Garate Iker, Yanci Javier, Ascondo Josu, Iturricastillo Aitor, Granados Cristina
Physical Education and Sport Department, Faculty of Education and Sport, University of the Basque Country, UPV/EHU, 01007 Vitoria-Gasteiz, Spain.
Society, Sports and Physical Exercise Research Group (GIKAFIT), Physical Education and Sport Department, Faculty of Education and Sport, University of the Basque Country, UPV/EHU, 01007 Vitoria-Gasteiz, Spain.
Int J Environ Res Public Health. 2025 Mar 6;22(3):384. doi: 10.3390/ijerph22030384.
cardiorespiratory fitness is one of the most important components of physical fitness. In this paper, we set out to identify cardiopulmonary tests evaluated for measurement properties in wheelchair users and determine which are reliable and valid for this population.
Articles were collected from PubMed, Scopus, SPORTDiscus, and Web of Science. The initial search was conducted in October 2022 and updated in July 2023 for recent publications. From 1257 screened studies, 42 met the criteria: (a) participants were wheelchair users, (b) tests measured cardiorespiratory fitness, (c) test reliability or validity was reported, (d) articles were original, and (e) full text was in English. Two independent researchers extracted participant details (number, gender, age, disability) and test information, with a third researcher resolving disagreements. Statistical analyses of test reliability and validity were documented.
Methodological quality was assessed using the COSMIN checklist. Evidence levels for reliability and validity were established. Moderate evidence was found for reliability in one field test, and for validity in two lab and two field tests.
While most tests show good reliability and validity, sample sizes are small, limiting conclusions. Further research is needed to strengthen the evidence and identify the most suitable tests for wheelchair users. Researchers are encouraged to replicate validation studies to support future testing.
心肺适能是体能最重要的组成部分之一。在本文中，我们旨在识别针对轮椅使用者测量特性进行评估的心肺测试，并确定哪些测试对该人群是可靠且有效的。
从PubMed、Scopus、SPORTDiscus和科学网收集文章。首次检索于2022年10月进行，并于2023年7月更新以获取最新出版物。在1257项筛选研究中，42项符合标准：(a)参与者为轮椅使用者；(b)测试测量心肺适能；(c)报告了测试的可靠性或有效性；(d)文章为原创；(e)全文为英文。两名独立研究人员提取了参与者详细信息（数量、性别、年龄、残疾情况）和测试信息，第三名研究人员解决分歧。记录了测试可靠性和有效性的统计分析。
使用COSMIN清单评估方法学质量。确定了可靠性和有效性的证据水平。在一项现场测试中发现了中等程度的可靠性证据，在两项实验室测试和两项现场测试中发现了有效性证据。
虽然大多数测试显示出良好的可靠性和有效性，但样本量较小，限制了结论。需要进一步研究以加强证据，并确定最适合轮椅使用者的测试。鼓励研究人员重复验证研究以支持未来的测试。
