AI Article Synopsis

  • Cardiopulmonary function is traditionally measured using cardiopulmonary exercise testing (CPX) methods like cycle ergometers or treadmills, which can be challenging for individuals with lower extremity motor issues.
  • A new stepping and handshaking (SHS) test was developed for safe and easy use while seated, and this study compared the peak oxygen uptake (peak V.O2) between SHS-CPX and traditional CE-CPX in healthy adults.
  • Results show a strong correlation in peak V.O2 between the two tests, with SHS-CPX yielding lower values but proving to be safe and effective as a submaximal exercise assessment.

Article Abstract

Cardiopulmonary function is usually assessed by cardiopulmonary exercise testing (CPX) using a cycle ergometer (CE-CPX) or a treadmill, which is difficult in patients with lower extremity motor dysfunction. A stepping and handshaking (SHS) exercise has been developed that can be performed safely and easily while sitting on a chair. This study compared peak oxygen uptake (peak V.O2) between CE-CPX and SHS-CPX in healthy adults and investigated the safety and validity of SHS-CPX. Twenty young adults (mean age 27.8 ± 4.4 years) were randomly assigned to perform CE-CPX or SHS-CPX, with the other test to follow 1-2 weeks later. The peak V.O2, respiratory exchange ratio (RER), peak heart rate, blood pressure, and test completion time were compared between CE-CPX and SHS-CPX. All subjects completed the examination and met the criteria for peak V.O2. SHS-CPX and CE-CPX showed a strong correlation with peak V.O2 (r = 0.85, < 0.0001). The peak V.O2 (40.4 ± 11.3 mL/min/kg vs. 28.9 ± 8.0 mL/min/kg), peak heart rate (190.6 ± 8.9 bpm vs. 172.1 ± 12.6 bpm), and test completion time (1052.8 ± 143.7 s vs. 609.1 ± 96.2 s) were significantly lower in the SHS-CPX ( < 0.0001). There were no adverse events. The peak V.O2 with SHS-CPX was equivalent to about 70% of that with CE-CPX despite the exercise being performed in a sitting position, suggesting its suitability as a submaximal exercise test.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10057871PMC
http://dx.doi.org/10.3390/jcm12062140DOI Listing

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