Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study / Manuel J. Escalona in Annals of physical and rehabilitation medicine, Vol. 61, n°4 (Juillet 2018)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223 Titre : Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study Type de document : texte imprimé Auteurs : Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon Année de publication : 2018 Article en page(s) : p. 215-223 Note générale : Doi : 10.1016/j.rehab.2017.12.008 Langues : Anglais (eng) Mots-clés : Spinal cord injuries  Exercise  Rehabilitation  Technology  Physical fitness  Oxygen consumption Résumé : Background Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology. Objectives To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise. Methods We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]). Results Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program. Conclusion Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied. Permalink : ./index.php?lvl=notice_display&id=80593 [article] Cardiorespiratory demand and rate of perceived exertion during overground walking with a robotic exoskeleton in long-term manual wheelchair users with chronic spinal cord injury: A cross-sectional study [texte imprimé] / Manuel J. Escalona ; Rachel Brosseau ; Martin Vermette ; Alain Steve Comtois ; Cyril Duclos ; Mylène Aubertin-Leheudre ; Dany H. Gagnon . - 2018 . - p. 215-223. Doi : 10.1016/j.rehab.2017.12.008 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 215-223 Mots-clés : Spinal cord injuries  Exercise  Rehabilitation  Technology  Physical fitness  Oxygen consumption Résumé : Background Many wheelchair users adopt a sedentary lifestyle, which results in progressive physical deconditioning with increased risk of musculoskeletal, cardiovascular and endocrine/metabolic morbidity and mortality. Engaging in a walking program with an overground robotic exoskeleton may be an effective strategy for mitigating these potential negative health consequences and optimizing fitness in this population. However, additional research is warranted to inform the development of adapted physical activity programs incorporating this technology. Objectives To determine cardiorespiratory demands during sitting, standing and overground walking with a robotic exoskeleton and to verify whether such overground walking results in at least moderate-intensity physical exercise. Methods We enrolled 13 long-term wheelchair users with complete motor spinal cord injury in a walking program with an overground robotic exoskeleton. Cardiorespiratory measures and rate of perceived exertion (RPE) were recorded by using a portable gas analyzer system during sitting, standing and four 10m walking tasks with the robotic exoskeleton. Each participant also performed an arm crank ergometer test to determine maximal cardiorespiratory ability (i.e., peak heart rate and O2 uptake [HRpeak, VO2peak]). Results Cardiorespiratory measures increased by a range of 9%–35% from sitting to standing and further increased by 22%–52% from standing to walking with the robotic exoskeleton. During walking, median oxygen cost (O2Walking), relative HR (%HRpeak), relative O2 consumption (%VO2peak) and respiratory exchange ratio (RER) reached 0.29mL/kg/m, 82.9%, 41.8% and 0.9, respectively, whereas median RPE reached 3.2/10. O2Walking was moderately influenced by total number of sessions and steps taken with the robotic exoskeleton since the start of the walking program. Conclusion Overground walking with the robotic exoskeleton over a short distance allowed wheelchair users to achieve a moderate-intensity level of exercise. Hence, an overground locomotor training program with a robotic exoskeleton may have cardiorespiratory health benefits in the population studied. Permalink : ./index.php?lvl=notice_display&id=80593

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French version of the Mini BESTest: A translation and transcultural adaptation study incorporating a reliability analysis for individuals with sensorimotor impairments undergoing functional rehabilitation / Jean-François Lemay in Annals of physical and rehabilitation medicine, Vol. 62, n°3 (Mai 2019)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 149-154 Titre : French version of the Mini BESTest: A translation and transcultural adaptation study incorporating a reliability analysis for individuals with sensorimotor impairments undergoing functional rehabilitation Type de document : texte imprimé Auteurs : Jean-François Lemay ; Audrey Roy ; Sylvie Nadeau ; Dany H. Gagnon Année de publication : 2019 Article en page(s) : p. 149-154 Note générale : https://doi.org/10.1016/j.rehab.2018.12.001 Langues : Anglais (eng) Mots-clés : Translations  Cross-cultural comparison  Outcome assessment  Reproducibility of results  Postural balance  Rehabilitation Résumé : The Mini BESTest has been developed to comprehensively examine postural control in individuals with various pathologies treated by rehabilitation professionals. However, no formal French version of the Mini BESTest is available. This study aimed to translate and transculturally adapt the Mini BESTest to French and verify its intra- and inter-rater reliability. Translation and transcultural adaptation was performed in accordance with established guidelines, which included 2 initial translations and transcultural adaptations of the Mini BESTest to French that were then merged, a backward English translation, a subsequent adapted French version resolving discrepancies between the English versions, and pilot testing the final version by French-speaking physical therapists. In total, 20 participants with sensorimotor impairments with various etiologies and able to stand for at least 30 sec without human or technical assistance were video-recorded during evaluation with the Mini BESTest. From this video-recording, we calculated inter-rater and intrarater reliability (intraclass correlation coefficient = 0.974–0.988), internal consistency (Cronbach alpha = 0.895–0.929), standard error of measurement (1.05 and 1.63), and minimal detectable change at the 95% confidence interval (2.91 and 4.51). All values were comparable to those previously reported for the original version of the Mini BESTest. Furthermore, no significant ceiling or floor effect was detected. Therefore, the translated and transculturally adapted version of the Mini BESTest in French compares well to the original version and can be used by French-speaking rehabilitation professionals to examine postural control. Permalink : ./index.php?lvl=notice_display&id=84112 [article] French version of the Mini BESTest: A translation and transcultural adaptation study incorporating a reliability analysis for individuals with sensorimotor impairments undergoing functional rehabilitation [texte imprimé] / Jean-François Lemay ; Audrey Roy ; Sylvie Nadeau ; Dany H. Gagnon . - 2019 . - p. 149-154. https://doi.org/10.1016/j.rehab.2018.12.001 Langues : Anglais (eng) in Annals of physical and rehabilitation medicine > Vol. 62, n°3 (Mai 2019) . - p. 149-154 Mots-clés : Translations  Cross-cultural comparison  Outcome assessment  Reproducibility of results  Postural balance  Rehabilitation Résumé : The Mini BESTest has been developed to comprehensively examine postural control in individuals with various pathologies treated by rehabilitation professionals. However, no formal French version of the Mini BESTest is available. This study aimed to translate and transculturally adapt the Mini BESTest to French and verify its intra- and inter-rater reliability. Translation and transcultural adaptation was performed in accordance with established guidelines, which included 2 initial translations and transcultural adaptations of the Mini BESTest to French that were then merged, a backward English translation, a subsequent adapted French version resolving discrepancies between the English versions, and pilot testing the final version by French-speaking physical therapists. In total, 20 participants with sensorimotor impairments with various etiologies and able to stand for at least 30 sec without human or technical assistance were video-recorded during evaluation with the Mini BESTest. From this video-recording, we calculated inter-rater and intrarater reliability (intraclass correlation coefficient = 0.974–0.988), internal consistency (Cronbach alpha = 0.895–0.929), standard error of measurement (1.05 and 1.63), and minimal detectable change at the 95% confidence interval (2.91 and 4.51). All values were comparable to those previously reported for the original version of the Mini BESTest. Furthermore, no significant ceiling or floor effect was detected. Therefore, the translated and transculturally adapted version of the Mini BESTest in French compares well to the original version and can be used by French-speaking rehabilitation professionals to examine postural control. Permalink : ./index.php?lvl=notice_display&id=84112

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