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  • Title: [Objectification of the training effect of sports therapy for wheelchair users].
    Author: Koch I, Schlegel M, Pirrwitz A, Jaschke B, Schlegel K.
    Journal: Int J Rehabil Res; 1983 Dec; 6(4):439-48. PubMed ID: 6674220.
    Abstract:
    The effects of an additional six-weeks training program were investigated ergometrically and in practice in 10 paraplegics. In order to develop stamina, strength and coordinative abilities, the load components were varied by increasing training frequency, expanding load range and increasing stimuli density. It was possible to show a significant increase in the general physical capacity. The performance parameters of paraplegics were compared with those of wheelchair-bound sports competitors and able-bodied persons. It was possible to improve the capacity of skeletal muscles and bring it closer to that of competitive athletes and able-bodied persons. Trained paraplegics as well as competitive athletes both display to the same extent a conspicuously poorer cardiovascular capacity in relation to able-bodied persons. The reason for this is believed to lie in the extensive muscular and vascular deficiency due to the particular disablement and the poorer venous return resulting from the latter. It points to a reduced overall blood volume and a relatively small heart volume. These investigations are being continued. The findings of sports medicine necessarily require that continuous training take place with relatively high intensity for the purpose of producing a circulatory effect. On the other hand, a basic stamina training must ensure that the indicated capacity reserves of skeletal muscles are developed. The multifaceted possibilities for training within the framework of sport for the disabled are presented.
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