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

Arch Phys Med Rehabil. 2008 Mar;89(3):508-12. doi: 10.1016/j.apmr.2007.11.013.

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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Anaerobic Threshold / physiology
  • Arm
  • Bicycling / physiology*
  • Energy Metabolism / physiology*
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Injuries / diagnosis
  • Knee Injuries / rehabilitation*
  • Knee Injuries / surgery*
  • Lactates / blood
  • Leg
  • Male
  • Orthopedic Procedures / methods
  • Oxygen Consumption / physiology
  • Physical Exertion / physiology*
  • Physical Fitness / physiology
  • Postoperative Care / methods
  • Probability
  • Recovery of Function
  • Sampling Studies
  • Treatment Outcome

Substances

  • Lactates