The validity and reliability of continuous-wave near -infrared spectroscopy for the assessment of leg blood volume during an orthostatic challenge.

Stone, Keeron J ORCID: 0000-0001-6572-7874, Fryer, Simon M ORCID: 0000-0003-0376-0104, Ryan, Terrence and Stoner, Lee (2016) The validity and reliability of continuous-wave near -infrared spectroscopy for the assessment of leg blood volume during an orthostatic challenge. Atherosclerosis, 251. pp. 234-239. doi:10.1016/j.atherosclerosis.2016.06.030

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Abstract

Near-infrared spectroscopy (NIRS) can potentially be used to assess the cardiovascular autonomic system by monitoring orthostatic challenge-induced shifts in lower limb blood volume. However, in order to be of clinical utility the test must be valid, reliable, and relatively simple to conduct. Purpose: To induce lower limb blood volume shifts using a 10min 70o head-up tilt, and: (1) in the soleus, determine the validity of an inexpensive continuous wave (cw)-NIRS device by comparing to a criterion frequency-domain (fd-) NIRS device, (2) determine the between-day reliability of soleus assessments obtained from cw-NIRS and fd-NIRS; and, (3) compare the between-day reliability for fd-NIRS assessments obtained at the soleus (standard) and gastrocnemius (simpler alternative). Methods: Fifteen non-smoking healthy adults were tested on 3 different mornings, under standardized conditions, separated by a maximum of 7 days. Total haemoglobin concentration (tHb) was continuously monitored bi-laterally in the medial soleus using cw-NIRS and fd-NIRS. For site comparison, tHb was measured in the medial gastrocnemius using fd-NIRS. Results: (1) The area under the curve (AUC) for cw-NIRS and fd-NIRS assessments at the soleus were not significantly different (p =.619). (2) The criterion (0.75) intra-class correlation coefficient (ICC) was exceeded for both cw-NIRS and fd-NIRS. (3) The criterion ICC was exceeded for both soleus and gastrocnemius assessments. Conclusion: Continuous-wave NIRS can be used to monitor orthostatic stress-induced shifts in lower leg blood volume with acceptable validity and reliability. This orthostatic test may present a relatively simple and inexpensive approach for assessing the cardiovascular autonomic nervous system.

Item Type:	Article
Article Type:	Article
Uncontrolled Keywords:	Head-up tilt, Frequency-domain spectroscopy, Autonomic function
Subjects:	G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions:	Schools and Research Institutes > School of Education and Science
Research Priority Areas:	Health, Life Sciences, Sport and Wellbeing
Depositing User:	Anne Pengelly
Date Deposited:	23 Jun 2016 11:35
Last Modified:	31 Aug 2023 09:09
URI:	https://eprints.glos.ac.uk/id/eprint/3656

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• The validity and reliability of continuous-wave near -infrared spectroscopy for the assessment of leg blood volume during an orthostatic challenge. (deposited 22 Jun 2016 09:54)
  • The validity and reliability of continuous-wave near -infrared spectroscopy for the assessment of leg blood volume during an orthostatic challenge. (deposited 23 Jun 2016 11:35) [Currently Displayed]

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