The Use of a Wheelchair Propulsion Field Test to Determine Peak Heart Rate in Children and Adolescents With Myelomeningocele

in Pediatric Exercise Science

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Marisa Maia Leonardi-Figueiredo University of São Paulo

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Mariana Angélica de Souza University of São Paulo

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Elisangela Aparecida da Silva Lizzi University of São Paulo

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Luciano Fonseca Lemos de Oliveira University of São Paulo

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Julio Cesar Crescencio University of São Paulo

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Pedro Vellosa Schwartzmann University of São Paulo

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Lourenço Gallo Jr University of São Paulo

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Ana Claudia Mattiello-Sverzut University of São Paulo

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DOI:
https://doi.org/10.1123/pes.2017-0094
Keywords:
exercise test; child; meningomyelocele; arm ergometry tests; fitness testing
In Print:
Volume 30: Issue 2
Page Range:
251–258
Restricted access

Purpose: We analyzed the evolution and pattern of heart rate (HR) during the 12-minute wheelchair propulsion field test (WPFT) and compared the peak HR (HRpeak) from the WPFT to the HRpeak obtained in the progressive cardiopulmonary exercise test on arm cranking ergometer (ACT). We aimed to determine if the field test detects the HRpeak consistently and could be used in clinical practice. Methods: Eleven wheelchair-using children and adolescents with myelomeningocele (aged 8–15 y) performed a maximal ACT and a 12-minute WPFT. HR was recorded continuously at rest, during each minute of the tests, and at recovery. Mixed analysis of variance was used to compare the variables at rest and peak. Bland–Altman plot and Lin’s concordance correlation coefficient were used to show agreement between the tests. Results: During minute 2 of the WPFT, participants reached 73%–96% of the HRpeak values recorded in the ACT. From minutes 4 to 12, participants reached HRpeak values ranging 86%–109% of the values recorded in the ACT. There is agreement between the ACT and the WPFT tests. Conclusion: WPFT with minimal duration of 4 minutes may be an alternative tool to obtain HRpeak in children and adolescents with myelomeningocele.

Leonardi-Figueiredo, de Souza, Lizzi, de Oliveira, Crescencio, Schwartzmann, Gallo, and Mattiello-Sverzut are with the Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

Address author correspondence to Ana Claudia Mattiello-Sverzut at acms@fmrp.usp.br.
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