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Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury
We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty‐three elite male paracycling athletes (C3‐T8) were assessed for neurological level/completenes...
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| Published in: | Scandinavian journal of medicine & science in sports 2015-08, Vol.25 (4), p.476-485 |
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| Main Authors: | , , , , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c5738-5cb1c2a9ec1f76d24f1a3ed1b4cb58c9a8faf0cb77679b24763b676e74a227f43 |
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| cites | cdi_FETCH-LOGICAL-c5738-5cb1c2a9ec1f76d24f1a3ed1b4cb58c9a8faf0cb77679b24763b676e74a227f43 |
| container_end_page | 485 |
| container_issue | 4 |
| container_start_page | 476 |
| container_title | Scandinavian journal of medicine & science in sports |
| container_volume | 25 |
| creator | West, C. R. Gee, C. M. Voss, C. Hubli, M. Currie, K. D. Schmid, J. Krassioukov, A. V. |
| description | We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty‐three elite male paracycling athletes (C3‐T8) were assessed for neurological level/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3‐km World Championship time‐trial test. A subset were also fitted with heart rate (HR) monitors and their cycles were fitted with a global positioning systems device (n = 15). Thoracic SCI exhibited higher seated systolic blood pressure along with superior time‐trial performance compared with cervical SCI (all P |
| doi_str_mv | 10.1111/sms.12308 |
| format | article |
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R. ; Gee, C. M. ; Voss, C. ; Hubli, M. ; Currie, K. D. ; Schmid, J. ; Krassioukov, A. V.</creator><creatorcontrib>West, C. R. ; Gee, C. M. ; Voss, C. ; Hubli, M. ; Currie, K. D. ; Schmid, J. ; Krassioukov, A. V.</creatorcontrib><description>We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty‐three elite male paracycling athletes (C3‐T8) were assessed for neurological level/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3‐km World Championship time‐trial test. A subset were also fitted with heart rate (HR) monitors and their cycles were fitted with a global positioning systems device (n = 15). Thoracic SCI exhibited higher seated systolic blood pressure along with superior time‐trial performance compared with cervical SCI (all P < 0.01). When further stratified by autonomic completeness of injury, the four athletes with cervical autonomic incomplete SCI exhibited a faster time‐trial time and a higher average speed compared with cervical autonomic complete SCI (all P < 0.042). Maximum and average HR also tended to be higher in cervical autonomic incomplete vs autonomic complete. There were no differences in time‐trial time, HR, or speed between thoracic autonomic complete vs incomplete SCI. In conclusion, autonomic completeness of injury and the consequent ability of the cardiovascular system to respond to exercise appear to be a critical determinant of endurance performance in elite athletes with cervical SCI.</description><identifier>ISSN: 0905-7188</identifier><identifier>EISSN: 1600-0838</identifier><identifier>DOI: 10.1111/sms.12308</identifier><identifier>PMID: 25175825</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Athletic Performance - physiology ; Autonomic Nervous System Diseases - etiology ; Autonomic Nervous System Diseases - physiopathology ; Bicycling - physiology ; Blood Pressure ; Cervical Vertebrae ; exercise ; Exercise Test ; Heart Rate ; Humans ; Male ; Middle Aged ; paracycling ; paraplegia ; Physical Endurance - physiology ; Spinal Cord Injuries - classification ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - physiopathology ; Sports for Persons with Disabilities - physiology ; Tetraplegia ; Thoracic Vertebrae</subject><ispartof>Scandinavian journal of medicine & science in sports, 2015-08, Vol.25 (4), p.476-485</ispartof><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5738-5cb1c2a9ec1f76d24f1a3ed1b4cb58c9a8faf0cb77679b24763b676e74a227f43</citedby><cites>FETCH-LOGICAL-c5738-5cb1c2a9ec1f76d24f1a3ed1b4cb58c9a8faf0cb77679b24763b676e74a227f43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25175825$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>West, C. R.</creatorcontrib><creatorcontrib>Gee, C. M.</creatorcontrib><creatorcontrib>Voss, C.</creatorcontrib><creatorcontrib>Hubli, M.</creatorcontrib><creatorcontrib>Currie, K. D.</creatorcontrib><creatorcontrib>Schmid, J.</creatorcontrib><creatorcontrib>Krassioukov, A. V.</creatorcontrib><title>Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury</title><title>Scandinavian journal of medicine & science in sports</title><addtitle>Scand J Med Sci Sports</addtitle><description>We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty‐three elite male paracycling athletes (C3‐T8) were assessed for neurological level/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3‐km World Championship time‐trial test. A subset were also fitted with heart rate (HR) monitors and their cycles were fitted with a global positioning systems device (n = 15). Thoracic SCI exhibited higher seated systolic blood pressure along with superior time‐trial performance compared with cervical SCI (all P < 0.01). When further stratified by autonomic completeness of injury, the four athletes with cervical autonomic incomplete SCI exhibited a faster time‐trial time and a higher average speed compared with cervical autonomic complete SCI (all P < 0.042). Maximum and average HR also tended to be higher in cervical autonomic incomplete vs autonomic complete. There were no differences in time‐trial time, HR, or speed between thoracic autonomic complete vs incomplete SCI. In conclusion, autonomic completeness of injury and the consequent ability of the cardiovascular system to respond to exercise appear to be a critical determinant of endurance performance in elite athletes with cervical SCI.</description><subject>Adult</subject><subject>Athletic Performance - physiology</subject><subject>Autonomic Nervous System Diseases - etiology</subject><subject>Autonomic Nervous System Diseases - physiopathology</subject><subject>Bicycling - physiology</subject><subject>Blood Pressure</subject><subject>Cervical Vertebrae</subject><subject>exercise</subject><subject>Exercise Test</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>paracycling</subject><subject>paraplegia</subject><subject>Physical Endurance - physiology</subject><subject>Spinal Cord Injuries - classification</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - physiopathology</subject><subject>Sports for Persons with Disabilities - physiology</subject><subject>Tetraplegia</subject><subject>Thoracic Vertebrae</subject><issn>0905-7188</issn><issn>1600-0838</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kE9PwyAYh4nRuDk9-AVMj5pYhVL-9GimTuPU6DQeCaWQoC1MaNV9ezvnvMkF3jfP70n4AbCP4Anqz2ls4gnKMOQbYIgohCnkmG-CISwgSRnifAB2YnyFELEiJ9tgkBHECM_IEMixDJX1HzKqrpYhUd61wdfHiexa73xjVWI6p1rrXb9zVaJr2-pEu6oL0imdzHUwPjQ_b-uSOLdO1r0mVP342oXFLtgyso567_cegefLi6fxVTq9n1yPz6apIgzzlKgSqUwWWiHDaJXlBkmsK1TmqiRcFZIbaaAqGaOsKLOcUVxSRjXLZZYxk-MROFx558G_dzq2orFR6bqWTvsuCkSL5a8xXaJHK1QFH2PQRsyDbWRYCATFslHRNyp-Gu3Zg19tVza6-iPXFfbA6Qr4tLVe_G8Ss9vZWpmuEja2-usvIcOboAwzIl7uJuJxOn2YFee34gZ_A4IqkPg</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>West, C. R.</creator><creator>Gee, C. M.</creator><creator>Voss, C.</creator><creator>Hubli, M.</creator><creator>Currie, K. D.</creator><creator>Schmid, J.</creator><creator>Krassioukov, A. V.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury</title><author>West, C. R. ; Gee, C. M. ; Voss, C. ; Hubli, M. ; Currie, K. D. ; Schmid, J. ; Krassioukov, A. 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R.</creatorcontrib><creatorcontrib>Gee, C. M.</creatorcontrib><creatorcontrib>Voss, C.</creatorcontrib><creatorcontrib>Hubli, M.</creatorcontrib><creatorcontrib>Currie, K. D.</creatorcontrib><creatorcontrib>Schmid, J.</creatorcontrib><creatorcontrib>Krassioukov, A. V.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of medicine & science in sports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>West, C. R.</au><au>Gee, C. M.</au><au>Voss, C.</au><au>Hubli, M.</au><au>Currie, K. D.</au><au>Schmid, J.</au><au>Krassioukov, A. V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury</atitle><jtitle>Scandinavian journal of medicine & science in sports</jtitle><addtitle>Scand J Med Sci Sports</addtitle><date>2015-08</date><risdate>2015</risdate><volume>25</volume><issue>4</issue><spage>476</spage><epage>485</epage><pages>476-485</pages><issn>0905-7188</issn><eissn>1600-0838</eissn><abstract>We aimed to determine the relationship between level of injury, completeness of injury, resting as well as exercise hemodynamics, and endurance performance in athletes with spinal cord injury (SCI). Twenty‐three elite male paracycling athletes (C3‐T8) were assessed for neurological level/completeness of injury, autonomic completeness of injury, resting cardiovascular function, and time to complete a 17.3‐km World Championship time‐trial test. A subset were also fitted with heart rate (HR) monitors and their cycles were fitted with a global positioning systems device (n = 15). Thoracic SCI exhibited higher seated systolic blood pressure along with superior time‐trial performance compared with cervical SCI (all P < 0.01). When further stratified by autonomic completeness of injury, the four athletes with cervical autonomic incomplete SCI exhibited a faster time‐trial time and a higher average speed compared with cervical autonomic complete SCI (all P < 0.042). Maximum and average HR also tended to be higher in cervical autonomic incomplete vs autonomic complete. There were no differences in time‐trial time, HR, or speed between thoracic autonomic complete vs incomplete SCI. In conclusion, autonomic completeness of injury and the consequent ability of the cardiovascular system to respond to exercise appear to be a critical determinant of endurance performance in elite athletes with cervical SCI.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>25175825</pmid><doi>10.1111/sms.12308</doi><tpages>10</tpages></addata></record> |
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| ispartof | Scandinavian journal of medicine & science in sports, 2015-08, Vol.25 (4), p.476-485 |
| issn | 0905-7188 1600-0838 |
| language | eng |
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| source | EBSCOhost SPORTDiscus with Full Text; Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Athletic Performance - physiology Autonomic Nervous System Diseases - etiology Autonomic Nervous System Diseases - physiopathology Bicycling - physiology Blood Pressure Cervical Vertebrae exercise Exercise Test Heart Rate Humans Male Middle Aged paracycling paraplegia Physical Endurance - physiology Spinal Cord Injuries - classification Spinal Cord Injuries - complications Spinal Cord Injuries - physiopathology Sports for Persons with Disabilities - physiology Tetraplegia Thoracic Vertebrae |
| title | Cardiovascular control, autonomic function, and elite endurance performance in spinal cord injury |
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