Taylor A W, McDonell E, Brassard L
Paraplegia. 1986 Apr;24(2):105-14. doi: 10.1038/sc.1986.14.
The purpose of the present investigation was to study the effects of an arm ergometer training programme on several physiological variables of recreational wheelchair subjects. Ten paraplegics (5 experimental, 5 control) were tested prior to and immediately after a 2 month exercise regimen at 80% of peak heart rate (30 min per day, 5 days per week, for 8 consecutive weeks at 50 rev/min). The results demonstrated significant increases (P less than 0.05) in VO2max (1 min-1 & ml kg-1 min-1) and workload but only mild improvements in maximal heart rate and post exercise blood lactates. Body fat, vital capacity and forced expiratory volume did not change with training. Triceps lateralis fibre distribution and fast twitch (FT) fibre area were unaffected by the endurance training programme. However, slow twitch (ST) fibre area increased (P less than 0.05) with training. The results indicate that physiological variables of paraplegic subjects following an arm ergometer endurance training programme react similarly to changes previously observed in non-handicapped subjects. The values when compared with normals are low as a result of the relative inactivity of the subjects due to the lack of available exercise programmes for wheelchair people.
本研究的目的是探讨手臂测力计训练计划对休闲轮椅使用者若干生理变量的影响。十名截瘫患者（5名实验组，5名对照组）在进行为期2个月的运动方案前和方案结束后立即接受测试，运动方案强度为最高心率的80%（每天30分钟，每周5天，连续8周，每分钟50转）。结果显示，最大摄氧量（每分钟升数和每公斤体重每分钟毫升数）和工作量显著增加（P<0.05），但最大心率和运动后血乳酸仅略有改善。身体脂肪、肺活量和用力呼气量并未因训练而改变。耐力训练计划未影响肱三头肌外侧肌纤维分布和快肌（FT）纤维面积。然而，慢肌（ST）纤维面积随训练增加（P<0.05）。结果表明，截瘫患者在进行手臂测力计耐力训练计划后的生理变量变化，与之前在非残疾受试者中观察到的变化相似。由于缺乏适合轮椅使用者的运动方案，受试者相对缺乏运动，与正常人相比，这些数值较低。
