INTRODUCTION: This is a comparative case study between one high spinal cord injury (SCI) and two non-SCI players during an official wheelchair basketball (WB) match. The aim of the study was to calculate the differences in the absolute and relative HR responses and in the match load among one SCI and two non-SCI players in the same WB match. CASE PRESENTATION: The study was conducted with first-division WB players in Vitoria-Gasteiz, Spain (2014). All of the participants had played the whole official WB match. Absolute heart rate (HR) in the test (10 m Yo-Yo Intermittent Recovery Test Level 1, YYIR1 10 m) as well as absolute and relative HR and match load (ML) were recorded for these three players in an official WB match. DISCUSSION: The HRpeak and mean during the YYIR1 10 m test and the whole WB match were lower for the SCI player than the non-SCI players. However, as opposed to absolute HR values, relative HR values and ML reported very similar responses among SCI and non-SCI values. Moreover, in the high-intensity HR zone the values were similar among the three players but not in the low (o75% of HRpeak), moderate (75-85% of HRpeak) and maximal (495% of HRpeak) HR zones. Although the absolute HR values were lower for the SCI player, the relative values and the ML were similar for all the players. Therefore, it could be necessary to use relative HR values to quantify the intensity of efforts in the WB matches.
Spinal Cord Series and Cases
INTRODUCTIONHeart rate (HR) is normally determined by the pacemaker activity of the sinoatrial (SA) node located in the posterior wall of the right atrium.1 HR can decrease or increase the intrinsic rate primarily by activation of the vagus or sympathetic nerve innervating the SA node.1 In individuals with high spinal cord injury (SCI), the autonomic innervation of the heart is impaired, resulting in lowered maximal HR (HRmax).2,3 Moreover, the increase in HR during exercise in these persons is mostly due to withdrawal of vagal parasympathetic stimulation. 4 The parasympathetic stimulation may, as a consequence of the disturbed sympathetic innervation, give rise to autonomic dysreflexia in individuals with high SCI. 4 In conjunction with factors such as reduced sympathetic nervous system, innervation and cardiovascular function, maximal exercise capacity is reduced when compared with able-bodied individuals.
5With the aim of analyzing the utility of the HR in high SCI players, some studies reported HR responses in laboratory environments along with oxygen consumption 4 and rating of perceived exertion methods (RPE). 6 In this sense, Valent et al 4 reported that the HR-VO 2 relationship appeared linear in only eight out of 18 high SCI participants, so that these authors question the use of HR monitors in this population when prescribing training intensity. Moreover, Lewis et al 6 observed an absence of associations among HR, VO 2 and RPE in motor complete SCI. However, all these studies have been realized in laboratory environments. Despite the results reported in this area, ...