The course of physical capacity in wheelchair users during training for the HandbikeBattle and at one-year follow-up

payt.helady61 shared this article with you from Inoreader The course of physical capacity in wheelchair users during training for the HandbikeBattle and at one-year follow-up Via American Journal of Physical Medicine & Rehabilitation - Published Ahead-of-Print Objective (1) to compare physical capacity at one-year follow-up with physical capacity before and after the training period for the HandbikeBattle event; (2) to identify determinants of the course of physical capacity during follow-up. Design Prospective observational study. Former rehabilitation patients (N=33) with health conditions such as spinal cord injury or amputation were included. A handcycling/arm crank graded exercise test was performed before (January, T1) and after the training period (June, T2), and at one-year follow-up (June, T4). Outcomes: Peak power output (POpeak (W)) and peak oxygen uptake (VO2peak (L/min)). Determinants: sex (M/F); age (years); classification; physical capacity, musculoskeletal pain, exercise stage of change, and exercise self-efficacy at T1; and HandbikeBattle participation at T4. Results Multilevel regression analyses showed that POpeak and VO2peak increased during the training period and did not significantly change during follow-up (T1: 112±37W, 1.70±0.48L/min; T2: 130±40W, 2.07±0.59L/min; T4: 126±42W, 2.00±0.57L/min). Participants who competed again in the HandbikeBattle showed slight improvement in physical capacity during follow-up, whereas participants who did not compete again showed a decrease. Conclusion Physical capacity showed an increase during the training period and remained stable after one-year follow-up. Being (repeatedly) committed to a challenge might facilitate long-term exercise maintenance. Corresponding author: Ingrid Kouwijzer, Center for Human Movement Sciences, UMCG, University of Groningen, A. Deusingln 1, Bld 3215, 9713AV Groningen, the Netherlands, phone number: 050-3616015, i.kouwijzer@umcg.nl Author Disclosures: the authors report no conflict of interest. This study was funded by HandicapNL, Stichting Mitialto, Stichting Beatrixoord Noord-Nederland, University Medical Center Groningen, Heliomare Rehabilitation Center and Stichting Handbike Events. There are no financial benefits to the authors. There are no previous presentations, manuscripts or abstracts in any form. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.