Eccentric Arm Cycling: A Potential Exercise for Wheelchair Users

Lytle, Lydia; Dannenbring, Jennifer L.; Kilgas, Matthew A.; Elmer, Steven J.

doi:10.1016/j.apmr.2018.11.013

Cited by 5 publications

(5 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It seems that both exercise protocols on the FIT-WHEEL system were usable and tolerable in a specific sample of young, healthy, male adults, even though the mechanical work during the eccentric protocol was higher compared to the respective concentric protocol. This observation is in line with the research group of Elmer et al [16,18,19] who also found no significant differences on usability and likeability between eccentric and concentric arm cycling in healthy participants as well as in individuals with spinal cord injury.…”

Section: Discussionsupporting

confidence: 91%

“…During the first visit, the participants initially were instructed on proper concentric/eccentric exercise technique and were familiarized with the operation of the novel lever exercise system. The intensity of exercise was progressively increased during familiarization trials to avoid muscle soreness, similarly to previous studies employing eccentric exercise of the upper or lower extremities [18,19,24,25]. Additionally, baseline peak concentric (Peak CON ) and peak eccentric (Peak ECC ) force measurements of both upper extremities were collected, as the participants pushed (i.e., performing concentric actions) or resisted (i.e., performing eccentric actions) synchronously both levers by applying maximum voluntary force throughout the range of motion with a constant angular velocity.…”

Section: Experimental Protocolmentioning

confidence: 98%

“…The research group of Elmer et al [16,17] developed a novel eccentric arm cycle ergometer that can be employed to perform eccentric exercise in the upper extremities with lower levels of cardiorespiratory demand and perceived exertion compared to standard concentric arm crank ergometers. Moreover, Elmer et al found that seven weeks of eccentric arm cycling conducted at a moderate intensity increased upper extremity strength in a healthy cohort significantly more than concentric exercise [18] and recently implemented eccentric arm cycling safely and efficiently in manual wheelchair users [19]. These findings underline the prospect of taking advantage of the high-intensity and low-cost nature of eccentric exercise [20,21] as a training and rehabilitation method for wheelchair users.…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Development and Usability of a Prototype Upper Extremities Lever-Driven Exercise System

Tsatalas

Bellis

Karampina

et al. 2022

BioMed

View full text Add to dashboard Cite

The purpose of this paper is to present the design, construction, and technical aspects of a prototype upper extremities lever-driven exercise system, called FIT-WHEEL (Functional and Intelligent Training system for WHEELchair users), as well as the preliminary experimental measurements conducted to test the device’s usability in healthy individuals. FIT-WHEEL was developed to provide a training modality that combines the known benefits of eccentric exercise and lever-propelled wheelchairs. Eleven healthy male participants performed, seven days apart, a moderate intensity concentric and eccentric exercise protocol on FIT-WHEEL consisting of 30 trials of both upper extremities at 30% of peak concentric and peak eccentric force, respectively. At the end of each exercise bout, participants completed a number of valid and reliable instruments examining attitudes, intention and enjoyment during concentric or eccentric exercise on the FIT-WHEEL system as well as the usability of the two exercise protocols on the novel lever-driven exercise system. Statistical analyses revealed high scores in all the examined parameters (attitudes, intention, enjoyment, and usability) in both eccentric and concentric exercise protocols, without any significant differences emerging between them. Moreover, total mechanical work during eccentric exercise was 18.3% higher compared to concentric exercise performed on the FIT-WHEEL training system (p = 0.001). The preliminary experimental results discussed serve as an initial step to implement lever-driven eccentric exercise in wheelchair dependent populations in the future and evaluate the potential long-term benefits and limitations.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Experimental Protocolmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Development and Usability of a Prototype Upper Extremities Lever-Driven Exercise System

Tsatalas

Bellis

Karampina

et al. 2022

BioMed

View full text Add to dashboard Cite

show abstract

“…Todos os estudos relataram em seus resultados alterações na capacidade aeróbia dos indivíduos, utilizando em sua maioria o protocolo HIIT com o ergômetro de braço, sem combinação com outro método. 21,23,[25][26][27][32][33][34][35] Dois estudos utilizaram a combinação de exercícios para membros superiores e aplicação de FES nos membros inferiores resultando em melhorias significativas na capacidade aeróbia 27,28,31 relataram melhorias em parâmetros cardiometabólicos (por exemplo, LDH, HDL, resistência à insulina).…”

Section: Descrição Do Estudounclassified

Treinamento Intervalado De Alta Intensidade Em Pessoas Com Lesão Da Medula Espinhal: Revisão Sistemática

Silva

Sá

Gorla

et al. 2024

Rev Bras Med Esporte

View full text Add to dashboard Cite

RESUMO Objetivo: Analisar os efeitos do treinamento intervalado de alta intensidade (HIIT) nos parâmetros cardiometabólicos, aptidão cardiorrespiratória e compilar os tipos de HIIT mais utilizados no treinamento em adultos com lesão da medula espinhal (LME). Métodos: Trata-se de revisão sistemática, para a qual foram realizadas pesquisas nas bases de dados eletrônicas PubMed / Medline, Science Direct e Google Scholar. Foram incluídos estudos em que I) o treinamento HIIT era aplicado em II) adultos com LME e analisaram III) os aspectos cardiometabólicos e aptidão cardiorrespiratória. Dois revisores independentes selecionaram os artigos para a inclusão, extraindo seus dados e avaliarando a sua qualidade metodológica. Resultados: 654 estudos foram encontrados. Desses, 12 estudos, 11 pré e pós intervenção e 1 grupo controle (GC) com um total de 106 participantes foram analisados. Resultados pré e pós intervenção de HIIT revelaram significante melhora na aptidão cardiorrespiratória e aspectos cardiometabólicos (VO2pico, LDH, HDL, resistência à insulina). Resultados do GC revelaram uma significativa melhoria na aptidão cardiorrespiratória observada no grupo de intervenção (HIIT) em relação ao grupo de intensidade moderada-baixa (GC). Sete estudos usaram o ergômetro de braço como modalidade de exercício primária. Dois estudos descreveram a estimulação elétrica funcional (EEF) realizada com o ergômetro de braço adicionando estimulação elétrica nos membros inferiores. Nenhum relatou a dinâmica da frequência cardíaca durante o período do estudo. Conclusão: O treinamento intervalado de alta intensidade melhora a aptidão física e a saúde cardiometabólica em adultos com LME. Nível de evidência II; Revisão sistemática de Estudos de Nível II.

show abstract

“…All the studies reported changes in the subjects' aerobic capacity, mostly using the HIIT protocol with the arm ergometer, without another method. 21,23,[25][26][27][32][33][34][35] Two studies used the combination of upper limb exercises and lower limb FES application, resulting in significant improvements in aerobic capacity 27,28,31 reported improvements in cardiometabolic parameters (e.g., LDH, HDL, insulin resistance).…”

Section: Description Of the Studymentioning

confidence: 99%

High-Intensity Interval Training in People With Spinal Cord Injury: A Systematic Review

Silva

Sá

Gorla

et al. 2024

Rev Bras Med Esporte

View full text Add to dashboard Cite

Objective: Analyze the effects of high-intensity interval training (HIIT) on cardiometabolic parameters, and cardiorespiratory fitness to compile the most used HIIT training types in adults with spinal cord injury (SCI). Methods: This is a systematic review of searches performed in the electronic databases PubMed / Medline, Science Direct, and Google Scholar. Studies included I) needed to apply HIIT training II) adults with SCI to analyze III) cardiometabolic aspects and cardiorespiratory fitness. Two independent reviewers selected the articles for inclusion, extracted their data, and assessed their methodological quality. Results: 654 studies were found. Thus, 12 studies, 11 pre- and post-intervention, and one control group (CG) with 106 participants were analyzed. Pre- and post-HIITT intervention results revealed significant improvement in cardiorespiratory fitness and cardiometabolic aspects (VO2peak, LDH, HDL, insulin resistance). In addition, GC results revealed significant improvement in cardiorespiratory fitness observed in the intervention group (HIIT) compared to the moderate-low intensity (GC) group. Seven studies used the arm ergometer as the primary exercise modality. Two studies described functional electrical stimulation (FES) performed with the arm ergometer plus electrical stimulation in the lower limbs. None reported heart rate dynamics during the study period. Conclusion: High-intensity interval training improves physical fitness and cardiometabolic health in adults with SCI. Evidence level II; Systematic Review of level II studies.

show abstract

Eccentric Arm Cycling: A Potential Exercise for Wheelchair Users

Cited by 5 publications

References 34 publications

Development and Usability of a Prototype Upper Extremities Lever-Driven Exercise System

Development and Usability of a Prototype Upper Extremities Lever-Driven Exercise System

Treinamento Intervalado De Alta Intensidade Em Pessoas Com Lesão Da Medula Espinhal: Revisão Sistemática

High-Intensity Interval Training in People With Spinal Cord Injury: A Systematic Review

Contact Info

Product

Resources

About