Wingate Anaerobic Testing (WAnT)

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Tool Description

  • method of assessing muscle power.
  • involves a 30 second maximal effort trial on a leg or arm ergometer.
  • first validated in able-bodied individuals to use as a predictor of physical performance of anaerobic activities.
  • Arm WAnT has been used in persons with paraplegia to compare to performance of upper limb anaerobic tasks such as transferring in and out of the car and 26m wheelchair sprints.

Clinical Considerations

  • This is the only standardized test to monitor upper extremity strength and power. Most assessments look at aerobic function rather than anaerobic tasks. This test has been shown to be valid and reliable across a wide range of able bodied and disabled individuals, including those with paraplegia. It is also a well-established protocol that has been used in many populations so comparisons are possible.
  • The test is relatively easy and inexpensive to administer with the appropriate equipment; however, the initial expenditure is significant.

ICF Domain:

Body Functions – Subcategory: Functions and Structures of the Cardiovascular, Haematological, Immunological and Respiratory Systems

 You Will Need:

10-20 minutes including warm-up (depending on number of tests administered)

The individual “free wheels” on an arm ergometer with no resistance for 3-5 minutes, after which they increase the cadence to 100 rev/min. The resistance load is then applied (3.5% body weight) and the subject pedals as fast as they can for 30 seconds, followed by a 1-2 minute cool down without resistance.

Equipment:

Arm ergometer, computer and software.

Scoring:

Peak (highest average power for any 5s period) & mean power (average power over 30s) calculated via computer linked to ergometer. The ergometer system is typically linked to a computer with specific software to calculate peak power based on resistance and speed (the highest average power output at any given 5 sec period) and mean power (average power output over a 30 sec trial).

Interpretability

MCID: not established
SEM: not established
MDC: not established

  • The higher the outcome measures (peak and mean power), the greater strength the individual exhibits.
  • No normative data or cut-points have been established for the SCI population
  • Published data for the SCI population is available for comparison (see the Interpretability section of the Study Details sheet).

Languages:

n/a

Training Required:

Minimal training required to learn administration and setup of software and ergometer.

Availability:

Available from: http://www.brianmac.co.uk/want.htm

Measurement Property Summary

# of studies reporting psychometric properties: 5

Reliability:

  • Test-retest reliability of the WAnT for peak power output Ppeak and mean power output Pmean are excellent for both the paraplegic group and the tetraplegic (C5-C7) group.
  • Values of Ppeak and Pmean were significantly associated between trials, with calculated r2 values of 0.92 and 0.94 respectively.
  • Values of Ppeak were significantly (P<.05) associated between trials for the C5 (r2 =.945), C6 (r2=.975) and C7 (r2=.934) groups.
  • Values of Pmean were also significantly (P<.05) associated between trials for the C5 (r2 =.983), C6 (r2=.962) and C7 (r2=.879) groups.

[Jacobs et al. 2003, Jacobs et al. 2005]

Validity:

No values were reported for the validity of the WAnT for the SCI population at this time.

Responsiveness:

No values were reported for the responsiveness of the WAnT for the SCI population at this time.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the WAnT for the SCI population.

Reviewer

Dr. Vanessa Noonan, Matthew Querée

Date Last Updated:

Feb 14, 2016

Download the measure

Download Worksheet:

Video

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Scoring

  • The ergometer system is typically linked to a computer with specific software to calculate peak power based on resistance and speed (the highest average power output at any given 5 sec period) and mean power (average power output over a 30 sec trial).

Equipment Needed

Administration instructions and a scoring template are available from: http://www.brianmac.co.uk/want.htm

Wingate:

Ayalon A, Inbar O, Bar-Or O. Relationships among measurements of explosive strength and anaerobic power. In: Nelson RC, Morehouse CA. (ed). International Series on Sport Science 1: Biomechanics IV. University park press, Baltimore, MD, 1974, p 527-532.
http://ci.nii.ac.jp/naid/10020057200/

Bar-Or O, Dotan R, Inbar O. A 30 second all out ergometric test – its reliability and validity for anaerobic capacity. Israeli J Med Sci 1977;13:326.
http://scholar.google.ca/scholar?q=A+30+second+all+out+ergometric+test+–+its+reliability+and+validity+for+anaerobic+capacity&btnG=&hl=en&as_sdt=0%2C5

Bar-Or O, Inbar O, Dotan R. Proficiency, speed and endurance test for the wheelchair-bound. In: Simri U. (ed). Motor Learning in Physical Education and Sports. Wingate Institute, Natanya, Israel,1976: p 310-318.
http://scholar.google.ca/scholar?hl=en&q=Proficiency%2C+speed+and+endurance+test+for+the+wheelchair-bound.&btnG=&as_sdt=1%2C5&as_sdtp=

Bar-Or, Inbar O. Relationships among anaerobic capacity, sprint and middle distance running of school children. In: Shephard RJ, Lavelle H. (ed). Physical Fitness Assessment. Charles C Thomas, Springfield, IL,1978: p 142-147.
http://scholar.google.ca/scholar?q=Relationships+among+anaerobic+capacity%2C+sprint+and+middle+distance+running+of+school+children&btnG=&hl=en&as_sdt=0%2C5

Hawley JA, Williams MM, Vickovic MM, Handcock PJ. Muscle power predicts freestyle swimming performance. Br J Sports Med 1992;26:151-155.
http://www.ncbi.nlm.nih.gov/pubmed/1422650

Jacobs P, Mahoney E, Johnson B. Reliability of wingate anaerobic testing in persons with complete paraplegia. J Spinal Cord Med 2003;26:141-144.
http://www.ncbi.nlm.nih.gov/pubmed/12828291

Jacobs PL, Johnson B, Somarriba GA, Carter AB. Reliability of upper extremity anaerobic power assessment in persons with tetraplegia. J Spinal Cord Med 2005;28:109-113.
http://www.ncbi.nlm.nih.gov/pubmed/15889698

Jacobs PL, Johnson BM, Mahoney ET, Carter AB, Somarriba GA. Effect of variable loading in the determination of upper-limb anaerobic power in persons with tetraplegia. J Rehabil Res Dev. 2004;41(1):9-14.
http://www.ncbi.nlm.nih.gov/pubmed/15273893

Jacobs PL. Effects of resistance and endurance training in persons with paraplegia. Med Sci Sports Exerc. 2009;41(5):992-7.
http://www.ncbi.nlm.nih.gov/pubmed/19346989

Nash MS, Van de ven I, Van elk N, Johnson BM. Effects of circuit resistance training on fitness attributes and upper-extremity pain in middle-aged men with paraplegia. Arch Phys Med Rehabil. 2007;88(1):70-5.
http://www.ncbi.nlm.nih.gov/pubmed/17207678