Reliability and Validity of Subjective Measures of Aerobic Intensity in Adults With Spinal Cord Injury: A Systematic Review

Wiley - Tập 10 Số 2 - Trang 194-207 - 2018
Jan W. Jan W., Michael J. Michael J., Thomas Thomas, Kathleen A. Kathleen A., Victoria L. Victoria L.

Tóm tắt

AbstractObjectiveTo systematically synthesize and appraise research regarding test‐retest reliability or criterion validity of subjective measures for assessing aerobic exercise intensity in adults with spinal cord injury (SCI).Data SourcesElectronic databases (Pubmed, PsychINFO, SPORTDiscus, EMBASE, and CINAHL) were searched from inception to January 1, 2016.Study SelectionStudies involving at least 50% of participants with SCI who performed an aerobic exercise test that included measurement of subjective and objective intensity based on test‐retest reliability or criterion validity protocols.Data ExtractionCharacteristics were extracted on study design, measures, participants, protocols, and results. Each study was evaluated for risk of bias based on strength of the study design and a quality checklist score (COnsensus‐based Standards for the selection of health Measurement INstruments [COSMIN]).Data SynthesisThe 7 eligible studies (1 for reliability, 6 for validity) evaluated overall, peripheral and/or central ratings of perceived exertion (RPE) on a scale of 6‐20 (RPE 6‐20). No eligible studies were identified for other subjective intensity measures. The evidence for reliability and validity were synthesized separately for each measure and were assessed using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Overall, very low GRADE confidence ratings were established for reliability and validity evidence generalizable to the entire population with SCI and various upper‐body and lower‐body modalities. There was low confidence for the evidence showing that overall RPE 6‐20 has acceptable validity for adults with SCI and high fitness levels performing moderate to vigorous‐intensity upper‐body aerobic exercise.ConclusionsHealth care professionals and scientists need to be aware of the very low to low confidence in the evidence, which currently prohibits a strong clinical recommendation for the use of subjective measures for assessing aerobic exercise intensity in adults with SCI. However, a tentative, conditional recommendation regarding overall RPE 6‐20 seems applicable, depending on participants' fitness level as well as the exercise intensity and modality used.Level of EvidenceNA

Tài liệu tham khảo

World Health Organization (WHO).Spinal cord injury−fact sheet of the World Health Organization. 2013 Available athttp://www.who.int/mediacentre/factsheets/fs384/en/ Accessed July 31 2017 10.1080/17437199.2016.1198240 10.1179/204577211X13207446293695 10.1038/sj.sc.3101915 Berg‐Emons R.J., 2010, Accelerometry‐based activity spectrum in persons with chronic physical conditions, Arch Phys Med Rehabil, 91, 1856, 10.1016/j.apmr.2010.08.018 10.1016/j.apmr.2009.12.027 10.1310/sci1903-183 10.1212/WNL.0b013e3182a1aa68 10.1097/PHM.0b013e31802f0247 10.1097/HCR.0b013e3181f68aba Martin Ginis K.A., 2011, The development of evidence‐informed physical activity guidelines for adults with spinal cord injury, Spinal Cord, 49, 1088, 10.1038/sc.2011.63 10.1038/sc.2011.62 Koppenhagen C.F., 2014, The longitudinal relationship between wheelchair exercise capacity and life satisfaction after spinal cord injury: A cohort study in the Netherlands, J Spinal Cord Med, 37, 328, 10.1179/2045772313Y.0000000167 Velzen J.M., 2012, Return to work five years after spinal cord injury inpatient rehabilitation: Is it related to wheelchair capacity at discharge?, J Rehabil Med, 44, 73, 10.2340/16501977-0899 Groot S., 2008, Prospective analysis of lipid profiles in persons with a spinal cord injury during and 1 year after inpatient rehabilitation, Arch Phys Med Rehabil, 89, 531, 10.1016/j.apmr.2007.11.023 10.1038/sj.sc.3101946 10.1111/j.1600-0838.2011.01328.x 10.1016/j.resp.2009.08.003 10.2165/00007256-200131130-00004 10.1080/026404102320761787 Borg G., 1998, Borg's Perceived Exertion and Pain Scales Paulson T.A., 2013, Perceived exertion as a tool to self‐regulate exercise in individuals with tetraplegia, Eur J Appl Physiol, 113, 201, 10.1007/s00421-012-2426-5 10.1007/BF00964681 10.1136/bjsm.20.1.4 10.1016/j.apmr.2013.02.018 10.1016/j.apmr.2011.10.030 10.1179/2045772312Y.0000000041 10.1179/2045772314Y.0000000217 Valent L., 2010, Effects of hand cycle training on wheelchair capacity during clinical rehabilitation in persons with a spinal cord injury, Disabil Rehabil, 32, 2191, 10.3109/09638288.2010.509461 10.1016/j.apmr.2015.07.010 Scheer J.W., 2016, Low‐intensity wheelchair training in inactive people with long‐term spinal cord injury: A randomized controlled trial on fitness, wheelchair skill performance and physical activity levels, J Rehabil Med, 48, 33, 10.2340/16501977-2037 10.1016/j.apmr.2015.05.019 Nooijen C.F., 2015, Feasibility of handcycle training during inpatient rehabilitation in persons with spinal cord injury, Arch Phys Med Rehabil, 96, 1654, 10.1016/j.apmr.2015.05.014 Bakkum A.J., 2015, Effects of hybrid cycle and handcycle exercise on cardiovascular disease risk factors in people with spinal cord injury: A randomized controlled trial, J Rehabil Med, 47, 523, 10.2340/16501977-1946 Pelletier C.A., 2015, A 16‐week randomized controlled trial evaluating the physical activity guidelines for adults with spinal cord injury, Spinal Cord, 53, 363, 10.1038/sc.2014.167 10.2522/ptj.20080340 10.1038/sj.sc.3101389 10.1016/j.apmr.2013.03.018 10.1139/H08-072 Martin Ginis K.A., 2005, Development and evaluation of an activity measure for people with spinal cord injury, Med Sci Sports Exerc, 37, 1099, 10.1249/01.mss.0000170127.54394.eb 10.1093/med/9780199685219.001.0001 10.1136/bjsm.33.5.336 10.1136/bmj.b2700 10.1017/S0266462312000086 Morris M., 2009, Predicting maximal oxygen uptake via a perceptually regulated exercise test (PRET), J Exerc Sci Fitness, 7, 122, 10.1016/S1728-869X(09)60015-0 10.1152/jappl.1972.33.3.351 10.2165/11531930-000000000-00000 10.1007/s11136-011-9960-1 10.1007/s004210050414 World Health Organization (WHO).Handbook for Guideline Development. 2014 Available athttp://apps.who.int/medicinedocs/en/m/abstract/Js22083en/ Accessed January 17 2017 10.1016/j.jclinepi.2010.07.015 10.3758/BF03193146 Stewart M.W., 2000, The measurement properties of fitness measures and health status for persons with spinal cord injuries, Arch Phys Med Rehabil, 81, 394, 10.1053/mr.2000.4417 10.1249/MSS.0b013e3181b72cbc 10.1007/s00421-014-2850-9 Jacobs P.L., 1997, Relationships of oxygen uptake, heart rate, and ratings of perceived exertion in persons with paraplegia during functional neuromuscular stimulation assisted ambulation, Spinal Cord, 35, 292, 10.1038/sj.sc.3100435 McCulloch J.P., 2015, Prediction of maximal oxygen consumption from rating of perceived exertion (RPE) using a modified total‐body recumbent stepper, Int J Exerc Sci, 8, 10 10.1016/j.apmr.2010.10.017 GRADE. Grading of Recommendations Assessment Development and Evaluation: Publications. 2017 Available athttp://www.gradeworkinggroup.org/ ‐ pub Accessed January 17 2017 Martin Ginis K.A., 2016, Letter to the Editor: physical activity and SCI, J Sci Med Sport, 19, 604, 10.1016/j.jsams.2016.05.001 Kilkens O.J., 2005, The longitudinal relation between physical capacity and wheelchair skill performance during inpatient rehabilitation of people with spinal cord injury, Arch Phys Med Rehabil, 86, 1575, 10.1016/j.apmr.2005.03.020 Muller G., 2004, A new test to improve the training quality of wheelchair racing athletes, Spinal Cord, 42, 585, 10.1038/sj.sc.3101611 10.1038/sc.2016.95 10.1310/sci1803-212 10.1016/j.apmr.2007.05.016 10.1016/j.jclinepi.2013.02.003
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Wiley

Tập 10 Số 2

194-207

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