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Accelerometer output and its association with energy expenditure during manual wheelchair propulsion
Journal article   Peer reviewed

Accelerometer output and its association with energy expenditure during manual wheelchair propulsion

Y.C. Learmonth, D. Kinnett-Hopkins, I.M. Rice, J.L. Dysterheft and R.W. Motl
Spinal Cord, Vol.54(2), pp.110-114
2016
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Abstract

Study design: This is an experimental design. Objectives: This study examined the association between rates of energy expenditure (that is, oxygen consumption (VO 2)) and accelerometer counts (that is, vector magnitude (VM)) across a range of speeds during manual wheelchair propulsion on a motor-driven treadmill. Such an association allows for the generation of cutoff points for quantifying the time spent in moderate-to-vigorous physical activity (MVPA) during manual wheelchair propulsion. Setting: The study was conducted in the University Laboratory. Methods: Twenty-four manual wheelchair users completed a 6-min period of seated rest and three 6-min periods of manual wheelchair propulsion on a motor-driven wheelchair treadmill. The 6-min periods of wheelchair propulsion corresponded with three treadmill speeds (1.5, 3.0 and 4.5 mph) that elicited a range of physical activity intensities. Participants wore a portable metabolic unit and accelerometers on both wrists. Primary outcome measures included steady-state VO 2 and VM, and the strength of association between VO 2 and VM was based on the multiple correlation and squared multiple correlation coefficients from linear regression analyses. Results: Strong linear associations were established between VO 2 and VM for the left (R=0.93±0.44; R 2 =0.87±0.19), right (R=0.95±0.37; R 2 =0.90±0.14) and combined (R=0.94±0.38; R 2 =0.88±0.15) accelerometers. The linear relationship between VO 2 and VM for the left, right and combined wrists yielded cutoff points for MVPA of 3659 ±1302, 3630±1403 and 3644±1339 counts min -1, respectively. Conclusion: We provide cutoff points based on the linear association between energy expenditure and accelerometer counts for estimating time spent in MVPA during manual wheelchair propulsion using wrist-worn accelerometry. The similarity across wrist location permits flexibility in selecting a location for wrist accelerometry placement.

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Citation topics
1 Clinical & Life Sciences
1.82 Gait & Posture
1.82.1298 Spinal Cord Injury Rehabilitation
Web Of Science research areas
Clinical Neurology
Rehabilitation
ESI research areas
Neuroscience & Behavior
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