Reliability and minimal detectable change of a new treadmill-based progressive workload incremental test to measure cardiorespiratory fitness in manual wheelchair users

Gauthier, Cindy; Arel, Jasmine; Brosseau, Rachel; Hicks, Audrey L.; Gagnon, Dany H.

doi:10.1080/10790268.2017.1369213

Cited by 14 publications

(16 citation statements)

References 35 publications

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“…In both groups, one participant improved their VO 2peak by more than the minimal detectable change reported in the literature (i.e., between 22% and 29%) [ 48 , 49 ] while the other participants had no significant change. It is worth noting that little information on reliability and minimal detectable change of VO 2peak tests among individuals with an SCI is available in the literature so the interpretation of the present results is limited.…”

Section: Discussionmentioning

confidence: 84%

“…Moreover, VO 2peak values were plotted on graphs for each participant and lines were drawn between the data before and after the training to highlight the directionality of the effects on each participant in both groups ( Figure 3 ). Considering that the minimal detectable change for VO 2peak found in the literature is between 22% and 29% among manual wheelchair users [ 48 , 49 ], only one participant was judged to have improved in the HIIT (i.e., +50.47%) whereas the other participants reached almost similar values (i.e., +13.08%, 0.83% and −16.34%). Similarly, in the MICT group, VO 2peak values were judged to have improved for one participant (i.e., +26.53%) whereas the other participants reached almost similar values (i.e., +15.04%, −3.01%, −0.49% and −11.61%).…”

Section: Resultsmentioning

confidence: 99%

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Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users

Gauthier

Brosseau

Hicks

et al. 2018

Rehabilitation Research and Practice

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Objectives To investigate and compare the feasibility, safety, and preliminary effectiveness of home-based self-managed manual wheelchair high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) programs. Methods Eleven manual wheelchair users were randomly assigned to the HIIT (n = 6) or the MICT group (n = 5). Both six-week programs consisted of three 40-minute propulsion training sessions per week. The HIIT group alternated between 30 s high-intensity intervals and 60 s low-intensity intervals, whereas the MICT group maintained a constant moderate intensity. Cardiorespiratory fitness, upper limb strength, and shoulder pain were measured before and after the programs. Participants completed a questionnaire on the programs that explored general areas of feasibility. Results The answers to the questionnaire demonstrated that both training programs were feasible in the community. No severe adverse events occurred, although some participants experienced increased shoulder pain during HIIT. Neither program yielded a significant change in cardiorespiratory fitness or upper limb strength. However, both groups reported moderate to significant subjective improvement. Conclusion Home-based wheelchair HIIT appears feasible and safe although potential development of shoulder pain remains a concern and should be addressed with a future preventive shoulder exercise program. Some recommendations have been proposed for a larger study aiming to strengthen evidence regarding the feasibility, safety, and effectiveness of HIIT.

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Section: Discussionmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users

Gauthier

Brosseau

Hicks

et al. 2018

Rehabilitation Research and Practice

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“…Reduced mobility can lead to a more sedentary lifestyle often reducing individual physical capacity for many WU [7,8]. This is particularly problematic, as independent manual wheelchair propulsion requires adept physical capacity and cardiorespiratory fitness [9,10]. Many musculoskeletal problems manual WU face can be prevented by reducing the use of the wheelchair (however this is wholly impractical as it would limit equality/autonomy), or altering factors related to reducing the physical load (demands of the environment) [11,12], or increasing power (human characteristics) [13].…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study Using Wireless Electrocardiogram to Investigate Physical Workload of Wheelchair Control in Real World Environments

Joshi

Herrera

Springett

et al. 2019

Advances in Intelligent Systems and Computing

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The wheelchair is a key invention that provides individuals with limitations in mobility increased independence and participation in society. However, wheelchair control is a complicated motor task that increases physical and mental workload. New wheelchair interfaces, including power-assisted devices can further enable users by reducing the required effort especially in more demanding environments. The protocol engaged novice wheelchair users to push a wheelchair with and without power assist in a simple and complex environment using wireless Electrocardiogram (ECG) to approximate heart rate (HR). Results indicated that HR determined from ECG data, decreased with use of the power-assist. The use of power-assist however did reduce behavioral performance, particularly within obstacles that required more control.

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“…To develop personalized cardiorespiratory fitness training programs within this context and assess their impacts over time, cardiorespiratory fitness assessments among MWU SCI are highly relevant [ 3 , 16 ]. Due to limitations related to commonly used arm crank ergometer fitness test protocols, assessment protocols completed overground or on a motorized treadmill [ 17 – 19 ] have emerged as alternatives [ 20 ]. However, performing these task-specific testing protocols remains challenging, as manual wheelchair propulsion actively solicits upper limb muscles that are smaller, fatigue more easily and rapidly, and expend less energy, in comparison to larger lower limb muscles [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Changes to Biceps and Supraspinatus Tendons in Response to a Progressive Maximal Treadmill-Based Propulsion Aerobic Fitness Test in Manual Wheelchair Users: A Quantitative Musculoskeletal Ultrasound Study

Leclerc

Gauthier

Brosseau

et al. 2021

Rehabilitation Research and Practice

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Relevance. To develop personalized cardiorespiratory fitness training programs among manual wheelchair users and assess their impact over time, the completion of a performance-based maximal cardiorespiratory fitness test is required. However, these tests could potentially increase the risk exposure for the development of upper limb secondary musculoskeletal impairments. Hence, finding an equilibrium between the need to measure aerobic fitness and the increased risk of developing secondary musculoskeletal impairments when completing performance-based test is fundamental. Objective. To investigate if the completion of a recently developed treadmill-based wheelchair propulsion maximal progressive workload incremental test alters the integrity of the long head of the biceps and supraspinatus tendons using musculoskeletal ultrasound imaging biomarkers. Method. Fifteen manual wheelchair users completed the incremental test. Ultrasound images of the long head of the biceps and supraspinatus tendons were recorded before, immediately after, and 48 hours after the completion of the test using a standardized protocol. Geometric, composition, and texture-related ultrasound biomarkers characterized tendon integrity. Results. Participants propelled during 10.2 ± 2.9 minutes with the majority ( N = 13 / 15 ) having reached at least the eighth stage of the test ( speed = 0.8 m / s ; slope = 3.6 ° ). All ultrasound biomarkers characterizing tendon integrity, measured in the longitudinal and transversal planes for both tendons, were similar ( p = 0.063 to 1.000) across measurement times. Conclusion. The performance of the motorized treadmill wheelchair propulsion test to assess aerobic fitness produced no changes to ultrasound biomarkers of the biceps or supraspinatus tendons. Hence, there was no ultrasound imaging evidence of a maladaptive response due to overstimulation in these tendons immediately after and 48 hours after the performance of the test.

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Reliability and minimal detectable change of a new treadmill-based progressive workload incremental test to measure cardiorespiratory fitness in manual wheelchair users

Abstract: The WPT is a reliable test to assess cardiorespiratory fitness among MWUs. TTE and number of increments could be used as reliable outcome measures when VO measurement is not possible.

Cited by 14 publications

References 35 publications

Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users

Feasibility, Safety, and Preliminary Effectiveness of a Home-Based Self-Managed High-Intensity Interval Training Program Offered to Long-Term Manual Wheelchair Users

A Cross-Sectional Study Using Wireless Electrocardiogram to Investigate Physical Workload of Wheelchair Control in Real World Environments

Changes to Biceps and Supraspinatus Tendons in Response to a Progressive Maximal Treadmill-Based Propulsion Aerobic Fitness Test in Manual Wheelchair Users: A Quantitative Musculoskeletal Ultrasound Study

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