Responses of children with cerebral palsy to treadmill walking exercise in the heat

PURPOSE: When metabolic rate during arm-cranking in the heat is equated between children and adolescents with cerebral palsy (CP) and matched controls (CON), there are no relevant intergroup differences in heat strain. The metabolic rate, however, is known to be higher in CP during treadmill walking. The purpose of this study was to determine if during treadmill walking in the heat, the higher oxygen uptake (VO2), and thus greater metabolic heat production in those with CP would result in greater heat strain compared with able-bodied, matched CON. METHODS: Ten boys and girls (10.3-16.3 yr) with spastic CP and 10 individually matched (age, body size, biological maturity, gender, race) healthy CON performed 3 x 10-min treadmill walking bouts in 35 degrees C, 50% RH. Body mass, metabolic variables, heart rate (HR), body temperatures, and rating of perceived exertion (RPE) were periodically measured. Individuals within each CP-CON pair walked at the same speed and slope (0.9 +/- 0.4 m x s(-1), 3.3 +/- 0.6%). RESULTS: Steady-state VO2 during walking, body temperatures, and HR were all higher in the CP group compared with CON. VO2 was on average 40% higher, rectal temperature was 0.4 degrees C (99% CI = 0.1-0.6 degrees C) higher and HR (during the final minute of each exercise bout) was 37 beats x min(-1) (99% CI = 19-56 beats x min(-1)) higher. There were no differences between the groups in sweating rate (as inferred from body mass changes corrected for fluid intake and output) or in RPE. CONCLUSION: The subjects with CP demonstrated greater thermal strain than CON during treadmill walking where they require more metabolic energy and thus produce more metabolic heat than CON.     

Prediction of the aerobic demand of walking in children

PURPOSE: The purpose of this study was to develop a generalized equation to predict VO2 during level treadmill walking in young boys and girls. METHODS: On an annual basis from ages 6 to 10, 23 able-bodied children (14 girls, 9 boys) completed six 5-min walking bouts at speeds ranging from 40.2 to 107.2 m x min(-1). Before testing, each child received 60 min of treadmill walking practice. During the last 2 min of each walking trial, a 2-min sample of expired gas was collected in a meteorological balloon and analyzed to determine VO2. RESULTS: Stepwise regression analyses indicated that the following equation was best suited to predict walking VO2: VO2 = 24.852 + 0.003214 (walking speed in m x min(-1))2 - 0.995 (age in yr) - 0.263 (walking speed); R = 0.95; SEE = 1.74 mL x kg(-1) x min(-1). Bland-Altman analysis revealed that 95% of the differences between actual and predicted VO2 values fell within a range of 3.39 to -3.43 mL x kg(-1) x min(-1).CONCLUSION: We conclude that VO2 during level treadmill walking can be predicted accurately in healthy young children.     

Within- and between-day stability of treadmill walking VO2 in children with hemiplegic cerebral palsy. Stability of walking VO2 in children with CP

Within- and between-day stability in locomotor energy use was quantified in 13 children with hemiplegic CP. During testing, subjects were familiarized with the laboratory environment (Session 1), performed three 5-min level treadmill walks (Trials 1, 2, and 3) at 0.67 m x s-1 (Session 2), and completed a single 5-min walk (Trial 4) at 0.67 m x s-1 (Session 3). In Sessions 2 and 3, HR was assessed and expired air was collected and analyzed to determine VO2. Data analyses revealed no significant difference (P > 0.05) in either net VO2 (ml x kg-1 x min-1) or EEIHR (b x m-1) across the three trials performed in Session 2 and between average measures of net VO2 and EEIHR quantified in Session 2 and those obtained in Session 3. Mean within-day coefficient of variation (CV) values for net VO2 and EEIHR were 8.6% +/- 8.5% and 13.9% +/- 7.8%, respectively. Analysis of between-day variability and energy expenditure revealed a between-day CV value of 13.1% for net VO2 and 24.0% for EEIHR. In addition, significant inverse relationships between GMFM scores and within-day (r = -0.61) and between-day (r = -0.58) CV values for net VO2 were detected. Viewed in concert, these data suggest that fairly stable within- and between-day measures of locomotor energy expenditure during level treadmill walking can be achieved in subjects with hemiplegic CP if testing is preceded by a short period of treadmill accommodation. However, children with greater motor dysfunction may require an extended period of treadmill accommodation to reduce trial-to-trial variability in walking energy use.     

Metabolic accommodation of young children to treadmill walking

Few data exist concerning the reproducibility of stable oxygen uptake (VO(2)) values during level treadmill walking in young able-bodied children. To address this issue, 41 able-bodied 6-year-olds (19 boys, 22 girls, X height=117.2+/-4.7 cm, X body mass=21.8+/-2.5 kg) were tested on two occasions. In session 1, subjects were familiarized with the laboratory environment and performed 5 min of level treadmill walking at 1.34 m s(-1). During session 2, each child completed 30 min (three 10-min trials) of level treadmill walking at 1.34 m s(-1). For each 10-min trial, mean VO(2) was determined by averaging VO(2) values obtained from analysis of two 2-min expired gas samples. While the mean VO(2) for trial 1 was higher than values recorded for trials 2 and 3, effect sizes corresponding to these differences were low (相似文献   

Physical activity level is associated with the O2 cost of walking in cerebral palsy

PURPOSE: To determine, in children and adolescents with cerebral palsy (CP), the relationship between physical activity level (PAL) and i) oxygen cost of walking, and ii) peak VO2. METHODS: In 11 subjects (10.6-16.3 yr) with mild CP, PAL, the ratio of total energy expenditure to resting energy expenditure, was determined from 3 d of heart rate (HR) monitoring (field), with individual HR-VO2 calibrations done in the lab. The oxygen cost of walking was measured during three 3-min walks on a treadmill at 60, 75, and 90% of each subject's fastest treadmill walking speed (FWS). Subjects also performed a maximal treadmill exercise test. Alpha was set at 0.05. RESULTS: One subject was an outlier and eliminated from all simple linear regression analyses. For the remaining 10 subjects, PAL (1.37+/-0.18) was related (r=-0.70 to -0.84) to net VO2 at 60 and 75% FWS (13.1+/-4.1 and 16.2+/-4.2 mL.kg.min), net VO2.m, averaged across the three speeds (0.32+/-0.23 mL.kg.m), and percent peak VO2 at all three speeds (54.5+/-21.5, 63.5+/-20.9, and 75.5+/-15.1%). PAL was not significantly related to net VO2 at 90% FWS (20.8+/-5.3 mL.kg.min) or to peak VO2 (34.0+/-9.2 mL.kg.min). CONCLUSION: For this population, those with low PAL may also have a high oxygen cost of walking. These individuals' PAL was not related to their peak VO2. Further research is required to determine whether interventions that decrease the oxygen cost of walking also affect PAL and whether changes in PAL affect the oxygen cost of walking.     

Within- and between-day stability of treadmill walking VO2 in children with hemiplegic cerebral palsy, stability of walking VO2 in children with CP

Within- and between-day stability in locomotor energy use was quantified in 13 children with hemiplegic cerebral palsy (CP). During testing, subjects were familiarized with the laboratory environment (Session 1), performed three 5 min level treadmill walks (Trials 1-3) at 0.67 m*s(-1) (Session 2), and completed a single 5 min walk (Trial 4) at 0.67 m*s(-1) (Session 3). In Sessions 2 and 3, heart rate (HR) was assessed and expired air was collected and analyzed to determine VO2. Data analyses revealed no significant difference (P > 0.05) in either net VO2 (ml kg(-1)*min(-1)) or EEI(HR) (b*m(-1)) across the three trials performed in Session 2 and between average measures of net VO2 and EEI(HR) quantified in Session 2 and those obtained in Session 3. Mean within-day coefficient of variation (CV) values for net VO2 and EEI(HR) were 8.6% +/- 8.5% and 13.9% +/- 7.8%, respectively. Analysis of between-day variability and energy expenditure revealed a between-day CV value of 13.1% for net VO2 and 24.0% for EEI(HR). In addition, significant inverse relationships between Gross Motor Function Measure (GMFM) scores and within- (r = -0.61) and between-day (r = -0.58) CV values for net VO2 were detected. Viewed in concert, these data suggest that fairly stable within- and between-day measures of locomotor energy expenditure during level treadmill walking can be achieved in subjects with hemiplegic CP if testing is preceded by a short period of treadmill accommodation. However, children with greater motor dysfunction may require an extended period of treadmill accommodation to reduce trial-to-trial variability in walking energy use.     

Development of a single-stage submaximal treadmill walking test

An equation was developed to estimate maximal oxygen uptake (VO2max, ml.kg-1.min-1) based on a single submaximal stage of a treadmill walking test. Subjects (67 males, 72 females) aged 20-59 yr completed 4-min stages at 0, 5, and 10% grades walking at a constant speed (2.0-4.5 mph) and then performed a VO2max test. Heart rate and respiratory gas exchange variables were measured during the test. Multiple regression analysis (N = 117) to estimate VO2max from the 4-min stage at 5% grade yielded the following model (R2 = 0.86; SEE = 4.85 ml.kg-1.min-1): VO2max = 15.1 + 21.8*SPEED (mph) -0.327*HEART RATE (bpm) -0.263*SPEED*AGE (yr) + 0.00504*HEART RATE*AGE + 5.98*GENDER (0 = Female; 1 = Male). The constant and all coefficients were highly significant (P less than 0.01). To assess the accuracy of the model in a cross-validation group (N = 22), an estimated VO2max value was obtained using the above model. Estimated VO2max then was regressed on observed VO2max yielding the following equation (R2 = 0.92): ESTIMATED VO2max = 0.15 + 1.03*OBSERVED VO2max. The intercept and slope of this equation were not significantly different from 0 and 1, respectively. For 90.9% of the subjects in the cross-validation group, residual scores were within the range of +/- 5 ml.kg-1.min-1. In conclusion, this submaximal walking test based on a single stage of a treadmill protocol provides a valid and time-efficient method for estimating VO2max.     

Reliability of treadmill measures and criteria to determine VO2max in prepubertal girls

PURPOSE: The main objective of this study was to determine the reliability of measuring treadmill exercise economy (VO2submax) and the maximal oxygen uptake (VO2max) in prepubertal girls tested twice, 6 wk apart. We also wanted to examine the percentage of young girls who were able to reach the criteria for achieving VO2max and to describe methods that would allow a high proportion of young children to achieve criteria for reaching a true VO2max. METHODS: We studied 61 normal-weight, prepubertal girls with a mean (+/- SD) age 7.3+/-1.3 yr (range 4.8 to 10.3 yr). VO2submax was determined while walking for 4 min at 2.5 mph with 0% grade. VO2max was measured during a progressive, all-out, continuous treadmill test using standardized procedures and criteria. Heart rate (HR) was measured using a Polar monitor. Respiratory rate (RR), respiratory exchange ratio (RER), ventilation (V), and VO2 were measured using a Sensormedics metabolic monitor. RESULTS: There were no significant differences between visits I and 2 in mean HR, RR, RER, V, VO2submax (421 vs 422 mL x min(-1), respectively), and VO2max (1036 vs 1049 mL x min(-1), respectively). Intra-individual coefficients of variation (CV) between visits 1 and 2 for submaximal tests were: HR = 5.1%, RR = 12.4%, RER = 7.2%, V = 12.5%, and VO2 = 12.4%. Intra-individual CVs for the maximum tests were: HRmax = 2.1%, RRmax = 10.8%, RERmax = 5.3%, Vmax = 11.7%, and VO2max = 7.5%. A high proportion of the girls reached criteria for VO2max [RER> 1.00, HR>85% of age predicted maximum, and plateauing of VO2max] in both visits: 99% reached one of three criteria, 92% reached two of three criteria, and 70% reached all three criteria. Twenty girls [mean age 7.2+/-1.2 yr] reached at least two criteria in both visits, whereas 32 girls [mean (+/- SD) age 8.6+/-1.0 yr] reached three criteria in both visits. CONCLUSION: Exercise measurements using treadmill testing were reliable in healthy, normal-weight, prepubertal girls. Older girls when compared to the younger girls were able to reach criteria for VO2max more often. Thus, we recommend that one testing should give researchers an accurate measure of walking economy and aerobic capacity, and that two criteria are enough for determining VO2max.     

Repeated treadmill walks affect physiologic responses in children with cerebral palsy

PURPOSE: To determine whether physiologic responses during treadmill walking in children with cerebral palsy (CP) are affected by repeated walking bouts on different days, and whether effects are different at different speeds. METHODS: Three girls and five boys (9.2-15.7 yr, 23.3-64.4 kg) with mild CP received 12-15 min of treadmill walking practice and had their fastest walking speed (FWS) determined during an introductory visit. During each of three subsequent visits (day 1, day 2, day 3), subjects walked for 3 min at 60, 75, and 90% FWS. Resting physiologic measures were taken on day 1. RESULTS: From day 1 to day 3, net ventilation ([OV0312]E), and net heart rate (HR) at 90% FWS decreased by 3.6 L.min-1 and 8 beats.min-1, respectively. There were no differences between day 1 and day 2 or day 1 and day 3 for any other physiologic variable at any speed. Day 3 was less than day 2 for net HR (60% FWS) and, independent of speed, net [OV0312]O2 (per kilogram of body mass and per stride) and net energy expenditure (kJ.min-1). Between-day reliability (R) of physiologic responses was > or = 0.95, except respiratory rate (R = 0.75). Intrasubject, between-day variability for the [OV0312]O2 measures was 7.6-12.9%. CONCLUSION: Because there were no day 1 to day 3 reductions in metabolic variables, day 1 to day 3 reductions at 90% FWS in net HR may reflect decreased emotional stress over time and reductions in net [OV0312]E, an uncoupling of [OV0312]O2 and [OV0312]E. Despite between-day differences, reliable net physiologic and stable net metabolic variables may be collected in subjects with mild CP after one treadmill walking practice session.     

Endurance running performance after 48 h of restricted fluid and/or energy intake

PURPOSE: To determine the effect of a 48-h period of either fluid restriction (FR), energy restriction (ER), or fluid and energy restriction (F + ER) on 30-min treadmill time trial (TT) performance in temperate conditions. METHODS: Thirteen males participated in four randomized 48-h trials (mean +/- SD: age, 21 +/- 3 yr; VO2max 50.9 +/- 4.3 mL x kg(-1) x min(-1)). Control (CON) participants received their estimated energy (2903 +/- 199 kcal x d(-1)) and water (3912 +/- 500 mL x d(-1)) requirements. For FR, participants received their energy requirements and 193 +/- 50 mL x d(-1) water to drink, and for ER, participants received their water requirements and 290 +/- 20 kcal x d(-1). F + ER was a combination of FR and ER. After 48 h, participants performed a 30-min treadmill TT in temperate conditions (19.7 +/- 0.6 degrees C). A separate investigation (N = 10) showed the TT to be highly reproducible (CV 1.6%). RESULTS: Body mass loss (BML) was 0.6 +/- 0.4% (CON), 3.2 +/- 0.5% (FR), 3.4 +/- 0.3% (ER), and 3.6 +/- 0.3% (F + ER). Compared with CON (6295 +/- 513 m), less distance was completed on ER (10.3%) and F + ER (15.0%: P < 0.01). Although less distance was completed on FR (2.8%), this was not significantly different from CON. CONCLUSIONS: These results show a detrimental effect of a 48-h period of ER but no significant effect of FR on 30-min treadmill TT performance in temperate conditions. Therefore, these results do not support the popular contention that modest hypohydration (2-3% BML) significantly impairs endurance performance in temperate conditions.     

Inverse relationship between VO2max and economy/efficiency in world-class cyclists

PURPOSE: To determine the relationship that exists between VO2max and cycling economy/efficiency during intense, submaximal exercise in world-class road professional cyclists. METHODS Each of 11 male cyclists (26+/-1 yr (mean +/- SEM); VO2max: 72.0 +/- 1.8 mL x kg(-1) x min(-1)) performed: 1) a ramp test for O2max determination and 2) a constant-load test of 20-min duration at the power output eliciting 80% of subjects' VO2max during the previous ramp test (mean power output of 385 +/- 7 W). Cycling economy (CE) and gross mechanical efficiency (GE) were calculated during the constant-load tests. RESULTS: CE and GE averaged 85.2 +/- 2.3 W x L(-1) x min(-1) and 24.5 +/- 0.7%, respectively. An inverse, significant correlation was found between 1) VO2max (mL x kg(-0.32) x min(-1)) and both CE (r = -0.71; P = 0.01) and GE (-0.72; P = 0.01), and 2) VO2max (mL x kg(-1) x min(-1)) and both CE (r = -0.65; P = 0.03) and GE (-0.64; P = 0.03). CONCLUSIONS: A high CE/GE seems to compensate for a relatively low VO2max in professional cyclists.     

Physiological effects of constant versus variable power during endurance cycling.

PURPOSE: Previous theoretical research found that varying power slightly to counter external conditions may result in improved performance during cycling time trialing, but it is not known whether such power variations result in added physiological stress. Thus, the purpose of this study was to determine whether variable power (VP) cycling produced greater physiological stress than constant power (CP) cycling of the same mean intensity. METHODS: Eight trained male cyclists (age 28 +/- 2 yr, mass 74.4 +/- 2.3 kg, VO2max 4.24 +/- 0.13 L x min(-1), weekly training 277 +/- 44 km) performed three 1-h ergometer trials. The first trial was performed at a self-paced maximal effort. The mean power from that trial was used to determine the power for the CP trial (constant effort at mean power) and the VP trial (alternating +/- 5% of mean power every 5 min). RESULTS: No differences were found between the CP and VP trials in mean VO2 (CP 3.33 +/- 0.11 L x min(-1), VP 3.26 +/- 0.12 L x min(-1)), mean heart rate (CP 158 +/- 3 min(-1), VP 159 +/- 3 min(-1)), mean blood lactate concentration (CP 4.2 +/- 0.7 mM, VP 4.3 +/- 0.7 mM), or mean RPE (CP 13.9 +/- 0.4, VP 14.1 +/- 0.4). CONCLUSION: Therefore, during a strenuous 1-h effort (78% of VO2max), subjects experienced no additional physiological stress by varying power +/- 5% compared with that during a constant power effort.     

Effect of prior exercise above and below critical power on exercise to exhaustion

PURPOSE: The aim of the present study was to ascertain whether the intensity of prior exercise altered the time to exhaustion at critical power (CP). METHODS: Eleven participants volunteered to take part in the study (mean +/- SD: VO2max 4.1 +/- 0.5 L x min(-1); age 30.1 +/- 7.2 yr; body mass 74.6 +/- 9.1 kg) and completed three trials to exhaustion at their CP under differing prior exercise conditions: 1) a control trial (CON); 2) a trial preceded by three 60-s efforts at 110% CP (severe); and 3) a trial preceded by three 73-s efforts at 90% CP (heavy). All trials followed a 5-min baseline at 50 W. RESULTS: Time to exhaustion was significantly lengthened after prior heavy exercise (1071 +/- 18 s) when compared with CON (973 +/- 16 s, F = 9.53, P = 0.006). However, there was no effect on TTE after prior severe exercise (967 +/- 16 s). Oxygen deficit was significantly reduced from that in CON (3.8 +/- 0.2 L) after prior heavy (3.2 +/- 0.3 L) and prior severe exercise (3.1 +/- 0.3 L, F = 10.95, P = 0.001). Concurrently, there was a significant reduction in the magnitude of the VO2 slow component (SC) in the trials with prior exercise (197 +/- 34 and 126 +/- 19 mL x min(-1) after heavy and severe exercise, respectively) when compared with CON (223 +/- 31 mL x min(-1), F = 9.62, P = 0.006). CONCLUSION: Prior heavy exercise does appear to improve the time to exhaustion at CP by approximately 10% and is associated with a reduction in the VO2 SC. However, the reduction in the SC, with no change in performance after prior severe exercise, suggests that a reduced SC may not necessarily lead to improved TTE.     

Children's OMNI Scale of Perceived Exertion: walking/running evaluation

PURPOSE: The Children's OMNI-walk/run Scale of Perceived Exertion (category range, 0-10) was evaluated using male and female children (6-13 yr of age) during a treadmill graded exercise test. METHODS: A cross-sectional, perceptual estimation paradigm using a walking/running test protocol was administered. Oxygen uptake (VO(2), mL x min(-1)), %VO(2max), ventilation (VE, L x min(-1)), respiratory rate (RR, breaths x min(-1)), respiratory exchange ratio (RER), heart rate (HR, beats x min(-1)), V(E)/VO(2) ratio, and ratings of perceived exertion (RPE) measurements were made every minute throughout the test. RESULTS: Significant correlations were found between OMNI-walk/run Scale RPE responses and VO(2), %VO(2max), HR, V(E)/VO(2) ratio, and RR throughout the maximal treadmill exercise test. The strongest correlations were found between RPE and %VO(2max) (r = 0.41-0.60, P < 0.001) and HR (r = 0.26-0.52, P < 0.01). CONCLUSION: The psychophysiological responses provide validity evidence for use of the Children's OMNI-walk/run Scale over a wide range of exercise intensities during both walking and running.     

Exercise training effects on serum lipids of prepubescent boys and adult men

The effects of 10 wk of exercise training at low (40% VO2max) or high (75% VO2max) intensity on serum lipids and lipoproteins were compared in prepubescent boys and adult men. The final sample size consisted of: 8 boys (mean +/- SE age = 8.5 +/- 1.96 yr) and 8 men (36.6 +/- 3.18 yr) in low; 12 boys (8.0 +/- 1.40 yr) and 12 men (36.6 +/- 4.09 yr) in high; and 10 boys (9.0 +/- 2.08 yr) and 10 men (36.7 +/- 4.82 yr) in control. Training involved walking/jogging/running 3 d X wk-1 at a distance which progressed from 2.4 km X d-1 in the first week to 4.8 km X d-1 from the fifth week. Fasting blood samples, collected on 2 d during both pre- and post-training, were assayed for triglycerides, total cholesterol (CHOL), and high density lipoprotein cholesterol (HDL-C). Maximum aerobic power (VO2max) was determined from a treadmill test. Additionally, dietary intake was assessed from a 3-d dietary record and body composition from the sum of 6 skinfolds. The only statistically significant (P less than 0.05) changes occurred in HDL-C and CHOL for the high groups. HDL-C decreased following training. CHOL was lower for high than the other groups for the first day post-training only. There were no differences in the changes in HDL-C/CHOL ratio among the groups. VO2max only increased in the high groups. Dietary intake and body weight did not change. Further statistical adjustment in lipids for changes in sum of 6 skinfolds did not alter the results.(ABSTRACT TRUNCATED AT 250 WORDS)     

Immune response to a 30-minute walk

PURPOSE: To measure several components of immune changes related to walking 30 min with or without an exercise assist device compared with sitting. METHODS: Fifteen healthy and nonobese female subjects (37.5 +/- 3.1 yr of age) accustomed to regular walking were recruited and tested for aerobic power (VO(2max) 34.4 +/- 1.4 mL.kg(-1).min(-1)). During three randomly assigned 30-min test sessions, subjects functioned as their own controls and either sat in the laboratory, walked at approximately 60% VO(2max), or walked at the same treadmill speed using the BODY BAT Aerobic Exerciser. This exercise assist device resembles a pair of baseball bats seamlessly joined together and is held with both hands and swung to shoulder height across the body in a natural side to side pendulum motion. Saliva and blood samples were collected pre- and postexercise, and 1 h postexercise, with the data statistically analyzed using a 3 x 3 repeated measures ANOVA. RESULTS: Walking with the exercise assist device increased oxygen consumption 11 +/- 2% and heart rate 8 +/- 2 beats.min(-1). The pattern of increase in blood counts for neutrophils, lymphocytes, monocytes, and natural killer cells, plasma interleukin-6 concentration, and PHA-induced lymphocyte proliferation differed significantly when comparing walking with sitting, but no differences were found between walking with or without the exercise assist device. No significant increases over time or interaction effects were measured for plasma cortisol concentration, salivary IgA output, or plasma interleukin-1 receptor antagonist concentration. CONCLUSIONS: The use of an exercise assist device increased oxygen consumption 11% during walking, but did not alter the pattern of change in several components of immunity measured during walking alone in comparison to sitting. Walking caused modest and short-lived changes in immune parameters, most notably for neutrophil and natural killer blood cell counts.     

Effect of strength and aerobic training in children with cerebral palsy

PURPOSE: The aim of this study was to evaluate the effectiveness of a strength and aerobic interval training program on arm-cranking economy, aerobic capacity, and gross motor function in children and adolescents with spastic diplegic cerebral palsy (CP). METHODS: Seven subjects (five females, two males; mean age 15.9, range 14-18 yr) participated in a 12-wk aerobic interval and strength training program, three times per week, 70 min per session. The aerobic interval training required the subjects to perform 60-m uphill walking repetitions. Six individuals (four females, two males; mean age 15.7, range 14-17 yr) who did not receive the training program served as controls. Pre- and postexercise tests were performed to assess changes in arm-cranking economy, aerobic capacity, and gross motor function. RESULTS: The results demonstrated significant (P < 0.05) reductions in the oxygen cost of arm cranking (mean +/- SD: pre: 13.2 +/- 3.22 mL x kg(-1) x min(-1), post: 12.7 +/- 3.38 mL x kg(-1) x min(-1)) and %VO2peak (pre: 75.8 +/- 3.55%, post: 61.8 +/- 7.47%) in the training group. Significant (P < 0.05) increases in aerobic capacity (pre: 17.5 +/- 4.45 mL x kg(-1) x min(-1), post: 20.8 +/- 5.93 mL x kg(-1) x min(-1)) were also noted for the training group. Significant (P < 0.05) improvements in gross motor function measures were also noted in the training group (pre: 30.35%, post: 33.85%). CONCLUSION: These findings demonstrate that the application of a 12-wk strength and aerobic interval training program reduced the oxygen cost of arm cranking, improved aerobic capacity, and improved gross motor function in children and adolescents with CP.     

Cardiac and metabolic demands of in place shallow water running in trained and untrained men

AIM: The aim of this study was to assess maximal cardiac and metabolic demand imposed by in place shallow water running (SWR) and to compare such responses with those obtained during treadmill running (TMR). METHODS: Twelve males, 6 trained (T) pentathletes (age: 19+/-1 years) and 6 untrained (UT) controls (age: 22+/-1 years), performed one maximal TMR test and one SWR maximal test. Heart rate (HR) and oxygen consumption (VO(2)) were continuously measured in both test conditions. RESULTS: In both groups, resting HR decreased immediately after water immersion (UT group: from 81.8+/-6.2 b x min(-1) to 69.2+/-6 b min(-1); T group: from 71.7+/-2.1 b x min(-1) to 61.7+/-7.7 b x min(-1)). In UT subjects SWR metabolic demand was comparable to that obtained during treadmill (VO(2tmr)=47.9 ml min(-1)+/-3.6; VO(2tmr)=45.2 ml x min(-1) +/- 6.8). In contrast, during shallow SWR, T subjects obtained lower V.O(2max) values with respect to TMR (V.O(2tmr)=68.9 mL x min(-1) +/-5.1; VO(2TMR)=57.2 mL x min(-1)+/-3.9; P<0.05). In the T group maximal HR was lower during SWR (from 191+/-8.1 to 177+/-7.1). At a given stride frequency, SWR was less demanding than treadmill in terms of V.O(2) and HR responses. During SWR the metabolic adjustments were depressed more than the cardiac adjustments. CONCLUSION: These findings suggest that in place SWR may be a useful exercise to reduce the effects of detraining.     

The accuracy of the TriTrac-R3D accelerometer to estimate energy expenditure.

PURPOSE: This study examined the reliability and validity of the TriTrac-R3D triaxial accelerometer to estimate energy expenditure during various modes of exercise. METHODS: Twenty subjects (age = 21.5+/-3.4 yr; body mass index = 23.3+/-3.6 kg x m(-2)) performed five exercises (treadmill walking, treadmill running, stepping, stationary cycling, and slideboard), with each lasting 20-30 min and workload increased at 10-min intervals. To test the inter-TriTrac reliability, two TriTrac-R3D accelerometers were worn during each exercise period, and to examine validity, a simultaneous measurement of energy expenditure was made using indirect calorimetry (SensorMedics 2900 Metabolic Cart). RESULTS: Results showed a significant correlation between the two TriTrac-R3D accelerometers during all exercises. The difference in estimated energy expenditure between the two accelerometers during the walking, stepping, and slideboard exercises was less than 1 kcal x min(-1) but statistically significant (P<0.05). There was also a significant correlation between energy expenditure estimated by each of the TriTrac-R3D accelerometers and indirect calorimetry during walking, running, stepping, and slideboard exercise (P<0.05). The interaction of Method x Workload was significant (P<0.05) for each exercise, indicating that the TriTrac-R3D underestimates energy expenditure and that the magnitude of this underestimation increases as workload increases. CONCLUSIONS: Therefore, energy expenditure estimated via triaxial accelerometry does not increase with increasing workloads. These results suggest that there are limitations to using triaxial accelerometry to quantify energy expenditure.