PMID- 36493868
OWN - NLM
STAT- MEDLINE
DCOM- 20230508
LR  - 20230522
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 104
IP  - 5
DP  - 2023 May
TI  - An Equation With Clinical Applicability and Adequate Validity to Predict the 
      Maximum Oxygen Consumption of Individuals Post-stroke.
PG  - 769-775
LID - S0003-9993(22)01757-9 [pii]
LID - 10.1016/j.apmr.2022.11.005 [doi]
AB  - OBJECTIVE: To develop an equation with clinical applicability and adequate 
      validity to predict the maximum oxygen consumption (V̇o(2max)) of individuals 
      post-stroke. DESIGN: A cross-sectional study. SETTING: A university laboratory. 
      PARTICIPANTS: Individuals post-stroke in the chronic phase (at least 6 months 
      post-stroke). Step-1 (equation development): n=50, aged 55+/-12 years; Step-2 
      (validity investigation): n=20, aged 58+/-8 years (N=50 [step 1], N=20 [step 2]). 
      INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE(S): Step-1 (equation 
      development): multiple linear regression analysis was performed. DEPENDENT 
      VARIABLE: V̇o(2max) (mL/kg(/)min) in the cardiopulmonary exercise test. 
      INDEPENDENT VARIABLES: age (years), sex (1-women, 2-men), body mass index (BMI) 
      (kg/m(2)), and distance (meters) in the Six-Minute Walk Test (6MWT) 
      (6MWT-Equation) or in the Incremental Shuttle Walk Test (ISWT) (ISWT-Equation). 
      Step-2 (validity investigation): agreement between the V̇o(2max) measured and 
      predicted was evaluated with the intraclass correlation coefficient (ICC) with 
      95% confidence interval (CI) and the Bland-Altman method (alpha=5%). RESULTS: In 
      step-1 (equation development), the 4 independent variables for each equation were 
      retained (6MWT-Equation: R(2)=0.68, P<.001; ISWT-Equation: R(2)=0.58, P<.001). In 
      step-2 (validity investigation), the 6MWT-Equation showed an ICC of 0.73 (95% 
      CI=0.30, 0.89; P=.004) and a mean bias of 0.003 mL/kg/min; and the ISWT-Equation 
      showed an imprecise ICC of 0.55 (95% CI=-0.12, 0.82; P=.045) and a mean bias of 
      0.971 mL/kg/min. 6MWT-Equation (V̇o(2max)=22.239+0.02 x distance in the 
      6MWT+4.039 x sex-0.157 x age-0.265 x BMI) showed adequate validity. CONCLUSIONS: 
      An equation with clinical applicability and adequate validity in the investigated 
      sample was developed to predict the V̇o(2max) of individuals post-stroke in the 
      chronic phase (6MWT-Equation). Future studies with larger sample should 
      investigate its external validity.
CI  - Copyright (c) 2022 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Peniche, Paula da Cruz
AU  - Peniche PDC
AD  - Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo 
      Horizonte, Minas Gerais, Brazil.
FAU - Aguiar, Larissa Tavares
AU  - Aguiar LT
AD  - Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo 
      Horizonte, Minas Gerais, Brazil; Department of Physical Therapy, Faculdade 
      Ciencias Medicas de Minas Gerais (FCM-MG), Belo Horizonte, Minas Gerais, Brazil.
FAU - Ferreira Dos Reis, Maria Teresa
AU  - Ferreira Dos Reis MT
AD  - Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo 
      Horizonte, Minas Gerais, Brazil.
FAU - Faria, Christina Danielli Coelho de Morais
AU  - Faria CDCM
AD  - Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo 
      Horizonte, Minas Gerais, Brazil. Electronic address: cdcmf@ufmg.br.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20221207
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - Male
MH  - Humans
MH  - Female
MH  - Cross-Sectional Studies
MH  - *Exercise Test/methods
MH  - Walk Test/methods
MH  - *Stroke
MH  - Oxygen Consumption
MH  - Walking
MH  - Reproducibility of Results
OTO - NOTNLM
OT  - Cardiorespiratory fitness
OT  - Oxygen consumption
OT  - Rehabilitation
OT  - Stroke
OT  - Walk test
EDAT- 2022/12/10 06:00
MHDA- 2023/05/08 06:42
CRDT- 2022/12/09 19:33
PHST- 2022/04/20 00:00 [received]
PHST- 2022/11/11 00:00 [revised]
PHST- 2022/11/15 00:00 [accepted]
PHST- 2023/05/08 06:42 [medline]
PHST- 2022/12/10 06:00 [pubmed]
PHST- 2022/12/09 19:33 [entrez]
AID - S0003-9993(22)01757-9 [pii]
AID - 10.1016/j.apmr.2022.11.005 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2023 May;104(5):769-775. doi: 10.1016/j.apmr.2022.11.005. 
      Epub 2022 Dec 7.