Submaximal exercise in persons with stroke: test-retest reliability and concurrent validity with maximal oxygen consumption

Arch Phys Med Rehabil. 2004 Jan;85(1):113-8. doi: 10.1016/s0003-9993(03)00436-2.


Objective: To establish the test-retest reliability and concurrent validity with maximum oxygen consumption (VO2max) for 3 submaximal exercise tests in persons with chronic stroke: (1) submaximal treadmill test, (2) submaximal cycle ergometer test, and (3) 6-minute walk test (6MWT).

Design: Prospective study using a convenience sample.

Setting: Free-standing tertiary rehabilitation center.

Participants: A volunteer sample of 12 community-dwelling individuals who had a stroke with moderate motor deficits.

Interventions: Not applicable.

Main outcome measures: Heart rate, blood pressure, and oxygen consumption (VO2) were assessed during the exercise tests.

Results: Test-retest reliability was good to excellent for the exercise tests (maximal and submaximal tests). VO2 for all submaximal measures related to VO2max (r range, .66-.80). Neither the 6MWT distance, self-selected gait speed, nor hemodynamic measures related to VO2max.

Conclusion: The VO2 measures of the submaximal exercise tests had excellent reliability and good concurrent validity with VO2max. Submaximal exercise tests may be a method by which to monitor the effects of interventions after a screening test (eg, symptom-limited graded exercise test, dobutamine stress echocardiograph).

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Blood Pressure
  • Exercise Test*
  • Female
  • Heart Rate
  • Humans
  • Male
  • Middle Aged
  • Oxygen Consumption*
  • Physical Fitness
  • Prospective Studies
  • Reproducibility of Results
  • Stroke / physiopathology
  • Stroke Rehabilitation*