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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
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]