Ventilatory Threshold during Wheelchair Exercise in Untrained and Endurance-Trained Subjects with Quadriplegia
In this study we compared the ventilatory threshold (VT) between 8 untrained and 8 endurance-trained males with quadriplegia during simulated wheelchair exercise. Each subject completed an incremental velocity test in his personal wheelchair mounted on a customized roller system designed to provide velocity and distance feedback. VT was identified by two trained evaluators using established respiratory gas exchange criteria. A significant interevaluator reliability coefficient of .90 (p < .01) was observed for the detection of VT. Relative oxygen uptake (V̇O2, ml · kg-1 · min-1) at VT and peak V̇O2 were significantly (p < .05) higher in the endurance-trained compared to untrained subjects. However, no significant difference (p > .05) was observed between the two groups when VT was expressed as a percentage of peak V̇O2. Significant correlations of .86 and .81 (p < .01) were observed between VT and peak V̇O2 in the untrained and trained groups, respectively. It was concluded that endurance training improves both VT and peak V̇O2 during wheelchair exercise in male subjects with quadriplegia but does not improve VT when it is expressed relative to peak V̇O2.