Reliability and Validity of Subjective Measures of Aerobic Intensity in Adults With Spinal Cord Injury: A Systematic Review

Scheer, Jan W van der; Hutchinson, Michael J.; Paulson, Thomas A.W.; Ginis, Kathleen A. Martin; Goosey-Tolfrey, Victoria L.

doi:10.1016/j.pmrj.2017.08.440

Cited by 31 publications

(35 citation statements)

References 62 publications

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“…The present study shows that it is sometimes impossible to determine VTs in this group, which makes training based on training zones challenging as well. Other methods to prescribe exercise intensity might provide better precision, such as training based on ratings of perceived exertion and/or %PO peak [38]. In the present study, it was not investigated whether exercise intensity prescription based on VTs is favorable to prescription based on RPE, %HRR, or %PO peak in terms of improvements in cardiorespiratory fitness.…”

Section: Practical Applicationsmentioning

confidence: 88%

Interrater and intrarater reliability of ventilatory thresholds determined in individuals with spinal cord injury

et al. 2019

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Study design Cross-sectional. Objectives Individualized training regimes are often based on ventilatory thresholds (VTs). The objectives were to study: (1) whether VTs during arm ergometry could be determined in individuals with spinal cord injury (SCI), (2) the intrarater and interrater reliability of VT determination. Setting University research laboratory. Methods Thirty graded arm crank ergometry exercise tests with 1-min increments of recreationally active individuals (tetraplegia (N = 11), paraplegia (N = 19)) were assessed. Two sports physicians assessed all tests blinded, randomly, in two sessions, for VT1 and VT2, resulting in 240 possible VTs. Power output (PO), heart rate (HR), and oxygen uptake (VO 2) at each VT were compared between sessions or raters using paired samples t-tests, Wilcoxon signed-rank tests, intraclass correlation coefficients (ICC, relative agreement), and Bland-Altman plots (random error, absolute agreement). Results Of the 240 VTs, 217 (90%) could be determined. Of the 23 undetermined VTs, 2 (9%) were VT1 and 21 (91%) were VT2; 7 (30%) among individuals with paraplegia, and 16 (70%) among individuals with tetraplegia. For the successfully determined VTs, there were no systematic differences between sessions or raters. Intrarater and interrater ICCs for PO, HR, and VO 2 at each VT were high to very high (0.82-1.00). Random error was small to large within raters, and large between raters. Conclusions For VTs that could be determined, relative agreement was high to very high, absolute agreement varied. For some individuals, often with tetraplegia, VT determination was not possible, thus other methods should be considered to prescribe exercise intensity.

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Section: Practical Applicationsmentioning

confidence: 88%

Interrater and intrarater reliability of ventilatory thresholds determined in individuals with spinal cord injury

et al. 2019

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“…The use of the Borg 6–20 RPE scale has acceptable validity in individuals with SCI to determine physical activity intensity. 41 This method is also suggested as a practical approach for healthcare professionals and scientists as oxygen consumption testing equipment is costly and not available in many rehabilitation centres and community settings. 41 …”

Section: Methods and Analysismentioning

confidence: 99%

“… 28 An RPE of 13 for the physical activity intensity was selected in line with previous research, 26 42 and the Borg 6–20 RPE scale may be used to assess and regulate upper-body physical activity at moderate-to-vigorous intensity in adults with chronic SCI. 41 Moderate-intensity physical activity was selected as it is well tolerated, can be performed safely and is recommended for health risk reduction in individuals with SCI. 20 43…”

Section: Methods and Analysismentioning

confidence: 99%

Cardiovascular disease risk marker responses to breaking up prolonged sedentary time in individuals with paraplegia: the Spinal Cord Injury Move More (SCIMM) randomised crossover laboratory trial protocol

et al. 2018

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IntroductionSedentary behaviour is a distinct risk factor for cardiovascular disease (CVD) and could partly explain the increased prevalence of CVD in people with spinal cord injury (SCI). Interrupting prolonged sitting periods with regular short bouts of walking acutely suppresses postprandial glucose and lipids in able-bodied individuals. However, the acute CVD risk marker response to breaking up prolonged sedentary time in people with SCI has not been investigated.Methods and analysisA randomised two-condition laboratory crossover trial will compare: (1) breaking up prolonged sedentary time with 2 min moderate-intensity arm-crank activity every 20 min, with (2) uninterrupted prolonged sedentary time (control) in people with SCI. Outcomes will include acute effects on postprandial glucose, insulin, lipids and blood pressure. Blood samples will be collected and blood pressure measured at regular intervals during each 5½-hour condition.Ethics and disseminationThis study was approved by the Cambridge South National Health Service Research Ethics Committee. This research will help determine if breaking up prolonged sedentary time could be effective in lowering CVD risk in people with SCI. The findings of the research will be published in a peer-reviewed journal and disseminated to relevant user groups.Trial registration numberISRCTN51868437; Pre-results.

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“…Lab-based protocols are basically the gold standard, both in the aerobic and anaerobic energy domains. Task-specific aerobic exercise testing has become an increasingly common modality in rehabilitation practice [79], while anaerobic testing, for example, Wingate testing, slowly migrates from purely experiment-based work towards clinical and athletic applications [80]. Anaerobic capacity is deemed to be highly essential in the functionality of the daily life of rehabilitation populations, yet it is only rarely specifically trained [81].…”

Section: From Laboratory To Field Testing In "Mobility Exercise and Spmentioning

confidence: 99%

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

Woude

Houdijk

Janssen

et al. 2020

Disability and Rehabilitation

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Background: Human movement, rehabilitation, and allied sciences have embraced their ambitions within the cycle of "RehabMove" congresses over the past 30 years. This combination of disciplines and collaborations in the Netherlands has tried to provide answers to questions in the fields of rehabilitation and adapted sports, while simultaneously generating new questions and challenges. These research questions help us to further deepen our understanding of (impaired) human movement and functioning, with and without supportive technologies, and stress the importance of continued multidisciplinary (inter)national collaboration. Methods: This position stand provides answers that were conceived by the authors in a creative process underlining the preparation of the 6th RehabMove Congress. Results: The take-home message of the RehabMove2018 Congress is a plea for continued multidisciplinary research in the fields of rehabilitation and adapted sports. This should be aimed at more individualized notions of human functioning, practice, and training, but also of performance, improved supportive technology, and appropriate "human and technology asset management" at both individual and organization levels and over the lifespan. Conclusions: With this, we anticipate to support the development of rehabilitation sciences and technology and to stimulate the use of rehabilitation notions in general health care. We also hope to help ensure a stronger embodiment of preventive and lifestyle medicine in rehabilitation practice. Indeed, general health care and rehabilitation practice require a healthy and active lifestyle management and research agenda in the context of primary, secondary, and tertiary prevention. ä IMPLICATIONS FOR REHABILITATION Continued multidisciplinary (international) collaboration will stimulate the development of rehabilitation and human movement sciences. Notions from "human and technology asset management and ergonomics" are fundamental to rehabilitation practice and research. The rehabilitation concept will further merge into general health care and the quality there-off.

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Reliability and Validity of Subjective Measures of Aerobic Intensity in Adults With Spinal Cord Injury: A Systematic Review

Abstract: NA.

Cited by 31 publications

References 62 publications

Interrater and intrarater reliability of ventilatory thresholds determined in individuals with spinal cord injury

Interrater and intrarater reliability of ventilatory thresholds determined in individuals with spinal cord injury

Cardiovascular disease risk marker responses to breaking up prolonged sedentary time in individuals with paraplegia: the Spinal Cord Injury Move More (SCIMM) randomised crossover laboratory trial protocol

Rehabilitation: mobility, exercise & sports; a critical position stand on current and future research perspectives

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