Low-intensity wheelchair training in inactive people with long-term spinal cord injury: A randomized controlled trial on fitness, wheelchair skill performance and physical activity levels

ALLRISC group

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Abstract

OBJECTIVE: To investigate the effects of low-intensity wheelchair training on wheelchair-specific fitness, wheelchair skill performance and physical activity levels in inactive people with long-term spinal cord injury.

DESIGN: Randomized controlled trial.

PARTICIPANTS: Inactive manual wheelchair users with spinal cord injury for at least 10 years (n = 29), allocated to exercise (n = 14) or no exercise.

METHODS: The 16-week training consisted of wheelchair treadmill-propulsion at 30-40% heart rate reserve or equi-valent in terms of rate of perceived exertion, twice a week, for 30 min per session. Wheelchair-specific fitness was determined as the highest 5-s power output over 15-m overground wheelchair sprinting (P5-15m), isometric push-force, submaximal fitness and peak aerobic work capacity. Skill was determined as performance time, ability and strain scores over a wheelchair circuit. Activity was determined using a questionnaire and an odometer.

RESULTS: Significant training effects appeared only in P5-15m (exercise vs control: mean +2.0 W vs -0.7 W, p = 0.017, ru=0.65).

CONCLUSION: The low-intensity wheelchair training appeared insufficient for substantial effects in the sample of inactive people with long-term spinal cord injury, presumably in part owing to a too-low exercise frequency. Effective yet feasible and sustainable training, as well as other physical activity programmes remain to be developed for inactive people with long-term spinal cord injury.

Original languageEnglish
Pages (from-to)33-42
Number of pages10
JournalJournal of Rehabilitation Medicine
Volume48
Issue number1
DOIs
Publication statusPublished - Jan 2016

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Wheelchairs
Spinal Cord Injuries
Randomized Controlled Trials
Heart Rate

Keywords

  • Adult
  • Exercise
  • Exercise Tolerance
  • Female
  • Humans
  • Male
  • Middle Aged
  • Motor Activity
  • Physical Fitness
  • Sedentary Behavior
  • Spinal Cord Injuries/rehabilitation
  • Wheelchairs

Cite this

@article{6e902fa66a49491ba3b356d7351d6756,
title = "Low-intensity wheelchair training in inactive people with long-term spinal cord injury: A randomized controlled trial on fitness, wheelchair skill performance and physical activity levels",
abstract = "OBJECTIVE: To investigate the effects of low-intensity wheelchair training on wheelchair-specific fitness, wheelchair skill performance and physical activity levels in inactive people with long-term spinal cord injury.DESIGN: Randomized controlled trial.PARTICIPANTS: Inactive manual wheelchair users with spinal cord injury for at least 10 years (n = 29), allocated to exercise (n = 14) or no exercise.METHODS: The 16-week training consisted of wheelchair treadmill-propulsion at 30-40{\%} heart rate reserve or equi-valent in terms of rate of perceived exertion, twice a week, for 30 min per session. Wheelchair-specific fitness was determined as the highest 5-s power output over 15-m overground wheelchair sprinting (P5-15m), isometric push-force, submaximal fitness and peak aerobic work capacity. Skill was determined as performance time, ability and strain scores over a wheelchair circuit. Activity was determined using a questionnaire and an odometer.RESULTS: Significant training effects appeared only in P5-15m (exercise vs control: mean +2.0 W vs -0.7 W, p = 0.017, ru=0.65).CONCLUSION: The low-intensity wheelchair training appeared insufficient for substantial effects in the sample of inactive people with long-term spinal cord injury, presumably in part owing to a too-low exercise frequency. Effective yet feasible and sustainable training, as well as other physical activity programmes remain to be developed for inactive people with long-term spinal cord injury.",
keywords = "Adult, Exercise, Exercise Tolerance, Female, Humans, Male, Middle Aged, Motor Activity, Physical Fitness, Sedentary Behavior, Spinal Cord Injuries/rehabilitation, Wheelchairs",
author = "{van der Scheer}, {Jan W} and {de Groot}, Sonja and Marga Tepper and Willemijn Faber and Veeger, {DirkJan H} and {van der Woude}, {Lucas H V} and {ALLRISC group}",
year = "2016",
month = "1",
doi = "10.2340/16501977-2037",
language = "English",
volume = "48",
pages = "33--42",
journal = "Journal of Rehabilitation Medicine",
issn = "1650-1977",
publisher = "Foundation for Rehabilitation Information",
number = "1",

}

TY - JOUR

T1 - Low-intensity wheelchair training in inactive people with long-term spinal cord injury

T2 - A randomized controlled trial on fitness, wheelchair skill performance and physical activity levels

AU - van der Scheer, Jan W

AU - de Groot, Sonja

AU - Tepper, Marga

AU - Faber, Willemijn

AU - Veeger, DirkJan H

AU - van der Woude, Lucas H V

AU - ALLRISC group

PY - 2016/1

Y1 - 2016/1

N2 - OBJECTIVE: To investigate the effects of low-intensity wheelchair training on wheelchair-specific fitness, wheelchair skill performance and physical activity levels in inactive people with long-term spinal cord injury.DESIGN: Randomized controlled trial.PARTICIPANTS: Inactive manual wheelchair users with spinal cord injury for at least 10 years (n = 29), allocated to exercise (n = 14) or no exercise.METHODS: The 16-week training consisted of wheelchair treadmill-propulsion at 30-40% heart rate reserve or equi-valent in terms of rate of perceived exertion, twice a week, for 30 min per session. Wheelchair-specific fitness was determined as the highest 5-s power output over 15-m overground wheelchair sprinting (P5-15m), isometric push-force, submaximal fitness and peak aerobic work capacity. Skill was determined as performance time, ability and strain scores over a wheelchair circuit. Activity was determined using a questionnaire and an odometer.RESULTS: Significant training effects appeared only in P5-15m (exercise vs control: mean +2.0 W vs -0.7 W, p = 0.017, ru=0.65).CONCLUSION: The low-intensity wheelchair training appeared insufficient for substantial effects in the sample of inactive people with long-term spinal cord injury, presumably in part owing to a too-low exercise frequency. Effective yet feasible and sustainable training, as well as other physical activity programmes remain to be developed for inactive people with long-term spinal cord injury.

AB - OBJECTIVE: To investigate the effects of low-intensity wheelchair training on wheelchair-specific fitness, wheelchair skill performance and physical activity levels in inactive people with long-term spinal cord injury.DESIGN: Randomized controlled trial.PARTICIPANTS: Inactive manual wheelchair users with spinal cord injury for at least 10 years (n = 29), allocated to exercise (n = 14) or no exercise.METHODS: The 16-week training consisted of wheelchair treadmill-propulsion at 30-40% heart rate reserve or equi-valent in terms of rate of perceived exertion, twice a week, for 30 min per session. Wheelchair-specific fitness was determined as the highest 5-s power output over 15-m overground wheelchair sprinting (P5-15m), isometric push-force, submaximal fitness and peak aerobic work capacity. Skill was determined as performance time, ability and strain scores over a wheelchair circuit. Activity was determined using a questionnaire and an odometer.RESULTS: Significant training effects appeared only in P5-15m (exercise vs control: mean +2.0 W vs -0.7 W, p = 0.017, ru=0.65).CONCLUSION: The low-intensity wheelchair training appeared insufficient for substantial effects in the sample of inactive people with long-term spinal cord injury, presumably in part owing to a too-low exercise frequency. Effective yet feasible and sustainable training, as well as other physical activity programmes remain to be developed for inactive people with long-term spinal cord injury.

KW - Adult

KW - Exercise

KW - Exercise Tolerance

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Motor Activity

KW - Physical Fitness

KW - Sedentary Behavior

KW - Spinal Cord Injuries/rehabilitation

KW - Wheelchairs

U2 - 10.2340/16501977-2037

DO - 10.2340/16501977-2037

M3 - Article

VL - 48

SP - 33

EP - 42

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

SN - 1650-1977

IS - 1

ER -