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  4. Arm crank ergometry improves cardiovascular disease risk factors and community mobility independent of body composition in high motor complete spinal cord injury

Arm crank ergometry improves cardiovascular disease risk factors and community mobility independent of body composition in high motor complete spinal cord injury

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2017.1412562 · Published: May 1, 2019

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

This study looked at how arm exercises (arm crank ergometry or ACE) affect people with spinal cord injuries, specifically focusing on heart health, mobility, and body composition. The research showed that doing ACE exercises for ten weeks improved heart fitness, wheelchair mobility, and certain metabolic markers, all without significant changes to body composition. This suggests that ACE is a helpful way to reduce heart disease risks and enhance fitness and mobility in people with spinal cord injuries, regardless of changes in body composition.

Study Duration
10 weeks
Participants
10 participants with high motor complete SCI (C7-T5)
Evidence Level
Longitudinal interventional study

Key Findings

  • 1
    Aerobic fitness significantly improved after the ACE intervention, as indicated by increased resting VO2, relative VO2Peak, absolute VO2Peak, and peak power.
  • 2
    Community mobility, measured by the 12-minute wheelchair propulsion test, significantly increased following the exercise intervention.
  • 3
    Metabolic profiles, including fasting insulin, fasting G:I ratio, HOMA-%S, and HOMA-IR, significantly improved from baseline after the ACE intervention.

Research Summary

The study evaluated the impact of arm crank ergometry (ACE) on cardiovascular disease (CVD) risk factors and functional mobility in individuals with high motor complete spinal cord injury (SCI). Ten weeks of ACE training at 70% VO2Peak led to significant improvements in aerobic capacity, community mobility (12-minute wheelchair propulsion), and metabolic profiles. These improvements occurred independently of changes in body composition, emphasizing the potential of ACE as an effective intervention for reducing CVD risk and enhancing fitness in this population.

Practical Implications

Rehabilitation Programs

ACE should be integrated into rehabilitation programs for SCI patients to improve cardiovascular fitness and mobility.

Metabolic Health Management

ACE can be used as a strategy to manage metabolic health and reduce cardiovascular disease risk factors in SCI individuals.

Accessibility and Affordability

ACE is an inexpensive and widely used exercise modality, making it an accessible option for individuals with SCI.

Study Limitations

  • 1
    Small sample size, raising the possibility of a type 2 error.
  • 2
    Lack of a comparative control group.
  • 3
    Diets of the enrolled participants were not controlled for.

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