scholarly journals Modified Total-Body Recumbent Stepper Exercise Test for Assessing Peak Oxygen Consumption in People With Chronic Stroke

2008 ◽  
Vol 88 (10) ◽  
pp. 1188-1195 ◽  
Author(s):  
Sandra A Billinger ◽  
Benjamin Y Tseng ◽  
Patricia M Kluding
Keyword(s):  
Oxygen Consumption ◽  
Exercise Test ◽  
Health Care Professionals ◽  
Cycle Ergometer ◽  
Peak Oxygen Consumption ◽  
Exercise Protocol ◽  
Exercise Tests ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise ◽  
Total Body

Background Assessment of peak oxygen consumption (V̇o2peak) using traditional modes of testing such as treadmill or cycle ergometer can be difficult in individuals with stroke due to balance deficits, gait impairments, or decreased coordination. Objective The purpose of this study was to quantitatively assess the validity and feasibility of a modified exercise test using a total-body recumbent stepper (mTBRS-XT) in individuals after stroke. Design A within-subject design, with a sample of convenience, was used. Participants Eleven participants (7 male, 4 female) with a mean of 40.1 months (SD=32.7) after stroke, a mean age of 60.9 years (SD=12.0), and mild to severe lower-extremity Fugl-Myer test scores (range=13–34) completed the study. Methods Participants performed 2 maximal-effort graded exercise tests on separate days using the mTBRS-XT and a cycle ergometer exercise protocol to assess cardiorespiratory fitness. Measurements of V̇o2peak and peak heart rate (peak HR) were obtained during both tests. Results A strong relationship existed between the mTBRS-XT and the cycle ergometer exercise test for V̇o2peak and peak HR (r=.91 and .89, respectively). Mean V̇o2peak was significantly higher for the mTBRS-XT (16.6 mL×kg−1×min−1[SD=4.5]) compared with the cycle ergometer exercise protocol (15.4 mL×kg−1×min−1 [SD=4.5]). All participants performed the mTBRS-XT. One individual with severe stroke was unable to pedal the cycle ergometer. No significant adverse events occurred. Conclusion The mTBRS-XT may be a safe, feasible, and valid exercise test to obtain measurements of V̇o2peak in people with stroke. Health care professionals may use the mTBRS-XT to prescribe aerobic exercise based on V̇o2peak values for individuals with mild to severe deficits after stroke.

Exercise-induced lymphocyte apoptosis attributable to cycle ergometer exercise in endurance-trained individuals

2009 ◽  
Vol 34 (4) ◽  
pp. 603-608 ◽  
Author(s):  
James Wilfred Navalta ◽  
Brian Keith McFarlin ◽  
Thomas Scott Lyons ◽  
John Clifton Faircloth ◽  
Nicholas T. Bacon ◽  
...  
Keyword(s):  
Cell Death ◽  
Oxygen Consumption ◽  
Human Lymphocytes ◽  
Cycle Ergometer ◽  
Treadmill Running ◽  
Peak Oxygen Consumption ◽  
Lymphocyte Apoptosis ◽  
Cycle Exercise ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise

Exercise as a stimulus to induce lymphocyte apoptosis remains controversial. Differences may be due to participant fitness level or the methodology of assessing cell death. Another important issue is the mode of exercise used to induce physiological changes. Treadmill exercise typically induces significant apoptosis in human lymphocytes; however, the effect of cycle exercise is less clear. The 2 main purposes of this study were to assess if cycle ergometer exercise induces similar changes in apoptosis, and to further characterize the morphological method of assessing cell death. Endurance athletes (n = 10; peak oxygen consumption = 55.1 mL·kg–1·min–1) completed a 60-min ride on a cycle ergometer at ~80% peak oxygen consumption. Blood samples taken before (PRE) and after (POST) exercise were used to make blood films for apoptotic analysis via the morphological technique. A significant increase was observed in the apoptotic index following cycle exercise (PRE = 7.3 ± 2%, POST = 12.9 ± 2%; p < 0.01). On average, it took 42 ± 9 min to read PRE sample slides, which was significantly longer than the 27 ± 4 min needed for POST slides (p < 0.01). To our knowledge, this study is the first to report that exercise on the cycle ergometer produces changes in lymphocyte apoptosis. The values measured during this study were about 20% lower than those we have observed following treadmill running, which may be explained by differences in active muscle mass and the resultant physiological stress between the 2 exercise modes. It is likely that cycling may result in reduced immunosuppression, compared with running at the same intensity.

scholarly journals Oxygen Cost of Recreational Horse-Riding in Females

2015 ◽  
Vol 12 (6) ◽  
pp. 808-813 ◽  
Author(s):  
Louisa Beale ◽  
Neil S Maxwell ◽  
Oliver R Gibson ◽  
Rosemary Twomey ◽  
Becky Taylor ◽  
...  
Keyword(s):  
Oxygen Consumption ◽  
Cycle Ergometer ◽  
Peak Oxygen Consumption ◽  
Moderate Intensity ◽  
Oxygen Cost ◽  
Metabolic Demand ◽  
Moderate Intensity Exercise ◽  
The Public ◽  
Horse Riding ◽  
Ergometer Exercise

Background:The purpose of this study was to characterize the physiological demands of a riding session comprising different types of recreational horse riding in females.Methods:Sixteen female recreational riders (aged 17 to 54 years) completed an incremental cycle ergometer exercise test to determine peak oxygen consumption (VO2peak) and a 45-minute riding session based upon a British Horse Society Stage 2 riding lesson (including walking, trotting, cantering and work without stirrups). Oxygen consumption (VO2), from which metabolic equivalent (MET) and energy expenditure values were derived, was measured throughout.Results:The mean VO2 requirement for trotting/cantering (18.4 ± 5.1 ml·kg-1·min-1; 52 ± 12% VO2peak; 5.3 ± 1.1 METs) was similar to walking/trotting (17.4 ± 5.1 ml·kg-1·min-1; 48 ± 13% VO2peak; 5.0 ± 1.5 METs) and significantly higher than for work without stirrups (14.2 ± 2.9 ml·kg-1·min-1; 41 ± 12% VO2peak; 4.2 ± 0.8 METs) (P = .001).Conclusion:The oxygen cost of different activities typically performed in a recreational horse riding session meets the criteria for moderate intensity exercise (3-6 METs) in females, and trotting combined with cantering imposes the highest metabolic demand. Regular riding could contribute to the achievement of the public health recommendations for physical activity in this population.

scholarly journals Cardiopulmonary exercise tests of adolescent elite sport climbers—a comparison of the German junior national team in sport climbing and nordic skiing

2020 ◽  
Author(s):  
Isabelle Schöffl ◽  
Jan Wüstenfeld ◽  
Gareth Jones ◽  
Sven Dittrich ◽  
Chris Lutter ◽  
...  
Keyword(s):  
Exercise Test ◽  
Time Frame ◽  
Cardiopulmonary Exercise Test ◽  
Cycle Ergometer ◽  
Peak Oxygen Consumption ◽  
Exercise Tests ◽  
National Team ◽  
Cardiopulmonary Exercise ◽  
Sport Climbing ◽  
Nordic Skiing

Abstract Background: All the research investigating the cardiopulmonary capacity in climbers focused on predictors for climbing performance. The effects of climbing on the cardiovascular system in adolescents climbing at an elite level (national team) have not been evaluated.A retrospective analysis of the cardiopulmonary exercise test (CPET) performed on a cycle ergometer during the yearly medical examination of the entire German Junior National climbing team on one occasion and for a selected subgroup on two occasions spaced two years apart was undertaken. The data from the subgroup was compared to an age- and gender-matched control of nordic skiers from the German Junior National nordic skiing team.Results: 47 climbers (20 girls, 27 boys) were examined once. The peak oxygen consumption (B achieved by the athletes was 41.3 mL kg-1 min-1 (boys) and 39.8 mL kg-1 min-1 (girls). 8 boys and 6 girls were tested twice over a time-frame of 27.5 months. The parameters of the exercise test measured on both occasions were significantly lower than those of the 14 nordic skiers. There was no change with respect to any variables over the examined time-frame. Conclusions: The elite climbers investigated in this study showed comparable a-values to athletes from team and combat sports. The nordic skiers to which they were compared showed significantly higher values consistant with the fact that this is an endurance sport. Even though the cardiopulmonary measurements of the nordic skiers still improved after two years of training, no adaptations could be observed in the elite climbers.

Heart Rate Behavior During 24h Cycle Ergometer Exercise Is Dependent On Total Body Water

2009 ◽  
Vol 41 ◽  
pp. 25
Author(s):  
Rochus Pokan ◽  
Rainer Hochgatterer ◽  
Helmuth Ocenasek ◽  
Sonja Kapiotis ◽  
Karin Vonbank ◽  
...  
Keyword(s):  
Heart Rate ◽  
Total Body Water ◽  
Cycle Ergometer ◽  
Body Water ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise ◽  
Rate Behavior ◽  
Total Body

Cardiovascular responses to treadmill and cycle ergometer exercise in children and adults

1997 ◽  
Vol 83 (3) ◽  
pp. 948-957 ◽  
Author(s):  
Kenneth R. Turley ◽  
Jack H. Wilmore
Keyword(s):  
Stroke Volume ◽  
Peripheral Resistance ◽  
Cardiovascular Responses ◽  
Cycle Ergometer ◽  
Left Ventricular ◽  
Absolute Amount ◽  
Exercise Tests ◽  
Exercise Modality ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise

Turley, Kenneth R., and Jack H. Wilmore. Cardiovascular responses to treadmill and cycle ergometer exercise in children and adults. J. Appl. Physiol. 83(3): 948–957, 1997.—This study was conducted to determine whether submaximal cardiovascular responses at a given rate of work are different in children and adults, and, if different, what mechanisms are involved and whether the differences are exercise-modality dependent. A total of 24 children, 7 to 9 yr old, and 24 adults, 18 to 26 yr old (12 males and 12 females in each group), participated in both submaximal and maximal exercise tests on both the treadmill and cycle ergometer. With the use of regression analysis, it was determined that cardiac output (Q˙) was significantly lower ( P ≤ 0.05) at a given O2 consumption level (V˙o 2, l/min) in boys vs. men and in girls vs. women on both the treadmill and cycle ergometer. The lower Q˙ in the children was compensated for by a significantly higher ( P ≤ 0.05) arterial-mixed venous O2difference to achieve the same or similarV˙o 2. Furthermore, heart rate and total peripheral resistance were higher and stroke volume was lower in the children vs. in the adult groups on both exercise modalities. Stroke volume at a given rate of work was closely related to left ventricular mass, with correlation coefficients ranging from r = 0.89–0.92 and r = 0.88–0.93 in the males and females, respectively. It was concluded that submaximal cardiovascular responses are different in children and adults and that these differences are related to smaller hearts and a smaller absolute amount of muscle doing a given rate of work in the children. The differences were not exercise-modality dependent.

Cardiovascular fitness and haemodynamic responses to maximal cycle ergometer exercise test in children 6–8 years of age

2013 ◽  
Vol 32 (7) ◽  
pp. 652-659 ◽  
Author(s):  
Niina Lintu ◽  
Tuomo Tompuri ◽  
Anna Viitasalo ◽  
Sonja Soininen ◽  
Tomi Laitinen ◽  
...  
Keyword(s):  
Exercise Test ◽  
Cycle Ergometer ◽  
Cardiovascular Fitness ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise ◽  
Maximal Cycle

Diagnostic usefulness of passive leg raising test for detection of heart failure with preserved ejection fraction compared to cycle ergometer exercise (invasive hemodynamic study)

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S.J Hwang ◽  
M.G Kang ◽  
K.H Kim ◽  
H.W Park ◽  
J.S Koh ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Exercise Test ◽  
Diastolic Pressure ◽  
Cycle Ergometer ◽  
Left Ventricular ◽  
Passive Leg Raising ◽  
Preserved Ejection Fraction ◽  
Cycle Ergometer Exercise ◽  
Ergometer Exercise ◽  
Exercise Induced

Abstract Background Invasive diastolic stress test using cycle ergometer is gold standard for diagnosis of heart failure with preserved ejection fraction (HFpEF) by demonstrating elevation of left ventricular end diastolic pressure (LVEDP) during exercise. It is well known that passive leg raising increases preload and augments LVEDP in HFpEF patients. However correlation between passive leg raising induced increase of LVEDP and cycle ergometer exercise induced increase of LVEDP is not well established. Therefore we investigated whether passive leg raising test could substitute cycle exercise test for diagnosis of HFpEF. Method Forty-five patients with unexplained dyspnea and ejection fraction &gt;50% underwent invasive exercise test. After measuring baseline LVEDP in supine position using pigtail catheter through radial artery approach, LVEDP during passive leg raising was evaluated. Then exercise LVEDP was measured after 3 minutes of 20 watt supine cycle ergometer exercise. Patients with normal resting LVEDP &lt;16mmHg were enrolled. Patients with cycle ergometer exercise LVEDP &gt;26mmHg were classified as HFpEF and exercise LVEDP &lt;26mmHg were defined as noncardiac dyspnea. Results Among 45 patients with unexplained dyspnea with preserved EF, 30 patients with ergometer exercise LVEDP &gt;26mmHg were grouped as HFpEF and 15 patients with exercise LVEDP &lt;26mmHg grouped as noncardiac dyspnea (NCD). Resting LVEDP was higher in HFpEF than NCD (14±2mmHg vs 11±3mmHg, P=0.01) but there was substantial overlap (figure 1) showing poor differentiation power of resting LVEDP. Passive leg raising increased LVEDP in both HFpEF and NCD but this was more marked in HFpEF group than in NCD group with minimal overlap (24±4mmHg vs 17±2mmHg, P&lt;0.001) (figure 2). Passive leg raising LVEDP was well correlated with cycle ergometer exercise LVEDP (R2=0.60, P&lt;0.01). The best cutoff value for passive leg raising LVEDP to detect HFpEF was 20mmHg (sensitivity, 0.87; specificity, 1.00), giving an area under the curve of 0.93 (95% confidence interval, 0.80 to 0.99). Positive predictive value of passive leg raising LVEDP &gt;20mmHg for diagnosis of HFpEF was 96% and negative predictive value was 77%. Conclusion Passive leg raising induced augmentation of left ventricular end diastolic pressure (LVEDP) was well correlated with cycle exercise induced elevation of LVEDP in HFpEF patients. Passive leg raising test may be used for detecting HFpEF with good accuracy in substitution for cycle ergometer exercise test. Funding Acknowledgement Type of funding source: None

Acid-base regulation during exercise and recovery in humans

1992 ◽  
Vol 72 (3) ◽  
pp. 954-961 ◽  
Author(s):  
W. Stringer ◽  
R. Casaburi ◽  
K. Wasserman
Keyword(s):  
Respiratory Acidosis ◽  
Normal Subjects ◽  
Cycle Ergometer ◽  
Moderate Intensity ◽  
Moderate Intensity Exercise ◽  
Exercise Tests ◽  
Cycle Ergometer Exercise ◽  
Arterial Ph ◽  
Ergometer Exercise ◽  
Exercise In Humans

Arterial pH, PCO2, standard bicarbonate, lactate, and ventilation were measured with a high sampling density during rest, exercise, and recovery in normal subjects performing upright cycle ergometer exercise. Three 6-min constant-work exercise tests (moderate, heavy, and very heavy) were performed by each subject. We found a small respiratory acidosis during the moderate-intensity exercise and an early respiratory acidosis followed by a metabolic acidosis for the heavy- and very-heavy-intensity exercise. During recovery, arterial pH rapidly returned to the preexercise value for the moderate-intensity work. However, arterial pH decreased further during the first 2 min of recovery for the heavy- and very-heavy-intensity work, before a slower return toward the resting values. We conclude that arterial acidosis is the consistent arterial pH reaction for moderate-, heavy-, and very-heavy-intensity cycle ergometer exercise in humans and that this acidosis is blunted but not eliminated by the ventilatory response. During recovery, the return to resting arterial pH and PCO2 and standard bicarbonate appears to be determined by the rate of lactate decline.

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