Wheelchair exercise performance of the young, middle-aged, and elderly

1981 ◽  
Vol 50 (4) ◽  
pp. 824-828 ◽  
Author(s):  
M. N. Sawka ◽  
R. M. Glaser ◽  
L. L. Laubach ◽  
O. Al-Samkari ◽  
A. G. Suryaprasad

The purpose of this study was to quantitate the maximal power output (POmax), peak oxygen uptake (peak VO2), and maximal heart rate (HRmax) for wheelchair ergometer (WERG) exercise performed by three groups of disabled males: young adult (20-30 yr), middle-aged (50-60 yr), and elderly (80-90 yr). These subjects, who were confined to wheelchairs for similar time periods (mean = 11.7 yr), participated in progressive-intensity discontinuous test protocols on a WERG. Lower (P less than 0.01) mean POmax, peak VO2, and HRmax values were found with advancing age groups. In relationship to age, decreases in POmax and HRmax values were best described by parabolic models, whereas decreases in peak VO2 values were best described by a linear model. In comparison with young adults (83 W, 27 ml . kg-1 . min-1), surprisingly low POmax and peak VO2 values were found for the middle-aged (16 W, 10 ml . kg-1 . min-1) and elderly (7 W, 8 ml . kg-1 . min-1). When our peak VO2 data were combined with other data in the literature for upper body exercise by male disabled individuals, a decrease of 0.19 1 . min-1 or 2.9 ml . kg-1 . min-1 per decade of life was found.

1983 ◽  
Vol 54 (1) ◽  
pp. 113-117 ◽  
Author(s):  
M. N. Sawka ◽  
M. E. Foley ◽  
N. A. Pimental ◽  
M. M. Toner ◽  
K. B. Pandolf

The purpose of this investigation was to evaluate four protocols for their effectiveness in eliciting maximal aerobic power (peak VO2) during arm-crank exercise. Comparisons were made 1) between a continuous (CON) and an intermittent (INT) protocol (both employed a crank rate of 50 rpm) and 2) among the CON protocols employing crank rates of 30, 50, or 70 rpm. For the first group of experiments no significant (P greater than 0.05) differences were found between the CON and INT protocols for peak VO2, maximal pulmonary ventilation (VEmax), maximal heart rate (HRmax), or maximal blood lactate (LAmax) responses. For the second group of experiments, the CON-50 was compared with the CON-30 and CON-70 protocols. In comparison to the CON-50, significantly higher peak VO2 (+10%) and VEmax (+14%) responses were elicited by the CON-70 protocol, whereas significantly lower peak VO2 (-11%), VEmax (-23%), HRmax (-8%), and LAmax (-29%) responses were elicited by the CON-30 protocol. Of the arm-crank protocols examined the combination of a continuous design and a crank rate of 70 rpm provided the most effective protocol to elicit peak VO2 values.


1980 ◽  
Vol 48 (6) ◽  
pp. 1060-1064 ◽  
Author(s):  
R. M. Glaser ◽  
M. N. Sawka ◽  
M. F. Brune ◽  
S. W. Wilde

The purpose of this investigation was to compare physical work capacity (PWC), peak oxygen uptake (peak VO2), maximal pulmonary ventilation (VEmax), maximal heart rate (HRmax), and maximal blood lactate concentration (LAmax) for wheelchair ergometer (WERG) and arm crank ergometer (ACE) exercise. For this, wheelchair-dependent (n = 6) and able-bodied (n = 10) subjects completed a progressive intensity, discontinuous test for each mode of exercise. Each test was terminated by physical exhaustion and/or an inability to maintain a flywheel velocity of 180 m.min-1. Relatively high correlation coefficients were found between values obtained during the two modes of ergometry for PWC, peak VO2, VEmax, and HRmax. WERG exercise was found to elicit a significantly (P less than 0.05) lower PWC (by 36%), HRmax (by 7%), and LAmax (by 26%) than ACE exercise. Peak VO2 and VEmax, however, were similar for both exercise modes. These data suggest that either exercise mode may be used for fitness testing and training of people who cannot use their legs and that arm cranking may be a superior method to propel wheelchairs.


Author(s):  
Damir Zubac ◽  
Vladimir Ivančev ◽  
Zoran Valić ◽  
Boštjan Šimunič

We studied the effects of age on different physiological parameters, including those derived from (i) maximal cardiopulmonary exercise testing (CPET), (ii) moderate-intensity step transitions, and (iii) tensiomyography (TMG)-derived variables in moderately active women. Twenty-eight women (age, 19 to 53 years), completed 3 laboratory visits, including baseline data collection, TMG assessment, maximal oxygen uptake test via CPET, and a step-transition test from 20 W to a moderate-intensity cycling power output (PO), corresponding to oxygen uptake at 90% gas exchange threshold. During the step transitions, breath-by-breath pulmonary oxygen uptake, near infrared spectroscopy derived muscle deoxygenation (ΔHHb), and beat-by-beat cardiovascular response were continuously monitored. There were no differences observed between the young and middle-aged women in their maximal oxygen uptake and peak PO, while the maximal heart rate (HR) was 12 bpm lower in middle-aged compared with young (p = 0.016) women. Also, no differences were observed between the age groups in τ pulmonary oxygen uptake, ΔHHb, and τHR during on-transients. The first regression model showed that age did not attenuate the maximal CPET capacity in the studied population (p = 0.638), while in the second model a faster τ pulmonary oxygen uptake, combined with shorter TMG-derived contraction time (Tc) of the vastus lateralis (VL), were associated with a higher maximal oxygen uptake (∼30% of explained variance, p = 0.039). In conclusion, long lasting exercise involvement protects against a maximal oxygen uptake and τpulmonary oxygen uptake deterioration in moderately active women. Novelty: Faster τ pulmonary oxygen uptake and shorter Tc of the VL explain 33% of the variance in superior maximal oxygen uptake attainment. No differences between age groups were found in τ pulmonary oxygen uptake, τΔHHb, and τHR during on-transients.


1965 ◽  
Vol 20 (3) ◽  
pp. 432-436 ◽  
Author(s):  
K. Lange Andersen ◽  
Lars Hermansen

Maximal oxygen uptake and related respiratory and circulatory functions were measured in sedentary and well-trained middle-aged men. Maximal oxygen uptakes averaged 2.63 liter/min in sedentary men and 3.36 liter/min in well-trained men, the latter value being essentially the same as found in young untrained students. The heart rate/ oxygen uptake relationship was found to be the same for sedentary-living men, regardless of age, but maximal heart rate was lower in older men. The maximal heart rate is probably the same in well-trained as in sedentary middle-aged men, this in contrast to what has been observed in younger age groups, where training reduces maximal heart rate. The exercise-induced hyperventilation takes place at an oxygen uptake corresponding to 70–80% of the capacity, this being the same in trained and untrained, and essentially the same as found in young adult subjects. maximal O2 uptake Submitted on March 23, 1964


1991 ◽  
Vol 23 (10) ◽  
pp. 1201???1209 ◽  
Author(s):  
H. E. J. VEEGER ◽  
M. HADJ YAHMED ◽  
L. H. V. VAN DER WOUDE ◽  
P. CHARPENTIER

1993 ◽  
Vol 10 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Kenneth Coutts ◽  
Donald McKenzie ◽  
Christine Loock ◽  
Richard Beauchamp ◽  
Robert Armstrong

The purpose of this study was to describe the upper body exercise capabilities of youth with spina bifida, which would permit comparison of their abilities to norms. Forty-two children with spina bifida age 7 to 18 years were tested for maximal handgrip strength, anaerobic arm-crank power output, and peak arm-crank oxygen uptake. Analysis of variance was used to compare age, gender, and level of disability differences within the total sample. This analysis indicated no significant effect of level of disability on any of the upper body exercise capacity measures. Significant gender and age effects were noted for grip strength and anaerobic and aerobic capabilities. The sample exhibited handgrip strength comparable to that of nondisabled youth but low anaerobic power and peak oxygen uptake values. Some individual subjects, however, had “normal” values for all tests suggesting that a lower level of participation in regular physical activity rather than spina bifida per se may be responsible for the generally lower physical capacity found in the total sample.


2002 ◽  
Vol 93 (3) ◽  
pp. 947-956 ◽  
Author(s):  
Shona L. Halson ◽  
Matthew W. Bridge ◽  
Romain Meeusen ◽  
Bart Busschaert ◽  
Michael Gleeson ◽  
...  

To study the cumulative effects of exercise stress and subsequent recovery on performance changes and fatigue indicators, the training of eight endurance cyclists was systematically controlled and monitored for a 6-wk period. Subjects completed 2 wk of normal (N), intensified (ITP), and recovery training. A significant decline in maximal power output (N = 338 ± 17 W, ITP = 319 ± 17 W) and a significant increase in time to complete a simulated time trial (N = 59.4 ± 1.9 min, ITP = 65.3 ± 2.6 min) occurred after ITP in conjunction with a 29% increase in global mood disturbance. The decline in performance was associated with a 9.3% reduction in maximal heart rate, a 5% reduction in maximal oxygen uptake, and an 8.6% increase in perception of effort. Despite the large reductions in performance, no changes were observed in substrate utilization, cycling efficiency, and lactate, plasma urea, ammonia, and catecholamine concentrations. These findings indicate that a state of overreaching can already be induced after 7 days of intensified training with limited recovery.


2001 ◽  
Vol 92 (1) ◽  
pp. 253-262 ◽  
Author(s):  
Gaëlle Marais ◽  
Murielle Garcin ◽  
Ludovic Dupont ◽  
Jacques Vanvelcenaher ◽  
Patrick Pelayo

The aim of this study was two-fold. First, the rating of perceived exertion (RPE) was compared between two different upper and lower body exercises. Subjects ( n =12) performed with spontaneously chosen crank or pedal rates: (i) incremental maximum power tests (Test 1), with an initial work rate of 50% of maximal power followed by increases of 10% at each 120-sec. work stage and (ii) tests (Test 2) with exercise bouts set at 20, 40, 60, and 80% of maximal power separated by passive recovery periods. Second, the effects of variations in spontaneously chosen crank rate on RPE was analysed using the second test performed only with upper body. Subjects performed Test 2 three times with crank rates spontaneously chosen by the subjects, set at plus or minus 20% of spontaneously chosen crank rate. During both Tests 1 and 2 for upper or lower body, RPE increased linearly ( p<.01) with power output. No significant difference was noticed between upper and lower body tests; however, RPE was significantly different ( p<.05) between Test 1 results for upper and lower body at 70, 80, 90, and 100% of maximal power. The greater RPE at high power output could be linked to the important effect of fatigue during upper body exercise. Among the three crank-rate conditions, no significant difference in RPE was noticed. The choice of crank rate does not seem to influence the perception of exertion in upper body cycling exercise.


2006 ◽  
Vol 38 (Supplement) ◽  
pp. S423
Author(s):  
Marissa E. Mendelsohn ◽  
Tom J. Overend ◽  
Rob J. Petrella ◽  
Kunihiko Aizawa ◽  
Denise M. Connelly

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