Aim: In this narrative review the potential and importance of handcycling are evaluated. Four conceptual models form the framework for this review; (1) the International Classification of Functioning, Disability and Health; (2) the Stress-Strain-Capacity model; (3) the Human-Activity-Assistive Technology model; and (4) the power balance model for cyclic exercise.
Methods: Based on international handcycle experience in (scientific) research and practice, evidence-based benefits of handcycling and optimization of handcycle settings are presented and discussed for rehabilitation, daily life and recreational sports.
In most Paralympic wheelchair sports, active trunk range of movement is assessed by observing shoulder girdle excursion during active trunk movements and is a key determinant of an athlete's class. However, to date research evaluating the impact of reduced trunk range of movement on wheelchair sports performance has not been conducted. In the present study, 15 non-disabled male participants performed two 20-s sprints on a wheelchair ergometer in each of three seating positions.
View Article and Find Full Text PDFThe purpose of this study was to compare the peak and submaximal metabolic and cardiorespiratory responses during steady-state arm-powered (AP) and arm-trunk-powered (ATP) handbike ergometry. Twelve male able-bodied participants with no prior experience in handcycling completed a maximal progressive incremental test and a series of 6-minute submaximal tests at 130 W with various cadences in a custom-designed handbike ergometer that allowed a realistic simulation of AP and ATP handcycling. Peak power output, peak oxygen uptake, and peak ventilation were significantly lower, whereas peak blood lactate concentration was significantly higher during AP handcycling.
View Article and Find Full Text PDFMed Sci Sports Exerc
December 2011
Purpose: The T54 wheelchair racing class comprises athletes with normal arm muscle strength and trunk strength ranging from partial to normal. Paralympic sports classes should comprise athletes who have impairments that cause a comparable degree of activity limitation. On the basis of this criterion, the purpose of this study was to determine whether the T54 class is valid by assessing the strength of association between trunk strength and wheelchair acceleration.
View Article and Find Full Text PDFIn this study the ability of elite table tennis players with intellectual disability (ID) to adapt their service/return to specific ball spin characteristics was investigated. This was done by examining the performance of 39 players with ID and a reference group of 8 players without ID on a standardized table tennis specific test battery. The battery included 16 sets of 15 identical serves that had to be returned to a fixed target, and two additional tests measuring reaction time and upper limb speed.
View Article and Find Full Text PDFThis investigation studied the consistency of the within-cycle torque pattern in hand cycling (1) in subsequent cycles, (2) between different individuals, (3) between different power output levels, and (4) with respect to fatigue. Ten nondisabled male participants performed a progressive peak arm crank ergometry test; a number of 5-minute submaximal tests at 10, 20, 30, and 40 W; and one 15-minute submaximal test at 80% to 90% of their peak heart rate. A hand cycle unit attached to a computerized motor allowed for power output adjustments and registered position and torque.
View Article and Find Full Text PDFPurpose: The purpose of this study was to compare peak functional aerobic power (VO2 peak) across four different types of exercise: arm crank ergometry (ACE), functional electrical stimulation (FES) cycling, and two hybrid exercise conditions: FES cycling combined with ACE and FES rowing using a newly developed rowing device (ROWSTIM).
Methods: Five participants (C7-T12), four male paraplegics with neurologically complete spinal cord injury (SCI), and one male with neurologically incomplete SCI, underwent a progressive maximal peak oxygen exercise test to ascertain peak physical work capacity during arm cranking, FES cycling, FES cycling combined with arm cranking and FES rowing. ariables were significantly lower for FES cycling versus ACE, FES cycling combined with ACE and FES rowing measures (P < 0.
Purpose: The purpose of this study was to determine the impact of ergonomic and environmental variations on indoor shuttle run (SR) performance in wheelchair sportsmen.
Methods: Eleven experienced male wheelchair sportsmen performed three 25-m SRs in random order with varying turning capacity (TC) and mechanical resistance (MR): condition NN where participants used their sports wheelchair on a tartan surface, condition RN with increased MR, and condition RD with limited TC. Metabolic data were continuously recorded using a portable K4b(2) system.
Purpose: The purpose of this study was to determine gross mechanical efficiency (ME) at different power output (PO) levels of synchronous hand cycling and to evaluate the influence of increasing PO by changing crank rate or resistance in wheelchair users with experience in hand cycling.
Methods: Nine male participants with spinal cord injury randomly performed three maximal incremental hand cycling tests using a computer controlled cycle ergometer. Each test started at a PO level of 50 W with increments of 10 W.
The functional classification system for wheelchair basketball is based on an analysis of the players' functional resources through field-testing and game observation. Under this system, players are assigned a score of 1 to 4.5.
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