Feasibility, acceptability, and preliminary efficacy of a handcycling high-intensity interval training program for individuals with spinal cord injury

Koontz, Alicia M; Garfunkel, Cecile E.; Crytzer, Theresa M.; Anthony, Steven J.; Nindl, Bradley C.

doi:10.1038/s41393-020-00548-7

Cited by 16 publications

(22 citation statements)

References 34 publications

(19 reference statements)

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“…All of the studies were conducted in home/community settings. Study designs include single group intervention design (13,14), randomized clinical trials (15)(16)(17)(18)(19)(20)(21)(22), or multisite randomized clinical trials (23)(24)(25).…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies were conducted on wheelchair users with spinal cord injuries (SCI) (13,14,16,17,20,21,(23)(24)(25)(26), Three studies had participants with immobility due to any disorder (15,18,27), one study involved persons with multiple sclerosis (19).…”

Section: Resultsmentioning

confidence: 99%

“…The duration of PA programs ranged between 6 and 12 months. The interventions included exercise interventions (16)(17)(18)23), rehabilitation programs/physiotherapy programs (26), locomotor training programs with robotic exoskeleton (13,20), hand cycling high intensity interval training (14), low intensity wheelchair training with treadmill propulsion (21), wheelchair and propulsions skills training (19), behavioral interventions including coaching, motivational interviewing (19,(23)(24)(25)28).…”

Section: Resultsmentioning

confidence: 99%

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Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review

Andrabi

Mumba

Key

et al. 2022

Front. Rehabilit. Sci.

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PurposePhysical inactivity is one of the important factors leading to chronic diseases including cardiovascular disease (CVD) in individuals with disabilities. However, not many Physical Activity (PA) interventions are available for improving the efficacy of PA and cardiovascular outcomes among community wheelchair users. Therefore, this systematic review will appraise the existing PA interventions for the community dwelling wheelchair users; we especially examined features of the PA programs that showed the improvements in PA and the CVD outcomes compared to the interventions that did not show any improvements in these outcomes among these population. The study also aimed to provide some recommendations for future research.Materials and MethodsA comprehensive and systematic search of literature published between 2015 and 2020 using the databases Scopus, Pubmed, Embase, and Cochrane CENTRAL was conducted. This review has followed the Preferred Reporting Items for Systematic Review (PRISMA) guidelines. The quality of the evidence was assessed by Using Joanna Briggs Institute's critical appraisal tool. Studies that tested the efficacy of PA interventions for community-dwelling adult wheelchair users and published in English were involved. Two reviewers reviewed the literature and any disagreements among these reviewers were resolved by a third reviewer.ResultsFourteen articles were selected for this review. Most of the studies reported improvements in PA. A few studies followed up the participants and majority of the studies have looked at the CVD outcomes.ConclusionLarge-scale studies with follow-ups, and community participatory research that evaluates the effect of PA interventions on PA and CVD outcomes among wheelchair users are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review

Andrabi

Mumba

Key

et al. 2022

Front. Rehabilit. Sci.

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“…HIIT training, referred to in the work "physiological and mechanical response to the specific intermittent activity of calcium" consisted of half an hour of pedalling at alternating speed, 1 minute to 60 / 70% of VO2Max as active recovery and 30 seconds at 110/120% of VO2Max (Koontz et al, 2021). Endurance training (Federici et al, 2019) consisted of 2 continuous hours of pedalling at a constant speed between 70 and 80% of maximum power.…”

Section: Experimental Designmentioning

confidence: 99%

Removing the division into categories between cycling and para-cycling (Handbike category H) by designing a single performance and training activity

Russo¹,

Invernizzi²,

Scurati³

et al. 2021

Journal of Human Sport and Exercise - 2021 - Autumn Conferences of Sports Science

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Cycling and all categories of para-cycling including Handbike are cyclical sports, that is, sports characterized using a specific skill, continuous skill. To separate competitions between cyclists and paracyclists, there is a classification system. The study in aims to design one activity performance and training, to eliminate the division into categories between cycling and para-cycling (Handbike), since this does not favour the integration and sporting inclusion of the two groups of athletes. The differences in performance will be identified between: cyclists and paracyclists with spinal cord injury or amputation of the lower limbs (H). Then will proceed to design and verify an activity capable of making the two categories compete and train together, eliminating the differences in performance through the use of a "counterweight" and using a mixed training, HIIT (High Intensity Interval Training) and Endurance. The sample taken into consideration is composed of 5 cyclists and 5 paracyclists (H) aged between 19 and 38 years. To achieve the goal, the study was based on the method of analysing the scientific literature, detecting the various parameters in the race and using mathematical statistical methods, such as Multiple Regression and the T-Test for independent samples. The analysis of the results of this study shows that; between cyclists and para-cyclists who participated, there are substantial differences in performance, thanks to the data obtained from multiple regression, in which we find an Rsquared value that is .999975008, also the only positive coefficient among the independent variables is that of power (6.760634791). This means that of all the reported values, it is the only one that directly affects performance.

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“…It is important to know the numbers and reasons for drop out during the training period and to characterize the differences between participants who do and do not drop out. Previous studies on exercise interventions have reported various reasons for dropping out: the most common being medical and motivational [7][8][9][10][11]. However, these exercise interventions consisted mostly of supervised training sessions in contrast to the freeliving training in the HandbikeBattle study.…”

Section: Introductionmentioning

confidence: 99%

Low drop-out rates in the HandbikeBattle free-living training study: understanding the reasons for dropping out

Palsma

Kouwijzer

Adriaansen

et al. 2022

Spinal Cord Ser Cases

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OBJECTIVES: During the five-month free-living training period for the HandbikeBattle event several participants dropped out. The aim of this study was to clarify the numbers and reasons for drop out, and to characterize the differences between study participants who did (dropouts) and did not (competitors) drop out during the training period for the HandbikeBattle event. SETTING: Former participants of the HandbikeBattle, a handcycling race on an Austrian mountain. METHODS: Participants (N = 313 (N = 209 (67%) with spinal cord injury or spina bifida)) enrolled between 2013-2018. Drop out and reasons for drop out were registered. Competitors and dropouts were compared regarding personal, disability, physical, and psychological factors, which were measured at the start of the training period. RESULTS: Forty-five participants (14%) dropped out during the training period with medical complications (49%) and motivational problems (29%) as main reasons. The only differences were that competitors participated more in sports before the study (p = 0.01) and achieved a higher peak power output (p = 0.04) compared to dropouts. CONCLUSIONS: The drop-out rate of the HandbikeBattle study was low compared to previous exercise intervention studies, which might be related to the less strictly imposed free-living training. Persons with less experience in sport and a lower fitness level might need more attention during a training intervention to prevent them from dropping out.

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Feasibility, acceptability, and preliminary efficacy of a handcycling high-intensity interval training program for individuals with spinal cord injury

Cited by 16 publications

References 34 publications

Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review

Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review

Removing the division into categories between cycling and para-cycling (Handbike category H) by designing a single performance and training activity

Low drop-out rates in the HandbikeBattle free-living training study: understanding the reasons for dropping out

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