Valent Linda J, Dallmeijer Annet J, Houdijk Han, Slootman Hans J, Post Marcel W, van der Woude Lucas H
Heliomare Rehabilitation Center, Wijk aan Zee, The Netherlands.
Arch Phys Med Rehabil. 2008 Jun;89(6):1016-22. doi: 10.1016/j.apmr.2007.10.034.
To investigate the influence of hand cycling on outcome measures of physical capacity during and after rehabilitation in persons with paraplegia and tetraplegia in The Netherlands.
A longitudinal cohort study with measurement moments at the start (t1) and end (t2) of clinical rehabilitation and 1 year after discharge (t3). Hand cycle use was assessed by means of questionnaires at t2 and t3.
Eight rehabilitation centers in The Netherlands.
Subjects (N=162) with a recent spinal cord injury.
All subjects followed the regular rehabilitation program.
Peak oxygen uptake (Vo(2)peak) and peak power output (POpeak) determined in a handrim wheelchair peak exercise test, peak muscle strength of the upper extremities, and pulmonary function.
A significantly larger increment in Vo(2)peak, POpeak, and elbow extension strength was found in subjects with paraplegia during clinical rehabilitation. No such effect was found in subjects with tetraplegia. In the postrehabilitation period, no influence of hand cycling on any outcome measure was found in subjects with paraplegia or subjects with tetraplegia.
After correction for baseline values and confounders, regular hand cycling (once a week or more) appeared to be beneficial for improving aerobic physical capacity in persons with paraplegia during clinical rehabilitation. The small and heterogeneous study groups may have hampered the finding of positive results of hand cycling in persons with tetraplegia.
研究手摇车骑行对荷兰截瘫和四肢瘫患者康复期间及康复后身体能力指标的影响。
一项纵向队列研究，在临床康复开始时（t1）和结束时（t2）以及出院后1年（t3）进行测量。在t2和t3通过问卷调查评估手摇车的使用情况。
荷兰的8个康复中心。
近期脊髓损伤的受试者（N = 162）。
所有受试者均遵循常规康复计划。
在手轮式轮椅峰值运动测试中测定的峰值摄氧量（Vo₂peak）和峰值功率输出（POpeak）、上肢峰值肌肉力量和肺功能。
截瘫患者在临床康复期间，Vo₂peak、POpeak和肘伸展力量有显著更大的增加。四肢瘫患者未发现此类效果。在康复后期，截瘫患者或四肢瘫患者中均未发现手摇车骑行对任何观察指标有影响。
在校正基线值和混杂因素后，规律的手摇车骑行（每周一次或更多）似乎有利于在临床康复期间改善截瘫患者的有氧身体能力。小规模且异质性的研究组可能妨碍了发现手摇车骑行对四肢瘫患者的积极效果。
