Article

OBJECTIVE: To examine the feasibility and potential benefits of using recumbent
cross-training for nonambulatory adults with cerebral palsy (CP). DESIGN:
Observational. SETTING: Clinical center for CP treatment and rehabilitation.
PARTICIPANTS: Significantly motor-impaired adults with CP (N=11) with a mean age
+/- SD of 36.3+/-13.2 years and Gross Motor Function Classification System
(GMFCS) levels III and IV. INTERVENTIONS: Participants completed a 40-minute
session of aerobic exercise using the NuStep Recumbent Cross Trainer, in which
resistance was progressively increased at 5-minute intervals. MAIN OUTCOME
MEASURES: Every 5 minutes during the exercise session, heart rate, blood
pressure, oxygen consumption (VO(2)), energy expenditure, and respiratory
exchange ratios (RERs) were recorded along with rating of perceived exertion.
Immediately after, and 24 hours postexercise, participants received a standard
survey to assess levels of pain and discomfort. RESULTS: All participants were
able to complete the 40-minute exercise protocol. Five of the 11 participants
achieved a heart rate of at least 60% maximum throughout the duration, 10
participants had a significant elevation in VO(2) from baseline, and all
participants had elevated RER values. Six participants reported pain during
exercise, but only 2 reported pain after exercise was over. CONCLUSIONS: The
NuStep Recumbent Cross Trainer is a feasible exercise modality for significantly
motor-impaired adults with CP, GMFCS III and IV. Moreover, this mode was
sufficient to stimulate a significant cardiorespiratory response in all
participants, and thus it and similar devices may serve as a viable option for
aerobic exercise interventions in this population, to prevent obesity and related
cardiometabolic consequences.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS