Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia

Helen Russell Berry, Claudio Perret, Benjamin A. Saunders, Tanja H. Kakebeeke, Nick De N. Donaldson, David B. Allan, Kenneth J. Hunt

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The extent to which cardiorespiratory fitness and cycling power can be improved in individuals with paraplegia by progressive, high-volume, home-based, electrically stimulated (ES) cycle training was investigated using a novel, sensitive method and protocol that allowed high-resolution power Output analyses to be performed for the first time in ES cycling. 
Nine male and two female individuals with paraplegia trained progressively at home for up to five 60-min sessions.wk(-1) for 12 months. Peak power and cardiorespiratory parameters were estimated during quarterly feedback-controlled incremental work rate tests in the laboratory. 
Cycle training endurance increased from 10 to 60 min of continuous pedaling for all subjects. Peak power Output (POpeak) increased by 132% (P = 0.001), peak oxygen uptake (VO2peak) increased by 56% (P < 0.001), and oxygen pulse increased by 34% (P = 0.002). All significant adaptations occurred during the first 6 months of training when training load was progressive and duration compliance (90%) and frequency compliance (88%) were at their highest. A strong positive relationship between the total training duration and the magnitude of improvements in both POpeak (r(2) = 0.84, P < 0.001) and VO2peak (r(2) = 0.52, P = 0.012) was found during the first 6 months only. High-volume, home-based ES cycle training using the current training and the ES strategies can significantly improve cardiorespiratory fitness and cycling power output in paraplegia but only while training is progressive. The training plateau reached by 6 months may be physiological in nature or due to the ES strategy used.

LanguageEnglish
Pages1573-1580
Number of pages8
JournalMedicine and Science in Sports and Exercise
Volume40
Issue number9
DOIs
Publication statusPublished - Sep 2008

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Paraplegia
Compliance
Oxygen
Foot
Cardiorespiratory Fitness

Keywords

  • cardiorespiratory
  • power adaptations
  • stimulated cycle training
  • paraplegia
  • spinal cord injury
  • low cardiorespiratory fitness levels
  • obesity
  • type 2 diabetes
  • cardiovascular disease

Cite this

Berry, H. R., Perret, C., Saunders, B. A., Kakebeeke, T. H., Donaldson, N. D. N., Allan, D. B., & Hunt, K. J. (2008). Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia. Medicine and Science in Sports and Exercise, 40(9), 1573-1580. https://doi.org/10.1249/MSS.0b013e318176b2f4
Berry, Helen Russell ; Perret, Claudio ; Saunders, Benjamin A. ; Kakebeeke, Tanja H. ; Donaldson, Nick De N. ; Allan, David B. ; Hunt, Kenneth J. / Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia. In: Medicine and Science in Sports and Exercise. 2008 ; Vol. 40, No. 9. pp. 1573-1580.
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Berry, HR, Perret, C, Saunders, BA, Kakebeeke, TH, Donaldson, NDN, Allan, DB & Hunt, KJ 2008, 'Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia' Medicine and Science in Sports and Exercise, vol. 40, no. 9, pp. 1573-1580. https://doi.org/10.1249/MSS.0b013e318176b2f4

Cardiorespiratory and power adaptations to stimulated cycle training in paraplegia. / Berry, Helen Russell; Perret, Claudio; Saunders, Benjamin A.; Kakebeeke, Tanja H.; Donaldson, Nick De N.; Allan, David B.; Hunt, Kenneth J.

In: Medicine and Science in Sports and Exercise, Vol. 40, No. 9, 09.2008, p. 1573-1580.

Research output: Contribution to journalArticle

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AU - Berry, Helen Russell

AU - Perret, Claudio

AU - Saunders, Benjamin A.

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AU - Donaldson, Nick De N.

AU - Allan, David B.

AU - Hunt, Kenneth J.

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KW - spinal cord injury

KW - low cardiorespiratory fitness levels

KW - obesity

KW - type 2 diabetes

KW - cardiovascular disease

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