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

作者：van der Scheer Jan W; de Groot Sonja; Tepper Marga; Faber Willemijn; Veeger DirkJan H; van der Woude Lucas H V

来源：Journal of Rehabilitation Medicine, 2016, 48(1): 33-42.

DOI：10.2340/16501977-2037

• activities of daily living
• paraplegia
• physical activity
• physical fitness
• spinal cord injuries
• tetraplegia
• rehabilitation
• wheelchairs

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 equivalent 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, sub maximal 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, r(u)=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.

• 出版日期2016-1