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

  1. 1EA 3920 'Physiopathologie cardiovasculaire et prévention', Laboratory of Sport Sciences, University of Franche-comte, Besançon, France
  2. 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

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Abstract

Study design:

 

Cross-over study.

Objective:

 

To determine the effect of strenuous wheelchair exercise on oxygen uptake (Unfortunately we are unable to provide accessible alternative text for this. If you require assistance to access this image, please contact help@nature.com or the author ), 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 Unfortunately we are unable to provide accessible alternative text for this. If you require assistance to access this image, please contact help@nature.com or the author , surface electromyographic activity (EMG) from shoulder muscles, and temporal parameters of wheelchair ergometer propulsion were collected from eight able-bodied men (26plusminus4 years).

Results:

 

A progressive increase in Unfortunately we are unable to provide accessible alternative text for this. If you require assistance to access this image, please contact help@nature.com or the author 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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