Abstract
Study design: Treadmill testing on a progressive incline of 11 wheelchair athletes.
Objective: To determine if a novel treadmill exercise protocol which uses increments in inclination, rather than the standard increments in velocity, can be used to effectively determine maximum oxygen uptake VO2max for elite wheelchair athletes.
Setting: Nottwil, Switzerland.
Methods: Eleven elite wheelchair basketball players (29.3±6.3 years, 72.7±16.9 kg and 177±9.6 cm) performed an exercise protocol with increasing inclination on the treadmill. Eight players had a spinal cord injury (SCI), two had no lesion of the central nervous system and one had poliomyelitis. VO2max and heart rate were measured continuously, while serum lactate was determined immediately after the exercise protocol.
Results: Athletes reached a maximal heart rate of 185±11.4 bpm and maximal lactate of 10.2±2.1 mmol/l. VO2max was 35.1±4.9 ml/min/kg. The correlation between heart rate and VO2 at different inclinations was statistically significant and comparable to able-bodied subjects.
Conclusions: An exercise protocol with increasing inclination is a valid alternative to an exercise protocol with increasing velocity.
Spinal Cord (2001) 39, 633–636.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Bassett DR, Howley ET . Limiting factors for maximum oxygen uptake and determinants of endurance performance Med Sci Sports Exerc 2000 33: 70–84
Gass GC, Camp EM . Physiological characteristics of trained Australian paraplegic and tetraplegic subjects Med Sci Sports Exerc 1979 11: 256–259
Gass GC et al. The effects of prolonged exercise on spinally injured subjects Med Sci Sports Exerc 1981 13: 277–283
Coutts KD, Rhodes EC, McKenzie DC . Maximal exercise response of tetraplegics and paraplegics J Appl Physiol 1983 55: 479–482, 1983
Lakomy HKA, Campbell I, Williams C . Treadmill performance and selected physiological characteristics of wheelchair athletes Br J Sports Med 1987 21: 130–133
Jost J et al. Sportmedizinische Leistungsdiagnostik und Trainingssteuerung im Basketball Dtsch Z Sportmed 1996 47: 3–16
Verstappen FTJ, Huppertz RM, Snoeckx LHEH . Effect of training specifity on maximal treadmill and bicycle ergometer exercise Int J Sports Med 1982 3: 43–46
Hjeltnes N . Cardiorespiratory capacity in tetra- and paraplegia shortly after injury Scand J Rehab Med 1986 18: 65–70
Eriksson P, Löfström L, Ekblom B . Aerobic power during maximal exercise in untrained and well-trained persons with quadriplegia and paraplegia Scand J Rehab Med 1988 20: 141–147
Martel G, Noreau L, Jobin J . Physiological responses to maximal exercise on arm cranking and wheelchair ergometer with paraplegics Paraplegia 1991 29: 447–456
Hutzler Y . Physical performance of elite wheelchair basketball players in armcranking ergometry and in selected wheeling tasks Paraplegia 1993 31: 255–261
Glaser RM et al. An exercise test to evaluate fitness for wheelchair activity Paraplegia 1978 16: 341–349
Cooper RA et al. Maximal exercise response of paraplegic wheelchair road racers Paraplegia 1992 30: 573–581
Hartung GH, Lally DA, Blancq RJ . Comparison of treadmill exercise testing protocol for wheelchair users Eur J Appl Physiol 1993 66: 362–365
Fisher AG et al. Noninvasive evaluation of world class athletes engaged in different modes of training Am J Cardiol 1989 63: 337–341
Neumann G . Sportartengruppenspezifische Leistungsfähigkeit. In: Dirix A, Knuttgen HG, Tittel K. (ed) Olympia Buch der Sportmedizin, Deutscher Aerzte-Verlag, Köln 1988
Hoffmann MD . Cardiorespiratory fitness and training in quadriplegics and paraplegics Sports Med 1986 3: 312–330
Hopman MTE et al. Blood redistribution and circulatory responses to submaximal arm exercise in persons with spinal cord injury Scand J Rehab Med 1998 30: 167–174
Cowell LL, Squires WG, Raven PB . Benefits of aerobic exercise for the paraplegic: a brief review Med Sci Sports Exerc 1986 18: 501–508
Brujn MI, Binkhorst RA . Cardiac output of paraplegics during exercise Int J Sports Med 1984 5: 175–176
Acknowledgements
The authors wish to thank Dr P Eser, Institute of Clinical Research, Swiss Paraplegic Centre, Nottwil, Switzerland, for assistance with the statistics and Prof H Knecht, Institute for Clinical Research, Swiss Paraplegic Centre, Nottwil, Switzerland, for the critical reading of the manuscript.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Knechtle, B., Köpfli, W. Treadmill exercise testing with increasing inclination as exercise protocol for wheelchair athletes. Spinal Cord 39, 633–636 (2001). https://doi.org/10.1038/sj.sc.3101229
Published:
Issue date:
DOI: https://doi.org/10.1038/sj.sc.3101229


