17th Annual ECSS-Congress, Bruges 2012

Abstract details

Abstract-ID: 1221
Session: [PO-CPP-04] Coaching & Adapted Physical Activity
Lecture room: Gallery
Date & time: 09.07.2016 / -
Title of the paper: EFFECT OF A STATIONARY ARMCRANK PEDALING TRAINING PROGRAM ON THE LEVEL OF AUTONOMY , ANAEROBIC PERFORMANCE, SPIROMETRIC FUNCTION AND HEART RATE VARIABILITY IN PERSONS WITH TETRAPLEGIA
Authors: Sinz, S., Brizuela, G., Aranda-Malavés, R., Martínez-Navarro, I.
Institution: Universidad de Valencia
Department: Educacíon Física
Country: Spain
Abstract text Introduction It is accepted worldwide that physical exercise is good for everybody. But is it also good for persons with a high tetraplegia or would it harm them? And which sport would be good for them? Will it bring betterment to their physiological parameters or will it be detrimental to their health? Therefore, the aim of this study was to test handcycling as a suitable endurance sport and then analyze in a training program the parameters of spirometric function, heart rate variability and evaluate if there is any change to the level of autonomy. Methods The training consisted of a progressive arm crank pedaling (ACE) regimen twice weekly for 8weeks with constant cadence and resistance of the participant´s choice. We choose 11 participants (8 men, 3 women, 36,5 + 10 years of age and BM 72,3+13,4kg) with traumatic origin tetraplegia (5 with SCI between C4-C5 and 6 between C6-C7, Asia levels A and B) who had functional biceps and deltoid muscles but no triceps function and no hand grip ability. They could bend their elbows but not extend them against gravity or opposition. One week before and one week after the training program a QIF questionnaire (Field-Fote, 2009) was filled in, to measure the level of personal autonomy. A stationary Arm Crank Ergometer (Monarch) provided measurements of heart rate, spirometric variables and maximum arm pedaling power output (PPower). Results The results showed that participants with lower level SCI (C6-C7) presented higher QIF, PPOWER and pulmonary parameters than those with higher level (C4-C5) (p < 0.05). It also showed that the ACE training increased PPOWER, some spirometric variables and all indices of HRV. Nevertheless there was no significant change in the level of autonomy (QIF). In conclusion, an ACE short term training program is sufficient to meaningfully improve armcrank pedaling power, pulmonary function and heart rate variability in persons with cervical SCI, contributing to improve their muscular, pulmonary and cardiovascular function. Discussion We were able to conclude that over all the respiratory parameters have improved. And since respiratory problems are the primary cause for death of persons with a tetraplegia (Linn y cols, 2000) this is vital. Therefore persons with a tetraplegia should practice physical activity. Handcycling is a suitable physical activity for them which helps to improve respiratory values and therefore improves the live of persons with a tetraplegia. In our 8 week program we could not find changes in the level of their autonomy, but in a longer term study we could expect that participants gained more autonomy and positive experiences to joy up their lives through sport. References Linn, W.S.; Adkins, R.H.; Gong, H.; Waters, R.L. (2000). Pulmonary function in chronic spinal cord injury: A cross-sectional survey of 222 Southern California adult outpatients. Arch Phys Med Rehabil. 81: 757–763. Field-Fote, E. C. (2009). Promoting maximal restoration of function: Assessment of function. Spinal Cord Injury Rehabilitation, p.115-116. Contact: sandra.sinz@gmx.net
Topic: Adapted Physical Activity
Keyword I: handcycling
Keyword II: tetraplegia
Keyword III: physical activity