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Assessing the use of the steep ramp test in chronic obstructive pulmonary disease

dc.contributor.advisorMarciniuk, Darcyen_US
dc.contributor.advisorButcher, Scotten_US
dc.contributor.committeeMemberCockcroft, Donen_US
dc.contributor.committeeMemberBusch, Angelaen_US
dc.contributor.committeeMemberSheppard, Suzanneen_US
dc.contributor.committeeMemberWest, Nigelen_US
dc.contributor.committeeMemberFarthing, Jonen_US
dc.creatorChura, Robyn Lorraineen_US
dc.date.accessioned2009-08-24T15:11:29Zen_US
dc.date.accessioned2013-01-04T04:54:23Z
dc.date.available2010-09-21T08:00:00Zen_US
dc.date.available2013-01-04T04:54:23Z
dc.date.created2009-07en_US
dc.date.issued2009-07en_US
dc.date.submittedJuly 2009en_US
dc.description.abstractThe purpose of this study was to compare power output and ventilatory measurements between the steep ramp test (SR) and both the 30-second Wingate anaerobic (WAT) and standard cardiopulmonary exercise tests (CPET) in chronic obstructive pulmonary disease (COPD). 11 patients (7 males and 4 females) underwent spirometry, a CPET, WAT and SR test. Repeated measures ANOVA was used to compare the differences between the peak work rate of the CPET (CPETpeak), SR (SRpeak), and the average power of the WAT (Wavg). The Wavg was higher than the SRpeak, which was higher than the CPET (231.2 ± 113.4, 156.8 ± 67.9, 65.9 ± 35.9, p>0.05 respectively). There were no differences found between the tests at end-exercise for inspiratory reserve volume (IRV), ventilation (VE), and end-expiratory lung volume (EELV). Tidal volume (VT) was also compared between the tests as a percentage of the inspiratory capacity (IC) remaining at end-exercise and no differences were found. The similarity between the ventilatory measures indicates a similar level of constraint, despite the large difference in work rates achieved, in all 3 tests. This shows that a standard CPET underestimates leg power in COPD patients, and the WAT and SR may be better indicators of leg muscle power and anaerobic type exercise.en_US
dc.identifier.urihttp://hdl.handle.net/10388/etd-08242009-151129en_US
dc.language.isoen_USen_US
dc.subjectventilationen_US
dc.subjectanaerobicen_US
dc.subjectobstructive lung diseaseen_US
dc.subjectgraded exercise testen_US
dc.subjectmaximal exerciseen_US
dc.titleAssessing the use of the steep ramp test in chronic obstructive pulmonary diseaseen_US
dc.type.genreThesisen_US
dc.type.materialtexten_US
thesis.degree.departmentMedicineen_US
thesis.degree.disciplineMedicineen_US
thesis.degree.grantorUniversity of Saskatchewanen_US
thesis.degree.levelMastersen_US
thesis.degree.nameMaster of Science (M.Sc.)en_US

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