Effects of Circuit Resistance Training on Fitness Attributes and Upper-Extremity Pain in Middle-Aged Men With Paraplegia

Mark S Nash, Ingrid van de Ven, Niek van Elk, Brad M. Johnson

Research output: Contribution to journalArticle

96 Citations (Scopus)

Abstract

Nash MS, van de Ven I, van Elk N, Johnson BM. Effects of circuit resistance training on fitness attributes and upper-extremity pain in middle-aged men with paraplegia. Objective: To examine the effects of circuit resistance exercise (CRT) training on muscle strength, endurance, anaerobic power, and shoulder pain in middle-aged men with paraplegia. Design: Repeated testing. Setting: Academic medical center. Participants: Seven men (age range, 39-58y) with motor-complete paraplegia from T5 to T12 and confirmed shoulder pain occurring during daily activities. Interventions: Not applicable. Main Outcome Measures: Subjects underwent a 4-month CRT program using alternating resistance maneuvers and high-speed, low-resistance arm exercise. One-repetition maximal force was measured before training and monthly thereafter. Pretraining and posttraining peak oxygen uptake (Vo2peak) was measured by graded arm testing. Anaerobic power was measured before and after training using a 30-second Wingate Anaerobic Test. Shoulder pain was self-evaluated by an index validated for people with spinal cord injury (Wheelchair Users Shoulder Pain Index [WUSPI]). Results: Strength increases ranging from 38.6% to 59.7% were observed for all maneuvers (P range, .005-.008). Vo2peak increased after training by 10.4% (P=.01), and peak and average anaerobic power increased by 6% (P=.001) and 8.6% (P=.005), respectively. WUSPI scores ± standard deviation were lowered from 31.9±24.8 to 5.7±5.9 (P=.008), with 3 of 7 subjects reporting complete resolution of shoulder pain. Conclusions: CRT improves muscle strength, endurance, and anaerobic power of middle-aged men with paraplegia while significantly reducing their shoulder pain.

Original languageEnglish
Pages (from-to)70-75
Number of pages6
JournalArchives of Physical Medicine and Rehabilitation
Volume88
Issue number1
DOIs
StatePublished - Jan 1 2007

Fingerprint

Shoulder Pain
Resistance Training
Paraplegia
Upper Extremity
Pain
Exercise
Wheelchairs
Muscle Strength
Arm
Circuit-Based Exercise
Spinal Cord Injuries
Outcome Assessment (Health Care)
Oxygen
Power (Psychology)

Keywords

  • Exercise
  • Pain
  • Paraplegia
  • Physical fitness
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Effects of Circuit Resistance Training on Fitness Attributes and Upper-Extremity Pain in Middle-Aged Men With Paraplegia. / Nash, Mark S; van de Ven, Ingrid; van Elk, Niek; Johnson, Brad M.

In: Archives of Physical Medicine and Rehabilitation, Vol. 88, No. 1, 01.01.2007, p. 70-75.

Research output: Contribution to journalArticle

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abstract = "Nash MS, van de Ven I, van Elk N, Johnson BM. Effects of circuit resistance training on fitness attributes and upper-extremity pain in middle-aged men with paraplegia. Objective: To examine the effects of circuit resistance exercise (CRT) training on muscle strength, endurance, anaerobic power, and shoulder pain in middle-aged men with paraplegia. Design: Repeated testing. Setting: Academic medical center. Participants: Seven men (age range, 39-58y) with motor-complete paraplegia from T5 to T12 and confirmed shoulder pain occurring during daily activities. Interventions: Not applicable. Main Outcome Measures: Subjects underwent a 4-month CRT program using alternating resistance maneuvers and high-speed, low-resistance arm exercise. One-repetition maximal force was measured before training and monthly thereafter. Pretraining and posttraining peak oxygen uptake (Vo2peak) was measured by graded arm testing. Anaerobic power was measured before and after training using a 30-second Wingate Anaerobic Test. Shoulder pain was self-evaluated by an index validated for people with spinal cord injury (Wheelchair Users Shoulder Pain Index [WUSPI]). Results: Strength increases ranging from 38.6{\%} to 59.7{\%} were observed for all maneuvers (P range, .005-.008). Vo2peak increased after training by 10.4{\%} (P=.01), and peak and average anaerobic power increased by 6{\%} (P=.001) and 8.6{\%} (P=.005), respectively. WUSPI scores ± standard deviation were lowered from 31.9±24.8 to 5.7±5.9 (P=.008), with 3 of 7 subjects reporting complete resolution of shoulder pain. Conclusions: CRT improves muscle strength, endurance, and anaerobic power of middle-aged men with paraplegia while significantly reducing their shoulder pain.",
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