Application of stepper in cardiopulmonary exercise test for patients with hemiplegia.

Abstract:

:A method to perform exercise testing for patients with hemiplegia is unavailable though over half of them have cardio-pulmonary disorders. We aimed to assess the reliability and validity of using a stepper in cardiopulmonary exercise testing (CPET) in this population.14 stroke patients with hemiplegia who failed to ride the stationary bike were included. Exclusion criteria included manual muscle strength ≦1 in the lower extremity, and conventional contraindications of CPET. They underwent CPET twice by using a stepper to evaluate test-retest reliability and validity. Additionally, 10 healthy participants underwent CPET twice on the cycle ergometer and stepper respectively.In the test-retest, the ratio of two-time difference to mean was 5.0, 3, 11.3 and 12.0% on average for peak oxygen consumption, peak heart rate (HR), anaerobic threshold and minute ventilation - carbonic dioxide production slope respectively. Cronbach's alpha coefficient of peak oxygen consumption and anaerobic threshold were 0.992 and 0.919. In the stepper exercise testing of the hemiplegic participants, the ratio of peak HR to age-predicted maximal HR was 75% on average. Peak respiratory exchange ratio (mean ± standard deviation = 1.17 ± 0.08) was not different from that of healthy controls (1.21 ± 0.09). Notably, VO2 trajectory in relation to work rate is nonlinear and different in the rest-retest.This is the first research to study CPET variables in detail using stepper in patients with hemiplegia. CPET variables associated with peak are valid and reliable; nonetheless, those with sub-maximum are not. The study provides a method to do exercise testing for the patients with hemiplegia and its notice in application.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Huang SC,Hsu CC,Fu TC,Chen CP,Liao MF,Hsu YH,Wang JS

doi

10.1097/MD.0000000000021058

subject

Has Abstract

pub_date

2020-07-10 00:00:00

pages

e21058

issue

28

eissn

0025-7974

issn

1536-5964

pii

00005792-202007100-00070

journal_volume

99

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • PET/CT-negative malignant spine tumor with pathologic fracture: A case report of malignant solitary bone plasmacytoma.

    abstract:RATIONALE:We report on a patient with a positron emission tomography/computed tomography scans (PET/CT)-negative malignant spine tumor, which had even caused a pathologic fracture, and was eventually confirmed on surgical biopsy. PATIENT CONCERNS:A 67-year-old man visited our emergency department with sudden onset of ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013374

    authors: Kim KU,Choi JH,Lee GW

    更新日期:2018-12-01 00:00:00

  • Acupuncture for asthma: Protocol for a systematic review.

    abstract:BACKGROUND:Asthma is a common chronic disease in both adults and children. Inhaled corticosteroids (ICS) and β2-agonists are the major medications treating asthma with many side effects. Acupuncture has been used in many diseases including asthma. We aim to assess the efficacy and safety of acupuncture for asthma. MET...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007296

    authors: Li M,Zhang X,Bao H,Li C,Zhang P

    更新日期:2017-06-01 00:00:00

  • Associations of maternal hyperglycemia in the second and third trimesters of pregnancy with prematurity.

    abstract::Hyperglycemia in pregnancy (HIP) is related to adverse pregnancy outcomes. However, women with hyperglycemia in the second and third trimester of pregnancy (HISTTP) were not been observed. We aim to reveal associations between HISTTP and prematurity. To confirm which risk factor is better in predicting preterm deliver...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019663

    authors: Zhao D,Yuan S,Ma Y,An YX,Yang YX,Yang JK

    更新日期:2020-04-01 00:00:00

  • Hypertrophic osteoarthropathy secondary to vascular prosthesis infection: report of 3 cases and review of the literature.

    abstract::An infected vascular graft is an uncommon association in hypertrophic osteoarthropathy (HOA) but is important because of potential catastrophic complications. Here we describe 3 new patients with HOA secondary to vascular prosthesis infection and review the other 23 patients described in the English literature with th...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/01.md.0000224714.27508.8b

    authors:

    更新日期:2006-05-01 00:00:00

  • Diagnostic Value of Serum IgG4 for IgG4-Related Disease: A PRISMA-compliant Systematic Review and Meta-analysis.

    abstract::Many studies about serum IgG4 for the diagnosis of IgG4-related disease (IgG4-RD) have been reported. However, these studies had relatively small sample sizes and the diagnostic accuracy values varied much between them.The aim of this study was to perform a meta-analysis to evaluate the diagnostic value of serum IgG4 ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000003785

    authors: Hao M,Liu M,Fan G,Yang X,Li J

    更新日期:2016-05-01 00:00:00

  • What Do Stroke Patients Look for in Game-Based Rehabilitation: A Survey Study.

    abstract::Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003032

    authors: Hung YX,Huang PC,Chen KT,Chu WC

    更新日期:2016-03-01 00:00:00

  • A cross-sectional observational study of pneumococcal carriage in children, their parents, and older adults following the introduction of the 7-valent pneumococcal conjugate vaccine.

    abstract::Using nasopharyngeal carriage as a marker of vaccine impact, pneumococcal colonization and its relation to invasive disease were examined in children, their parents, and older adults in the United Kingdom following introduction of 7-valent pneumococcal conjugate vaccine (PCV7) and prior to 13-valent pneumococcal conju...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000335

    authors: Hamaluba M,Kandasamy R,Ndimah S,Morton R,Caccamo M,Robinson H,Kelly S,Field A,Norman L,Plested E,Thompson BAV,Zafar A,Kerridge SA,Lazarus R,John T,Holmes J,Fenlon SN,Gould KA,Waight P,Hinds J,Crook D,Snape MD,

    更新日期:2015-01-01 00:00:00

  • Injury of the cortico-ponto-cerebellar tract in a patient with mild traumatic brain injury: A case report.

    abstract:RATIONALE:We report on a patient with injury of the cortico-ponto-cerebellar tract (CPCT) following mild traumatic brain injury (TBI), diagnosed by diffusion tensor tractography (DTT). PATIENT CONCERNS:A 53-year-old female patient was injured in a car crash. While under treatment at a local medical center for headache...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008749

    authors: Jang SH,Kwon HG

    更新日期:2017-12-01 00:00:00

  • Successful superselective embolization with n-butyl cyanoacrylate for hemorrhage from superficial femoral artery branches following blunt trauma: Three case reports.

    abstract:INTRODUCTION:In blunt traumatic superficial femoral arterial (SFA) injuries, hemorrhage from the branches without injury to the main artery is rare, but can lead to serious complications, such as compartment syndrome affecting the clinical outcomes. Although open surgical repair has been the standard approach to periph...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020467

    authors: Oh CH,Kim Y,Lee JH,Kim HR,Go SJ

    更新日期:2020-07-02 00:00:00

  • Erector spinae plane block for multimodal analgesia after wide midline laparotomy: A case report.

    abstract:RATIONALE:The most commonly used regional techniques for analgesia following laparotomy thoracic epidural analgesia and paravertebral blocks are technically difficult to perform and carry a risk of severe complications. Recently, the erector spinae plane block (ESPB) has been reported to effectively treat neuropathic p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015654

    authors: Bang S,Chung J,Kwon W,Yoo S,Soh H,Lee SM

    更新日期:2019-05-01 00:00:00

  • Moxibustion for rheumatoid arthritis: Protocol for a systematic review.

    abstract:BACKGROUND:Rheumatoid Arthritis (RA) is a serious chronic disease which will result in serious syndrome such as joints stiffness, disability, and death. The major medications treating RA usually make sense and side effects, while moxibustion is known as a safe and effective treatment for RA. This review aims to systema...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015899

    authors: Wu X,Zhang Y,Chen B,Luo J,Gan L,Chen G

    更新日期:2019-06-01 00:00:00

  • Differences of DNA methylation patterns in the placenta of large for gestational age infant.

    abstract::To investigate the molecular mechanisms of later metabolic health changes in large for gestational age (LGA) newborns by analyzing deoxyribonucleic acid (DNA) methylation patterns in the placenta of LGA and appropriate for gestational age (AGA) newborns.A total of 6 placentas of LGA and 6 placentas of AGA newborns wer...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022389

    authors: Shen Z,Tang Y,Song Y,Shen W,Zou C

    更新日期:2020-09-25 00:00:00

  • Contradictions between DAPT and PRECISE-DAPT scores with the severity of coronary lesion in acute coronary syndrome.

    abstract::This study aimed to identify the correlation of contradiction between DAPT score and PRECISE-DAPT score with the severity of coronary lesion in acute coronary syndromes (ACS).In total, 458 patients with ACS after a percutaneous coronary intervention (PCI) who had tolerated 1-year uneventful dual antiplatelet therapy (...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019699

    authors: Bi S,Zhao Y,Peng Q,Liu W,Zhang G,Zhang C

    更新日期:2020-04-01 00:00:00

  • Spinal epidural hematoma occurring at a distance from the transforaminal epidural injection site: A case report.

    abstract:RATIONALE:Transforaminal epidural steroid injection (TFESI) is a conservative method to treat back pain due to radiculopathy. However, epidural hematoma can occur after the procedure by various mechanisms, which can cause serious complications. PATIENT CONCERNS:An 82-year-old man with spinal stenosis was treated with ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016654

    authors: Kim SI,Lee DH,Kim SH,Cho YH

    更新日期:2019-07-01 00:00:00

  • A comparative study of four Bowie-Dick test under the condition of pressure steam sterilizer simulating gas leakage.

    abstract::We aimed to understand the evaluation of different Bowie-Dick test (B-D test) on the performance of pressure steam sterilization equipment in the case of simulated gas leakage, and we selected a pulsating vacuum steam sterilizer to set 4 different gas leakage levels: 1.1, 1.3, 1.5, and 1.7 mbar/min during the B-D test...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023653

    authors: Yu X,Zhang Q,Deng X,Liang J,Hao S,Chen J,Du H

    更新日期:2020-12-11 00:00:00

  • Chronic chorioretinal detachment under normal intraocular pressure in eye with uveitic glaucoma after trabeculectomy: A case report.

    abstract:RATIONALE:Choroidal detachment is a major postoperative complication of trabeculectomy. Postoperative choroidal detachment occurs with low intraocular pressure (IOP), and is naturally resolved by elevation of IOP. We report a case of chronic chorioretinal detachment (CRD) in the eye with uveitic glaucoma after trabecul...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018652

    authors: Sakurai Y,Takayama K,Abe T,Takeuchi M

    更新日期:2020-01-01 00:00:00

  • Usefulness of titanium mesh cage for posterior C1-C2 fixation in patients with atlantoaxial instability.

    abstract::The aim of this study was to investigate the usefulness of titanium mesh cage as an interlaminar spacer combined with nitinol shape memory loop fixation in patients with atlantoaxial instability.From April 2009 to March 2017, among the patients with atlantoaxial instability, a total of 30 patients were treated by niti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008022

    authors: Yang HS,Kim KW,Oh YM,Eun JP

    更新日期:2017-09-01 00:00:00

  • Tension band wiring for proximal femoral varus osteotomy fixation in children.

    abstract::For proximal varus osteotomy of the femur in children, a stable fixation, is a concern regarding the safety and the protection of the surgery. The methods of fixation are mostly represented by plating systems; however, the tension band wiring is a simple and eligible option for fixation of proximal femur osteotomy. Th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000061

    authors: Maranho DA,Pagnano RG,Volpon JB

    更新日期:2014-08-01 00:00:00

  • Elevated Serum PCT in Septic Shock With Endotoxemia Is Associated With a Higher Mortality Rate.

    abstract::To examine the effect of endotoxemia on the procalcitonin (PCT) serum levels and mortality rates of adult patients with septic shock diagnosed on the day of admission to the intensive care unit (ICU).A retrospective observational study was performed over a 2-year period. Levels of PCT were compared for septic shock pa...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001085

    authors: Adamik B,Smiechowicz J,Jakubczyk D,Kübler A

    更新日期:2015-07-01 00:00:00

  • Curative-intent radiotherapy in patients with oligometastatic lesions from colorectal cancer: A single-center study.

    abstract::The purpose of the present study was to investigate the efficacy and safety of radiotherapy for patients with oligometastases from colorectal cancer (CRC).This was a retrospective cross-sectional study. Patients with liver and/or lung oligometastatic lesions from CRC treated with curative-intent radiotherapy in West C...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012601

    authors: He X,Zhang P,Li Z,Bi F,Xu F,Wang X,Shen Y,Li Q,Qiu M

    更新日期:2018-10-01 00:00:00

  • A comparison of bone mineral densities and body composition between Southeast Asia college students and Chinese college students.

    abstract::The aim of this study was to compare bone mineral densities (BMDs) and body composition between Southeast Asia college students and Chinese college students, in order to provide a certain reference enhancing college students' physical fitness.A total of 1694 Chinese college students (294 men and 1400 women, aged 18-22...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004724

    authors: Liu P,Ye Z,Lu J,Lu H,Guan L,Teng Z,Gao S,Li M

    更新日期:2016-09-01 00:00:00

  • Examining the Association Between Quadriceps Strength and Cognitive Performance in the Elderly.

    abstract::Emerging evidences showed impaired muscle strength was prevalent in older adults with mild cognition impairment or dementia. However, little was known about the role of quadriceps strength in the cognition decline among older population. The objective of our study was to investigate the relation between quadriceps str...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001335

    authors: Chen WL,Peng TC,Sun YS,Yang HF,Liaw FY,Wu LW,Chang YW,Kao TW

    更新日期:2015-08-01 00:00:00

  • Interferon-free regimens improve health-related quality of life and fatigue in HIV/HCV-coinfected patients with advanced liver disease: A retrospective study.

    abstract::Health-related quality of life (HRQoL) is impaired in HIV/HCV-coinfected patients (HIV/HCV) and further decreased by interferon (IFN)-based therapies. We aimed to investigate the impact of IFN- and ribavirin (RBV)-free therapies on HRQoL and fatigue.Thirty-three HIV/HCV-coinfected patients who underwent HCV therapy wi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004061

    authors: Scheiner B,Schwabl P,Steiner S,Bucsics T,Chromy D,Aichelburg MC,Grabmeier-Pfistershammer K,Trauner M,Peck-Radosavljevic M,Reiberger T,Mandorfer M

    更新日期:2016-07-01 00:00:00

  • Application of point-of-care ultrasound for different types of esophageal foreign bodies: three case reports: A CARE-compliant article.

    abstract:RATIONALE:Esophageal point-of-care ultrasound (POCUS) has recently been reported as a useful, quick, safe, and simple technique to detect esophageal foreign bodies (FBs). However, case series to detect esophageal FB using POCUS have been rarely reported. Chicken bones and pills, especially, have not yet been reported a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018893

    authors: Ahn JH,Sohn Y

    更新日期:2020-01-01 00:00:00

  • Erratum: Treatments for Shoulder Impingement Syndrome: A PRISMA Systematic Review and Network Meta-Analysis: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000000510.]. ...

    journal_title:Medicine

    pub_type: 已发布勘误

    doi:10.1097/01.md.0000484495.36196.d5

    authors:

    更新日期:2016-06-10 00:00:00

  • Comparison of postoperative coagulation profiles and outcome for sugammadex versus pyridostigmine in 992 living donors after living-donor hepatectomy.

    abstract::Donor safety is the major concern in living donor liver transplantation, although hepatic resection may be associated with postoperative coagulopathy. Recently, the use of sugammadex has been gradually increased, but sugammadex is known to prolong prothrombin time (PT) and activated partial thromboplastin time (aPTT)....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010129

    authors: Moon YJ,Kim SH,Kim JW,Lee YK,Jun IG,Hwang GS

    更新日期:2018-03-01 00:00:00

  • A biomechanical analysis of plate fixation using unicortical and bicortical screws in transverse metacarpal fracture models subjected to 4-point bending and dynamical bending test.

    abstract::In the published literature there are controversial data to the biomechanical stability of monocortical comparing to the bicortical fixation of metacarpal fractures. The aim of this study was to compare the biomechanical stability of monocortical and bicortical locking osteosynthesis in quasi-static and dynamic 4-poin...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006926

    authors: Liodaki E,Wendlandt R,Waizner K,Schopp BE,Mailänder P,Stang F

    更新日期:2017-07-01 00:00:00

  • Transcriptome analyses identify hub genes and potential mechanisms in adenoid cystic carcinoma.

    abstract::Adenoid cystic carcinoma (ACC) is one of the most frequent malignancies of salivary glands. The objective of this study was to identify key genes and potential mechanisms during ACC samples.The gene expression profiles of GSE88804 data set were downloaded from Gene Expression Omnibus. The GSE88804 data set contained 2...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018676

    authors: Liu HB,Huang GJ,Luo MS

    更新日期:2020-01-01 00:00:00

  • Performance of Positron Emission Tomography and Positron Emission Tomography/Computed Tomography Using Fluorine-18-Fluorodeoxyglucose for the Diagnosis, Staging, and Recurrence Assessment of Bone Sarcoma: A Systematic Review and Meta-Analysis.

    abstract::To investigate the performance of fluorine-18-fluorodeoxyglucose (F-FDG) positron emission tomography (PET) and PET/computed tomography (CT) in the diagnosis, staging, restaging, and recurrence surveillance of bone sarcoma by systematically reviewing and meta-analyzing the published literature.To retrieve eligible stu...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000001462

    authors: Liu F,Zhang Q,Zhu D,Liu F,Li Z,Li J,Wang B,Zhou D,Dong J

    更新日期:2015-09-01 00:00:00

  • External fixation combined with delayed internal fixation in treatment of tibial plateau fractures with dislocation.

    abstract::The aim of this study was to evaluate the clinical efficacy of external fixation, delayed open reduction, and internal fixation in treating tibial plateau fracture with dislocation.Clinical data of 34 patients diagnosed with tibial plateau fracture complicated with dislocation between January 2009 and May 2015 were re...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008221

    authors: Tao X,Chen N,Pan F,Cheng B

    更新日期:2017-10-01 00:00:00