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Measurement properties of maximal cardiopulmonary exercise tests protocols in persons after stroke

OBJECTIVE: To systematically review and critically appraise the literature on
measurement properties of cardiopulmonary exercise test protocols for measuring
aerobic capacity, VO2max, in persons after stroke. DATA SOURCES: PubMed, Embase
and Cinahl were searched from inception up to 15 June 2016.
A total of 9 studies
were identified reporting on 9 different cardiopulmonary exercise test protocols.
STUDY SELECTION: VO2max measured with cardiopulmonary exercise test and open
spirometry was the construct of interest. The target population was adult persons
after stroke. We included all studies that evaluated reliability, measurement
error, criterion validity, content validity, hypothesis testing and/or
responsiveness of cardiopulmonary exercise test protocols. DATA EXTRACTION: Two
researchers independently screened the literature, assessed methodological
quality using the COnsensus-based Standards for the selection of health
Measurement INstruments checklist and extracted data on measurement properties of
cardiopulmonary exercise test protocols. DATA SYNTHESIS: Most studies reported on
only one measurement property. Best-evidence synthesis was derived taking into
account the methodological quality of the studies, the results and the
consistency of the results. CONCLUSION: No judgement could be made on which
protocol is "best" for measuring VO2max in persons after stroke due to lack of
high-quality studies on the measurement properties of the cardiopulmonary
exercise test.

Langue : ANGLAIS

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