Automatic adjustment of cycle ergometer power output to accurately clamp heart rate.

We assessed the accuracy and inter-sessional reliability of traditional (manual) compared to automatic (AutoHR) heart rate (HR) clamping methods during submaximal intensity continuous cycling. On separate occasions, thirteen males cycled at an HR corresponding to 80% of the ventilatory threshold for 18 min. Cycling power output was adjusted using either manual or AutoHR methods, encompassing three trials per method. For the manual method, cycling power output was adjusted every 30 s by 0, 5 or 10 W at the experimenter's discretion. Conversely, AutoHR automatically adjusted power output based on the difference between target and actual HR. Participants' HR was measured at 1 Hz. Root-mean square error (RMSE) and intraclass correlation coefficients (ICC) were calculated from the difference between measured and target HR to represent accuracy and reliability of each method. The RMSE for the manual method (3.2 ± 2.6 bpm) was significantly higher compared to AutoHR (2.8 ± 2.3 bpm) (p < 0.01, r = 0.13); inter-day ICC were 0.92 and 0.89 for manual adjustment and AutoHR, respectively. Automatic methods to clamp HR are more accurate than manual approaches during submaximal intensity continuous cycling and can be easily implemented for uniform HR control in individual and group training sessions at minimal cost.

Current limits for flowmeter resistance in metabolic carts can negatively affect exercise performance.

PURPOSE: To investigate whether a metabolic cart using a flowmeter in the upper range of accepted resistance to airflow (<1.5 cmH2 O∙L-1 ∙s-1 for flows up to 14 L∙s-1 , American Thoracic Society) negatively impacts exercise performance in healthy individuals. METHODS: 16 recreationally active males (age 25 ± 1 years, height 180 ± 6 cm, weight 73.5 ± 5.8 kg, all mean ± SD) performed two incremental tests on a bicycle ergometer on each of two visits, using a metabolic cart with a flowmeter of either low (Oxycon Pro) or high (Innocor) airflow resistance. Mouth pressures, gas exchange, blood lactate concentration [La- ], perception of breathlessness, respiratory, and leg exertion were assessed throughout the tests. RESULTS: Tests performed with the Innocor were significantly shorter (15.3 ± 3.2 vs. 15.8 ± 3.3 min, p < 0.0001) and showed higher maximal flow resistance (1.3 ± 0.2 vs. 0.3 ± 0.0 cmH2 O∙L-1 ∙s-1 , p < 0.0001). At end-exercise, peak oxygen consumption (-200 ± 220 ml.min-1 , p < 0.0001), minute ventilation (-19.9 ± 10.5 L.min-1 , p < 0.0001), breathing frequency (-5.4 ± 5.2 breaths.min-1 , p < 0.0001), heart rate (-2.1 ± 3.6 bpm, p = 0.002) and [La- ] (-0.7 ± 1.0 mmol.L-1 , p < 0.0001), but not tidal volume (-0.1 ± 0.2 L, p = 0.172) were lower with the Innocor, while the perception of breathlessness was higher (+3.8 ± 5.1 points, p < 0.0001). CONCLUSIONS: Airflow resistance in the upper range of current guidelines can significantly affect exercise performance and respiratory pattern in young, healthy males during incremental exercise. The present results indicate the need to revisit guidelines for devices used in ergospirometry.

Bedside voluntary and evoked forces evaluation in intensive care unit patients: a narrative review.

Around one third of intensive care unit (ICU) patients will develop severe neuromuscular alterations, known as intensive care unit-acquired weakness (ICUAW), during their stay. The diagnosis of ICUAW is difficult and often delayed as a result of sedation or delirium. Indeed, the clinical evaluation of both Medical Research Council score and maximal voluntary force (e.g., using handgrip and/or handheld dynamometers), two independent predictors of mortality, can be performed only in awake and cooperative patients. Transcutaneous electrical/magnetic stimulation applied over motor nerves combined with the development of dedicated ergometer have recently been introduced in ICU patients in order to propose an early and non-invasive measurement of evoked force. The aim of this narrative review is to summarize the different tools allowing bedside force evaluation in ICU patients and the related experimental protocols. We suggest that non-invasive electrical and/or magnetic evoked force measurements could be a relevant strategy to characterize muscle weakness in the early phase of ICU and diagnose ICUAW.

A kinematic comparison of on-ergometer and on-water kayaking.

The aim of this study was to compare the kinematic profile of on-water and on-ergometer kayaking during maximal paddling. Eleven elite junior female kayak athletes (Mean SD, age: 16.8 ± 1.2 years; body mass: 64.1 ± 8.1 kg) performed a 2-minute maximal kayaking exercise with their competition equipment on water, and a 2-minute maximal kayaking exercise on a standard ergometer. Kinematic data was recorded with an inertial motion capture system. Elbow, shoulder and knee angles and their respective angular velocities were extracted and normalised with respect to the stroke cycle. Statistical Parametric Mapping (SPM) was used to identify statistically significant differences between the two conditions. The stroke rate was significantly higher on ergometer (122.1 ± 6.8 strokes per minute) compared to on water (107.1 ± 4.6 strokes per minute, p < 0.05), with a difference of 8.4 ± 5.9 strokes per minute. Elite kayak female athletes exhibited differences in elbow, shoulder and knee kinematics when comparing on-ergometer to on-water performance. Moreover, the results demonstrated an increased range of motion in lateral bending in the thoracolumbar joint (p < 0.001). The current results support recent findings that a kayak ergometer may not replicate on-water kinematics.

Daily Physical Activity in Children and Adolescents with Low Lumbar and Sacral Level Myelomeningocele.

PURPOSE: Children with low lumbar and sacral level myelomeningocele are expected to be community ambulators. However, they do not always meet the expected ambulation level by the time they reach adulthood. The purpose of this study is to investigate daily activity energy expenditure and physical activity levels of these patients in daily routine. MATERIALS AND METHODS: 20 patients and 20 healthy peers were included in this case-control study. Omnidirectional accelerometer monitor was used for assessing activity energy expenditure, and daily durations spent in sedentary, light activity, and moderate to vigorous physical activity levels (NCT04186338). RESULTS: Mean activity energy expenditure and moderate to vigorous physical activity duration were significantly lower in the patient group, while age was positively correlated with sedentary time and negatively correlated with light activity time. CONCLUSIONS: In patients with myelomeningocele, increasing daily activity energy expenditure and moderate to vigorous physical activity and, especially as age progresses, decreasing the sedentary behavior may assist in providing the expected ambulation level. These patients should be encouraged to partake in regular exercise programs.

Are heart rate methods based on ergometer cycling and level treadmill walking interchangeable?

INTRODUCTION: The heart rate (HR) method is a promising approach for evaluating oxygen uptake ([Formula: see text]), energy demands and exercise intensities in different forms of physical activities. It would be valuable if the HR method, established on ergometer cycling, is interchangeable with other regular activities, such as level walking. This study therefore aimed to examine the interchangeability of the HR method when estimating [Formula: see text] for ergometer cycling and level treadmill walking in submaximal conditions. METHODS: Two models of [Formula: see text] regression equations for cycle ergometer exercise (CEE) and treadmill exercise (TE) were established with 34 active commuters. Model 1 consisted of three submaximal intensities of ergometer cycling or level walking, model 2 included also one additional workload of maximal ergometer cycling or running. The regression equations were used for estimating [Formula: see text] with seven individual HR values based on 25-85% of HR reserve (HRR). The [Formula: see text] estimations were compared between CEE and TE, within and between each model. RESULTS: Only minor, and in most cases non-significant, average differences were observed when comparing the estimated [Formula: see text] levels between CEE and TE. Model 1 ranged from -0.4 to 4.8% (n.s.) between 25-85%HRR. In model 2, the differences between 25-65%HRR ranged from 1.3 to -2.7% (n.s.). At the two highest intensities, 75 and 85%HRR, [Formula: see text] was slightly lower (3.7%, 4.4%; P < 0.05), for CEE than TE. The inclusion of maximal exercise in the [Formula: see text] relationships reduced the individual [Formula: see text] variations between the two exercise modalities. CONCLUSION: The HR methods, based on submaximal ergometer cycling and level walking, are interchangeable for estimating mean [Formula: see text] levels between 25-85% of HRR. Essentially, the same applies when adding maximal exercise in the [Formula: see text] relationships. The inter-individual [Formula: see text] variation between ergometer cycling and treadmill exercise is reduced when using the HR method based on both submaximal and maximal workloads.

Current Evidence and Practical Applications of Flywheel Eccentric Overload Exercises as Postactivation Potentiation Protocols: A Brief Review.

PURPOSE: To summarize the evidence on postactivation potentiation (PAP) protocols using flywheel eccentric overload (EOL) exercises. METHODS: Studies were searched using the electronic databases PubMed, Scopus, and Institute for Scientific Information Web of Knowledge. RESULTS: In total, 7 eligible studies were identified based on the following results: First, practitioners can use different inertia intensities (eg, 0.03-0.88 kg·m2), based on the exercise selected, to enhance sport-specific performance. Second, the PAP time window following EOL exercise seems to be consistent with traditional PAP literature, where acute fatigue is dominant in the early part of the recovery period (eg, 30 s), and PAP is dominant in the second part (eg, 3 and 6 min). Third, as EOL exercises require large force and power outputs, a volume of 3 sets with the conditioning activity (eg, half-squat or lunge) seems to be a sensible approach. This could reduce the transitory muscle fatigue and thereby allow for a stronger potentiation effect compared with larger exercise volumes. Fourth, athletes should gain experience by performing EOL exercises before using the tool as part of a PAP protocol (3 or 4 sessions of familiarization). Finally, the dimensions of common flywheel devices offer useful and practical solutions to induce PAP effects outside of normal training environments and prior to competitions. CONCLUSIONS: EOL exercise can be used to stimulate PAP responses to obtain performance advantages in various sports. However, future research is needed to determine which EOL exercise modalities among intensity, volume, and rest intervals optimally induce the PAP phenomenon and facilitate transfer effects on athletic performances.

Measuring Handrim Wheelchair Propulsion in the Lab: A Critical Analysis of Stationary Ergometers.

There are many ways to simulate handrim wheelchair propulsion in the laboratory. Ideally, these would be able to, at least mechanically, simulate field conditions. This narrative review provides an overview of the lab-based equipment used in published research and critically assesses their ability to simulate and measure wheelchair propulsion performance. A close connection to the field can only be achieved if the instrument can adequately simulate frictional losses and inertia of real-life handrim wheelchair propulsion, while maintaining the ergonomic properties of the wheelchair-user interface. Lab-based testing is either performed on a treadmill or a wheelchair ergometer (WCE). For this study WCEs were divided into three categories: roller, flywheel, and integrated ergometers. In general, treadmills are mechanically realistic, but cannot simulate air drag and acceleration tasks cannot be performed; roller ergometers allow the use of the personal wheelchair, but calibration can be troublesome; flywheel ergometers can be built with commercially-available parts, but inertia is fixed and the personal wheelchair cannot be used; integrated ergometers do not employ the personal wheelchair, but are suited for the implementation of different simulation models and detailed measurements. Lab-based equipment is heterogeneous and there appears to be little consensus on how to simulate field conditions.

Mechanical power during an incremental test can be estimated from 2000-m rowing ergometer performance.

BACKGROUND: This study aimed to identify the relationship between the mean power output of 2000-m rowing ergometer performance with the peak power output obtained during an incremental test, in addition to verifying the possibility of using the 2000-m mean power as an intensity associated with V̇O2max. METHODS: Nineteen rowers (age 25.5±10.6 years; V̇O2peak: 65.4±5.8 mL/kg/min) completed an incremental test followed by a 2000-m familiarization test (day 1) and a 2000-m rowing ergometer test (day 2). During the incremental test, the peak power output (PV̇O2peak) and the exercise intensity thresholds were determined. The maximal oxygen uptake (V̇O2peak) was analyzed in both tests. RESULTS: The PV̇O2peak (284.8±44.7 W) presented the highest correlation coefficient (r=0.978) with 2000-m mean power (284.2±49.9 W) and was the only one included in stepwise regression explaining 96% of 2000-m mean power. V̇O2peak was lower in the incremental test (4.69±0.61 L/min) compared with the 2000-m rowing ergometer test (4.86±0.63 L/min; P=0.01) with a small bias limits of agreement (0.16±0.53 L/min). CONCLUSIONS: 2000-m mean power is a valid tool to estimate the PV̇O2peak and allow the achievement of V̇O2peak. Furthermore, the PV̇O2peak was the most important predictor of performance.

Esquí náutico recreativo en personas con paraplejia: a propósito de tres casos / Recreational Water Skiing In People with Paraplegia: A Study of Three Cases

Objetivos: se analizaron la condición cardiorrespiratoria y la intensidad de esfuerzo durante la práctica recreativa del esquí náutico de slalom. Metodología: participaron tres esquiadores náuticos con paraplejia moderadamente activos. Realizaron un test incremental en un ergómetro de brazos para determinar su VO2pico y los umbrales ventilatorios y completaron 3 sesiones de práctica de esquí náutico, separadas por 48h, registrándose la FC cada 5 s. Resultados: obtuvieron un VO2pico de 22,3 ± 0,6 mL·kg-1·min-1 y los umbrales ventilatorios se analizaron al ~80 y ~50% del VO2pico. La FC media en las sesiones de esquí náutico fue de 111 ppm, lo que representó una intensidad de ~45% de la FC de reserva (FCR), permaneciendo por encima del 40% de la FCR ~12 min. Conclusión: la intensidad moderada de la práctica recreativa de esquí náutico de slalom podría servir para mantener o mejorar la condición cardiorrespiratoria en estas tres personas con paraplejia

Objectives: the cardiorespiratory fitness and the intensity of effort were analyzed during the recreational practice of slalom water skiing. Methodology: three moderately active water skiers with paraplegia participated. They performed an incremental test on an arm ergometer to determine their VO2peak and ventilatory thresholds and completed 3 sessions of water skiing, separated by 48h, where the HR was recorded every 5 s. Results: they obtained a VO2peak of 22.3 ± 0.6 mL·kg-1·min-1 and the ventilatory thresholds were analyzed at ~80 and ~50% of the VO2peak. The average heart rate in the water ski sessions was 111 bpm, which represented an intensity of ~45% of the heart rate reserve (HRR), remaining above 40% of the HRR ~12 min. Conclusion: the moderate intensity of recreational slalom skiing could serve to maintain or improve the cardiorespiratory fitness in these three people with paraplegia

Effects of Interrupting Sitting with Use of a Treadmill Desk Versus Prolonged Sitting on Postural Stability.

High amounts of sitting increase the risk of non-communicable disease and mortality. Treadmill desks make it possible to reduce sitting during the desk-based worker's day. This study investigated the acute effect on postural stability of interrupting prolonged sitting with an accumulated 2-h of light-intensity treadmill desk walking. Twenty-one sedentary adults participated in this randomized acute crossover trial, with two 6.5 h conditions: 1) uninterrupted sitting and 2) interrupted sitting with accumulated 2 h light-intensity treadmill desk walking. Pre- and post-condition, participants performed four postural stability tests on a pressure plate (bipedal and unipedal standing stance, eyes open and eyes closed). Anteroposterior center of pressure amplitude showed a significant condition x time interaction in bipedal eyes closed (F(1,20)=4.62, p=0.046) and unipedal eyes open (F(1,20)=9.42, p=0.006) tests, and mediolateral center of pressure amplitude in bipedal eyes closed (F(1,20)=6.12, p=0.023) and bipedal eyes open (F(1,12)=5.55, p=0.029) tests. In the significant interactions, amplitude increased pre to post condition in the uninterrupted sitting condition. The accumulated 2 h light-intensity treadmill desk walking ameliorated the negative effect of 6.5 h prolonged sitting on postural sway, supporting workplace treadmill desk use.

Robust control of heart rate for cycle ergometer exercise.

The objective was to assess the performance and robustness of a novel strategy for automatic control of heart rate (HR) during cycle ergometry. Control design used a linear plant model and direct shaping of the closed-loop input-sensitivity function to achieve an appropriate response to disturbances attributable to broad-spectrum heart rate variability (HRV). The controller was evaluated in 73 feedback control experiments involving 49 participants. Performance and stability robustness were analysed using a separately identified family of 73 plant models. The controller gave highly accurate and stable HR tracking performance with mean root-mean-square tracking error between 2.5 beats/min (bpm) and 3.1 bpm, and with low average control signal power. Although plant parameters varied over a very wide range, key closed-loop transfer functions remained invariant to plant uncertainty in important frequency bands, while infinite gain margins and large phase margins (> 62∘) were preserved across the whole plant model family. Highly accurate, stable and robust HR control can be achieved using LTI controllers of remarkably simple structure. The results highlight that HR control design must focus on disturbances caused by HRV. The input-sensitivity approach evaluated in this work provides a transparent method of addressing this challenge. Graphical Abstract Heart rate control using a cycle ergometer.

Effect of Rowing Ergometer Compliance on Biomechanical and Physiological Indicators during Simulated 2,000-metre Race.

This study compared biomechanical characteristics and physiological responses during rowing on three devices: (i) stable ergometer (STE), (ii) transversally compliant ergometer (TCE) and (iii) frontally compliant ergometer (FCE). Eleven young competitive rowers completed a 2000 meter simulated race under each of the ergometer conditions in a randomized order. Stroke rate, average force, power output, velocity and amplitude of the handle and stretcher or seat, heart rate and blood lactate were measured at 500 m intervals. Force and power at the stretcher were significantly lower (p < 0.03) for TCE, while stroke rate and velocities of the handle and the seat were higher (p < 0.01). No significant differences were observed between STE and FCE in biomechanical parameters. The lowest rowing performance was observed in FCE (p = 0.007), and was accompanied with the highest average heart rate (p = 0.031). Our findings indicate that in TCE, rowers modified their technique, but were able to maintain physiological strain and performance. In contrast, FCE had no effect on rowing biomechanics, but decreased rowing performance and increased physiological strain. It seems plausible that transversal, but not frontal compliance, elicited a biomechanical technique that might reduce the discrepancy between a rowing ergometer and on-water rowing.

Students' Perceptions of Technology Integration During the F.I.T. Unit.

PURPOSE: This study sought to explore students' experiences of the Fitness Integrated with Technology (F.I.T.) unit and of their perceptions of using technology in physical education. METHOD: This manuscript is part of a larger mixed-methods study that measured student attitude and physical activity (PA) levels of 221 students in sixth, seventh, and eighth grades. Selected students (N = 13; seven girls) were observed and then interviewed after the unit through semistructured interviews. Students were identified based on their PA levels and attitude scores from a baseline measurement. The unit was designed to deliver fitness-based knowledge and used accelerometers as a tool to measure and teach students about PA. RESULTS: Three themes emerged from the data analysis: (a) technology and problems implementing it, (b) homework in PE, and (c) potential motivational effects of technology. The lack of access to technology at home and the design and utility of the accelerometers were perceived barriers. Additionally, homework was not well received. The accelerometer seemed to have a motivational effect on increasing students' PA levels but wore off during the unit. CONCLUSIONS: Results demonstrate that the use of technology for some students was a motivating factor to increase PA, and the use of accelerometers was a welcomed addition for students. Some students, however, raised concerns with the integration of technology such as the bulkiness of the accelerometer, not being able to wear it at sporting events, a novelty effect, and lack of access to technology at home that limited their interaction with their accelerometer data.

Laboratory-based ergometry for swimmers: a systematic review.

INTRODUCTION: The first widely-available dry-land training machines for swimmers were introduced about 40 years ago. They were designed so that swimmers could perform resistance exercise whilst more-closely replicating the movements of swimming, than when using other gymnasium-based resistance training machines. These machines were subsequently adapted and used as measurement tools (ergometers) in an array swimming research study. This narrative review categorizes and summarizes what has been shown by the research studies that have utilized this laboratory-based ergometry. EVIDENCE ACQUISITION: A search was conducted in PubMed, Web of Science, ScienceDirect and Scopus (1970-2018) and relevant publications were included. Publications were grouped into 4 main areas of research: 1) physiological responses to exercise; 2) functional evaluation of swimmers; 3) monitoring of training; 4) muscular work output of swimmers. EVIDENCE SYNTHESIS: Significant differences were showed between swim bench exercise and real swimming, especially in regard to the muscles involved. The difficulties of accurate reproduction of the movements and coordinated dynamic actions of swimming have not been overcome. Nevertheless, the literature shows that the use of these devices has provided a valuable contribution to swimming physiology, while overcoming difficulties presented by attempting to make physiological measurements in the water. CONCLUSIONS: In spite of its limitations, laboratory-based ergometry has allowed a valuable contribution to the understanding of the physiology, effects of training and efficiency of swimming.

A Comparison of Various Cervical Muscle Strength Testing Methods Using a Handheld Dynamometer.

BACKGROUND:: Cervical muscle strength, proposed as a modifiable risk factor in concussions, can be assessed using various methods. The purpose of this study was to compare the reliability and force outputs of 3 methods that use handheld dynamometry (HHD) for assessing cervical muscle strength. HYPOTHESIS:: All 3 testing methods are reliable, and force outputs are significantly different between methods. STUDY DESIGN:: Repeated-measures reliability. LEVEL OF EVIDENCE:: Level 5. METHODS:: The study used a convenience sample of 30 participants. HHD "make tests" for cervical extension, flexion, and right and left side bending were performed using lying push tests, sitting push tests, and sitting pull tests. A sole examiner performed all tests. Two testing sessions were conducted 1 week apart. Analysis included intraclass correlation coefficients (ICCs), repeated-measures analyses of variance (α = 0.05) with post hoc Bonferroni tests, and minimal detectable change (MDC) calculations. RESULTS:: All testing methods were reliable; the lying push test had the greatest point estimate values (ICC, 0.89-0.95). Significant differences in force were found between the 3 testing methods. The MDC was most sensitive for the lying push method. CONCLUSION:: Of the 3 cervical muscle testing methods investigated, the lying position with a push test had the largest ICC according to the point estimate and the most sensitive MDC. Force values between the 3 methods were significantly different, which suggests that consistent testing methods should be used. CLINICAL RELEVANCE:: Results from this study support the clinical use of an HHD "make test" in a lying position for assessing cervical muscle strength. The test is reliable and more sensitive to change compared with tests in a seated position.

The Reliability and Validity of the PowerTap P1 Power Pedals Before and After 100 Hours of Use.

PURPOSE: To (1) evaluate agreement between the PowerTap P1 (P1) pedals and the Lode Excalibur Sport cycle ergometer, (2) investigate the reliability of the P1 pedals between repeated testing sessions, and (3) compare the reliability and validity of the P1 pedals before (P10) and after (P1100) ∼100 h of use. METHODS: Ten participants completed four 5-min submaximal cycling bouts (100, 150, 200, and 250 W), a 2-min time trial, and two 10-s all-out sprints on 2 occasions. This protocol was repeated after 15 mo and ∼100 h of use. RESULTS: Significant differences were seen between the P10 pedals and the Lode Excalibur Sport at 100 W (P = .006), 150 W (P = .006), 200 W (P = .001), and 250 W (P = .006) and during the all-out sprints (P = .020). After ∼100 h of use, the P1100 pedals did not significantly differ from the Lode Excalibur Sport at 100 W (P = .799), 150 W (P = .183), 200 W (P = .289), and 250 W (P = .183), during the 2-min time trial (P = .583), or during the all-out sprints (P = .412). The coefficients of variation for the P10 and P1100 ranged from 0.6% to 1.3% and 0.5% to 2.0%, respectively, during the submaximal cycling bouts. CONCLUSION: The P1 pedals provide valid data after ∼100 h of laboratory use. Furthermore, the pedals provide reliable data during submaximal cycling, even after prolonged use.

A pilot study of exercise-induced changes in mitochondrial oxygen metabolism measured by a cellular oxygen metabolism monitor (PICOMET).

Impaired tissue oxygenation is the key pathomechanism in the development of organ dysfunction in shock; mitochondrial impairment can aggravate the condition. However, measuring tissue oxygenation directly and non-invasively still poses a clinical challenge. A novel device (COMET) allows the assessment of mitochondrial oxygen metabolism using the Protoporphyrin IX Triplet State Lifetime Technique (PpIX-TSLT). Critically ill patients, especially in sepsis, often exhibit oedema which may interfere with the COMET measurement. Furthermore, patients' physical activity level differs significantly before and during hospitalisation. Thus, the aim of this study was to identify the effects of physical activity and body composition on mitochondrial oxygen tension (mitoPO2) and consumption (mitoVO2) in healthy controls (N = 40). Furthermore, the study tested the repeatability of the COMET variables and identified covariates. Multiple COMET measurements were performed before (T1, T2), during and after (T3, T4) ergometry. Body composition was assessed by bioimpedance analysis. Physiological variables (blood pressure, heart rate, oxygen saturation) were recorded. In the analytical sample (n = 26), physical activity significantly decreased mitoVO2; other COMET variables remained unchanged between T2 and T3. During ergometry, mitoPO2 increased significantly. The distribution of body water significantly influenced mitoVO2. In our setting, the method demonstrated moderate repeatability. Variables of fitness (heart rate recovery, phase angle and physical activity level), signal quality and duration of exposure to 5-aminolevulinic acid (obligatory for PpIX-TSLT) were identified as significant covariates of mitoVO2. Mitochondrial oxygen delivery (mitoDO2) was established as a new variable of COMET analysis. Results of this pilot study should be validated in future studies.

The effect of saddle height and saddle position changes from pedal on muscles and joints behaviors in ergometer: A parametric study.

The physical activities such as pedaling can affect the lower limb muscles strength and rehabilitation. Improper pedaling can cause injury. In this study, we would investigate the effects of saddle place (saddle position and saddle height) on the behavior of muscles and joints. Moreover, we would try to reveal the relationship between the muscles activity (Act) and the joints reaction forces (F) and saddle position and saddle height. To this end, the pedaling conditions are obtained from the biomechanical model of the human movement system presented in AnyBody software. The variations in 12 muscles Act and total, normal and shear F of ankle, knee and hip joints are studied for the various saddle places in the pedaling feasible range. The relationships of those muscles Act and joints F are predicted by the response surface method. The results indicate that the muscles and the joints behavior changes for various saddle position and saddle height. The maximum and the minimum of the total response are acquired in the ankle and hip joints, respectively. In contrast to the ankle and hip joints, the knee shear response is greater than the normal response. The predictive models of the muscles Act and the joints F (the regression coefficients (R2) are 0.60-0.95 and 0.76-0.97, respectively) indicate their nonlinear behavior with saddle position and saddle height variations. Studying the muscles and joints behavior in different pedaling condition can be helpful for the suitable saddle placement in order for rehabilitation, muscles soreness reduction, and joints disorder treatment.

Feasibility, safety, and reliability of exercise testing using the combined arm-leg (Cruiser) ergometer in subjects with a lower limb amputation.

BACKGROUND: Physical fitness of patients with a lower limb amputation predicts their walking ability and may be improved by physical exercise and training. A maximal exercise test is recommended prior to training in order to determine cardiovascular risks and design exercise programs. A potentially suitable ergometer for maximal exercise testing in patients with a lower limb amputation is the combined arm-leg (Cruiser) ergometer. The aim of this study was to determine feasibility, safety, and reliability of (sub)maximal exercise testing on the Cruiser ergometer in subjects with a lower limb amputation. METHODS AND FINDINGS: Subjects with a lower limb amputation performed 1 submaximal exercise test and 3 maximal exercise tests on the Cruiser ergometer. Feasibility was determined by examining whether key variables such as power output, heart rate and oxygen uptake were correctly and reliably measured, by determining whether a test was a maximal aerobic performance, by studying reasons for non-completion, and by measuring gross efficiency. Safety was analyzed by recording complications, electrocardiogram results, and blood pressure. Reliability was tested by comparing the results of the second and third maximal exercise test. Seventeen subjects (14 men and 3 women) out of 21 preselected subjects completed the study. In general, the maximal Cruiser exercise test was feasible. Almost 75% of the subjects reached a maximal aerobic performance. The test was also safe because no complications occurred, although electrocardiogram and blood pressure could only be reliably recorded in most subjects just before and after the test. Reliability was good: Intraclass correlation was 0.84 for peak oxygen uptake. CONCLUSIONS: The Cruiser ergometer is a feasible, safe, and reliable ergometer for measuring physical fitness of subjects with a lower limb amputation.