The Course of Physical Capacity in Wheelchair Users During Training for the HandbikeBattle and at 1-Yr Follow-up

Ingrid Kouwijzer*, Linda J M Valent, Marcel W M Post, Lise M Wilders, Anneke Grootoonk, Lucas H V van der Woude, Sonja de Groot, HandbikeBattle group

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)
81 Downloads (Pure)

Abstract

OBJECTIVE: (1) to compare physical capacity at one-year follow-up with physical capacity before and after the training period for the HandbikeBattle event; (2) to identify determinants of the course of physical capacity during follow-up.

DESIGN: Prospective observational study. Former rehabilitation patients (N=33) with health conditions such as spinal cord injury or amputation were included. A handcycling/arm crank graded exercise test was performed before (January, T1) and after the training period (June, T2), and at one-year follow-up (June, T4).

OUTCOMES: Peak power output (POpeak (W)) and peak oxygen uptake (VO2peak (L/min)). Determinants: sex (M/F); age (years); classification; physical capacity, musculoskeletal pain, exercise stage of change, and exercise self-efficacy at T1; and HandbikeBattle participation at T4.

RESULTS: Multilevel regression analyses showed that POpeak and VO2peak increased during the training period and did not significantly change during follow-up (T1: 112±37W, 1.70±0.48L/min; T2: 130±40W, 2.07±0.59L/min; T4: 126±42W, 2.00±0.57L/min). Participants who competed again in the HandbikeBattle showed slight improvement in physical capacity during follow-up, whereas participants who did not compete again showed a decrease.

CONCLUSION: Physical capacity showed an increase during the training period and remained stable after one-year follow-up. Being (repeatedly) committed to a challenge might facilitate long-term exercise maintenance.

Original languageEnglish
Pages (from-to)858-865
Number of pages8
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume100
Issue number9
Early online date3-Dec-2020
DOIs
Publication statusPublished - Sept-2021

Keywords

  • Cardiorespiratory Fitness
  • Longitudinal Studies
  • Rehabilitation
  • Exercise
  • SPINAL-CORD-INJURY
  • QUALITY-OF-LIFE
  • SELF-EFFICACY
  • EXERCISE
  • PEOPLE
  • PERFORMANCE
  • PARTICIPATION
  • DISABILITIES
  • INDIVIDUALS
  • STRENGTH

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