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Estimated Maximal Voluntary Ventilation and Breathing Reserve of Paralympic Athletes
Antonio Carlos da Silva, MD, PhD; Adriano B.M. Cameiro, MD; Natalia N. Zekhry, MD; Jose A. Neder, PhD; Marco T. Mello, PhD; M.A.D. Danucalov, MS; Sergio S. Tufik, PhD; Kenneth H. Pitetti, PhD

The purposes of this study were to: 1) determine if the normative constant (K: range 35–47; clinical estimation of 40) to estimate maximal voluntary ventilation (MVV=K forced expiratory volume [FEV1] ) for nondisabled individuals is similar to that of athletes with physical disabilities; 2) compare measured MVV (MVVmeas) to the MVV predicted using the measured mean K and a clinical K of 40 (MVV40); and 3) compare measured breathing reserve (BRmeas; BR = [MVVmeas – VEmax] MVVmeas–1) to the BR using MVV predicted from measured mean K and MVV40. Fifty-seven paralympic athletes (40 males, 17 females; 14 with spinal cord injury, 22 with poliomyelitis, 19 with cerebral palsy, and two with bilateral amputations) participated in this study. The mean measured K for the athletes was 45.0±8.8 (mean range per disability group, 42–50). There were no significant differences between MVVmeas (162.2±38 • min–1) and BRmeas (36%±18%) and MVV and BR predicted from mean measured K of 45 (MVV45=164.2±35.6 1 • min–1; BR45 = 38±14%). However, there were significant differences (p<0.001) between MVV and BR predicted from K of 40 (MVV40 = 146.0±31.6 1 • min) and (BR40 = 30%±15%) when compared to both MVVmeas, BRmeas, and MVV45, BR45, respectively. The results indicate that for these paralympic athletes, 1) the K45 used to estimate MVV was in the high range when compared to non-disabled individuals; 2) there was no significant difference between MVVmeas and MVV45, or BRmeas and BR45; and 3) MVV40 and BR40 significantly underestimated MVVmeas and BRmeas, respectively.
Am J Med Sports(2002) 4;3:197-201  
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