title: Improved upper-body endurance following a 12-week home exercise program for manual wheelchair users.
abstract: This study determined if a 12-week monitored home exercise program would improve cardiorespiratory endurance in a heterogeneous group of manual wheelchair users, which incorporated subsets of individuals with and without upper-limb impairment. Twenty-seven subjects made up two groups of manual wheelchair users: 20 without upper-limb impairment and 7 with upper-limb impairment. Subjects completed wheelchair ergometer tests using a 1 min JUMP protocol that resulted in volitional exhaustion in 6 to 12 min. Following a recovery period (time > 30 min), subjects completed subsequent constant work rate endurance tests to exhaustion at a power output corresponding to 60% of the maximum attained on the JUMP test. Subjects then underwent 12 weeks of simulated wheelchair rolling exercise using elastic straps positioned to mimic the motion of propulsion. JUMP and constant work rate tests were performed before training and after 6 and 12 weeks of exercise. Oxygen consumption (VO2) increased from rest to peak exercise in both groups and was significantly (p < 0.016) higher at peak for subjects without upper-limb impairment than for those with upper-limb impairment. Heart rate (HR) responses between the groups were similar. No significant differences in peak VO2, anaerobic threshold, or peak HR were observed at 6 or 12 weeks of the training program. Substantial improvement (p < 0.001) in maximum constant work rate tests time (10.37 +/- 2.79 min) was noted at 6 and 12 weeks, with no significant difference between 6 and 12 weeks and no significant intergroup difference. Results of this study indicated that simulated propulsion exercise endurance was improved as a result of the home exercise program.
authors.affiliation: University of Maryland School of Medicine, Department of Physical Therapy, Baltimore, MD 21201-1082, USA. rkeyser@som.umaryland.edu
authors.forename: Randall E
authors.initials: RE
authors.lastname: Keyser
authors.forename: Elizabeth K
authors.initials: EK
authors.lastname: Rasch
authors.forename: Margaret
authors.initials: M
authors.lastname: Finley
authors.forename: Mary M
authors.initials: MM
authors.lastname: Rodgers
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D016001:Confidence Intervals; D004562:Electrocardiography; D004734:Energy Metabolism; D015444:Exercise / Q000502:physiology*; D017079:Exercise Tolerance; D005260:Female; D005500:Follow-Up Studies; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000534:rehabilitation; D010807:Physical Endurance; D011782:Quadriplegia / Q000534:rehabilitation; D018570:Risk Assessment; D012494:Sampling Studies; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000534:rehabilitation*; D013997:Time Factors; D034941:Upper Extremity; D014910:Wheelchairs