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Related Experiment Video

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Experimental Protocol of a Three-minute, All-out Arm Crank Exercise Test in Spinal-cord Injured and Able-bodied Individuals
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Exercise testing using upper extremity ergometry in pediatric spinal cord injury.

Therese E Johnston1, Brian T Smith, Randal R Betz

  • 1Shriners Hospital for Children, Philadelphia, PA 19140, USA. tjohnston@shrinenet.org

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|May 16, 2008
PubMed
Summary

Children with spinal cord injury (SCI) show varying peak heart rate, oxygen uptake, and power output based on injury level. Mid/low thoracic SCI groups exhibited higher exercise responses compared to cervical and upper thoracic groups.

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Area of Science:

  • Pediatric rehabilitation
  • Neurology
  • Exercise physiology

Background:

  • Spinal cord injury (SCI) in children impacts cardiovascular and metabolic function.
  • Standardized exercise testing protocols are crucial for assessing functional capacity in pediatric SCI populations.

Purpose of the Study:

  • To introduce an upper extremity ergometer test for children with spinal cord injury (SCI).
  • To investigate differences in peak heart rate (HR peak), oxygen uptake (VO2 peak/kg), and peak power output (W peak/kg) among children with varying SCI levels.

Main Methods:

  • Twenty-nine children with motor complete SCI were divided into three groups based on injury level: low cervical (C7-C8), upper thoracic (T1-T4), and mid/low thoracic (T5-T11).
  • Peak HR, VO2 peak/kg, and W peak/kg were measured using an upper extremity ergometer test.
  • Statistical comparisons were made between the three injury level groups.

Main Results:

  • Significant differences were observed in HR peak (p=0.013), VO2 peak/kg (p=0.041), and W peak/kg (p=0.001) across the SCI groups.
  • Children in the mid/low thoracic SCI group demonstrated the highest values for all measured exercise variables.

Conclusions:

  • The observed exercise responses in children with SCI align with findings in adult SCI populations.
  • Further research is recommended to establish a standardized ergometric testing protocol for pediatric SCI.