Exercise loading for cardiopulmonary assessment and evaluation of endurance in amputee football players.
Yukio Mikami, Kouki Fukuhara, Toshihiro Kawae and 5 others
PMID 30154581WHAT IT FOUND
In 8 amputee football players, two-armed peak work rate was significantly higher than in healthy men, while peak heart rate, peak oxygen uptake and peak ventilation were not significantly different.
In healthy participants, two-armed peak work rate was significantly higher than one-legged peak work rate.
Key findings
01In healthy participants, two-armed exercise produced significantly higher peak work rate and peak heart rate than one-legged exercise, while anaerobic threshold values, peak oxygen uptake and peak ventilation did not differ significantly.
02In 8 male amputee football players, two-armed peak work rate was significantly higher than in healthy participants, while peak heart rate, peak oxygen uptake and peak ventilation were not significantly different.
03Peak oxygen uptake showed a moderate correlation between two-legged and two-armed exercise, but a low correlation between two-legged and one-legged exercise.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The amputee football group had only 8 players, so the study cannot determine endurance for lower limb amputees. Only men were studied, with 20 healthy adult males and 8 male amputee football players. One-legged testing used only the leg on the dominant hand side, and left-right differences were not considered. Both one-legged and two-armed exercise reached lower intensities than two-legged exercise, so disability-related constraints on endurance testing remained. Amputee players were tested only with two-armed exercise, so their one-legged and two-legged values were not measured. The study was preliminary, and the authors state that further examination and more athletes are needed.
Declared interests
Financial support was provided by the Joint Usage/Research Center of Sport for Persons with Impairments, Wakayama Medical University. The authors reported no conflicts of interest.
The easy way to misread this
Do not conclude that two-armed testing proves better endurance for amputee football players. The peak work rate was significantly higher than in healthy men, but peak heart rate, peak oxygen uptake and peak ventilation were not significantly different, and the study was preliminary with only 8 players.