Article

OBJECTIVE: To systematically synthesize and appraise research regarding
test-retest reliability or criterion validity of subjective measures for
assessing aerobic exercise intensity in adults with spinal cord injury (SCI).
DATA SOURCES: Electronic databases (Pubmed, PsychINFO, SPORTDiscus, EMBASE, and
CINAHL) were searched from inception to January 1, 2016. STUDY SELECTION: Studies
involving at least 50% of participants with SCI who performed an aerobic exercise
test that included measurement of subjective and objective intensity based on
test-retest reliability or criterion validity protocols. DATA EXTRACTION:
Characteristics were extracted on study design, measures, participants,
protocols, and results. Each study was evaluated for risk of bias based on
strength of the study design and a quality checklist score (COnsensus-based
Standards for the selection of health Measurement INstruments [COSMIN]). DATA
SYNTHESIS: The 7 eligible studies (1 for reliability, 6 for validity) evaluated
overall, peripheral and/or central ratings of perceived exertion (RPE) on a scale
of 6-20 (RPE 6-20). No eligible studies were identified for other subjective
intensity measures. The evidence for reliability and validity were synthesized
separately for each measure and were assessed using Grading of Recommendations
Assessment, Development, and Evaluation (GRADE). Overall, very low GRADE
confidence ratings were established for reliability and validity evidence
generalizable to the entire population with SCI and various upper-body and
lower-body modalities. There was low confidence for the evidence showing that
overall RPE 6-20 has acceptable validity for adults with SCI and high fitness
levels performing moderate to vigorous-intensity upper-body aerobic exercise.
CONCLUSIONS: Health care professionals and scientists need to be aware of the
very low to low confidence in the evidence, which currently prohibits a strong
clinical recommendation for the use of subjective measures for assessing aerobic
exercise intensity in adults with SCI. However, a tentative, conditional
recommendation regarding overall RPE 6-20 seems applicable, depending on
participants' fitness level as well as the exercise intensity and modality used.
LEVEL OF EVIDENCE: NA.
CI - Copyright (c) 2018 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS