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Exercise testing in patients with musculoskeletal handicaps.

G F Fletcher1, A Lloyd, J F Waling

  • 1Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, GA 30322.

Archives of Physical Medicine and Rehabilitation
|February 1, 1988
PubMed
Summary

Exercise testing is safe and effective for individuals with musculoskeletal handicaps, including paralysis and amputations. Specialized equipment ensures successful cardiovascular evaluation and rehabilitation therapy for these patients.

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Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Exercise Physiology

Background:

  • Musculoskeletal handicaps present unique challenges for exercise testing.
  • Concurrent cardiovascular conditions are common in this population.
  • Exercise testing is crucial for rehabilitation and cardiovascular evaluation.

Observation:

  • Twenty hospitalized patients (mean age 61) with various musculoskeletal handicaps underwent exercise testing.
  • Arm ergometry was the primary method used (15/20 tests).
  • Patients experienced expected increases in heart rate and systolic blood pressure during testing.

Findings:

  • Exercise testing was safely and effectively completed by all patients.
  • Minor adverse events included ectopy (8 patients) and blood pressure changes (3-2 patients).

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  • One patient showed significant ECG S-T segment displacement.

    • Implications:

    • Appropriate equipment selection is key for safe and effective exercise testing in this population.
    • Exercise testing can be a valuable tool for guiding rehabilitation and assessing cardiovascular health in patients with musculoskeletal handicaps.
    • Further research may refine protocols for specific types of musculoskeletal impairments.