Reproducibility and Validity of the 10-Meter Shuttle Ride Test in Wheelchair-Using Children and Adolescents With Cerebral Palsy

O.W. Verschuren; M. Zwinkels; M. Ketelaar; F. Reijnders-van  Son; T. Takken

doi:10.2522/ptj.20120513

Reproducibility and Validity of the 10-Meter Shuttle Ride Test in Wheelchair-Using Children and Adolescents With Cerebral Palsy

O.W. Verschuren, M. Zwinkels, M. Ketelaar, F. Reijnders-van Son, T. Takken

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Background. For children with cerebral palsy (CP) who are able to walk or run, the 10-m shuttle run test is currently the test of choice to assess cardiorespiratory fitness. This test, however, has not yet been examined in wheelchair-using youth with CP.

Objective. The purpose of this study was to investigate the test-retest reproducibility and validity of the 10-m shuttle ride test (SRiT) in youth with CP.

Design. Repeated measurements of the SRiT were obtained.

Methods. Twenty-three individuals with spastic CP (18 boys, 5 girls; mean age=13.3 years, SD = 3.6 years) using a manual wheelchair for at least part of the day participated in this study. During the study, all participants performed one graded arm exercise test (GAET) and 2 identical SRiTs within 2 weeks. Peak oxygen uptake ((V) over doto(2)peak), peak heart rate (HRpeak), and respiratory exchange ratio (RER) were recorded. Intraclass correlation coefficients (2,1), the smallest detectable difference, and the limits of agreement (LOA) were calculated. The association between the results of the SRiT and GAET was tested using Pearson correlation coefficients.

Results. Intraclass correlation coefficients (.99, 95% confidence interval=.98-1.00) for all variables indicated highly acceptable reproducibility. The LOA analysis revealed satisfactory levels of agreement. The SRiT variables demonstrated strong, significant positive correlations for (V) over doto(2)peak values obtained during the SRiT and the GAET (r=.84, P

Limitations. Although the GAET is considered the gold standard, the cardiorespiratory demand during the GAET was significantly lower compared with during the SRiT. Future studies should determine whether the GAET can still be accepted as the gold standard for upper-extremity exercise.

Conclusions. The SRiT is a reproducible and valid test for measuring cardiorespiratory fitness in youth with spastic CP who self-propel a manual wheelchair.

Original language	English
Pages (from-to)	967-974
Number of pages	8
Journal	Physical Therapy
Volume	93
Issue number	7
DOIs	https://doi.org/10.2522/ptj.20120513
Publication status	Published - Jul 2013

Keywords

GROSS MOTOR FUNCTION
FUNCTION CLASSIFICATION-SYSTEM
FUNCTIONAL MOBILITY SCALE
RELIABILITY
EXERCISE
AGREEMENT
MORTALITY
CAPACITY
POWER
LIFE

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10.2522/ptj.20120513

http://www.ncbi.nlm.nih.gov/pubmed/23580630

Cite this

@article{b3445c913dc14737adbad58da7566261,

title = "Reproducibility and Validity of the 10-Meter Shuttle Ride Test in Wheelchair-Using Children and Adolescents With Cerebral Palsy",

abstract = "Background. For children with cerebral palsy (CP) who are able to walk or run, the 10-m shuttle run test is currently the test of choice to assess cardiorespiratory fitness. This test, however, has not yet been examined in wheelchair-using youth with CP.Objective. The purpose of this study was to investigate the test-retest reproducibility and validity of the 10-m shuttle ride test (SRiT) in youth with CP.Design. Repeated measurements of the SRiT were obtained.Methods. Twenty-three individuals with spastic CP (18 boys, 5 girls; mean age=13.3 years, SD = 3.6 years) using a manual wheelchair for at least part of the day participated in this study. During the study, all participants performed one graded arm exercise test (GAET) and 2 identical SRiTs within 2 weeks. Peak oxygen uptake ((V) over doto(2)peak), peak heart rate (HRpeak), and respiratory exchange ratio (RER) were recorded. Intraclass correlation coefficients (2,1), the smallest detectable difference, and the limits of agreement (LOA) were calculated. The association between the results of the SRiT and GAET was tested using Pearson correlation coefficients.Results. Intraclass correlation coefficients (.99, 95% confidence interval=.98-1.00) for all variables indicated highly acceptable reproducibility. The LOA analysis revealed satisfactory levels of agreement. The SRiT variables demonstrated strong, significant positive correlations for (V) over doto(2)peak values obtained during the SRiT and the GAET (r=.84, PLimitations. Although the GAET is considered the gold standard, the cardiorespiratory demand during the GAET was significantly lower compared with during the SRiT. Future studies should determine whether the GAET can still be accepted as the gold standard for upper-extremity exercise.Conclusions. The SRiT is a reproducible and valid test for measuring cardiorespiratory fitness in youth with spastic CP who self-propel a manual wheelchair.",

keywords = "GROSS MOTOR FUNCTION, FUNCTION CLASSIFICATION-SYSTEM, FUNCTIONAL MOBILITY SCALE, RELIABILITY, EXERCISE, AGREEMENT, MORTALITY, CAPACITY, POWER, LIFE",

author = "O.W. Verschuren and M. Zwinkels and M. Ketelaar and {Reijnders-van Son}, F. and T. Takken",

year = "2013",

month = jul,

doi = "10.2522/ptj.20120513",

language = "English",

volume = "93",

pages = "967--974",

journal = "Physical Therapy",

issn = "0031-9023",

publisher = "Oxford University Press",

number = "7",

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T1 - Reproducibility and Validity of the 10-Meter Shuttle Ride Test in Wheelchair-Using Children and Adolescents With Cerebral Palsy

AU - Verschuren, O.W.

AU - Zwinkels, M.

AU - Ketelaar, M.

AU - Reijnders-van Son, F.

AU - Takken, T.

PY - 2013/7

Y1 - 2013/7

N2 - Background. For children with cerebral palsy (CP) who are able to walk or run, the 10-m shuttle run test is currently the test of choice to assess cardiorespiratory fitness. This test, however, has not yet been examined in wheelchair-using youth with CP.Objective. The purpose of this study was to investigate the test-retest reproducibility and validity of the 10-m shuttle ride test (SRiT) in youth with CP.Design. Repeated measurements of the SRiT were obtained.Methods. Twenty-three individuals with spastic CP (18 boys, 5 girls; mean age=13.3 years, SD = 3.6 years) using a manual wheelchair for at least part of the day participated in this study. During the study, all participants performed one graded arm exercise test (GAET) and 2 identical SRiTs within 2 weeks. Peak oxygen uptake ((V) over doto(2)peak), peak heart rate (HRpeak), and respiratory exchange ratio (RER) were recorded. Intraclass correlation coefficients (2,1), the smallest detectable difference, and the limits of agreement (LOA) were calculated. The association between the results of the SRiT and GAET was tested using Pearson correlation coefficients.Results. Intraclass correlation coefficients (.99, 95% confidence interval=.98-1.00) for all variables indicated highly acceptable reproducibility. The LOA analysis revealed satisfactory levels of agreement. The SRiT variables demonstrated strong, significant positive correlations for (V) over doto(2)peak values obtained during the SRiT and the GAET (r=.84, PLimitations. Although the GAET is considered the gold standard, the cardiorespiratory demand during the GAET was significantly lower compared with during the SRiT. Future studies should determine whether the GAET can still be accepted as the gold standard for upper-extremity exercise.Conclusions. The SRiT is a reproducible and valid test for measuring cardiorespiratory fitness in youth with spastic CP who self-propel a manual wheelchair.

AB - Background. For children with cerebral palsy (CP) who are able to walk or run, the 10-m shuttle run test is currently the test of choice to assess cardiorespiratory fitness. This test, however, has not yet been examined in wheelchair-using youth with CP.Objective. The purpose of this study was to investigate the test-retest reproducibility and validity of the 10-m shuttle ride test (SRiT) in youth with CP.Design. Repeated measurements of the SRiT were obtained.Methods. Twenty-three individuals with spastic CP (18 boys, 5 girls; mean age=13.3 years, SD = 3.6 years) using a manual wheelchair for at least part of the day participated in this study. During the study, all participants performed one graded arm exercise test (GAET) and 2 identical SRiTs within 2 weeks. Peak oxygen uptake ((V) over doto(2)peak), peak heart rate (HRpeak), and respiratory exchange ratio (RER) were recorded. Intraclass correlation coefficients (2,1), the smallest detectable difference, and the limits of agreement (LOA) were calculated. The association between the results of the SRiT and GAET was tested using Pearson correlation coefficients.Results. Intraclass correlation coefficients (.99, 95% confidence interval=.98-1.00) for all variables indicated highly acceptable reproducibility. The LOA analysis revealed satisfactory levels of agreement. The SRiT variables demonstrated strong, significant positive correlations for (V) over doto(2)peak values obtained during the SRiT and the GAET (r=.84, PLimitations. Although the GAET is considered the gold standard, the cardiorespiratory demand during the GAET was significantly lower compared with during the SRiT. Future studies should determine whether the GAET can still be accepted as the gold standard for upper-extremity exercise.Conclusions. The SRiT is a reproducible and valid test for measuring cardiorespiratory fitness in youth with spastic CP who self-propel a manual wheelchair.

KW - GROSS MOTOR FUNCTION

KW - FUNCTION CLASSIFICATION-SYSTEM

KW - FUNCTIONAL MOBILITY SCALE

KW - RELIABILITY

KW - EXERCISE

KW - AGREEMENT

KW - MORTALITY

KW - CAPACITY

KW - POWER

KW - LIFE

U2 - 10.2522/ptj.20120513

DO - 10.2522/ptj.20120513

M3 - Article

C2 - 23580630

SN - 0031-9023

VL - 93

SP - 967

EP - 974

JO - Physical Therapy

JF - Physical Therapy

IS - 7

ER -

Reproducibility and Validity of the 10-Meter Shuttle Ride Test in Wheelchair-Using Children and Adolescents With Cerebral Palsy

Abstract

Keywords

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