Cette étude a pu déterminer que chez les survivants d’un AVC en phase chronique avec déficiences cognitives, la capacité aérobie (VO2pic) peut être évaluée de façon fidèle et
sécuritaire sur un vélo-semi couché. Considérant la fidélité test-retest des différentes variables mesurées, il est suggéré que le protocole d’évaluation développé dans cette étude soit employé dans les milieux cliniques et de recherche qui permettent la mesure des échanges respiratoires. Puisque cette recherche a également pu relever l’hétérogénéité des tests à l’effort généralement administrés chez les survivants d’un AVC ainsi que le manque évident de rigueur face à l’évaluation des qualités métrologiques, ce travail ouvre la porte à une pratique plus homogène de l’évaluation de la capacité aérobie de cette population.
Il semble que les survivants dont les capacités cognitives sont moins affectées répondent différemment des individus ayant des déficiences cognitives moindres lors d’une pratique d’évaluation à l’effort maximal avec mesures des échanges respiratoires (mesures directes). Une étude approfondie sera alors nécessaire afin de déterminer si cette différence est due aux déficiences cognitives en soi ou au protocole d’évaluation de la condition cardiopulmonaire.
De plus, malgré le fait que la méthodologie et les résultats n’ont pu permettre de déterminer si l’effet de pratique pourrait être modulé par une fonction cognitive spécifique, nos derniers travaux soutiennent la présence d’une interaction entre la capacité cognitive générale et la capacité aérobie ou la VO2pic. Ainsi, verrons-nous peut-être un jour une
évaluation cognitive s’ajouter à la routine d’évaluation de la capacité aérobie pour complémenter l’interprétation des résultats?
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