Evidence map›Paper›PMID 41920832›Full record

ArticlePloS one2026

Validation of the Holmlund-Grooten sub-maximal arm crank ergometer-test for estimating peak oxygen uptake in wheelchair users with Spinal Cord Injury.

Tobias Holmlund, Wilhelmus Johannes Andreas Grooten

Abstract readValidation Study
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Tobias HolmlundKarolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge, Sweden.ORCID https://orcid.org/0000-0001-7034-7227
Wilhelmus Johannes Andreas GrootenKarolinska Institutet, Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Huddinge, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional validity study.

objectivesTo determine the criterion validity, Standard Error of the Measurement (SEM) and Minimal Detectable Change (MDC), of a newly developed submaximal test (Holmlund-Grooten test) for estimating the peak oxygen consumption in wheelchair users with motor-complete Spinal Cord Injury (mcSCI). SETTINGS: Outpatient rehabilitation centre in Stockholm, Sweden.

methodsPeak and submaximal oxygen uptake (VO2) was measured using indirect calorimetry. A backward linear regression model, including heart rate, power output, and several demographic variables, was used to predict absolute VO2peak.

resultsIn total, 63 individuals (16 females) with mcSCI were included. The final prediction model included four significant (p < 0.05) variables (sex, injury level, heart rate, power output) that were able to predict absolute VO2peak (adjusted R2 = 0.77). The Holmlund-Grooten test showed excellent criterion validity (ICC = 0.88; 95%CI 0.83-0.94), SEM = 0.05 L·min-1 and MDC = 0.13 L·min-1. No adverse events were reported. We provide an Excel file that calculates VO2peak based on the Holmlund-Grooten model for males and females and tetra- and paraplegia for clinical use.

conclusionThe Holmlund-Grooten test is a valid submaximal test for estimating VO₂peak in wheelchair users with SCI and can be easily implemented in clinical settings.

Indexed as

ArmErgometryExercise TestOxygen ConsumptionSpinal Cord InjuriesWheelchairsAdultCross-Sectional StudiesFemaleHeart RateHumansMaleMiddle Aged

Identifiers

PMID41920832
PMCPMC13042776

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.