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In the past decade, the add-on hand cycle has become popular for mobility in the Netherlands. Consequently hand cycling (HC) has become an integrated part of the rehabilitation program. The purpose of the current study was to evaluate the effects of a structured HC training program on physical capacity in subjects with spinal cord injury (SCI). Twenty subjects who followed HC training in addition to usual clinical rehabilitation were compared with matched control subjects. Primary outcome was hand rim wheelchair capacity: peak power output (POpeak), peak oxygen uptake (VO2peak) and oxygen pulse. Secondary outcomes were arm muscle strength, pulmonary function and hand cycle capacity. Strong tendencies for improvement attributed to HC training were found in wheelchair capacity, reflected by POpeak and oxygen pulse. Shoulder exo- and endo-rotation and unilateral elbow flexion strength improved but not pulmonary function. Hand cycle capacity (POpeak) improved comparing pre and post test results. Additional HC training during clinical rehabilitation seems to show similar or slightly favourable results on fitness and muscle strength compared with regular care.
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