![]() However, it has not been conclusive that ACE is a promising intervention for improving trunk muscle activity in those with an SCI along with their fitness. Arm crank ergometry (ACE) is a common and effective upper body training technique used in adaptive sports and fitness programs to target health-related benefits for the SCI community. There is evidence that upper body training can improve not only cardiorespiratory fitness and aerobic capacity, but also seated balance in people with a spinal cord injury (SCI). What is upper body training, and why is it important? Tania Lam, Alison Williams, Amanda Chisholm, Andrea Lynn, Raza Malik, and Gevorg Eginyan. This is a lay summary of the research article by ICORD researchers Dr. Visiting the Blusson Spinal Cord Centre.Booking Space at the Blusson Spinal Cord Centre.SCIRE: Spinal Cord Injury Research Evidence.2015 Parapan Games Cardiovascular Health Clinic.2014 Paralympic Cardiovascular Health Clinic ».For more informationįor information about arm ergometry or any form of stress testing, contact Thomas G. These hemodynamic aspects of arm work explain the generation of angina despite lower overall workload compared with walking.Īrm ergometry stress testing can be performed with or without simultaneous measurement of oxygen consumption. Arm working capacity, as measured during arm ergometry, has been shown to correlate more strongly than functional aerobic capacity or peak VO2 from treadmill testing with performance on tasks such as shoveling, repetitive lifting and carrying loads.įurthermore, arm exercise is characterized by reduced preload compared with leg exercise, as the lower limbs can act as a passive reservoir of blood, but afterload is elevated because of muscular contractions in the upper extremities. The advantages of arm ergometry versus pharmacological stress testing for these patients are that heart rate and blood pressure responses can be evaluated and that exercise capacity and symptoms can be quantified.Īnother use of arm ergometry is for testing patients who complain of symptoms only or primarily during arm work, a not uncommon presentation in clinical practice. One obvious and well-studied application for arm ergometer stress testing is for patients with paraplegia or other severe lower extremity disability. Thus, the double product is generally high enough to bring out ischemic changes. However, the peak heart rate reaches 90 to 95 percent of predicted with peak systolic blood pressure reaching 80 to 85 percent of what is typically achieved on the treadmill. Peak oxygen consumption on the arm ergometer is approximately 65 percent of treadmill peak oxygen consumption and 70 percent of leg cycle peak oxygen consumption, on account of the small exercising muscle mass.
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