Efecto del pedaleo de brazos sobre el sistema cardiorrespiratorio de las personas con tetraplejia

  1. Brizuela Costa, Gabriel Alberto
  2. Sinz, Sandra
  3. Aranda Malavés, Rafael
  4. Martínez Navarro, Ignacio
Journal:
RICYDE. Revista Internacional de Ciencias del Deporte

ISSN: 1885-3137

Year of publication: 2010

Volume: 6

Issue: 21

Pages: 297-310

Type: Article

DOI: 10.5232/RICYDE2010.02104 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: RICYDE. Revista Internacional de Ciencias del Deporte

Abstract

Objective: The aim of the study was to determine the effect, in subjects with tetraplejia, of a stationary armcrank pedaling (AP) training program on their cardiorespiratory system. Method: 11 participants with tetraplegia, originated by traumatic spinal cord injury (SCI) at levels between C4 and C6, were included in the study. Spirometric (VC, FVC and MVV) and Heart Rate Variability (HRV) indexes (HR, STDHR, RMSSD, LF, HF, HRVPOWER) were measured before and after an 8 weeks of armcrank pedaling training program. Results: Spirometric and HRV variables showed changes (p < 0.05) after the training program, all the variables increased their value after the program, except HR which was decreased. People with lower SCI showed higher respiratory parameters. Conclusions: A short term AP training program is sufficient to meaningfully improve both respiratory and HRV parameters in people with high tetraplegia, and probably increasing their quality of life.

Bibliographic References

  • ACSM (1997). Exercise management for persons with chronic diseases and disabilities. Champaign IL: Human Kinetics.
  • Akselrod, S.; Gordon, D.; Ubel, F.A.; Shannon, D.C.; Berger, A.C.; Cohen, R.J. (1981). Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-tobeat cardiovascular control. Science. 213: 220–222.
  • Bodin, P.; Kreuter, M.; Bake, B.; Fagevik Olsén, M. (2003). Breathing patterns during breathing exercises in persons with tetraplegia. Spinal Cord. 41, 290–295.
  • Braun, N.M.; Arora, N.S.; Rochester, D.F. (1983). Respiratory muscle and pulmonary function in polymyositis and other proximal myopathies. Thorax. 38, 8: 616–623.
  • Bunten, D.C.; Warner, A.L.; Brunnemann, S.R.; Segal, J.L. (1998). Heart rate variability is altered following spinal cord injury. Clin Auton Res. 8: 329-334.
  • Crane, L.; Klerk, K.; Ruhl, A.; Warner, P.; Ruhl, C.; Roach, K.E. (1994). The effect of exercise training on pulmonary function in persons with quadriplegia. Paraplegia. 32: 435–441.
  • Dallmeijer, A.J.; Zentgraaff, I.D.B.; Zijp, N.I.; Van der Woude, L.H.V. (2004). Submaximal physical strain and peak performance in handcycling versus handrim wheelchair propulsión. Spinal Cord. 42: 91–98.
  • De Troyer, A.; Estenne, M. (1991). Review article: The expiratory muscles in tetraplegia. Paraplegia. 29: 359–363.
  • Dekker, J.M.; Schouten, E.G.; Klootwijk, P.; Pool, J.; Swenne, C.A.; Kromhout, D. (1997). Heart rate variability from short electrocardiographic recordings predicts mortality from all causes in middle-aged and elderly men. The Zutphen Study. Am J Epidemiol. 145: 899-908.
  • Ditor, D.S.; Kamath, M.V.; MacDonald, M.J.; Bugaresti, J.; McCartney, N.; Hicks, A.L. (2005a). Reproducibility of heart rate variability and blood pressure variability in individuals with spinal cord injury. Clin Auton Res. 15: 387–393.
  • Ditor, D.S.; Macdonald, M.J.; Kamath, M.V.; Bugaresti, J.; Adams, M.; McCartney, N.; Hicks, A.L. (2005b). The effects of body-weight supported treadmill training on cardiovascular regulation in individuals with motor-complete SCI. Spinal Cord. 43: 664-673.
  • Forner, J.V. (1980). Lung volumes and mechanics of breathing in tetraplegics. Paraplegia. 8: 258–266.
  • Garshick, E.; Kelley, A.; Cohen, S.A.; Garrison, A.; Tun, C.G.; Gagnon, D.; Brown, R. (2005). A prospective assessment of mortality in chronic spinal cord injury. Spinal Cord. 43: 408–416.
  • Go, B.; De Vivo, M.; Richards, J. (1995). The epidemiology of spinal cord injury. In: Stover, S.; DeLisa, J.; Whiteneck, G. (eds.). Spinal Cord Injury: Clinical Outcomes from the Model Systems. Aspen: Gaithersburg, M.D.: 21–55.
  • Grimm, D.R.; De Meersman, R.E.; Almenoff, P.L.; Spungen, A.M.; Bauman, W.A. (1997). Sympathovagal balance of the heart in subjects with spinal cord injury. Am. J. Physiol. 272: 835-842.
  • Hicks, A. L.; Martin, K. A.; Ditor, D. S.; Latimer, A. E.; Craven, C.; Bugaresti, J.; Mc Cartney, N. (2003). Long-term exercise training in persons with spinal cord injury: Effects on strength, arm ergometry performance and psychological well-being. Spinal Cord. 41: 34–43.
  • Jacobs, P.L.; Nash, M.S. (2004). Exercise recommendations for individuals with spinal cord injury. Sports Med. 34: 727–751.
  • Kleiger, R.E.; Stein, P.K.; Bigger, J.T. Jr. (2005). Heart rate variability: measurement and clinical utility. Ann. Noninvasive Electrocardiol. 10: 88-101.
  • La Fontaine, M.F. ; Wecht, J.M. ; Spungen, A.M. ; Bauman, W.A. (2010). Intra-inter visit reproducibility of short-term linear and nonlinear measurement of heart rate variability in tetraplegia and neurologically intact controls. Physiological Measurement. 31: 363-374.
  • Linn, W.S.; Adkins, R.H.; Gong, H.; Waters, R.L. (2000). Pulmonary function in chronic spinal cord injury: A cross-sectional survey of 222 Southern California adult outpatients. Arch Phys Med Rehabil. 81: 757–763.
  • Millar, P.J.; Rakobowchuk, M.; Adams, M.M.; Hicks, A.L.; McCartney, N.; MacDonald, M.J. (2009). Effects of short-term training on heart rate dynamics in individuals with spinal cord injury. Autonomic Neuroscience: Basic and Clinical. 150: 116–121.
  • Miller, M. R.; Hankinson, J.; Brusasco, V.; Burgos, F.; Casaburi, R.; Coates, A.; Crapo, R.; Enright, P.; Van der Grinten, C. P. M.; Gustafsson, P.; Jensen, R.; Johnson, D. C.; MacIntyre, N.;. McKay, R.; Navajas, D.; Pedersen, O. F.; Pellegrino, R.; Viegi , G.; Wanger, J. (2005). Standardisation of spirometry. Eur Respir J. 26: 319-338.
  • Myers, J.; Lee, M.; Kiratli, J. (2007). Cardiovascular disease in spinal cord injury: An overview of prevalence, risk, evaluation, and management. Amer. J. Phys. Med. Rehabil. 86: 142–152.
  • Noreau, L.; Shephard, R.J. (1995). Spinal cord injury, exercise and quality of life. Sports Medicine. 20: 226-250.
  • Rochester, D.F.; Esau, S.A. (1994). Assessment of ventilatory function in patients with neuromuscular disease. Clin Chest Med. 15, 4:751-63.
  • Rutchik, A.; Weissman, A.R.; Almenoff, P.L.; Spungen, A.M.; Bauman, W.A.; Grimm, D.R. (1988). Resistive inspiratory muscle training in subjects with chronic cervical spinal cord injury. Arch Phys Med Rehabil. 79: 293-297.
  • Serisier, D.E.; Mastaglia, F.L.; Gibson, G.J. (1982). Respiratory muscle function and ventilatory control. I in patients with motor neurone disease. II in patients with myotonic dystrophy. Q J Med. 51, 202: 205-226.
  • Stevens, S.L.; Caputo, J.L.; Fuller, D.K.; Morgan, D.W. (2008). Journal of Spinal Cord Medicine. 31, 4: 373-378.
  • Takahashi, M.; Matsukawa, K.; Nakamoto, T.; Tsuchimochi, H.; Sakaguchi, A.; Kawaguchi, K.; Onari, K. (2007). Control of heart rate variability by cardiac parasympathetic nerve activity during voluntary static exercise in humans with tetraplegia. Journal of Applied Physiology. 103: 1669–1677.
  • Tarvainen, M.P.; Ranta-aho, P.O.; Karjalainen, P.A. (2002). An advanced detrending method with application to HRV analysis. IEEE Trans. Biomed. Eng. 49: 172–175.
  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996). Heart rate variability: Standards of measurement, physiological interpretation and clinical use. European Heart Journal. 17: 354-381.
  • Tsuji, H.; Larson, M.G.; Venditti, F.J. Jr.; Manders, E.S.; Evans, J.C.; Feldman, C.L.; Levy, D. (1996). Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation. 94: 2850-2855.
  • Valent, L.; Dallmeijer, A.; Houdijk, H.; Slootman, H.; Janssen, T.; Post, M.; van der Woude, L. (2009). Effect of hand cycle training on physical capacity in individuals with tetraplegia: A clinical trial. Physical Therapy. 89, 10: 1051-1060.
  • Washburn, R.A.; Figoni, S.F. (1998). Physical activity and chronic cardiovascular disease prevention in spinal cord injury: a comprehensive literature review. Top Spinal Cord Inj Rehabil. 3: 16–32.