Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease
Objectives: To (1) evaluate whether the use of a rollator changed metabolic cost during a controlled walking task, and (2) explore relationships between the difference in dyspnea and metabolic cost associated with rollator use. Design: Single-group interventional study in which patients completed 2...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Elsevier
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/30865 |
| _version_ | 1848753211959148544 |
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| author | Hill, Kylie Dolmage, T. Woon, L. Brooks, D. Goldstein, R. |
| author_facet | Hill, Kylie Dolmage, T. Woon, L. Brooks, D. Goldstein, R. |
| author_sort | Hill, Kylie |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objectives: To (1) evaluate whether the use of a rollator changed metabolic cost during a controlled walking task, and (2) explore relationships between the difference in dyspnea and metabolic cost associated with rollator use. Design: Single-group interventional study in which patients completed 2 corridor walks: 1 without and 1 with a rollator, at the same individualized constant speed. Setting: Rehabilitation hospital. Participants: Patients with chronic obstructive pulmonary disease (N=15; 10 men; median age [interquartile range; IQR]=69 [12]y; forced expiratory volume in 1 second=42 [20]% predicted). Intervention: Rollator use. Main Outcome Measures: Oxygen uptake, converted to metabolic equivalent units (METs), and minute ventilation were measured throughout both tasks using a portable gas analysis system; dyspnea and arterial oxygen saturation (SpO2) were collected on completion. Results: Median [IQR] walk speed [IQR] was 48 (10)m/min. Walking with a rollator, compared with walking without, reduced dyspnea (median [IQR]=1.0 [1.5] vs 2.0 [2.0]; P=.01) without changing energy expenditure (median [IQR]=2.8 [1.2] vs 3.2 [0.9] METs; P=.65), minute ventilation (median [IQR]=30.3 [9.6] vs 27.7 [9.9]L/min; P=.50), or SpO2 (median [IQR]=92 [8]% vs 94 [10]%; P=.41). The association between the reduction in dyspnea and any difference in energy expenditure related to rollator use was of borderline significance (rs=.50; P=.06). Six of the 8 participants who experienced a reduction in dyspnea also demonstrated a reduction in the metabolic cost of walking. Conclusions: The mechanism responsible for the amelioration in dyspnea during rollator-assisted walking is multifactorial. A reduction in the metabolic cost of walking may play a part in some, but not all, patients. |
| first_indexed | 2025-11-14T08:20:55Z |
| format | Journal Article |
| id | curtin-20.500.11937-30865 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:20:55Z |
| publishDate | 2012 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-308652017-09-13T15:56:35Z Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease Hill, Kylie Dolmage, T. Woon, L. Brooks, D. Goldstein, R. Objectives: To (1) evaluate whether the use of a rollator changed metabolic cost during a controlled walking task, and (2) explore relationships between the difference in dyspnea and metabolic cost associated with rollator use. Design: Single-group interventional study in which patients completed 2 corridor walks: 1 without and 1 with a rollator, at the same individualized constant speed. Setting: Rehabilitation hospital. Participants: Patients with chronic obstructive pulmonary disease (N=15; 10 men; median age [interquartile range; IQR]=69 [12]y; forced expiratory volume in 1 second=42 [20]% predicted). Intervention: Rollator use. Main Outcome Measures: Oxygen uptake, converted to metabolic equivalent units (METs), and minute ventilation were measured throughout both tasks using a portable gas analysis system; dyspnea and arterial oxygen saturation (SpO2) were collected on completion. Results: Median [IQR] walk speed [IQR] was 48 (10)m/min. Walking with a rollator, compared with walking without, reduced dyspnea (median [IQR]=1.0 [1.5] vs 2.0 [2.0]; P=.01) without changing energy expenditure (median [IQR]=2.8 [1.2] vs 3.2 [0.9] METs; P=.65), minute ventilation (median [IQR]=30.3 [9.6] vs 27.7 [9.9]L/min; P=.50), or SpO2 (median [IQR]=92 [8]% vs 94 [10]%; P=.41). The association between the reduction in dyspnea and any difference in energy expenditure related to rollator use was of borderline significance (rs=.50; P=.06). Six of the 8 participants who experienced a reduction in dyspnea also demonstrated a reduction in the metabolic cost of walking. Conclusions: The mechanism responsible for the amelioration in dyspnea during rollator-assisted walking is multifactorial. A reduction in the metabolic cost of walking may play a part in some, but not all, patients. 2012 Journal Article http://hdl.handle.net/20.500.11937/30865 10.1016/j.apmr.2012.01.009 Elsevier restricted |
| spellingShingle | Hill, Kylie Dolmage, T. Woon, L. Brooks, D. Goldstein, R. Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title | Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title_full | Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title_fullStr | Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title_full_unstemmed | Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title_short | Rollator use does not consistently change the metabolic cost of walking in people with Chronic Obstructive Pulmonary Disease |
| title_sort | rollator use does not consistently change the metabolic cost of walking in people with chronic obstructive pulmonary disease |
| url | http://hdl.handle.net/20.500.11937/30865 |