Spirometric and ergospirometric evaluation of wheelchair rugby players

• Autorzy: Domaszewska K. , Szymczak L. , Krysciak J. , Pospieszna B. , Laurentowska M.
• Języki publikacji: EN

Abstrakty

EN

Introduction. Cervical spinal cord injury is one of most common human body deficiencies. Quadriplegia affects not only the mass of paralyzed muscles, but also disrupts physiological exercise adaptation mechanisms. One of the few sports suitable for individuals with cervical spine impairment is wheelchair rugby. Professional athletes display a higher exercise capacity than untrained people with a similar degree of spinal damage. The reduction of aerobic capacity in individuals with cervical spinal cord injury is multifactorial. In addition to cardio-pulmonary mechanisms limiting the exercise capacity, the decrease in active muscle mass leads to the rapid development of tissue hypoxia. Material and Methods. 14 members of the Polish National Wheelchair Rugby Team were recruited for the study. The male players aged 20-40 years with cervical spinal cord injuries underwent spirometric and ergospirometric tests. Results. The mean values of spirometric parameters were: VC 3.9 ± 0.71 l (71.3% predicted), ERV 0.9 ± 0.33 l (60.7% predicted), VE 12.6 ± 6.34 4 l/min, Bf 18.3 ± 4.72 l/min, VT 0.7 ± 0.20 l, FVC 4.05 ± 0.69 l/min (76.3% predicted), FEV₁,₀/FVC 92.2 ± 7.10% (113.45% predicted), MVV 141.7 ± 24.59 l/min (97.15% predicted). The mean value of peak oxygen consumption during exercise was 1.31 ± 0.30 l/min (17.8 ± 4.99 ml/kg/min) achieved within 11.8 ± 3.51 min. The mean maximal workload was 42.5 ± 13.99 W. During the test only 10 players reached the anaerobic threshold (AT) intensity. The mean workload at AT was 36 ± 10.62 W, and VO2 max at AT was 0.9 ± 0.26 l/min (15.5 ± 4.17 ml/kg/min). Conclusions. The results of spirometric tests indicate the presence of mild and medium restrictive pulmonary changes in 8 out of the studied players of the Polish National Wheelchair Rugby Team. The physiological parameters obtained during the exercise test indicate a higher aerobic capacity of surveyed athletes in comparison with untrained quadriplegics.

Słowa kluczowe

EN

spirometry; ergospirometry; wheelchair rugby; player; quadriplegia; maximum oxygen uptake; exercise; physiological parameter

• Wydawca: -
• Czasopismo: Trends in Sport Sciences
• Rocznik: 2013
• Tom: 20
• Numer: 2
• Opis fizyczny: p.89-94,fig.,ref.

Twórcy

autor

Domaszewska K.

• Department of Physiology, University School of Physical Education, Poznan, Poland

autor

Szymczak L.

• Department of Physiology, University School of Physical Education, Poznan, Poland

autor

Krysciak J.

• Department of Physiology, University School of Physical Education, Poznan, Poland

autor

Pospieszna B.

• Department of Physiology, University School of Physical Education, Poznan, Poland

autor

Laurentowska M.

• Department of Physiology, University School of Physical Education, Poznan, Poland

Bibliografia

• 1. Kiwerski J, red. Schorzenia i urazy kręgosłupa (Diseases and spinal injuries). Wyd. Lekarskie PZWL, Warszawa; 2001.
• 2. Morgulec N, Kosmol A. Physical activity in the rehabilitation of people with spinal cord injuries at the cervical level. AWF, Warszawa; 2007.
• 3. Tasiemski T. Satysfakcja z życia i aktywność sportowa osób po urazach rdzenia kręgowego (Life satisfaction and sports activity of people with spinal cord injuries). Monografia. AWF, Poznań. 2007; 378.
• 4. Kwolek A, Pacześniak-Jost A, Samojedna-Kobosz A. Rehabilitacja osób po urazie rdzenia kręgowego w odcinku szyjnym (Rehabilitation of people with spinal cord injury). Post Rehab. 2002; 16(4): 17-24.
• 5. Apple Jr. D. Physical fitness: a guide for individuals with spinal cord injury. Washington, D.C.: Dept. of Veteran Affairs, Veterans Health Administration, Rehabilitation Research and Development Service, Scientific and Technical Publications Section, 1996.
• 6. www.iwrf.com 08.04.2013.
• 7. Morgulec N, Skrzypczyk R. Rozwój rugby na wózkach i jego wpływ na możliwości funkcjonalne tetraplegików (The development of wheelchair rugby, and influence on physical performance in tetraplegia). Wychowanie Fizyczne i Sport. 2003; 47(4): 535-543.
• 8. Górski J, red. Fizjologia wysiłku i treningu sportowego (Physiology of exercise and sports training). Wyd Lek PZWL, Warszawa; 2011.
• 9. Lutosławska G. Wpływ wielkości mięśni aktywnych na zmiany fizjologiczne i biochemiczne po wysiłku i treningu (The effect of active muscle quantity on physiological and biochemical changes following exercise and training). Med Sportiva. 1999; 1: 21-30.
• 10. Huonker M, Barturen JM, Stahl F, et al. Catecholamines, heart rate, and oxygen uptake during exercise in persons with spinal cord injury. J Appl Physiol. 1998; 85(2): 635¬-641.
• 11. Jethon Z, Tomaszewski W. Zdolność wysiłkowa osób z uszkodzeniami rdzenia kręgowego i po amputacjach kończyn dolnych a możliwości lokomocji (Physical performance and locomotor ability of patients with spinal cord impairments and following amputation of lower extremites). Pol J Physiot. 2006; 4: 276-279.
• 12. Baydur A, Adkins RH, Milic-Emili J. Lung mechanics in individuals with spinal cord injury: effects of injury level and posture. J Appl Physiol. 2001; 90(2): 405-411.
• 13. Prigent H, Roche N. Laffont Relation between corset use and lung function postural variation in spinal cord injury. Eur Respir J. 2010; 35(5): 1126-1129. http://erj.ersjournals. com/content/35/5/1126.full - target-2 I.
• 14. DeVivo MJ, Black KJ, Stover SL. Causes of death during the first 12 years after spinal cord injury. Arch Phys Med Rehabil. 1993; 74(3): 248-254.
• 15. Coutts KD, Rhodes EC, McKenzie DC. Maximal exercise responses of tetraplegics and paraplegics. J Appl. Physiol. 1983; 55(2): 479-482.
• 16. Dreisinger TE, Dalton RD, Whiting RB. Maximal wheelchair exercise: comparison ofablebodied and wheelchair bound. Med Sci Sports Exerc. 1984; 16: 147.
• 17. Wicks JR, Oldridge NB, Cameron BJ, et al. Arm cranking and wheelchair ergometry in elite spinal cord-injured athletes. Med Sci Sports Exerc. 1983; 15: 224-231.
• 18. Burkett LN, Chisum J, Stone W, et al. Exercise capacity of untrained spinal cord injured individuals and the relationship of peak oxygen uptake to level of injury. Paraplegia. 1990; 28: 512-521.
• 19. Wells CL, Hooker SP, Williams TJ. Aerobic capacity of elite paraplegic road racers. Med Sci Sports Exerc. 1988; 20: 27 (abstract).
• 20. Hopman MT, Dueck C, Monroe M, et al. Limits to maximal performance in individuals with spinal cord injury. Int J Sports Med. 1998; 19(2): 98-103.
• 21. Janssen TW, Dallmeijer AJ, Veeger D, et al. Normative values and determinants of physical capacity in individuals with spinal cord injury. J Rehabil Res Dev. 2002; 39(1): 29-39.
• 22. Schantz P, Sjöberg B, Widebec A, et al. Skeletal muscle of trained and untrained paraplegics and tetraplegics. Acta Physiol Scand. 1997; 161: 31-39.
• 23. Schmid A, Huber G, Hirschmüller A, et al. Leistungsphysiologische Parameter und Kenngrößen der muskulären und metabolischen Beanspruchung bei querschnittgelähmten Sportlern mit unterschiedlichen Lähmungshöhen. Sport-Orthopädie Sport-Traumatologie. 2008; 23(4): 244-250.
• 24. Mansel JK, Norman JR. Respiratory complications and management of spinal cord injuries. Chest. 1990; 97: 1446--1452.
• 25. Tolfrey K, Goosey-Tolfrey V, Campbell I. Oxygen uptake- heart rate relationship in élite wheelchair racers. Eur J Appl Physiol. 2001; 86(2): 174-178.