated increase in Posmol at a given exercise intensity or blunted sensitivity of hyperosmotic suppression. Nine young male volunteers exercised on a cycle ergometer at 60% peak oxygen consumption rate (V̇o2 peak) for 1 h/day for 10 days at 30°C. Before and after ET, thermoregulatory responses were measured during 20-min exercise at pretraining 70% V̇o2 peak in the same environment as during ET under isoosmotic or hyperosmotic conditions. Hyperosmolality by ∼10 mosmol/kgH2O was attained by acute hypertonic saline infusion. After ET, V̇o2 peak and blood volume (BV) both increased by ∼4% ( P < 0.05), followed by a decrease in THFVC ( P < 0.05) but not by that in THSR. Although there was no significant decrease in Posmol at the thresholds after ET, the sensitivity of increase in THFVC at a given increase in Posmol [ΔTHFVC/ΔPosmol,°C·(mosmol/kgH2O)−1], determined by hypertonic infusion, was reduced to 0.021 ± 0.005 from 0.039 ± 0.004 before ET ( P < 0.05). The individual reductions in ΔTHFVC/ΔPosmol after ET were highly correlated with their increases in BV around THFVC ( r = −0.89, P < 0.005). In contrast, there was no alteration in the sensitivity of the hyperosmotic suppression of sweating after ET. Thus the downward shift of THFVC after ET was partially explained by the blunted sensitivity to hyperosmolality, which occurred in proportion to the increase in BV.

scholarly journals Preliminary evidence that high levels of nicotine on children’s hands may contribute to overall tobacco smoke exposure

2017 ◽  
Vol 27 (2) ◽  
pp. 217-219 ◽  
Author(s):  
E Melinda Mahabee-Gittens ◽  
Ashley L Merianos ◽  
Georg E Matt
Keyword(s):  
Young Children ◽  
Tobacco Smoke ◽  
Controlled Trial ◽  
Positive Association ◽  
Preliminary Evidence ◽  
Tobacco Smoke Exposure ◽  
Second Hand Smoke ◽  
Significant Positive Association ◽  
Convenience Sample ◽  
Salivary Cotinine

BackgroundDust and surfaces are important sources of lead and pesticide exposure in young children. The purpose of this pilot study was to investigate if third-hand smoke (THS) pollutants accumulate on the hands of children who live in environments where tobacco is used and if hand nicotine levels are associated with second-hand smoke (SHS), as measured by salivary cotinine.MethodsParticipants were parents and children (n=25; age mean (SD)=5.4 (5.3) years) presenting to the emergency department with a potentially SHS-related illness. A convenience sample of participants were recruited at baseline from an ongoing two-group, randomised controlled trial of a SHS reduction and tobacco cessation intervention. Parents were current smokers; thus, all children were at risk of SHS and THS exposure to varying extents. Primary outcome measures, which were assessed in child participants only, were hand nicotine and salivary cotinine. Parents reported sociodemographics and smoking patterns; children’s medical records were abstracted for chief complaint, medical history and discharge diagnosis.ResultsAll children had detectable hand nicotine (range=18.3–690.9 ng/wipe). All but one had detectable cotinine (range=1.2–28.8 ng/mL). Multiple linear regression results showed a significant positive association between hand nicotine and cotinine (p=0.009; semipartial r2=0.24), independent of child age.DiscussionThe higher-than-expected nicotine levels and significant association with cotinine indicate that THS may play a role in the overall exposure of young children to tobacco smoke toxicants and that hand wipes could be a useful marker of overall tobacco smoke pollution and a proxy for exposure.Trial registration numberClinicalTrials.gov Identifier: NCT02531594

scholarly journals The Wingate Anaerobic Test, a Narrative Review of the Protocol Variables That Affect the Results Obtained

2021 ◽  
Vol 11 (16) ◽  
pp. 7417
Author(s):  
Arkaitz Castañeda-Babarro
Keyword(s):  
Literature Search ◽  
Web Of Science ◽  
Cycle Ergometer ◽  
Narrative Review ◽  
Improve Performance ◽  
Wingate Anaerobic Test ◽  
Warm Up ◽  
Cycling Test ◽  
Anaerobic Test

The Wingate Anaerobic Test (WAT) has been widely used since its creation in 1974. The WAT involves performing a 30 s “all-out” cycling test. The test is currently applied with some modifications, partly due to the evolution of the material used to perform it. The purpose of this text is to act as a guide for the correct use and application of the test, as well as to highlight the importance of controlling many of the variables that may influence its results. Methods: A literature search was conducted in PUBMED/MEDLINE and Web of Science with different combinations of keywords all related to the WAT to obtain a search of 113 papers. Results and discussion: It was observed that variables such as the duration of the test or the resistance used in the cycle ergometer must be adjusted according to the objective and the population evaluated, while others such as the warm-up or the supplementation of different substances can improve performance on the WAT. Conclusions: In order to apply the WAT correctly, variables such as duration, resistance used or warm-up time and intensity must be adjusted according to the evaluated subjects and the aim of the study. Other variables such as position on the bike or equipment used should also be controlled if we want to guarantee its replicability.

scholarly journals Age-Group Differences in Reactive Strength and Measures of Intra-day Reliability in Female International Footballers

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Brian Doyle ◽  
Declan Browne ◽  
Dan Horan
Keyword(s):  
Soccer Player ◽  
Intraclass Correlation ◽  
Age Groups ◽  
Soccer Players ◽  
Group Differences ◽  
Age Group ◽  
Strength Index ◽  
Warm Up ◽  
Jump Test ◽  
Female Soccer Player

The aim of this present study was to compare the reactive strength index (RSI) characteristics and trial to trial reliability of U17, U19 and Senior female international soccer players. Fifty – seven elite female soccer player participated in the study, (age:  18.1 + 3.1 years; height: 167.5 + 6.3 cm; weight: 61.84 + 7.7 kg). Participants performed 3 maximal repetitions of the 10/5 repeated jump test (10/5RJT) following a specific warm-up and familiarisation protocol. Senior players possessed higher levels of RSI with large effect size present when compared with the U17 (P= 0.043, ES = .97) and U19 (ES = 0.85) age groups. Trivial differences (ES = 0.17) in RSI existed between the U17 and U19 age categories. Trial-to-trial analyses demonstrated 10/5 RJT RSI to possess adequate levels of reliability with a range of mean coefficients of variance (CV) of 3.1 – 7.3 %   and intraclass correlation (ICC) between 0.95 – 0.98 present across all three age groups. However, large variations in the between – athlete CV for RSI were revealed ranging from 1 – 27 %, 0.4 – 10.3%, and 1 – 7 % for U17, U19 and senior age groups respectively. These results suggest that age group can distinguish reactive strength capabilities. In addition, female international footballers with higher levels of RSI appear to produce more reliable measures of RSI via the 10/5 RJT.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are increasingly being suggested for use in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Therefore, our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines, etc.). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.55 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccade (ICC=0.56). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.21 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Four tests had moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals Discrepancies Exist between Exercise Prescription and Dose in Elite Women’s Basketball Pre-Season

Sports ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. 70
Author(s):  
Craig Staunton ◽  
Daniel Wundersitz ◽  
Brett Gordon ◽  
Michael Kingsley
Keyword(s):  
Relative Intensity ◽  
Exercise Intensity ◽  
Exercise Prescription ◽  
Training Session ◽  
Basketball Players ◽  
Warm Up ◽  
Objective Monitoring ◽  
Women's Basketball ◽  
Exercise Dose ◽  
Objectively Measured

This study assessed the influence of exercise prescription on the objectively measured exercise dose in basketball. Intensity (RPE) and volume (sRPE) were prescribed by a professional coach on a drill-by-drill basis during pre-season training for nine elite basketball players. Training drills were classified by prescribed intensity (easy-moderate, moderate-hard, hard–very hard, and very hard-maximal) and type (warm-up, skill-development, offensive- and defensive-technical/tactical, or match-simulation). Exercise intensity was objectively quantified using accelerometry-derived average net force (AvFNet) and time spent in accelerometry-derived relative intensity zones. The volume of exercise (exercise dose) was objectively quantified using accumulated impulse (AvFNet × duration). Relationships between prescribed volume and exercise dose were explored by correlations between sRPE and drill-by-drill accumulation of sRPE (dRPE) with impulse. Very hard-maximal drill intensity was greater than hard-very hard (p = 0.011), but not moderate-hard (p = 0.945). Very hard-maximal drills included the most time performing Supra-maximal intensity (>100% V ˙ O2R) efforts (p < 0.001), suggesting that intensity prescription was based upon the amount of high-intensity exercise. Correlations between impulse with sRPE and dRPE were moderate (r = 0.401, p = 0.197) and very-large (r = 0.807, p = 0.002), respectively, demonstrating that the coach misinterpreted the accumulative effect of drill volume over an entire training session. Overall, a mismatch existed between exercise prescription and exercise dose. Objective monitoring might assist coaches to improve precision of exercise prescription.

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