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  4. Feasibility and validity of the push-up test for synchronous and asynchronous strength tele-assessment in spinal cord injury individuals with paraplegia

Feasibility and validity of the push-up test for synchronous and asynchronous strength tele-assessment in spinal cord injury individuals with paraplegia

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2124651 · Published: July 1, 2024

Spinal Cord InjuryTelehealth & Digital HealthMusculoskeletal Medicine

Simple Explanation

This study checks if doing push-up tests remotely, both live (synchronous) and with recorded videos (asynchronous), is a good way to measure strength in people with spinal cord injuries. The study also looks at whether people can accurately report their own strength by comparing their self-reported results with the video-recorded push-up test results. The results showed that synchronous push-up tele-assessment is a feasible and valid way to assess the maximum resistance strength of individuals with SCI.

Study Duration
October 2020 to December 2020
Participants
33 men and women with SCI
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Synchronous push-up tele-assessment showed significant correlations with 1RM and MRT volume loads, indicating it's a good alternative for measuring performance changes.
  • 2
    Asynchronous push-up tele-assessment also correlated with 1RM, MRT and synchronous push-up tele-assessment volume loads, but underestimated test results by 15.8%.
  • 3
    Participants' self-reported asynchronous strength tele-assessment correlated well with asynchronous push-up tele-assessment, but overestimated by 16.7%.

Research Summary

This study evaluated the feasibility and validity of using push-up tests for synchronous and asynchronous strength tele-assessment in individuals with spinal cord injury (SCI). The synchronous push-up tele-assessment was found to be a feasible and valid method for assessing strength in individuals with SCI, showing significant correlations with traditional strength tests. While asynchronous assessments also showed promise, they tended to underestimate performance, and self-reported assessments overestimated performance, suggesting a need for emphasizing repetition validity criteria.

Practical Implications

Telerehabilitation Tool

Synchronous push-up tele-assessment can be a valuable tool in telerehabilitation programs for individuals with SCI, allowing for remote monitoring and assessment of strength.

Remote Athlete Assessment

The synchronous push-up tele-assessment is useful for coaches or telecoaches to assess athletes when they are not in the same training location.

Improved Accessibility

Tele-assessment can help overcome barriers to accessing healthcare services, particularly for individuals in rural areas or with transportation difficulties.

Study Limitations

  • 1
    The level of physical activity was not controlled.
  • 2
    Sex-based strength differences were not controlled.
  • 3
    Heterogeneity in SCI injury level.

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