Communicated by Jean-René Lacour.
The online version of this article (https://doi.org/10.1007/s00421-018-3912-1) contains supplementary material, which is available to authorized users.
To compare peak oxygen uptake (VO2peak) and exercise efficiency between upper-body poling (UBP) and arm crank ergometry (ACE) in able-bodied (AB) and paraplegic participants (PARA).
Seven PARA and eleven AB upper-body trained participants performed four 5-min submaximal stages, and an incremental test to exhaustion in UBP and ACE. VO2peak was the highest 30-s average during the incremental test. Metabolic rate (joule/second = watt) at fixed power outputs of 40, 60, and 80 W was estimated using linear regression analysis on the original power-output-metabolic-rate data and used to compare exercise efficiency between exercise modes and groups.
VO2peak did not significantly differ between UBP and ACE (p = 0.101), although peak power output was 19% lower in UBP (p < 0.001). Metabolic rate at fixed power outputs was 24% higher in UBP compared to ACE (p < 0.001), i.e., exercise efficiency was lower in UBP. PARA had 24% lower VO2peak compared to AB (p = 0.010), although there were no significant differences in peak power output between PARA and AB (p = 0.209).
In upper-body-trained PARA and AB participants, VO2peak did not differ between UBP and ACE, indicating that these two test modes tax the cardiovascular system similarly when the upper body is restricted. As such, the 19% lower peak power output in UBP compared to ACE may be explained by the coinciding lower efficiency.
Supplementary material 1 (XLSX 159 KB)421_2018_3912_MOESM1_ESM.xlsx
Drory Y, Ohry A, Brooks ME, Dolphin D, Kellermann JJ (1990) Arm crank ergometry in chronic spinal cord injured patients. Arch Phys Med Rehabil 71(6):389–392 PubMed
Gayle GW, Pohlman RL, Glaser RM, Davis GM (1990) Cardiorespiratory and perceptual responses to arm crank and wheelchair exercise using various handrims in male paraplegics. Res Q Exerc Sport 61(3):224–232. https://doi.org/10.1080/02701367.1990.10608683CrossRefPubMed
Glaser RM, Sawka MN, Brune MF, Wilde SW (1980) Physiological responses to maximal effort wheelchair and arm crank ergometry. J Appl Physiol Respir Environ Exerc Physiol 48(6):1060–1064 PubMed
Hegge AM, Bucher E, Ettema G, Faude O, Holmberg HC, Sandbakk O (2015) Gender differences in power production, energetic capacity and efficiency of elite cross-country skiers during whole-body, upper-body, and arm poling. Eur J Appl Physiol. https://doi.org/10.1007/s00421-015-3281-yPubMedCrossRef
Hopman MT, Verheijen PH, Binkhorst RA (1993) Volume changes in the legs of paraplegic subjects during arm exercise. J Appl Physiol (1985) 75(5):2079–2083. https://doi.org/10.1152/jappl.1918.104.22.1689CrossRef
Leicht C, Perret C (2008) Comparison of blood lactate elimination in individuals with paraplegia and able-bodied individuals during active recovery from exhaustive exercise. J Spinal Cord Med 31(1):60–64. https://doi.org/10.1080/10790268.2008.11753982CrossRefPubMedPubMedCentral
Martel G, Noreau L, Jobin J (1991) Physiological responses to maximal exercise on arm cranking and wheelchair ergometer with paraplegics. Spinal Cord 29(7):447–456 CrossRef
McCafferty WB, Horvath SM (1977) Specificity of exercise and specificity of training: a subcellular review. Res Q 48(2):358–371 PubMed
Mukherjee G, Samanta A (2001) Physiological response to the ambulatory performance of hand-rim and arm-crank propulsion systems. J Rehabil Res Dev 38(4):391–399 PubMed
Peronnet F, Massicotte D (1991) Table of nonprotein respiratory quotient: an update. Can J Sport Sci 16(1):23–29 PubMed
Price MJ, Bottoms L, Smith PM, Nicholettos A (2011) The effects of an increasing versus constant crank rate on peak physiological responses during incremental arm crank ergometry. J Sports Sci 29(3):263–269. https://doi.org/10.1080/02640414.2010.525520CrossRefPubMed
Thijssen DH, Steendijk S, Hopman MT (2009) Blood redistribution during exercise in subjects with spinal cord injury and controls. Med Sci Sports Exerc 41(6):1249–1254. https://doi.org/10.1249/MSS.0b013e318196c902CrossRefPubMed
- Comparison of peak oxygen uptake and exercise efficiency between upper-body poling and arm crank ergometry in trained paraplegic and able-bodied participants
Julia Kathrin Baumgart
- Springer Berlin Heidelberg
Neu im Fachgebiet Arbeitsmedizin