Exercise testing using upper extremity ergometry in pediatric spinal cord injury

Therese E. Johnston; Brian T. Smith; Randal R. Betz; Richard T. Lauer

doi:10.1097/PEP.0b013e318171faa1

Exercise testing using upper extremity ergometry in pediatric spinal cord injury

Therese E. Johnston
, Brian T. Smith
, Randal R. Betz
, Richard T. Lauer

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Purpose: To describe an upper extremity ergometer test for children with spinal cord injury (SCI) and examine differences based on injury level for peak heart rate (HR _peak), oxygen uptake (VO _2peak/kg), and peak power output per kilogram (W _peak/kg). Methods: Twenty-nine children with motor complete SCI participated. Nine had low cervical (C7, C8), 9 had upper thoracic (T1-T4), and 11 had mid/low thoracic (T5-T11) SCI. HR _peak, VO _2peak/kg, and Wpeak/kg were compared based on these 3 injury level groupings. Results: HRpeak (p = 0.013), VO _2peak/kg (p = 0.041), andW _peak/kg (p = 0.001) differed between groups. The mid/low thoracic group had the highest values for each variable. Conclusions: The differences in HRpeak, VO _2peak/kg, and W _peak/kg were consistent with exercise effects reported for adults with SCI. Further research is needed to develop an appropriate standardized ergometric test for children with SCI. (Pediatr Phys Ther 2008;20:146-151) Key words: child, exercise test, ergometry, exertion, human movement system, paraplegia/metabolism, tetraplegia/metabolism, spinal cord injury.

Original language	English
Pages (from-to)	146-151
Number of pages	6
Journal	Pediatric Physical Therapy
Volume	20
Issue number	2
DOIs	https://doi.org/10.1097/PEP.0b013e318171faa1
State	Published - Jun 2008
Externally published	Yes

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10.1097/PEP.0b013e318171faa1

Cite this

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title = "Exercise testing using upper extremity ergometry in pediatric spinal cord injury",

abstract = "Purpose: To describe an upper extremity ergometer test for children with spinal cord injury (SCI) and examine differences based on injury level for peak heart rate (HR peak), oxygen uptake (VO 2peak/kg), and peak power output per kilogram (W peak/kg). Methods: Twenty-nine children with motor complete SCI participated. Nine had low cervical (C7, C8), 9 had upper thoracic (T1-T4), and 11 had mid/low thoracic (T5-T11) SCI. HR peak, VO 2peak/kg, and Wpeak/kg were compared based on these 3 injury level groupings. Results: HRpeak (p = 0.013), VO 2peak/kg (p = 0.041), andW peak/kg (p = 0.001) differed between groups. The mid/low thoracic group had the highest values for each variable. Conclusions: The differences in HRpeak, VO 2peak/kg, and W peak/kg were consistent with exercise effects reported for adults with SCI. Further research is needed to develop an appropriate standardized ergometric test for children with SCI. (Pediatr Phys Ther 2008;20:146-151) Key words: child, exercise test, ergometry, exertion, human movement system, paraplegia/metabolism, tetraplegia/metabolism, spinal cord injury.",

author = "Johnston, \{Therese E.\} and Smith, \{Brian T.\} and Betz, \{Randal R.\} and Lauer, \{Richard T.\}",

year = "2008",

month = jun,

doi = "10.1097/PEP.0b013e318171faa1",

language = "English",

volume = "20",

pages = "146--151",

journal = "Pediatric Physical Therapy",

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AU - Johnston, Therese E.

AU - Smith, Brian T.

AU - Betz, Randal R.

AU - Lauer, Richard T.

PY - 2008/6

Y1 - 2008/6

N2 - Purpose: To describe an upper extremity ergometer test for children with spinal cord injury (SCI) and examine differences based on injury level for peak heart rate (HR peak), oxygen uptake (VO 2peak/kg), and peak power output per kilogram (W peak/kg). Methods: Twenty-nine children with motor complete SCI participated. Nine had low cervical (C7, C8), 9 had upper thoracic (T1-T4), and 11 had mid/low thoracic (T5-T11) SCI. HR peak, VO 2peak/kg, and Wpeak/kg were compared based on these 3 injury level groupings. Results: HRpeak (p = 0.013), VO 2peak/kg (p = 0.041), andW peak/kg (p = 0.001) differed between groups. The mid/low thoracic group had the highest values for each variable. Conclusions: The differences in HRpeak, VO 2peak/kg, and W peak/kg were consistent with exercise effects reported for adults with SCI. Further research is needed to develop an appropriate standardized ergometric test for children with SCI. (Pediatr Phys Ther 2008;20:146-151) Key words: child, exercise test, ergometry, exertion, human movement system, paraplegia/metabolism, tetraplegia/metabolism, spinal cord injury.

AB - Purpose: To describe an upper extremity ergometer test for children with spinal cord injury (SCI) and examine differences based on injury level for peak heart rate (HR peak), oxygen uptake (VO 2peak/kg), and peak power output per kilogram (W peak/kg). Methods: Twenty-nine children with motor complete SCI participated. Nine had low cervical (C7, C8), 9 had upper thoracic (T1-T4), and 11 had mid/low thoracic (T5-T11) SCI. HR peak, VO 2peak/kg, and Wpeak/kg were compared based on these 3 injury level groupings. Results: HRpeak (p = 0.013), VO 2peak/kg (p = 0.041), andW peak/kg (p = 0.001) differed between groups. The mid/low thoracic group had the highest values for each variable. Conclusions: The differences in HRpeak, VO 2peak/kg, and W peak/kg were consistent with exercise effects reported for adults with SCI. Further research is needed to develop an appropriate standardized ergometric test for children with SCI. (Pediatr Phys Ther 2008;20:146-151) Key words: child, exercise test, ergometry, exertion, human movement system, paraplegia/metabolism, tetraplegia/metabolism, spinal cord injury.

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DO - 10.1097/PEP.0b013e318171faa1

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AN - SCOPUS:46249087118

SN - 0898-5669

VL - 20

SP - 146

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JO - Pediatric Physical Therapy

JF - Pediatric Physical Therapy

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ER -

Exercise testing using upper extremity ergometry in pediatric spinal cord injury

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