Document Detail

The NuStep® is a feasible and safe mode of physical activity for significantly motorimpaired adults with cerebral palsy.
MedLine Citation:
PMID:  23063881     Owner:  NLM     Status:  Publisher    
OBJECTIVE: To examine the feasibility and potential benefits of using the NuStep® Recumbent Cross Trainer for non-ambulatory adults with cerebral palsy (CP). DESIGN: Observational SETTING: Clinical center for CP treatment and rehabilitation. PARTICIPANTS: Significantly motor-impaired adults with CP (N = 11) with a mean age ± SD of 36.3 ± 13.2 years, and Gross Motor Functional Classification System (GMFCS) levels III and IV. INTERVENTIONS: Participants completed a 40-minute session of aerobic exercise using the NuStep® recumbent cross trainer, in which resistance was progressively increased at 5-minute intervals. MAIN OUTCOME MEASURE(S): Every 5-minutes during the exercise session, heart rate (HR), blood pressure (BP), oxygen consumption (VO2), energy expenditure (EE), and respiratory exchange ratios (RER) were recorded along with rating of perceived exertion (RPE). Immediately after, and 24-hours post-exercise participants received a standard survey to assess levels of pain and discomfort. RESULTS: All participants were able to complete th e 40-minute exercise protocol. Five of the eleven participants achieved a HR of at least 60% maximum throughout the duration, ten participants had a significant elevation in VO2 from baseline, and all participants had elevated RER values. Six participants reported pain during exercise, but only two reported pain after exercise was over. CONCLUSIONS: The NuStep® recumbent cross trainer is a feasible exercise modality for significantly motor-impaired adults with CP, GMFCS III and IV. Moreover, this mode was sufficient to stimulate a significant cardiorespiratory response in all participants, and thus it and similar devices may serve as a viable option for aerobic exercise interventions in this population, to prevent obesity and related cardiometabolic consequences.
Mark D Peterson; Leah Lukasik; Timothy Muth; Phil Esposito; Heidi Haapala; Edward A Hurvitz
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-10
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ltd. All rights reserved.
Department of Physical Medicine and Rehabilitation, University of Michigan.
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