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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.
Sport participation in people with spinal cord injury (SCI) has been studied extensively, however there is little evidence available on sports for people with cervical SCI (tetraplegia). Due to physical consequences of cervical SCI people with tetraplegia have very limited possibility to engage in vigorous physical activity but increasing number of adaptive sports for people with tetraplegia allowed scientist to explore more intensively diverse aspects of sport participation in this population. The purpose of this review was to summarize the findings of recent studies related to sport in people with tetraplegia published in years: 2002-2013. A comprehensive search of computer databases was performed to identify relevant studies. These studies were grouped according to their subjects into five main areas of research involving athletes with tetraplegia: 1) muscle strength and kinematics, 2) cardiovascular performance and functions, 3) thermoregulation system, 4) respiratory functions, and 5) social aspects of sport. Most of recent research into sport in people with tetraplegia is related to physiological body response to intensive physical training. Researchers do agree that adequately provided sport training in people with tetraplegia improves several physiological parameters such as peak power output or peak oxygen uptake. As biomedical aspects of sport in people with tetraplegia are already well documented in the literature it is suggested that future research should focus more on psychosocial aspect of this activity.
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