From the Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands (RJFJ, LHVVdW, HH, RJKV); Amsterdam Rehabilitation Research Center Reade, Amsterdam, the Netherlands (SdG); Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University, Amsterdam, the Netherlands (SdG); Center for Rehabilitation, University Medical Center Groningen, Groningen, the Netherlands (LHVVdW); and Peter Harrison Centre for Disability Sports, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, United Kingdom (LHVVdW, RJKV).
Am J Phys Med Rehabil. 2023 Mar 1;102(3):261-269. doi: 10.1097/PHM.0000000000001941. Epub 2021 Dec 21.
Previous studies on handrim wheelchair-specific (an)aerobic exercise capacity in wheelchair athletes have used a diversity of participants, equipment, and protocols. Therefore, test results are difficult to compare among studies. The first aim of this scoping review is to provide an overview of the populations studied, the equipment and protocols used, and the reported outcomes from all laboratory-based studies on wheelchair-specific exercise capacity in wheelchair athletes. The second aim is to synthesize these findings into a standardized, yet individualized protocol. A scoping literature search resulted in 10 anaerobic and 38 aerobic protocols. A large variety in equipment, protocol design, and reported outcomes was found. Studies that systematically investigated the influence of protocol features are lacking, which makes it difficult to interpret and compare test outcomes among the heterogeneous group of wheelchair athletes. Protocol design was often dependent on a priori participant knowledge. However, specific guidelines for individualization were missing. However, the common protocol features of the different studies were united into guidelines that could be followed when performing standardized and individualized wheelchair-specific exercise capacity tests in wheelchair athletes. Together with guidelines regarding reporting of participant characteristics, used equipment, and outcome measures, we hope to work toward more international agreement in future testing.
先前有关轮椅运动员手摇轮椅特定（an）有氧运动能力的研究使用了各种不同的参与者、设备和方案。因此，测试结果难以在研究之间进行比较。本次范围综述的第一个目的是提供所有关于轮椅运动员手摇轮椅特定运动能力的实验室研究中所研究人群、使用的设备和方案以及报告结果的概述。第二个目的是将这些发现综合为一个标准化但个体化的方案。广泛的文献检索产生了 10 项无氧和 38 项有氧方案。在设备、方案设计和报告结果方面发现了很大的差异。缺乏系统研究方案特征影响的研究，这使得难以在异质的轮椅运动员群体中解释和比较测试结果。方案设计通常依赖于参与者的先验知识。然而，个性化的具体指导方针却缺失了。然而，不同研究中常见的方案特征被统一为在轮椅运动员中进行标准化和个体化手摇轮椅特定运动能力测试时可以遵循的指南。结合有关报告参与者特征、使用设备和结果测量的指南，我们希望在未来的测试中朝着更多的国际共识努力。
