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Strength training for wheelchair users.

G M Davis1, R J Shephard

  • 1School of Physical and Health Education, Faculty of Medicine, University of Toronto, ONT.

British Journal of Sports Medicine
|March 1, 1990
PubMed
Summary
This summary is machine-generated.

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This study found that wheelchair users experienced improved muscle strength in their arms and shoulders after forearm ergometer training. Higher intensity and longer exercise sessions yielded the greatest gains in muscular power.

Area of Science:

  • Exercise Physiology
  • Rehabilitation Science
  • Biomechanics

Background:

  • Sedentary adult males with spinal lesions are often wheelchair users.
  • Assessing muscular function is crucial for these individuals.

Purpose of the Study:

  • To evaluate the effects of forearm ergometer training on upper limb muscular function in wheelchair users.
  • To determine optimal training parameters for strength gains.

Main Methods:

  • 11 sedentary adult males (wheelchair users) underwent 16 weeks of forearm ergometer training.
  • Muscle strength (peak power, average power, total work, endurance) was assessed using a Cybex II dynamometer.
  • Sub-groups explored high/low intensity (70%/40% maximal oxygen intake) and long/short sessions (40/20 min).

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Main Results:

  • Significant gains in average power were observed in shoulder extension and elbow flexion.
  • Improvements were most pronounced with prolonged, high-intensity training sessions.
  • Training effects were noted at angular velocities similar to those used during exercise.

Conclusions:

  • Forearm ergometer training can enhance upper limb muscular power in wheelchair users.
  • High-intensity, longer-duration exercise appears most effective for strength development.
  • Findings support principles of exercise training specificity and overload.