Original Article
Spinal Cord (2007) 45, 468–474; doi:10.1038/sj.sc.3101989; published online 24 October 2006
Changes in oxygen uptake, shoulder muscles activity, and propulsion cycle timing during strenuous wheelchair exercise
S M Bernasconi1, N Tordi1, J Ruiz1 and B Parratte2
- 1EA 3920 'Physiopathologie cardiovasculaire et prévention', Laboratory of Sport Sciences, University of Franche-comte, Besançon, France
- 2Department of Physical Medicine and Rehabilitation, Hospital St Jacques, Besançon, France
Correspondence: S Bernasconi, Laboratory of Sport Sciences, Place St Jacques, 25030 Besançon Cedex, France
Abstract
Study design:
Cross-over study.
Objective:
To determine the effect of strenuous wheelchair exercise on oxygen uptake (
), muscle activity and propulsion cycle timing (including the push time and recovery time during one full arm cycle).
Setting:
Laboratory of Sport Sciences at the University of France-Comte in France.
Methods:
Two exercise bouts of 6-min duration were performed at a constant workload: (1) non-fatigable exercise (moderate workload) and (2) fatigable exercise (heavy workload). Measurement of
, surface electromyographic activity (EMG) from shoulder muscles, and temporal parameters of wheelchair ergometer propulsion were collected from eight able-bodied men (26
4 years).
Results:
A progressive increase in
associated with EMG alterations (P<0.05), and a decrease of the cycle and recovery time (P<0.05) during the heavy exercise. Whereas the push time remained constant, an increased muscle activation time (P<0.05) was found during heavy exercise.
Conclusion:
Observations during wheelchair ergometry indicate the development of fatigue and inefficient muscle coordination, which may contribute to deleterious stress distributions at the shoulder joint, increasing susceptibility to injury.
Keywords:
able-bodied, electromyography, fatigue, manual wheelchair, oxygen uptake, shoulder
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