(XIV.) Ergometry Physiology department LF MU, 2015 © Eva Závodná Adobe Systems Fyziologický ústav, Lékařská fakulta Masarykovy univerzity 2 Ergometry (stress testing, exercise testing) ̶Work load examination – measurement of ECG and other parameters depending on the increasing degree of work load on the ergometer ̶In addition to ECG, the following can be recorded: ̶O2 consumption, CO2 output, blood pressure, blood samples (mainly lactate) ̶Types of ergometers ̶Bicycle ergometer – load mainly on the lower half of the body ̶Rowing machine – upper body load ̶Rump ergometer – exercise bike for hands, para/quadriplegia ̶Master´s step ̶Treadmill ̶Can be used in: ̶Sports Medicine ̶Rehabilitation medicine ̶Cardiology C:\Users\Johanka\Desktop\FRMU 2018\Prezentace\jaro téma 4 - ergometrie\materiály a obrázky\praxis-schroeter-ergometrie-01.jpg Fyziologický ústav, Lékařská fakulta Masarykovy univerzity 5 Basic types of protocols for exercise testing •Ramp •Continuous increase •gradual •Single stage step •Intermitent incremental test •combination both C:\Users\Johanka\Desktop\FRMU 2018\Prezentace\jaro téma 4 - ergometrie\materiály a obrázky\Obr_34.jpg Adobe Systems Fyziologický ústav, Lékařská fakulta Masarykovy univerzity 6 Basic types of protocols for exercise testing ̶Ramp ̶Continuous increase ̶gradual ̶Single stage step ̶Intermitent incremental test ̶combination both C:\Users\Johanka\Desktop\FRMU 2018\Prezentace\jaro téma 4 - ergometrie\materiály a obrázky\Obr_34.jpg application of low workload in order to increas tissue perfusion and improve joints mobility recording of resting values exposure of examined person to graduated physical work workload of low intensity supporting catabolites removal (lactic acid), helping heart rate recovery, reducing vertigo and collapses (due to after-work hypotension) follow-up after exercise Work load [W] or [W/kg] 200 180 160 140 120 100 90 Up to 180 beats/min heart rate increases LINEARLY (if workload increases continually) W170 W170 W170 : Index describing work capacity at heart rate of 170 beats/min. A G E Men Women [W] [W/kg] [W] [W/kg] 18 178 2,7 103 1,8 20 185 2,7 106 1,8 22 190 2,7 107 1,8 25 193 2,7 109 1,8 30 194 2,6 112 1,8 35 195 2,6 115 1,8 40 195 2,5 118 1,8 45 195 2,4 121 1,8 Population norms (Heller, 2005) W170 : Index describing work capacity at heart rate of 170 beats/min