Universität zu Köln

Kraaijenbrink, Cassandra ORCID: 0000-0003-3763-7278, Vegter, Riemer, de Groot, Sonja, Arnet, Ursina, Valent, Linda, Verellen, Joeri, van Breukelen, Kees, Hettinga, Florentina ORCID: 0000-0002-7027-8126, Perret, Claudio, Abel, Thomas, Goosey-Tolfrey, Victoria and van der Woude, Lucas . Biophysical aspects of handcycling performance in rehabilitation, daily life and recreational sports; a narrative review. Disabil. Rehabil.. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1464-5165

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Abstract

Aim In this narrative review the potential and importance of handcycling are evaluated. Four conceptual models form the framework for this review; (1) the International Classification of Functioning, Disability and Health; (2) the Stress-Strain-Capacity model; (3) the Human-Activity-Assistive Technology model; and (4) the power balance model for cyclic exercise. Methods Based on international handcycle experience in (scientific) research and practice, evidence-based benefits of handcycling and optimization of handcycle settings are presented and discussed for rehabilitation, daily life and recreational sports. Results As the load can be distributed over the full 360 degrees cycle in handcycling, peak stresses in the shoulder joint and upper body muscles reduce. Moreover, by handcycling regularly, the physical capacity can be improved. The potential of handcycling as an exercise mode for a healthy lifestyle should be recognized and advocated much more widely in rehabilitation and adapted sports practice. The interface between handcycle and its user should be optimized by choosing a suitable person-specific handcycle, but mainly by optimizing the handcycle dimensions to one's needs and desires. These dimensions can influence efficient handcycle use and potentially improve both endurance and speed of handcycling. Conclusion To optimize performance in rehabilitation, daily life and recreational sports, continued and more systematic research is required.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kraaijenbrink, Cassandra UNSPECIFIED orcid.org/0000-0003-3763-7278 UNSPECIFIED Vegter, Riemer UNSPECIFIED UNSPECIFIED UNSPECIFIED de Groot, Sonja UNSPECIFIED UNSPECIFIED UNSPECIFIED Arnet, Ursina UNSPECIFIED UNSPECIFIED UNSPECIFIED Valent, Linda UNSPECIFIED UNSPECIFIED UNSPECIFIED Verellen, Joeri UNSPECIFIED UNSPECIFIED UNSPECIFIED van Breukelen, Kees UNSPECIFIED UNSPECIFIED UNSPECIFIED Hettinga, Florentina UNSPECIFIED orcid.org/0000-0002-7027-8126 UNSPECIFIED Perret, Claudio UNSPECIFIED UNSPECIFIED UNSPECIFIED Abel, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Goosey-Tolfrey, Victoria UNSPECIFIED UNSPECIFIED UNSPECIFIED van der Woude, Lucas UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-319570
DOI:	10.1080/09638288.2020.1815872
Journal or Publication Title:	Disabil. Rehabil.
Publisher:	TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1464-5165
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SPINAL-CORD-INJURY; HANDRIM WHEELCHAIR PROPULSION; UPPER-BODY; ARM-CRANK; POWER OUTPUT; PHYSIOLOGICAL-RESPONSES; PHYSICAL-ACTIVITY; SHOULDER LOAD; MECHANICAL EFFICIENCY; INPATIENT REHABILITATION Multiple languages Rehabilitation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31957