The purpose of this study was to measure the cardiac output using the CO2 rebreathing method during submaximal and maximal arm cranking exercise in six male paraplegic subjects with a high level of spinal cord injury (HP). They were compared with eight able bodied subjects (AB) who were not trained in arm exercise. Maximal O2 consumption (\(\dot V\)O2max) was lower in HP (1.1 1·min−1, SD 0.1; 17.5 ml·min−·kg, SD 4) than in AB (2.5 1·min−1, SD 0.6; 36.7 ml·min−1·kg, SD 10.7). Maximal cardiac output was similar in the groups (HP, 141·min−1 SD 2.6; AB, 16.81·min−1 SD 4). The same result was obtained for maximal heart rate (f c,max (HP, 175 beats·min−1, SD 18; AB, 187 beats·min−, SD 16) and the maximal stroke volume (HP, 82 ml, SD 13; AB, 91 ml, SD 27). The slopes of the relationshipf c/\(\dot V\)O2 were higher in HP than AB (P<0.025) but when expressed as a %\(\dot V\)O2max there were no differences. The results suggests a major alteration of oxygen transport capacity to active muscle mass in paraplegics due to changes in vasomotor regulation below the level of the lesion.
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Bar-Or O, Zwiren LD (1975) Maximal oxygen consumption test during arm exercise — reliability and validity. J Appl Physiol 38:424–426
Bevegard S, Freyschuss U, Strandell T (1966) Circulatory adaptation to arm and leg exercise in supine and sitting position. J Appl Physiol 21:37–46
Bidart Y (1970) L'adaptation vasculaire a l'exercice chez les paraplégiques. Ann Med Phys XIII:349–361
Charbonnier JP, Lacour JR, Riffat J, Flandrois R (1975) Experimental study of the performance of competition swimmers. Eur J Appl Physiol 34:157–167
Coutts KD, Rhodes EC, McKenzie DC (1983) Maximal exercise responses of tetraplegics and paraplegics. J Appl Physiol Respir Environ Exerc Physiol 55:479–482
De Bruin MI, Binkhorst RA (1984) Cardiac output of paraplegics during exercise. Int J Sports Med 5 [Suppl]:175–176
Defares JG (1958) Determination of Pvco2 from the exponential C02 rise during rebreathing. J Appl Physiol 13:159–164
Flandrois R, Grandmontagne M, Gerin H, Mayet MH, Jehl JL, Eyssette M (1986) Aerobic performance capacity in paraplegic subjects. Eur J Appl Physiol 55:604–609
Gass GC, Camp EM (1979) Physiological characteristics of trained Australian paraplegic and tetraplegic subjects. Med Sci Sports Exerc 11:256–259
Hjeltnes N (1977) Oxygen uptake and cardiac output in graded arm exercise in paraplegics with low level spinal lesions. Scand J Rehabil Med 9:107–113
Jehl JL, Coudert J, Grandmontagne M, Boisson D, Eyssette M (1985) Mesure directe de la consommation maximale d'oxygñe chez le paraplégique sportif. A propos de 5 observations. Ann Readapt Med Phys 28:5–12
Jehl JL, Gerin H, Caillet F, Pastene G, Grandmontagne M, Flandrois R, Boisson D, Eyssette M (1988) Aspects bioénergétiques de l'adaptation a l-exercise prolongé chez le parapl6gique. Ann Readapt Med Phys 31:131–146
Klausen K (1966) Comparison of C02 rebreathing and acetylene methods for cardiac output. J Appl Physiol 20:763–766
Tesch PA, Lindeberg S (1984) Blood lactate accumulation during arm exercise in world class Kayak paddiers and strength trained athletes. Eur J Appl Physiol 52:441–444
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Jehl, J.L., Gandmontagne, M., Pastene, G. et al. Cardiac output during exercise in paraplegic subjects. Europ. J. Appl. Physiol. 62, 256–260 (1991). https://doi.org/10.1007/BF00571549
- Maximal cardiac output
- Maximal oxygen consumption
- Rebreathing CO2
- Arm cranking exercise