Stair climbing test post-stroke: Feasibility, convergent validity and metabolic, cardiac, and respiratory responses

Galia Modai, Barak Sharon, S. Bar-Haim, Y. Hutzler

نتاج البحث: نشر في مجلةمقالةمراجعة النظراء

7 اقتباسات (Scopus)

ملخص

Background: The 6-minute walk test (6MWT) and treadmill walk tests (TMW) are commonly used to assess post-stroke patients (PSP) aerobic capacity. However, these tests are not without their limitations (e.g. limited sensitivity to change and the use of external pacing). Therefore, there is a need for additional tools to assess PSP aerobic capacity. Objective: To establish the feasibility, convergent validity, and metabolic, cardiac, and respiratory responses of a stair climbing test (SC), among chronic PSP. Methods: Nineteen chronic PSP conducted SC, TMW, and 6MWT. Metabolic (oxygen consumption - VO2), cardiac (heart rate), and respiratory (ventilation volume, breathing frequency, and tidal volume) measures were established. Adverse events were documented. Correlations established the convergent validity of the SC test. A repeated measures analysis of variance was performed to compare the participant's physiological responses at the end of the various tests. Results: SC is feasible and safe, as all participants completed the test with no adverse events. The SC demonstrated convergent validity as numerous associationswere found between SCand TMW, and 6MWT.Metabolic, cardiac, and respiratory responses to the SC were significantly higher than these of the TMW and 6MWT (e.g. VO2=13.43±2.19, 11.01±2.0, and 11.26±1.87 ml/kg/min, respectively) (P<0.05). Conclusions: SC is a feasible and valid test within chronic PSP. SC is more metabolically demanding than TMW and 6MW and therefore, may enable appropriate endurance capacity measurement, especially for high functioning PSP. Negotiating stairs is a common community ambulation requirement. Therefore, it is appropriate to incorporate SC test in PSP testing battery.

اللغة الأصليةالإنجليزيّة
الصفحات (من إلى)281-288
عدد الصفحات8
دوريةTopics in Stroke Rehabilitation
مستوى الصوت22
رقم الإصدار4
المعرِّفات الرقمية للأشياء
حالة النشرنُشِر - 2015
منشور خارجيًانعم

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