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  4. Vascular adaptations in nonstimulated areas during hybrid cycling or handcycling in people with a spinal cord injury: a pilot study of 10 cases

Vascular adaptations in nonstimulated areas during hybrid cycling or handcycling in people with a spinal cord injury: a pilot study of 10 cases

Spinal Cord Series and Cases, 2021 · DOI: https://doi.org/10.1038/s41394-021-00417-2 · Published: January 1, 2021

Spinal Cord InjuryCardiovascular ScienceRehabilitation

Simple Explanation

This study investigated whether hybrid cycling (leg cycling with electrical stimulation and handcycling) leads to better vascular health than just handcycling in people with spinal cord injuries. They measured blood vessel thickness and dilation in the arms and legs of participants after a 16-week training program. The study found that neither hybrid cycling nor handcycling significantly improved blood vessel health in non-stimulated areas of the body.

Study Duration
16 weeks
Participants
10 men with long-standing SCI
Evidence Level
Sub-study of a randomized controlled trial

Key Findings

  • 1
    No significant changes in intima media thickness (IMT) were found in the common coronary artery (CCA) or superficial femoral artery (SFA) after hybrid cycling or handcycling.
  • 2
    Flow-mediated dilation (FMD) of the brachial artery (BA) did not change significantly after either type of cycling.
  • 3
    The 16-week training program, consisting of twice-weekly sessions, may not have been sufficient to induce systemic vascular adaptations in the nonstimulated areas.

Research Summary

This pilot study examined the impact of hybrid cycling versus handcycling on vascular adaptations in non-stimulated areas of individuals with spinal cord injury (SCI). The study involved a 16-week training program, with measurements of intima media thickness (IMT) and flow-mediated dilation (FMD) taken before and after the intervention. The results indicated that neither hybrid cycling nor handcycling led to significant systemic vascular adaptations in non-stimulated areas, suggesting the need for more frequent and higher intensity training protocols.

Practical Implications

Training Protocol Adjustment

Future research should explore more frequent and higher intensity training programs, possibly in a home-based setting, to assess potential vascular adaptations.

Adaptation Period

Consider incorporating an adaptation period prior to the main intervention to allow participants to adjust to the exercise intensity and reduce the risk of overuse injuries.

Sample Size Increase

Larger sample sizes are needed to detect potential trends and account for heterogeneity within the SCI population.

Study Limitations

  • 1
    Small sample size
  • 2
    Heterogeneity within the sample
  • 3
    Training frequency and intensity may have been insufficient

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