Janssen Thomas W J, Dallmeijer Annet J, Veeger Dirk Jan H E J, van der Woude Luc H V
Vrije Universiteit, Institute for Fundamental and Clinical Human Movement Sciences, Amsterdam, The Netherlands.
J Rehabil Res Dev. 2002 Jan-Feb;39(1):29-39.
We reanalyzed data from five studies with similar or identical methodology performed by our laboratory to define normative values and determinants of physical capacity in individuals with tetraplegia and paraplegia. Each study consisted of a graded wheelchair exercise test to determine peak oxygen uptake and maximal power output and could additionally include a wheelchair sprint test to determine short-term (anaerobic) power output and/or an isometric strength test. The combined subject population included 166 individuals (20 women), varying considerably for age, body mass, lesion level, time since injury, and activity level. Ranges in physical capacity parameters were extensive and normative values for individuals with tetraplegia and paraplegia were established. These physical capacity norms could be used for evaluation of fitness status and training or therapeutic interventions. Multiple regression procedures indicated that 48-80% of the variance in physical capacity could be explained by lesion level and completeness, activity level, gender, age, body mass, and time since injury. Although physical capacity is largely determined by factors that cannot be altered, such as lesion level, age, and gender, changeable factors such as activity level and body mass play an additional role.
我们重新分析了由我们实验室采用相似或相同方法进行的五项研究的数据，以确定四肢瘫痪和截瘫患者的体能标准值及决定因素。每项研究都包括一项分级轮椅运动试验，以确定峰值摄氧量和最大功率输出，此外还可能包括一项轮椅短跑试验，以确定短期（无氧）功率输出和/或一项等长力量试验。合并后的受试者群体包括166人（20名女性），在年龄、体重、损伤水平、受伤时间和活动水平方面差异很大。体能参数范围很广，并建立了四肢瘫痪和截瘫患者的标准值。这些体能标准可用于评估健康状况以及训练或治疗干预。多元回归程序表明，体能差异的48 - 80%可由损伤水平和完整性、活动水平、性别、年龄、体重和受伤时间来解释。虽然体能在很大程度上由无法改变的因素决定，如损伤水平、年龄和性别，但活动水平和体重等可变因素也起到了额外作用。
