The Course of Physical Capacity in Wheelchair Users During Training for the HandbikeBattle and at 1-Yr Follow-up

American Journal of Physical Medicine & Rehabilitation, 2021 · DOI: 10.1097/PHM.0000000000001658 · Published: September 1, 2021

Spinal Cord Injury Rehabilitation

Simple Explanation

This study investigates the long-term effects of training for the HandbikeBattle event on the physical capacity of wheelchair users. The research compares physical fitness levels before, immediately after training, and one year later to see if improvements are maintained. The study also looks at factors that might predict whether someone stays physically fit over the long term after the HandbikeBattle.

Study Duration

1 year

Participants

33 former rehabilitation patients with conditions like spinal cord injury or amputation

Evidence Level

Prospective observational study

Key Findings

1
Physical capacity increased during the training period for the HandbikeBattle.
2
Physical capacity remained stable at 1-year follow-up at the group level.
3
Participants who competed again in the HandbikeBattle showed slight improvement, while those who didn't showed a decrease in physical capacity.

Research Summary

The study aimed to assess the long-term impact of HandbikeBattle training on physical capacity in wheelchair users and identify factors influencing its course. Results indicated that physical capacity improved during training and remained stable overall at 1-year follow-up. Repeated participation in the HandbikeBattle was associated with maintained or improved physical capacity, suggesting the importance of ongoing challenges for exercise maintenance.

Practical Implications

Promote Goal-Oriented Exercise

Encourage wheelchair users to participate in goal-oriented events like the HandbikeBattle to maintain long-term physical fitness.

Consider Exercise Stage of Change

Assess individuals' readiness for exercise to tailor interventions and improve long-term exercise maintenance.

Further Research on Motivation

Investigate the motivational factors that encourage continued participation in physical activity for wheelchair users.

Study Limitations

1
Missing data and small sample size limited analysis of dynamic factors like self-efficacy and pain.
2
The heterogeneous population limits specific conclusions for individual diagnoses.
3
Incomplete data on secondary health conditions may have influenced physical activity levels.

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