alexa A Model for Incorporating A Clinically-Feasible Exercise Test in Paraplegic Annual Reviews: A Tool for Stratified Cardiopulmonary Stress Performance Classification and Monitoring
ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

A Model for Incorporating A Clinically-Feasible Exercise Test in Paraplegic Annual Reviews: A Tool for Stratified Cardiopulmonary Stress Performance Classification and Monitoring

Sylvie Coupaud1,2*, Stanley J Grant2, Helen R Berry1,2 and David B Allan2

1Bioengineering Unit, Department of Biomedical Engineering, 106 Rottenrow, University of Strathclyde, GLASGOW, G4 0NW, UK

2Scottish Centre for Innovation in Spinal Cord Injury, Queen Elizabeth National Spinal Injuries Unit, Southern General Hospital, 1345 Govan Road, GLASGOW, G51 4TF, UK

*Corresponding Author:
Sylvie Coupaud
Bioengineering Unit, Department of Biomedical Engineering
106 Rottenrow, University of Strathclyde, Glasgow, G4 0NW, UK
Tel: +44 (0)141548 2855
Fax: +44 (0)141548 3035
E-mail: sylvie.coupaud@strath.ac.uk

Received Date September 23, 2013; Accepted Date: December 28, 2013; Published Date: December 31, 2013

Citation: Coupaud S, Grant SJ, Berry HR, Allan DB (2013) A Model for Incorporating A Clinically-Feasible Exercise Test in Paraplegic Annual Reviews: A Tool for Stratified Cardiopulmonary Stress Performance Classification and Monitoring. Int J Phys Med Rehabil 1:175. doi: 10.4172/2329-9096.1000175

Copyright: © 2013 Coupaud S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objectives: (i) To identify and characterize an exercise test for use in routine spinal cord injury clinical review, and (ii) to describe levels of, and factors affecting, cardiopulmonary stress performance during exercise in the chronic paraplegic population in Scotland, UK. Design: Cross-sectional study. Setting: Queen Elizabeth National Spinal Injuries Unit (Glasgow, Scotland). Patients: 48 subjects with chronic paraplegia resulting from spinal cord injury at neurological levels T2-L2. Methods: Peak oxygen uptake, peak power output, gas exchange threshold and peak heart rate were determined from an incremental arm-cranking exercise test. Using a general linear model, the effects of gender, high (injury level above T6) versus low paraplegia, time since injury, body mass and age on peak oxygen uptake and peak power output were investigated. Results: All 48 subjects completed the arm-cranking exercise test, which was shown to be practical for fitness screening in paraplegia. Men (n=38) had a peak oxygen uptake of 1.302 ± 0.326 l.min-1 (mean ± SD) and peak power output of 81.6 ± 23.2W, which was significantly higher than for women (n=10), at 0.832 ± 0.277 l.min-1 and 50.1 ± 27.8 W, respectively. There was large intersubject variability in cardiopulmonary performance during arm-cranking exercise testing, but the overall mean for the Scottish population was lower than reference values from other countries. Conclusions: Arm-cranking exercise tests are feasible in the clinical environment. The motivation for their implementation is threefold: (i) to determine cardiopulmonary stress performance of individual paraplegic patients, (ii)

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