The course of physical capacity in wheelchair users during training for the HandbikeBattle and at one-year follow-up

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

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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.

Originele taal-2English
TijdschriftAmerican Journal of Physical Medicine and Rehabilitation
DOI's
StatusE-pub ahead of print - 3-dec-2020

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