International Journal of Physical Medicine & Rehabilitation

International Journal of Physical Medicine & Rehabilitation
Open Access

ISSN: 2329-9096

+44 1300 500008

Comparative study of direct and indirect test of prediction oxygen consumption in non-ambulatory children with myelomeningocele


3rd International Conference and Exhibition on Physical Medicine & Rehabilitation

May 18-20, 2015 San Antonio, USA

Marisa Maia Leonardi Figueiredo and Ana Claudia Mattiello-Sverzut

Posters-Accepted Abstracts: Int J Phys Med Rehabil

Abstract :

Knowing that the low level of physical fitness potentializes the risk of development obesity and cardiovascular disease in children with myelomeningocele, aerobic capacity analysis in this population with disuse is of extreme importance. However, the operational difficulties of direct test (TD) quantified by measuring maximum oxygen uptake (VO2 max) during a maximal exercise test performed on arm ergometer leads to explore the effectiveness indirect tests (TI) application. Thus, the aim of the present study was to verify if VO2 max from TD was compatible as estimated on indirect test (TI). Eleven wheel chair users volunteers with myelomeningocele, (8 to 15 years) performed TD (on a cycle ergometer electromagnetic brake KHL Elektroanlagen GmbH adapted for upper limbs and ergospirometer Vmax Sensor Medics) according to standardized protocol and one week later, performed TI proposed by Franklin et al. (1990). The variables measured in both tests are presented. Average Heart Rate (HR) at rest and peak showed no statistical evidence in Direct and Indirect test comparison. Comparison of BP values at rest obtained statistical difference evidence between TD and TI. The mean (SD) VO2 max in TD was significantly higher (p<0.05) than in TI indicated a variation of 24 to 56% between them. This data concluded that TI proposed by Franklin et al., (1990) was not applicable to the study population for estimate indirectly VO2 max, since this clearly underestimated the values recorded at TD, however represented a maximal exercise test model to obtain HR max but that needs to be explored for this type of population.

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