Short-term effects of upper extremity circuit resistance training on muscle strength and functional independence in patients with paraplegia

Yıldırım, Adem; Sürücü, Gülseren Dost; Karamercan, Ayşe; Gedik, Dilay Eken; Dülgeroğlu, Deniz; Özgirgin, Neşe

doi:10.3233/bmr-160694

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…Muscle strength is a highly relevant fitness outcome in the chronic SCI population, as improvements in strength have a significant impact on the ability to perform activities of daily living [ 26 ]. The research analyzing the effects of progressive resistance exercises (PREs) and endurance exercises (EEs) on upper extremity in patients with paraplegia [ 28 , 29 ] confirms its importance in increasing activities of daily living (ADLs) in patients with spinal cord injury (SCI).…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Active Rehabilitation Camp on Physical Performance of Disabled People Moving in Wheelchairs

Lipert

Wróbel

Spychała

et al. 2021

IJERPH

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(1) Background: Regular participation in physical activity (PA) prevents many medical complications and improves the physical fitness of people with spinal cord injury, and in turn improves the functional independence, psychosocial status and quality of life. The goal of Active Rehabilitation Camps (ARCs) is to use various forms of PA in order for the participants to obtain the greatest efficiency and independence in everyday life. (2) Purpose: To evaluate the improvement in physical performance of people with chronic spinal cord disabilities moving in wheelchairs taking part in the Active Rehabilitation Camp depending on (a) sex, (b) type of disability, (c) the level of injury and (d) the type of wheelchair. (3) Methods: The study included 42 wheelchair users: 28 men and 14 women aged 18–65 years (34.7 ± 14.9 years) taking part in the Active Rehabilitation Camp. Finally, the study involved 27 paraplegics, 9 tetraplegics and 6 individuals with myelomeningocele. The participants took part in four fitness tests: (1) sprint test (SP)—individual time to cover a distance of 15 m in the wheelchair; (2) slalom test (SL)—time to ride between four cones front and back; (3) basketball ball throw at a distance (BT), (4) zig-zag test (ZZ)—riding continuously for 6 min on the designated track. The tests were performed at the beginning and at the end of the ACR. Active wheelchairs were used by 32 participants, and 10 participants used the classic wheelchairs. (4) Results: Paraplegics achieved the best average results in all the tests and the best improvement in physical performance in comparison to individuals with myelomeningocele and tetraplegics. People in active wheelchairs achieved a statistically significant improvement in the results of SL and ZZ (p < 0.001). People with injury above Th-9 level of the spinal cord achieved a statistically significant improvement in the results of SP (p < 0.01), SL and ZZ (p < 0.01). People with injury below Th6 achieved a statistically significant improvement (p < 0.05) in SP, SL and ZZ. (5) Conclusions: Regular PA during the Active Rehabilitation Camp improves the physical performance of disabled people in wheelchairs, but the scale of improvement of physical performance fitness depends on the type of wheelchair used and the level and the type of injury.

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Section: Discussionmentioning

confidence: 99%

The Effectiveness of Active Rehabilitation Camp on Physical Performance of Disabled People Moving in Wheelchairs

Lipert

Wróbel

Spychała

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…One research group previously applied 12 weeks of circuit training three times a week and reported a 12%–30% increase in the muscle strength for all movements [ 20 ]. Similarly, another group applied 6 weeks of resistance circuit training and reported significant improvements in elbow flexion and extension strength in the experimental group [ 21 ]. In another study, women over 60 years of age received 10 weeks of circuit training (three times per week) and significant improvement in the participants’ muscle strength and muscular endurance (27.8%–40%) was observed [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial

Son

Lee

et al. 2022

Ann Rehabil Med

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Objective To evaluate the efficacy and safety of 8 weeks of resistance circuit training in people with paraplegia due to spinal cord injury.Methods Participants were randomized into experimental and control groups. Although the intensity and sequence of movements of the exercise programs were identical in both groups, the resting time between sets was limited to 1 minute in the experimental group. In the control group, the participants were allowed to rest until they were comfortable. Both groups received 8 weeks of training twice per week. Before and after the program, muscle mass, body fat percentage, fat mass, blood pressure, heart rate, muscle strength and muscular endurance were evaluated, and 6-minute propulsion test was conducted. Additionally, the safety of the program was assessed.Results Twenty-two individuals with paraplegia were enrolled (11 in each group). After the training program, the experimental group showed a significant decrease in the resting blood pressure and improvement in the upper extremity muscle mass, strength, and endurance (p<0.05). Each variable showed significant inter-group differences (p<0.05). Furthermore, none of the participants showed autonomic adverse events, musculoskeletal side effects, or discomfort.Conclusion The results show that resistance circuit training programs with short resting intervals are superior to the usual resistance exercise programs in improving the blood pressure and physical strength and are safe for people with upper thoracic level injuries at T6 or higher.

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“…The CTE may help to increase upper extremity strength in patients with paraplegia. [ 9 - 13 ] Yildirim et al[ 13 ] reported that upper extremity strengthening exercises using mechanical exercise stations combined with the conventional rehabilitation were useful in terms of increasing the strength and improving the physical disability as measured by the Functional Independence Measure in the persons with paraplegia. [ 13 ]…”

Section: Discussionmentioning

confidence: 99%

“…Circuit training exercises (CTEs) help to improve upper extremity muscle strength and endurance in SCI. [ 9 - 13 ] There are limited studies in SCI patients with elastic bands. [ 9 , 14 ] The elastic bands are used for CTE, as they are inexpensive and easy-to-use.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the functional and cardiovascular effects of home-based versus supervised hospital circuit training exercises in male wheelchair users with chronic paraplegia

Kesiktaş¹,

Kaşıkçıoğlu²,

Paker³

et al. 2021

Turk J Phys Med Rehab

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Objectives: The aim of this study was to compare the efficacy of home-based upper extremity circuit training exercises (CTEs) with supervised hospital program in male patients with traumatic complete paraplegia. Patients and methods: Twenty men with paraplegia (mean age: 38±10.1 years; range, 30 to 43 years) between January 2007 and November 2007 were randomized into two groups. The first group had supervised hospital CTE program, whereas the second group had home-based CTE. The effects of the upper extremity CTE by using elastic bands 60 min per day, five days a week, for a total of eight weeks (70% maximal oxygen consumption [VO2max]) were examined. The Cybex was used for the isokinetic testing of the upper extremities. The VO2max and maximum heart rate (HR) were assessed using an arm ergometer. The Craig Handicap Report Technique Short Form (CHART-SF) was used for the evaluation of functional independence and mobility. Serum lipid profiles were measured. Results: The mean injury duration was 7.9±2 years. The peak torque values of the upper extremities, VO2max, maximum HR, CHART-SF physical independence and mobility scores, and serum lipid profile were all improved in both groups (p<0.05). There were no significant differences in terms of the increase in the muscle strength and serum lipid levels between the groups (p>0.05). The improvement in the VO2max, physical independence, and mobility scores were greater in the supervised exercise group. Conclusion: Upper extremity strength, cardiovascular endurance, and lipid profile were improved after supervised and home-based CTE in the men with paraplegia. Home-based exercise programs may be good alternatives to the hospital rehabilitation for this patient population.

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Short-term effects of upper extremity circuit resistance training on muscle strength and functional independence in patients with paraplegia

Abstract: Randomized trial (Level II).

Cited by 13 publications

References 12 publications

The Effectiveness of Active Rehabilitation Camp on Physical Performance of Disabled People Moving in Wheelchairs

The Effectiveness of Active Rehabilitation Camp on Physical Performance of Disabled People Moving in Wheelchairs

Effects of Resistance Circuit Training on Health-Related Physical Fitness in People With Paraplegia: A Pilot Randomized Controlled Trial

Comparison of the functional and cardiovascular effects of home-based versus supervised hospital circuit training exercises in male wheelchair users with chronic paraplegia

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