Development of Field Tests for Cardiovascular Fitness Assessment in Wheelchair

It is essential to consider both physique and physical fitness factors to minimize the risk of injuries and optimize athletic performance among elite athletes. Athletes with disabilities face limitations in fitness assessments compared to their healthy counterparts. The aim of this study was to revalidate established cardiovascular fitness assessment methods and develop field tests for wheelchair athletes. As representatives registered at the Korea Paralympic Committee's Athletes Training Center in Icheon, athletes with physical disabilities participating in para ice hockey (n = 14), who were capable of wheelchair control, were volunteered. Prior to cardiovascular fitness assessments using an ergometer and a shuttle run, demographic characteristics were surveyed, and physical measurements and muscle strength (grip strength) were recorded. All the participants performed one ergometer test based on cardiovascular fitness criteria, and for shuttle run validation, two trials were conducted using existing audio cues (National Physical Fitness 100, 20 m shuttle run). For the development of the shuttle run, considering wheelchair turning, signal-to-sound intervals were increased by 1 s and 1.5 s, respectively, in two trials. An analysis of the correlation with the maximal oxygen consumption (VO₂max) in comparison to the reference criterion, an ergometer, demonstrated high correlations in the first trial (r = 0.738) and the second trial (r = 0.780). Similarly, significant correlations were observed with the maximum heart rate (HRmax) in the first trial (r = 0.689) and the second trial (r = 0.896). Thus, the 15 m shuttle run is validated as a field test for assessing cardiovascular fitness in athletes with disabilities. Correlation analysis with maximal oxygen uptake (VO₂max) compared to the reference criterion, an ergometer, revealed a correlation of 0.815 with a 1 s interval audio cue and 0.355 with a 1.5 s interval audio cue. A high correlation was observed with the 1 s interval audio cue. Regarding the maximum heart rate (HRmax), the correlations were 0.665 with a 1 s interval audio cue. Once again, a high correlation was noted with the 1 s interval audio cue. The field test selected for measuring cardiovascular fitness in wheelchair athletes involved performing a 15 m shuttle run while in the wheelchair. The test utilized an audio cue with a 1 s increased interval between the signal sounds.