Barriers to physical activity in coronary artery disease patients: Development and validation of a new scale / Charles Joussain in Annals of physical and rehabilitation medicine, Vol. 60, n° 5 (September 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 5 (September 2017) . - p. 289-298 Titre : Barriers to physical activity in coronary artery disease patients: Development and validation of a new scale Type de document : texte imprimé Auteurs : Charles Joussain, Auteur ; Davy Laroche, Auteur ; Julie Joubert, Auteur Année de publication : 2017 Article en page(s) : p. 289-298 Langues : Anglais (eng) Français (fre) Mots-clés : Questionnaire  Activité physique  Artère  Questionnaire,Barriers,Physical activity,Coronary artery disease,Validity,Reliability Résumé : Objective: To develop and validate a self-report questionnaire to measure barriers to regular physical activity (PA) in patients with stable coronary artery disease (CAD). Methods: Phase 1: 17 patients completed a semi-structured interview. After grouping and reformulating the reported barriers, their pertinence was reevaluated by the patients. Then, a decision algorithm was used to select items. A principal component analysis was performed to determine content validity. Phase 2: 49 patients completed the questionnaire resulting from phase 1 twice, 7 days apart, and questionnaires to evaluate depression, anxiety, and the level of physical activity. Construct validity was evaluated by analysis of Spearman's correlation coefficient between the total score for the questionnaire and a convergent dimension (anxiety), as well as a divergent dimension (Dijon physical activity score). Internal consistency was evaluated by Cronbach's alpha coefficient. Test-retest reliability was evaluated by the intraclass coefficient (ICC). Results: Eleven items were selected after phase 1. The questionnaire presented good face validity and the content validity seemed satisfactory after analysis of the literature by the experts. Construct validity was moderate. Internal consistency was very good (Cronbach's α>0.81). Reproducibility was excellent with an ICC at 0.95. Feasibility was good with less than 3 minutes to complete the questionnaire. Conclusion: This questionnaire presents good psychometric properties. A further prospective study should evaluate sensitivity to change and help determine a threshold value indicating the need for a specific behavioral strategy to alleviate barriers to physical activity in these patients. Permalink : ./index.php?lvl=notice_display&id=51672 [article] Barriers to physical activity in coronary artery disease patients: Development and validation of a new scale [texte imprimé] / Charles Joussain, Auteur ; Davy Laroche, Auteur ; Julie Joubert, Auteur . - 2017 . - p. 289-298. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 5 (September 2017) . - p. 289-298 Mots-clés : Questionnaire  Activité physique  Artère  Questionnaire,Barriers,Physical activity,Coronary artery disease,Validity,Reliability Résumé : Objective: To develop and validate a self-report questionnaire to measure barriers to regular physical activity (PA) in patients with stable coronary artery disease (CAD). Methods: Phase 1: 17 patients completed a semi-structured interview. After grouping and reformulating the reported barriers, their pertinence was reevaluated by the patients. Then, a decision algorithm was used to select items. A principal component analysis was performed to determine content validity. Phase 2: 49 patients completed the questionnaire resulting from phase 1 twice, 7 days apart, and questionnaires to evaluate depression, anxiety, and the level of physical activity. Construct validity was evaluated by analysis of Spearman's correlation coefficient between the total score for the questionnaire and a convergent dimension (anxiety), as well as a divergent dimension (Dijon physical activity score). Internal consistency was evaluated by Cronbach's alpha coefficient. Test-retest reliability was evaluated by the intraclass coefficient (ICC). Results: Eleven items were selected after phase 1. The questionnaire presented good face validity and the content validity seemed satisfactory after analysis of the literature by the experts. Construct validity was moderate. Internal consistency was very good (Cronbach's α>0.81). Reproducibility was excellent with an ICC at 0.95. Feasibility was good with less than 3 minutes to complete the questionnaire. Conclusion: This questionnaire presents good psychometric properties. A further prospective study should evaluate sensitivity to change and help determine a threshold value indicating the need for a specific behavioral strategy to alleviate barriers to physical activity in these patients. Permalink : ./index.php?lvl=notice_display&id=51672

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Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Titre : Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? Type de document : texte imprimé Auteurs : Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] Année de publication : 2017 Article en page(s) : p. 13-19 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096 [article] Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? [texte imprimé] / Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] . - 2017 . - p. 13-19. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096

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Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism / Davy Laroche in Annals of physical and rehabilitation medicine, Vol. 61, n°3 (Mai 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 156-163 Titre : Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism Type de document : texte imprimé Auteurs : Davy Laroche ; Morgane Mangin ; Delphine Besson ; Alexandre Naaim ; Anaïs Gouteron ; Jean-Marie Casillas Année de publication : 2018 Article en page(s) : p. 156-163 Note générale : Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80463 [article] Number of raised steps: A tool to assess brief and intense effort involving anaerobic metabolism [texte imprimé] / Davy Laroche ; Morgane Mangin ; Delphine Besson ; Alexandre Naaim ; Anaïs Gouteron ; Jean-Marie Casillas . - 2018 . - p. 156-163. Doi : 10.1016/j.rehab.2017.12.009 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°3 (Mai 2018) . - p. 156-163 Mots-clés : Anaerobic test  Blood lactate measurement  Exercise test  NIRS muscle  Oxygen debt  Step test Résumé : Background Although the initial anaerobic component of exercise adaptation is unavoidable, no specific functional test is available for use in routine non-sporting practice to evaluate it. Objective To assess the bioenergetic and biomechanical properties of the Short and Fast Step Test (SFST), which consists of walking up and down a step as many times as possible in 1minute and to analyse its ability to explore the initial anaerobic component of effort in comparison to a reference self-paced step test. Methods Overall, 31 healthy subjects (19 women; mean [SD] age, 32.4 [10.2] years) completed a test–retest of a self-paced step test and the SFST, with pre- and post-test measurement of blood lactate concentration and continuous recording of VO2 and modelling of excess post-exercise oxygen consumption (EPOC), near-infrared spectroscopy (NIRS) of the quadriceps and mechanical power (estimated by the number of steps climbed and 3-D motion analysis). Results Both step tests were well tolerated. The reliability of the bioenergetics parameters, number of raised steps, mechanical power and NIRS tissue saturation index was good. Indirect mechanical power (estimated from number of steps) was correlated with direct power (computed from the centre of mass). Lactate accumulation was significantly increased during exercise with only the SFST (mean [SD] increase, 3.86 [3.26]mmolL−1 from resting values, P<0.05). EPOC was higher with the SFST than the self-paced step test (P<0.05). Only the SFST showed significant correlations between number of steps climbed and EPOC (r=0.84; P<0.001) and decreased tissue saturation index (NIRS) and EPOC area (r=−0.39; P<0.05). Conclusions SFST is feasible, well tolerated, reliable and responsive to explore a brief exercise involving anaerobic metabolism at submaximal intensity. The number of steps taken in 1minute seems a suitable parameter for practical application. Permalink : ./index.php?lvl=notice_display&id=80463

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Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients / Benjamin Pageaux in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 241-244 Titre : Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients Type de document : texte imprimé Auteurs : Benjamin Pageaux ; Delphine Besson ; Jean-Marie Casillas ; Romuald Lepers ; Vincent Gremeaux ; Paul Ornetti ; Anaïs Gouteron ; Davy Laroche Année de publication : 2020 Article en page(s) : p. 241-244 Note générale : doi.org/10.1016/j.rehab.2019.09.007 Langues : Anglais (eng) Mots-clés : Oxygen consumption  Eccentric training  Muscle pain  Perception of effort  Eccentric rehabilitation Permalink : ./index.php?lvl=notice_display&id=90801 [article] Progressively increasing the intensity of eccentric cycling over four training sessions : A feasibility study in coronary heart disease patients [texte imprimé] / Benjamin Pageaux ; Delphine Besson ; Jean-Marie Casillas ; Romuald Lepers ; Vincent Gremeaux ; Paul Ornetti ; Anaïs Gouteron ; Davy Laroche . - 2020 . - p. 241-244. doi.org/10.1016/j.rehab.2019.09.007 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 241-244 Mots-clés : Oxygen consumption  Eccentric training  Muscle pain  Perception of effort  Eccentric rehabilitation Permalink : ./index.php?lvl=notice_display&id=90801

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The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients / Anaïs Gouteron in Annals of physical and rehabilitation medicine, Vol. 63, n°4 (Juillet 2020)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 368-371 Titre : The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients Type de document : texte imprimé Auteurs : Anaïs Gouteron ; Delphine Besson ; Aurélie Gudjoncik ; Armelle Hannequin ; Davy Laroche ; Jean-Marie Casillas Année de publication : 2020 Article en page(s) : p. 368-371 Note générale : doi.org/10.1016/j.rehab.2019.09.006 Langues : Anglais (eng) Mots-clés : Anaerobic test  Blood lactate measurement  Cardiac rehabilitation  Oxygen debt  Step test Permalink : ./index.php?lvl=notice_display&id=90885 [article] The Short and Fast Step Test : A functional tool to assess anaerobic metabolism in rehabilitated coronary patients [texte imprimé] / Anaïs Gouteron ; Delphine Besson ; Aurélie Gudjoncik ; Armelle Hannequin ; Davy Laroche ; Jean-Marie Casillas . - 2020 . - p. 368-371. doi.org/10.1016/j.rehab.2019.09.006 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°4 (Juillet 2020) . - p. 368-371 Mots-clés : Anaerobic test  Blood lactate measurement  Cardiac rehabilitation  Oxygen debt  Step test Permalink : ./index.php?lvl=notice_display&id=90885

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