One-leg cycling versus arm cranking: which is most appropriate for physical conditioning after knee surgery?

Abstract:

OBJECTIVE:To compare the cardiorespiratory responses, blood lactate concentration and perceived exertion between 1-leg cycling and arm cranking. DESIGN:Comparison of exercise modalities. SETTING:Hospital. PARTICIPANTS:Fourteen men who had undergone knee surgery were evaluated during rehabilitation. INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Each patient performed 2 maximal graded tests: 1-leg cycling and arm cranking exercise, with a 7-day interval. Respiratory gas exchange, heart rate, blood lactate concentration, and the ratings of perceived exertion (RPE) were measured. RESULTS:Peak power output, peak minute ventilation, peak oxygen uptake (Vo(2)peak), and peak heart rate did not differ significantly between 1-leg cycling and arm cranking. The first and second ventilatory thresholds occurred at above 40% and 72% of Vo(2)peak, respectively, in both tests. The maximal lactate concentrations and the RPE values were significantly higher during arm cranking (+10%, +12%, respectively, P<.05) compared with corresponding 1-leg cycling values. CONCLUSIONS:The maximal cardiorespiratory values were not different between arm cranking and 1-leg cycling. However, the RPE and blood lactate concentration were lower when the exercise was performed with the lower limb. Thus 1-leg cycling may be more easily tolerated than arm cranking by patients participating in aerobic conditioning after knee surgery.

journal_name

Arch Phys Med Rehabil

authors

Olivier N,Legrand R,Rogez J,Berthoin S,Prieur F,Weissland T

doi

10.1016/j.apmr.2007.11.013

subject

Has Abstract

pub_date

2008-03-01 00:00:00

pages

508-12

issue

3

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(07)01803-5

journal_volume

89

pub_type

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