ArticleJournal of athletic training2021
Concurrent Validity of a Stationary Cycling Test and the Buffalo Concussion Treadmill Test in Adults With Concussion.
Article in Journal of athletic training, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 9 citations in OpenAlex.
- Trial
- Feasibility of Physical Therapy Evaluation Symptom Provocation Tests in Older Adults With Mild Traumatic Brain Injury: Mixed Methods Study.JMIR formative research · 2025Article
- Concussion Assessment and Management Self-efficacy Among Irish Clinicians.Sports health · 2025Article
- Consequences of adolescent sport-related concussion: exploring long-term cardiorespiratory fitness and adiposity.Annals of medicine · 2024Article
- Exercise Intolerance After Mild Traumatic Brain Injury Occurs in All Subtypes in the Adult Population.Journal of neurotrauma · 2024Article
- Does oscillation size matter? Impact of added resistance on the cerebral pressure-flow Relationship in females and males.Physiological reports · 2022Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAfter concussion, a multifaceted assessment is recommended, including tests of physical exertion. The current criterion standard for exercise testing after concussion is the Buffalo Concussion Treadmill Test (BCTT); however, validated tests that use alternative exercise modalities are lacking.
objectiveTo evaluate the feasibility and concurrent validity of a universal cycling test of exertion compared with the BCTT in adults who sustained a sport-related concussion.
designCrossover study.
settingUniversity sports medicine clinic. PATIENTS OR OTHER
participantsTwenty adults (age = 18-60 years) diagnosed with a sport-related concussion. INTERVENTION(S): Participants completed the BCTT and a cycling test of exertion in random order, approximately 48 hours apart. MAIN OUTCOME MEASURE(S): The primary outcome of interest was maximum heart rate (HRmax; beats per minute [bpm]). Secondary outcomes of interest were the total number of symptoms endorsed on the Post-Concussion Symptom Scale, whether the participant reached volitional fatigue (yes or no), the symptom responsible for test cessation (Post-Concussion Symptom Scale), maximum rating of perceived exertion, symptom severity on a visual scale (0-10), and the time to test cessation.
resultsOf the 20 participants, 19 (10 males, 9 females) completed both tests. One participant did not return for the second test and was excluded from the analysis. No adverse events were reported. The median HRmax for the BCTT (171 bpm; interquartile range = 139-184 bpm) was not different from the median HRmax for the cycle (173 bpm; interquartile range = 160-182 bpm; z = -0.63; P = .53). For both tests, the 3 most frequently reported symptoms responsible for test cessation were headache, dizziness, and pressure in the head. Of interest, most participants (64%) reported a different symptom responsible for cessation of each test.
conclusionsOn the novel cycling test of exertion, participants achieved similar HRmax and test durations and, therefore, this test may be a suitable alternative to the BCTT. Future research to understand the physiological reason for the heterogeneity in symptoms responsible for test cessation is warranted.
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