Comparison of two types of strengthening exercises in upper limbs for improvement of wheelchair propulsion in paraplegics
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Abstract
Introduction: A reduction in physical activity due to spinal cord injury leads to deconditioning and increased dependency. Manual wheelchair propulsion is a straining form of ambulation and propulsion is based on the use of upper extremities, which are usually capable of producing less force with less efficiency. Theraband can be an exercise mode, which resembles wheelchair activity. Mat exercises are also given for strengthening of upper limb muscles in persons with paraplegia. The aim of this study is to compare effects of both elastic resistance strength training and strengthening by mat activity of upper limb muscles on wheelchair propulsion efficiency in persons with paraplegia.
Materials and Method: The selected subjects were randomly assigned into Theraband and Mat exercise groups with 15 subjects each. Theraband group received theraband strengthening of wheelchair propulsion muscles, whereas mat activity group received mat strengthening of wheelchair propulsion muscles. Total duration of treatment was 5 days per week for 5 weeks.
Results: Results of the study showed both mat exercise and theraband groups showed significant improvement in wheelchair 15 meter sprint test and wheelchair propulsion for 50 meters in paraplegics due to spinal cord injury. However, theraband group showed significantly more improvement.
Conclusion: The study revealed that theraband exercises for improving upper limb strength for wheelchair propulsion is superior to strengthening through mat exercise.
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Copyright (c) 2017 Mohanty P, et al.
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Capoor J, Stein AB. Aging with spinal cord injury. Phys Med Rehabil Clin N Am. 2005; 16: 129-61.
Noreau L, Shephard RJ. Spinal cord injury, exercise and quality of life. Sports Med. 1995; 20: 226-250. Ref.: https://goo.gl/ADYcMX
Tate DG, Kalpakjian CZ, Forchheimer MB. Quality of life issues in individuals with spinal cord injury. Am J Phys Med Rehabil. 2002; 83: S18-S25. Ref.: https://goo.gl/7L4lIk
Soden RJ, Walsh J, Middleton JW, Craven ML, Rutkowski SB, et al. Causes of death after spinal cord injury. Spinal Cord. 2000; 38: 604-610. Ref.: https://goo.gl/y0HULB
Michelle LO, Smith IJ, Lee KR, TRory AC, Suzanne LG, et al. Wheelchair Skill Performance of Manual Wheelchair Users With Spinal Cord Injury. Spinal Cord Inj Rehabil. 2012; 18: 138-139. Ref.: https://goo.gl/cGMljl
Lucas HV, Woude VD, Groot SD. Wheelchair propulsion: A straining form of ambulation. The Indian Journal of Medical Research. 2005; 121: 719-722. Ref.: https://goo.gl/SZbyft
Colado JC, Masso XG, Pellicer M, Alakhdar Y, Benavent J, et al. A Comparison of Elastic Tubing and Isotonic Resistance Exercises. Int J Sports Med. 2010; 31: 810-817. Ref.: https://goo.gl/GDzDLy
Van der Scheer JW, Groot SD, Vegter RJ, Veeger DH, van der Woude LH. Can a 15m-overground wheelchair sprint be used to assess wheelchair-specific anaerobic work capacity? Med Eng Phys. 2014; 36: 432-438. Ref.: https://goo.gl/IbbxaG
Mulroy SJ, Farrokhi S, Newsam CJ, Perry J. Effects of Spinal Cord Injury Level on the Activity of Shoulder Muscles during Wheelchair Propulsion: An Electromyographic Study. Arch Phys Med Rehabil. 2004; 85: 925-934. Ref.: https://goo.gl/VxT9qC
Olenik LM, Laskin JJ, Burnham R, Wheeler GD, Steadward RD. Efficacy of rowing, backward wheeling and isolated scapular retractor exercise as remedial strength activities for wheelchair users: application of electromyography. Paraplegia. 1995; 33: 148-152. Ref.: https://goo.gl/rwVskg
Ozmen T, Yuktasir B, Necmiye UY, Birol Y, Mark ETW. Explosive Strength Training Improves Speed and Agility in Wheelchair Basketball Athletes. Rev Bras Med Esporte. 2014; 20: Ref.: https://goo.gl/ltLfaJ
Fleck SJ, Kraemer WJ. Designing Resistance Training Programs. Champaign, Ill: Human Kinetics. 1997.
Andersen LL, Christoffer AH, Mortensen OS, Poulsen OM, Bjørnlund IBT, et al. Muscle Activation and Perceived Loading during Rehabilitation Exercises: Comparison of Dumbbells and Elastic Resistance. Phys Ther. 2010; 90: 538-549. Ref.: https://goo.gl/TIUMp5
Stoppani J. Encyclopedia of Muscle & Strength. Human Kinetics. 2005; Champaign, IL.
Keyser RE, Rasch EK, Finley M, Rodgers MM. Improved upper-body endurance following a 12-week home exercise program for manual wheelchair users. Journal of Rehabilitation Research and Development. 2003; 40: 501-510. Ref.: https://goo.gl/yykMuE
Hickson RC, Rosenkoetter MA, Brown MM. Strength training effects on aerobic power and short-term endurance. Med Sci Sports Exerc. 1980; 12: 336-339. Ref.: https://goo.gl/TZ9jEf
Coetsee C, Terblanche E. The time course of changes induced by resistance training and detraining on muscular and physical function in older adults. Eur Rev Aging Phys Act. 2015; 12: 7. Ref.: https://goo.gl/dmbbPT
American Physical Therapy Association: Guide to Physical Therapist Practice, ed 2. Phys Ther. 2001; 81: 9-744.