Reliability of near infrared spectroscopy (NIRS) for measuring forearm oxygenation during incremental handgrip exercise

Eur J Appl Physiol. 2012 Jun;112(6):2369-74. doi: 10.1007/s00421-011-2183-x. Epub 2011 Sep 28.

Abstract

The purpose of this study was to test the reliability of a new handgrip exercise protocol measuring forearm oxygenation in 20 healthy subjects on two occasions. The retest took place 48 h later and at the same time of the day. The incremental exercise consisted of 2 min steps of cyclic handgrip contraction (1/2 Hz) separated by 1 min of recovery. The exercise started at 20% MVC, was increased with 10% MVC each step and was performed until exhaustion (69.5 and 73% MVC). Near infrared spectroscopy (NIRS) was used to measure deoxygenation (deoxy[Hb + Mb]) and oxygen saturation (SmO(2)) in the forearm muscles. Prior to the exercise protocol an arterial occlusion of the forearm was performed until deoxy(Hb + Mb) did no longer increase. Maximal increase in deoxy[Hb + Mb] during 10 s of each exercise bout was expressed relative to the occlusion amplitude. ICC was used to examine the test-retest reliability. Significant ICC's were reported at 50% (r = 0.466, p = 0.017) and 60% MVC (r = 0.553, p = 0.005). The group mean of the maximum increase in oxygen extraction was 45.6 ± 16.7% and at the retest 44.9 ± 17.0% with an ICC of r = 0.867 (p < 0.001) which could be classified (Landis and Koch 1979) as almost perfect. The absolute SmO(2) values showed reliable ICC's for every submaximal intensity except at 60% MVC. An ICC of r = 0.774 (p < 0.001) was found at maximal intensity. The results of the present study show that deoxy[Hb + Mb] and SmO(2) responses during this protocol are highly reliable and indicate that this protocol could be used to get insight into deoxygenation and oxygen saturation in a population with low exercise tolerance.

MeSH terms

  • Adult
  • Exercise / physiology*
  • Exercise Test / methods
  • Female
  • Forearm / physiology*
  • Hand Strength / physiology*
  • Humans
  • Male
  • Muscle, Skeletal / metabolism
  • Muscle, Skeletal / physiology
  • Oxygen / metabolism*
  • Oxygen Consumption / physiology*
  • Reproducibility of Results
  • Spectroscopy, Near-Infrared / methods*
  • Young Adult

Substances

  • Oxygen