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 Release 21.0, Jan 2008
 
Chapter : ch36. Physical & Sports Medicine Section : Exertion and Heart Rate During Exercise
  The Physiological Cost Index of Walking (PCI)

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Copyright (c) 2006-2007, Institute for Algorithmic Medicine, Houston, TX, USA. All rights reserved.

Overview :

The Physicologic Cost Index of walking (PCI) is a measure of the energy cost of walking, especially in children. It can be used to evaluate walking in handicapped children

 

Parameters:

(1) heart rate at rest in beats per minute

(2) heart rate when walking in beats per minute

(3) walking speed in meters per minute

 

PCI =

= ((heart rate when walking) - (heart rate at rest)) / (walking speed)

 

Interpretation:

• A low PCI indicates an energy-efficient gait.

• For children 3 to 12 years of age walking at preferred gait speed (freely chosen walking speed) have a PCI between 0.38 (walking barefoot) and 0.40 (walking with shoes) beats per meter (Butler et al, page 609).

 

  References:

Butler P, Engelbrecht M, et al. Physiological cost index of walking for normal children and its use as an indicator of physical handicap. Development Medicine & Child Neurology. 1984; 26: 607-612.

Engsberg JR, Herbert LM, et al. Relation among indices of effort and oxygen uptake in below-knee amputee and able-bodies children. Arch Phys Med Rehabil. 1994; 75: 1335-1341.

VanSwearingen JM, Lusardi MM. Chapter 4: Exercise, energy cost, and aging in orthotic and prosthetic rehabilitation. pages 53-74 (page 65). IN: Lusardi MM, Nielsen CC (editors). Orthotics and Prosthetics in Rehabilitation. Butterworth Heinemann. 2000.

 

 

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