Research Institute MOVE, Faculty of Human Movement Sciences, VU University Amsterdam, the Netherlands.
Disabil Rehabil. 2013 Jun;35(13):1127-32. doi: 10.3109/09638288.2012.715719. Epub 2012 Oct 15.
Physical activity in people with long-term spinal cord injury (SCI) is important to stay fit and healthy. The purpose of this study is to evaluate the effects of hybrid cycle training (hand cycling in combination with functional electrical stimulation-induced leg cycling) on fitness, physical activity and health among a group of inactive people with long-term SCI.
This study will be a 16-week multicenter randomized controlled trial (RCT) with a 26-week follow-up. Forty inactive people, aged 28-65 years, with paraplegia or tetraplegia for at least 10 years, will be randomly assigned to either an experimental group (hybrid cycle group) or control group (hand cycle group). During 16 weeks, both groups will train twice a week 30 minutes at an intensity of 65-75% of their heart rate reserve. The primary outcome measure is fitness. Secondary outcome measures are physical activity and health-related parameters. The primary and secondary outcome measures will be assessed just before the training program (T1), after 8 weeks of training (T2), directly after (T3), and 26 weeks after the training program (T4).
The results of this RCT may provide future implications for exercise prescription that preserve long-term functioning in people with SCI.
对于长期脊髓损伤（SCI）患者而言，身体活动对于保持健康非常重要。本研究旨在评估混合循环训练（手驱动自行车与功能性电刺激诱导的腿部自行车相结合）对长期 SCI 且不活跃人群的健康、体能和身体活动的影响。
本研究将是一项为期 16 周的多中心随机对照试验（RCT），并进行为期 26 周的随访。将 40 名年龄在 28-65 岁之间、截瘫或四肢瘫至少 10 年且不活跃的患者随机分配至实验组（混合循环组）或对照组（手驱动自行车组）。在 16 周期间，两组均每周训练两次，强度为心率储备的 65-75%，每次 30 分钟。主要结局指标为体能。次要结局指标为身体活动和健康相关参数。主要和次要结局指标将在训练计划前（T1）、训练 8 周后（T2）、直接训练后（T3）以及训练计划 26 周后（T4）进行评估。
这项 RCT 的结果可能为 SCI 患者的运动处方提供未来的影响，以维持长期功能。
