scholarly journals Arm Crank and Wheelchair Ergometry Produce Similar Peak Oxygen Uptake but Different Work Economy Values in Individuals with Spinal Cord Injury

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Tom Tørhaug ◽  
Berit Brurok ◽  
Jan Hoff ◽  
Jan Helgerud ◽  
Gunnar Leivseth

Objective.To study whether values for peak oxygen uptake (VO2peak) and work economy (WE) at a standardized workload are different when tested by arm crank ergometry (ACE) and wheelchair ergometry (WCE).Methods.Twelve paraplegic men with spinal cord injury (SCI) in stable neurological condition participated in this cross-sectional repeated-measures study. We determinedVO2peakand peak power output (POpeak) values during ACE and WCE in a work-matched protocol. Work economy was tested at a standardized workload of 30 Watts (W) for both ACE and WCE.Results.There were no significant differences inVO2peak(mL·kg−1·min−1) between ACE (27.3±3.2) and WCE (27.4±3.8) trials, and a Bland-Altman plot shows that findings are within 95% level of agreement. WE or oxygen consumption at 30 W (VO2-30W) was significantly lower during WCE compared to ACE (P<0.039). Mean (95% CI)POpeak(W) were 130 (111–138) and 100 (83–110) during ACE and WCE, respectively.Conclusion.The findings in the present study support the use of both ACE and WCE for testing peak oxygen uptake. However, WE differed between the two test modalities, meaning that less total energy is used to perform external work of 30 W during wheelchair exercise when using this WCE (VP100 Handisport ergometer). Clinical Trials Protocol Record isNCT00987155/4.2007.2271.

2016 ◽  
Vol 48 ◽  
pp. 343
Author(s):  
Julia O. Totosy de Zepetnek ◽  
Jason S. Au ◽  
Adrienne L. Hol ◽  
Janice J. Eng ◽  
Maureen J. MacDonald

1996 ◽  
Vol 15 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Masahiro Yamasaki ◽  
Takashi Komura ◽  
Yasuaki Tahara ◽  
Kumiko Katsuno ◽  
Yumiko Fukuyama ◽  
...  

Author(s):  
Salvatore F. GERVASI ◽  
Sebastiano ORVIETO ◽  
Fabrizio SOLLAZZO ◽  
Massimiliano BIANCO ◽  
Francesco CUCCARO ◽  
...  

2020 ◽  
Vol 45 (2) ◽  
pp. 129-134
Author(s):  
Michael John Hutchinson ◽  
Sydney Ella Valentino ◽  
Julia Totosy de Zepetnek ◽  
Maureen Jane MacDonald ◽  
Victoria Louise Goosey-Tolfrey

This study investigated the effect of prolonged familiarisation with ratings of perceived exertion (RPE) on the peripheral (RPEP) and central (RPEC) RPE responses to moderate–vigorous exercise in adults with spinal cord injury (SCI). RPEP and RPEC characterise the exertion of the working musculature and cardiorespiratory systems, respectively. Nineteen participants (age, 41.4 ± 11.4 years; peak oxygen uptake, 19.2 ± 7.2 mL·kg−1·min−1) with chronic SCI were randomly assigned to RPE-guided (n = 11; EXP) or active control (n = 8; CON) groups. EXP performed 16-weeks of RPE-guided, supervised aerobic training for 20 min, twice weekly, at RPE 3–6 (Category-Ratio 10 scale). CON had access to the same exercise equipment but received no specific advice on their exercise-training regime. Participants completed a graded exercise test, using an arm crank ergometer at pre- and post-training to determine peak oxygen uptake, with RPEP and RPEC recorded every minute throughout tests. Sixteen weeks training did not improve peak oxygen uptake. RPE decreased post-training at 50% (p = 0.02) and 70% peak oxygen uptake (p = 0.03), though there was no effect of group at either intensity (p = 0.54, 0.42, respectively). At 70% peak oxygen uptake, RPEP was greater than RPEC (4.2 ± 1.7 vs 3.4 ± 1.8, p < 0.005). Training with RPE-guidance for 16 weeks had no additional effect on the differentiated RPE responses to moderate-vigorous exercise in adults with SCI. Novelty In adults with SCI, differentiated RPE responses were not different between those who did, and did not, perform 16 weeks of RPE-guided training. This challenges whether familiarisation with RPE is necessary to be an effective regulator of exercise intensity in this population.


Neurology ◽  
2017 ◽  
Vol 89 (18) ◽  
pp. 1894-1903 ◽  
Author(s):  
Polona Pozeg ◽  
Estelle Palluel ◽  
Roberta Ronchi ◽  
Marco Solcà ◽  
Abdul-Wahab Al-Khodairy ◽  
...  

Objective:To investigate changes in body ownership and chronic neuropathic pain in patients with spinal cord injury (SCI) using multisensory own body illusions and virtual reality (VR).Methods:Twenty patients with SCI with paraplegia and 20 healthy control participants (HC) participated in 2 factorial, randomized, repeated-measures design studies. In the virtual leg illusion (VLI), we applied asynchronous or synchronous visuotactile stimulation to the participant's back (either immediately above the lesion level or at the shoulder) and to the virtual legs as seen on a VR head-mounted display. We tested the effect of the VLI on the sense of leg ownership (questionnaires) and on perceived neuropathic pain (visual analogue scale pain ratings). We compared illusory leg ownership with illusory global body ownership (induced in the full body illusion [FBI]), by applying asynchronous or synchronous visuotactile stimulation to the participant's back and the back of a virtual body as seen on a head-mounted display.Results:Our data show that patients with SCI are less sensitive to multisensory stimulations inducing illusory leg ownership (as compared to HC) and that leg ownership decreased with time since SCI. In contrast, we found no differences between groups in global body ownership as tested in the FBI. VLI and FBI were both associated with mild analgesia that was only during the VLI specific for synchronous visuotactile stimulation and the lower back position.Conclusions:The present findings show that VR exposure using multisensory stimulation differently affected leg vs body ownership, and is associated with mild analgesia with potential for SCI neurorehabilitation protocols.


1993 ◽  
Vol 25 (10) ◽  
pp. 1115???1119 ◽  
Author(s):  
STEVEN P. HOOKER ◽  
JOHN D. GREENWOOD ◽  
DAVID T. HATAE ◽  
ROXANNE P. HUSSON ◽  
TRACI L. MATTHIESEN ◽  
...  

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