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Measuring physical fitness in Persons with Severe/Profound ...

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Table 3. Test–retest reliability of HR peakand levels achievedHR peakGXT1–HR peakGXT2(n=26)HR peakGXT–HR peakSMBT(n=20)HR peakGXT1–HR peakcalculated(n=26)HR peakGXT2–HR peakcalculated(n=26)HR peakSMBT–HR peakcalculated(n=20)HR peakGXT1–HR peakGXT2(n=26)LOA% of mean-16 to 1419.5%-17 to 1520.5%-45 to 1335.8%-43 to 1334.5%-42 to 1434.1%-3.4 to 2.943.4%ICC(95%CI)0.95(0.88-0.98)0.94(0.86 – 0.98)0.28(-0.23 – 0.62)0.39(-0.21 – 0.72)0.36(-0.25- 0.72)0.95(0.90-0.98)t-test -0.6(p=0.5)-0.3(p=0.7)-5.4(p=0.001)-5.3(p=0.001)-4.6(p=0.001)-0.6(p=0.56)SEM 5 5 8 9 8 1SDD 6 6 8 8 8 2ES 0.12 0.07 0.73 0.73 0.73 0.12HR: heart rate; GXT: graded exercise test; LOA: Limits of Agreement; ICC: Intraclass Correlation Coefficient; SEM:Standard Error of Measurement SEM=SDx√(1-ICC)[27]; SDD: Smallest Detectable Difference SDD=1,96x√(2xSEM)[27]; ES: Effect Size; ES=√{t 2 /(t 2 +df)} [32]ValidityTwenty participants performed the SMBT, accord<strong>in</strong>g to criterion A. The ICC (ICC=0.94; 95%CI0.86-0.98) between the HR peakSMBT and the correspond<strong>in</strong>g HR peakGXT was very good (Table3). The t-test (p=0.7) revealed no significant differences between the HR peakof the SMBT andthe HR peakof the correspond<strong>in</strong>g GXT (Table 3). The LOA results range from -17 to 15. The LOArepresents 20.5% of the mean (157 beats/m<strong>in</strong>) (Figure 3). ).Eleven persons met the criterion of a maximal performance on the GXT, because the heartrate of the SMBT differed by not more than two beats from the HRpeak reached dur<strong>in</strong>g thecorrespond<strong>in</strong>g GXT. In four persons HRpeak SMBT was more than two beats more than HRpeakGXT, which means they did not meet the criterion of a maximal performance on the GXT. In fivepersons HRpeak SMBT was less than HRpeak GXT.Chapter 5 | 79

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