title: Feasibility of Handcycle Training During Inpatient Rehabilitation in Persons With Spinal Cord Injury.
abstract: OBJECTIVE
  To assess the feasibility of a handcycle training program during inpatient rehabilitation and the changes in physical capacity in persons with subacute spinal cord injury (SCI).
  
  
  METHODS
  Before-after trial.
  
  
  METHODS
  Rehabilitation centers.
  
  
  METHODS
  Persons with subacute SCI in regular rehabilitation (N=45).
  
  
  METHODS
  A structured handcycle interval training program during the last 8 weeks of inpatient rehabilitation. Training was scheduled 3 times per week (24 sessions total), with an intended frequency of ≥2 times per week. Intended intensity was a Borg score of 4 to 7 on a 10-point scale.
  
  
  METHODS
  Feasibility was assessed, and participant satisfaction was evaluated (n=30). A maximal handcycling test was performed 8 weeks prior to discharge and at discharge to determine peak power output and peak oxygen uptake (VO2peak) (n=23).
  
  
  RESULTS
  Of the participants, 91% completed the handcycle training, and no adverse events were reported. Mean training frequency was 1.8±0.5 times per week, and mean Borg score was 6.2±1.4. Persons with complete lesions demonstrated lower training feasibility. Most participants were satisfied with the handcycle training. Peak power output and VO2peak improved significantly after the training period (P<.01) by 36.4% and 9.6%, respectively.
  
  
  CONCLUSIONS
  Overall, handcycle training during inpatient rehabilitation in persons with SCI was feasible except for the training frequency. Persons with complete lesions likely need extra attention to benefit optimally from handcycling training. Because the improvements in physical capacity were larger than those known to occur in persons with paraplegia receiving regular rehabilitation, the results suggest that the addition of handcycle training may result in larger increases in physical capacity compared with regular rehabilitation only.
authors.affiliation: Department of Rehabilitation Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. Electronic address: c.nooijen@erasmusmc.nl.
authors.forename: Carla F
authors.initials: CF
authors.lastname: Nooijen
authors.affiliation: Rijndam Rehabilitation Institute, Rotterdam, The Netherlands.
authors.forename: Ilse L
authors.initials: IL
authors.lastname: van den Brand
authors.affiliation: Rijndam Rehabilitation Institute, Rotterdam, The Netherlands.
authors.forename: Paul
authors.initials: P
authors.lastname: Ter Horst
authors.affiliation: Adelante Center of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.
authors.forename: Mia
authors.initials: M
authors.lastname: Wynants
authors.affiliation: Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands.
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Valent
authors.affiliation: Department of Rehabilitation Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
authors.forename: Henk J
authors.initials: HJ
authors.lastname: Stam
authors.affiliation: Department of Rehabilitation Medicine, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
authors.forename: Rita J
authors.initials: RJ
authors.lastname: van den Berg-Emons
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012047:Rehabilitation Centers; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D015599:Trauma Severity Indices; D014910:Wheelchairs; D055815:Young Adult
keywords: Physical fitness; Rehabilitation; Spinal cord injuries