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Feasibility, acceptability, and preliminary efficacy of a handcycling high-intensity interval training program for individuals with spinal cord injury.


ABSTRACT:

Study design

Pilot nonrandomized clinical trial.

Objectives

To examine the feasibility, acceptability, and preliminary efficacy of performing handcycling high-intensity interval training (HIIT) for 6 weeks in wheelchair users with spinal cord injury.

Setting

Participant's home.

Methods

Participants completed pre- and postgraded exercise stress tests, exercise surveys and 6 weeks of handcycling HIIT. The HIIT program consisted of two weekly, 25?min supervised at-home sessions (2-3?min warm-up, then ten intervals of cycling with a ratio of 1?min work at 90% peak power output (PPO) to 1?min recovery at 0-20% PPO, then 2-3?min cool down). Real-time power output and heart rate were recorded via sensors and a bike computer. The sensor data were analyzed to evaluate training efficacy.

Results

Seven of the ten enrolled participants (70%) completed the study. All but one completed the required 12 sessions. The participants met at least 1 of the HIIT target intensity criteria in 76 out of 89 total sessions (85.4%) performed. Participants expressed a high level of enjoyment on the Physical Activity Enjoyment Scale, mean (SD)?=?114.8 (11.3), and satisfaction with the overall experience. Five of the seven participants (71%) who completed the study felt an increase in endurance, function, and health. Objective physiological changes showed mixed results.

Conclusions

Six weeks of handcycling HIIT appears to be safe, feasible and acceptable. A longer HIIT work interval may be needed to elicit significant physiological responses. Future investigation of the feasibility and efficacy of differing HIIT parameters is needed.

SUBMITTER: Koontz AM 

PROVIDER: S-EPMC7854955 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Feasibility, acceptability, and preliminary efficacy of a handcycling high-intensity interval training program for individuals with spinal cord injury.

Koontz Alicia M AM   Garfunkel Cecile E CE   Crytzer Theresa M TM   Anthony Steven J SJ   Nindl Bradley C BC  

Spinal cord 20200909 1


<h4>Study design</h4>Pilot nonrandomized clinical trial.<h4>Objectives</h4>To examine the feasibility, acceptability, and preliminary efficacy of performing handcycling high-intensity interval training (HIIT) for 6 weeks in wheelchair users with spinal cord injury.<h4>Setting</h4>Participant's home.<h4>Methods</h4>Participants completed pre- and postgraded exercise stress tests, exercise surveys and 6 weeks of handcycling HIIT. The HIIT program consisted of two weekly, 25 min supervised at-home  ...[more]

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