Clinical Study

Unilateral Arm Crank Exercise Test for Assessing Cardiorespiratory Fitness in Individuals with Hemiparetic Stroke

Table 2

Comparisons of various parameters at peak exercise in participants with stroke and healthy controls in the unilateral arm crank exercise test.

VariableUnilateral arm crank exercise test
StrokeControl95% CI value
()()

O2 (mL⋅kg−1⋅min−1), mean ± SD10.0 ± 2.613.7 ± 2.1−5.6, −1.7<0.001
Heart rate (bpm), mean ± SD125 ± 14129 ± 11−14, 60.428
Respiratory exchange ratio, mean ± SD1.28 ± 0.251.15 ± 0.13−0.03, 0.300.102
Minute ventilation (L⋅min−1), mean ± SD28.2 ± 9.029.5 ± 9.1−8.4, 5.80.715
Ventilatory equivalent of oxygen, mean ± SD48.1 ± 14.735.2 ± 3.63.9, 21.90.007
Ventilatory equivalent of carbon dioxide, mean ± SD39.9 ± 9.033.3 ± 3.50.9, 12.20.024
End-tidal oxygen fraction (%), mean ± SD17.1 ± 1.016.1 ± 0.50.3, 1.60.006
End-tidal carbon dioxide fraction (%), mean ± SD5.01 ± 0.665.32 ± 0.51−0.76, 0.140.166
Work rate (), mean ± SD34.1 ± 22.736.9 ± 7.4−17.0, 11.30.702
Systolic blood pressure (mmHg), mean ± SD177 ± 17192 ± 18−29, −10.043
Diastolic blood pressure (mmHg), mean ± SD102 ± 13105 ± 13−17, 110.484
Ratings of perceived exertion, median (IQR)15 (14, 17)15 (13, 17)NA0.504
O2 at the ventilatory threshold (mL⋅kg−1⋅min−1), mean ± SD7.4 ± 1.210.2 ± 1.6−3.8, −1.7<0.001
Number of participants who terminated exercise test when achieving 85% of the age-predicted maximal heart rate, (%)6 (37.5)5 (41.7)NA0.999
Number of participants who achieved the respiratory exchange ratio at peak exercise of 1.10 or more, (%)14 (87.5)7 (58.3)NA0.103
Termination reasons prior to achieving 85% of the age-predicted maximal heart rate, (%)
 General fatigue3 (18.8)0 (0.0)
 Arm muscle fatigue5 (31.2)4 (33.3)
 Diastolic blood pressure > 115 mmHg2 (12.5)3 (25.0)

95% CI: 95% confidence interval of the difference between the means (stroke group − control group), IQR: interquartile range, NA: not applicable.