UZH-Logo

Reliability of non-invasive cardiac output measurement in individuals with tetraplegia


Hostettler, S; Brechbühl, J; Leuthold, L; Mueller, G; Illi, S K; Spengler, C M (2011). Reliability of non-invasive cardiac output measurement in individuals with tetraplegia. Spinal Cord, 49(5):665-671.

Abstract

Study design:The study is conducted on the basis of comparative-repeated measures.Objectives:The objective of this study is to assess the reliability of non-invasive cardiac output (CO) measurements in individuals with tetraplegia (TP) at rest and during exercise using Innocor, and to test the hypothesis that CO measurements are less reliable in TP than in able-bodied (AB) individuals.Setting:Ambulatory volunteers, Switzerland.Methods:Nine male motor-complete TP (C5-C7) and nine pair-matched AB performed repeated CO measurements at rest and during submaximal arm-crank and wheelchair exercises in four different test sessions. Within- and between-day reliabilities were compared between TP and AB.Results:Mean differences between measurements at rest (TP vs AB, within-day: 0.1±0.5 vs 0.2±0.6 l min(-1), between-day: -0.7±0.6 vs -0.1±0.8 l min(-1)), during arm-crank (TP vs AB, within-day: 0.1±0.9 vs 0.5±0.7 l min(-1), between-day: -0.3±1.1 vs 0.0±1.1 l min(-1)) and wheelchair exercises (TP vs AB, within-day: 0.3±1.2 vs -0.1±0.8 l min(-1), between-day: 0.1±1.1 vs 0.5±0.9 l min(-1)) were not significantly different between TP and AB (all P>0.05). Coefficients of variation in TP (within-day, rest: 6.8%, arm-crank: 9.6% and wheelchair: 10.8%; between-day, rest: 11.9%, arm-crank: 11.2% and wheelchair: 10.3%) and in AB (within-day, rest: 7.7%, arm crank: 6.8% and wheelchair: 6.0%; between-day, rest: 9.2%, arm crank: 8.5% and wheelchair: 8.0%) indicated acceptable reliability.Conclusion:In contrast to our hypothesis, we found non-invasive CO measurements using Innocor to be as reliable in TP as they are in AB. Consequently, Innocor can be recommended for repeated assessments of CO in TP within routine diagnostics or for evaluation of training progress.Sponsorship:The study was supported by the Swiss National Science Foundation (Grant no. 32-116777).Spinal Cord advance online publication, 21 December 2010; doi:10.1038/sc.2010.173.

Study design:The study is conducted on the basis of comparative-repeated measures.Objectives:The objective of this study is to assess the reliability of non-invasive cardiac output (CO) measurements in individuals with tetraplegia (TP) at rest and during exercise using Innocor, and to test the hypothesis that CO measurements are less reliable in TP than in able-bodied (AB) individuals.Setting:Ambulatory volunteers, Switzerland.Methods:Nine male motor-complete TP (C5-C7) and nine pair-matched AB performed repeated CO measurements at rest and during submaximal arm-crank and wheelchair exercises in four different test sessions. Within- and between-day reliabilities were compared between TP and AB.Results:Mean differences between measurements at rest (TP vs AB, within-day: 0.1±0.5 vs 0.2±0.6 l min(-1), between-day: -0.7±0.6 vs -0.1±0.8 l min(-1)), during arm-crank (TP vs AB, within-day: 0.1±0.9 vs 0.5±0.7 l min(-1), between-day: -0.3±1.1 vs 0.0±1.1 l min(-1)) and wheelchair exercises (TP vs AB, within-day: 0.3±1.2 vs -0.1±0.8 l min(-1), between-day: 0.1±1.1 vs 0.5±0.9 l min(-1)) were not significantly different between TP and AB (all P>0.05). Coefficients of variation in TP (within-day, rest: 6.8%, arm-crank: 9.6% and wheelchair: 10.8%; between-day, rest: 11.9%, arm-crank: 11.2% and wheelchair: 10.3%) and in AB (within-day, rest: 7.7%, arm crank: 6.8% and wheelchair: 6.0%; between-day, rest: 9.2%, arm crank: 8.5% and wheelchair: 8.0%) indicated acceptable reliability.Conclusion:In contrast to our hypothesis, we found non-invasive CO measurements using Innocor to be as reliable in TP as they are in AB. Consequently, Innocor can be recommended for repeated assessments of CO in TP within routine diagnostics or for evaluation of training progress.Sponsorship:The study was supported by the Swiss National Science Foundation (Grant no. 32-116777).Spinal Cord advance online publication, 21 December 2010; doi:10.1038/sc.2010.173.

Citations

1 citation in Web of Science®
1 citation in Scopus®
Google Scholar™

Altmetrics

Downloads

3 downloads since deposited on 06 Feb 2011
0 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Institute of Physiology
07 Faculty of Science > Institute of Physiology

04 Faculty of Medicine > Center for Integrative Human Physiology
Dewey Decimal Classification:570 Life sciences; biology
610 Medicine & health
Language:English
Date:2011
Deposited On:06 Feb 2011 18:34
Last Modified:05 Apr 2016 14:43
Publisher:Nature Publishing Group
ISSN:1362-4393
Publisher DOI:10.1038/sc.2010.173
PubMed ID:21173780
Permanent URL: http://doi.org/10.5167/uzh-44654

Download

[img]
Content: Published Version
Filetype: PDF - Registered users only
Size: 1MB
View at publisher

TrendTerms

TrendTerms displays relevant terms of the abstract of this publication and related documents on a map. The terms and their relations were extracted from ZORA using word statistics. Their timelines are taken from ZORA as well. The bubble size of a term is proportional to the number of documents where the term occurs. Red, orange, yellow and green colors are used for terms that occur in the current document; red indicates high interlinkedness of a term with other terms, orange, yellow and green decreasing interlinkedness. Blue is used for terms that have a relation with the terms in this document, but occur in other documents.
You can navigate and zoom the map. Mouse-hovering a term displays its timeline, clicking it yields the associated documents.

Author Collaborations