Effect of training on physical capacity and physical strain in persons with tetraplegia

The effects of quad rugby training on physical capacity and physical strain during standardized activities of daily living were investigated in 9 trained (A) and 5 untrained quad rugby players (B), and 7 inactive persons with tetraplegia (C) at 0, 3 and 6 months after the start of a quad rugby training program (1.5h.wk[-1]). Physical capacity was measured as maximal isometric strength, peak power output (POpeak) and peak oxygen uptake (VO2peak) on a stationary wheelchair ergometer. Physical strain was expressed as a percentage of heart-rate reserve. No measurable training effects could be observed for POpeak, VO2peak and physical strain. A significant rise in maximal isometric strength was found in group B after 3 and 6 months of training, whereas no significant changes were found in groups A and C. The results suggest that a higher training frequency and/or intensity may be needed to gain significant training effects for POpeak and VO2peak.