Literature DB >> 24384984

Coordinating arms and legs on a hybrid rehabilitation tricycle: the metabolic benefit of asymmetrical compared to symmetrical arm movements.

Pieter Meyns1, Patricia Van de Walle, Wouter Hoogkamer, Carlotte Kiekens, Kaat Desloovere, Jacques Duysens.   

Abstract

PURPOSE: The most commonly used propulsion method for handcycling is moving the arms symmetrically. Previous studies indicated that during outdoor handcycling symmetrical arm movements are more efficient. During locomotor movements, however, arm movements are performed asymmetrically in combination with leg movements. We questioned which combination of arm and leg movements is more efficient during combined arm and leg cycling for stationary use.
METHODS: Twenty-five able-bodied adults performed eight submaximal tests of 6 min on a hybrid handcycle at three incremental gears during four different conditions ('arms only' and 'arms & legs' with arms symmetrical and asymmetrical). Oxygen uptake (VO2), heart rate (HR) and Borg score (Borg) were assessed.
RESULTS: Increasing workload resulted in significant increases in VO2 (16 W: 13.0 ± 2.4 ml kg(-1) min(-1), 31 W: 14.5 ± 2.9, 49 W: 15.5 ± 2.8; p < 0.001) and Borg (16 W: 7.7 ± 1.7 points, 31 W: 8.6 ± 1.9, 49 W: 9.5 ± 1.9; p < 0.001). During 'arms only', no differences were found in exercise intensity between symmetrical and asymmetrical movements. Contrarily, during 'arms &amp; legs', both VO2 (p < 0.001) and Borg (p = 0.001) were significantly lower for the asymmetrical (VO2: 13.8 ± 2.6 ml kg(-1) min(-1), Borg: 8.1 ± 1.6 points) compared to the symmetrical condition (VO2: 14.9 ± 2.8, Borg: 9.1 ± 2.0).
CONCLUSIONS: Results indicated that asymmetrical arm movements, especially in combination with leg movements, represented the most efficient condition on a stationary hybrid handcycle. The current results suggest that neural energy costs are lower when moving in the preferred (asymmetrical) coordination when no steering is required. These findings may have implications for stationary arm &amp; leg cycling rehabilitation and tricycle adaptations in patients with spinal cord injury.

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Year:  2014        PMID: 24384984     DOI: 10.1007/s00421-013-2814-5

Source DB:  PubMed          Journal:  Eur J Appl Physiol        ISSN: 1439-6319            Impact factor:   3.078


  32 in total

1.  Comparison of asynchronous versus synchronous arm crank ergometry.

Authors:  K Mossberg; C Willman; M A Topor; H Crook; S Patak
Journal:  Spinal Cord       Date:  1999-08       Impact factor: 2.772

2.  Cyclic modulation of H-reflex depression in ipsilateral and contralateral soleus muscles during rhythmic arm swing.

Authors:  Koichi Hiraoka; Akira Iwata
Journal:  Somatosens Mot Res       Date:  2006 Sep-Dec       Impact factor: 1.111

3.  Physiological responses to asynchronous and synchronous arm-cranking exercise.

Authors:  M T Hopman; W M van Teeffelen; J Brouwer; S Houtman; R A Binkhorst
Journal:  Eur J Appl Physiol Occup Physiol       Date:  1995

4.  The effect of movement frequency on interlimb coupling during recumbent stepping.

Authors:  Pei-Chun Kao; Daniel P Ferris
Journal:  Motor Control       Date:  2005-04       Impact factor: 1.422

5.  Arm to leg coordination in humans during walking, creeping and swimming activities.

Authors:  T Wannier; C Bastiaanse; G Colombo; V Dietz
Journal:  Exp Brain Res       Date:  2001-12       Impact factor: 1.972

6.  Modulation of cutaneous reflexes in human upper limb muscles during arm cycling is independent of activity in the contralateral arm.

Authors:  Timothy J Carroll; E Paul Zehr; David F Collins
Journal:  Exp Brain Res       Date:  2004-10-23       Impact factor: 1.972

7.  Shaping appropriate locomotive motor output through interlimb neural pathway within spinal cord in humans.

Authors:  Noritaka Kawashima; Daichi Nozaki; Masaki O Abe; Kimitaka Nakazawa
Journal:  J Neurophysiol       Date:  2008-04-30       Impact factor: 2.714

8.  Neural control of locomotion; The central pattern generator from cats to humans.

Authors: 
Journal:  Gait Posture       Date:  1998-03-01       Impact factor: 2.840

9.  Effects of resistance and endurance training in persons with paraplegia.

Authors:  Patrick L Jacobs
Journal:  Med Sci Sports Exerc       Date:  2009-05       Impact factor: 5.411

Review 10.  Do human bipeds use quadrupedal coordination?

Authors:  Volker Dietz
Journal:  Trends Neurosci       Date:  2002-09       Impact factor: 13.837

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  4 in total

1.  Changing relative crank angle increases the metabolic cost of leg cycling.

Authors:  Asher H Straw; Wouter Hoogkamer; Rodger Kram
Journal:  Eur J Appl Physiol       Date:  2017-08-07       Impact factor: 3.078

2.  Short-Term Plasticity in a Monosynaptic Reflex Pathway to Forearm Muscles after Continuous Robot-Assisted Passive Stepping.

Authors:  Tsuyoshi Nakajima; Kiyotaka Kamibayashi; Taku Kitamura; Tomoyoshi Komiyama; E Paul Zehr; Kimitaka Nakazawa
Journal:  Front Hum Neurosci       Date:  2016-07-22       Impact factor: 3.169

3.  Restricted Arm Swing Affects Gait Stability and Increased Walking Speed Alters Trunk Movements in Children with Cerebral Palsy.

Authors:  Tijs Delabastita; Kaat Desloovere; Pieter Meyns
Journal:  Front Hum Neurosci       Date:  2016-07-15       Impact factor: 3.169

Review 4.  Neuromechanical interactions between the limbs during human locomotion: an evolutionary perspective with translation to rehabilitation.

Authors:  E P Zehr; Trevor S Barss; Katie Dragert; Alain Frigon; Erin V Vasudevan; Carlos Haridas; Sandra Hundza; Chelsea Kaupp; Taryn Klarner; Marc Klimstra; Tomoyoshi Komiyama; Pamela M Loadman; Rinaldo A Mezzarane; Tsuyoshi Nakajima; Gregory E P Pearcey; Yao Sun
Journal:  Exp Brain Res       Date:  2016-07-15       Impact factor: 1.972

  4 in total

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