Study design: Cross-sectional study comparing trained spinal cord injured (SCI) subjects (lesion level: L1*T6) with healthy young subjects (CONT). Objective: To investigate the kinetics of response in oxygen uptake (V . O 2 ) in human upperbody skeletal muscles, nine trained SCI subjects underwent submaximal supine arm exercises. Method: The SCI subjects underwent an incremental arm exercise test until exhaustion. The days after this ®rst round of testing, breath-by-breath V . O 2 and beat-by-beat heart rate (HR) on-and o -kinetics were determined during three repetitions of constant exercise at 50% of V . O 2peak . The overall time course of response was determined from the half time (t 1/2 ). Increased capillary blood lactate production (D[La]b) at the onset of exercise was de®ned as the di erence between at rest and at the end of exercise. Cardiac output (Q . ) was measured using the acetylene rebreathing method during the steady state of exercise. In accordance with the Fick principle, the di erence in arterial-venous O 2 content (Ca-v _ O 2 ) was de®ned as V . O 2 /Q . . Results: During the steady state of the submaximal arm exercise, a more signi®cant increase in the steady state of Q . was obtained in the CONT subjects than in the trained SCI subjects: respectively, 14.9+1.4 l/min versus (12.7+0.8 l/min). There was no di erence in the steady state of V . O 2 between the two groups; as a result, SCI subjects had the greater Ca-v _ O 2 . Meanwhile,V . O 2 on-and o -kinetics became much faster in the trained SCI subjects than in the CONT subjects. In addition, t 1/2 HR on-kinetics was not signi®cantly di erent between the SCI and CONT groups. Increased D[La]b was closely related to larger t 1/2 V . O 2 on-kinetics (r=0.624, P50.05). Conclusion: It is concluded that the acceleration of V . O 2 on-and o -kinetics in the trained SCI subjects was observed even though there was no di erence in HR on-and o -kinetics between the SCI and CONT groups and a lower steady state of Q . in the trained SCI subjects. V . O 2 kinetics would therefore be the limiting factor in oxidative phosphorylation in the upper skeletal muscles, thereby providing a lower lactic O 2 -de®cit (ie D[La]b).