Perfomance Assessment- VO2 Max Testing

VO2 max, or maximal oxygen uptake, is one factor that can determine an athlete's capacity to perform sustained exercise and is linked to aerobic endurance. VO2Max refers to the maximum amount of oxygen that an individual can utilize during intense or maximal exercise. It is measured as "milliliters of oxygen used in one minute per kilogram of body weight" (ml/kg/min). Because this is a maximal exercise test, it should not be performed without a physician's approval and without reasonable safety accommodations and supervision.

How Is VO2 Max Measured?

Measuring VO2 max accurately requires an all-out effort (usually on a treadmill or bicycle) performed under a strict protocol in a performance lab. These protocols involve specific increases in the speed and intensity of the exercise and collection and measurement of the volume and oxygen concentration of inhaled and exhaled air. This determines how much oxygen the athlete or subject is using. An athlete's oxygen consumption rises in a linear relationship with exercise intensity -- up to a point. There is a specific point at which oxygen consumption plateaus even if the exercise intensity increases. This plateau marks the V02 max. It's a painful point in VO2 max testing where the athlete moves from aerobic metabolism to anaerobic metabolism. From here, it's not long before muscle fatigue forces the athlete to stop exercising. The total test time usually takes between 30 - 40 minutes and requires an athlete to be completely rested and motivated to endure the effort long enough to find the true VO2 max.

Can You Change Your VO2 Max?

Research shows that although VO2 max has a genetic component it can also be increased through training. The two methods for increasing VO2 max include increases in both training volume and intensity. Research also indicates that the less fit an individual is, the more they can increase their VO2 max through training. In fact, novice exercisers have been able to increase VO2 max by 20 percent through proper training. Fit athletes have a harder time increasing their VO2 max, most likely because they are already so near their genetic potential.

Why Do a CPET Stress Test?

Most patients with cardiac or respiratory problems have symptoms which are worse on exertion, wheras many diagnostic tests are done when they are sitting in a chair or lying on a couch.  It makes much more sense to make some measurements when they are exercising.  A CPET (CPX) also puts the cardiac and respiratory systems under stress, so that the reserve capacity of the body can be assessed, particularly in terms of its ability to deliver oxygen to peripheral tissues. So we can answer questions like:
  • What is wrong with the patient who is short of breath?
  • How impaired is the heart or lung pathology?
  • What is the risk for a patient getting ready to go to surgery?
  • Does this patient truly have a cardiovascular issue or is it something else?
  • Is this an issue of the presence of lung disease? 

We can better find resolution to your clinical presentation after we evaluate you objectively through cardiopulmonary testing. 

You may use your HSA/FSA card for this testing.  Also this is with a CPT code that can be used to get reimbursement wtih your insurance. 
Introductory Pricing for VO2Max: $75 for VO2 study . 

 -VO2 COST $75
-bundled with RMR $100