{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/116189"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/116189","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"The feasibility of a high intensity interval training-based handcycling activity in people with spinal cord injury","abstract":"Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2022-11-15 without embargo terms","abstract_html":"Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2022-11-15 without embargo terms","abstract_has_math":false,"creators":["Peters, Joseph Alexander"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"Ph.D.","degree_level":"Dissertation","degree_discipline":"Kinesiology","degree_department":null,"school":null,"contributors":["Rice, Ian","Kersh, Mariana","Rice, Laura","Burd, Nicholas"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-08","date_published":"2022-08","updated_at":"2026-07-22T22:24:55Z","subjects":["spinal cord injury","high intensity interval training","HIIT","upper-body","cardiorespiratory","biomechanics","perceptions"],"languages":["en","eng"],"rights":["Copyright 2022 Joseph Peters"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2142/116189","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Rice, Ian","Kersh, Mariana","Rice, Laura","Burd, Nicholas"]},{"key":"dc:creator","label":"Author","values":["Peters, Joseph Alexander"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2022-08","2022-07-13"]},{"key":"dc:type","label":"Dc Type","values":["text","Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Kinesiology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Ph.D."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["spinal cord injury","high intensity interval training","HIIT","upper-body","cardiorespiratory","biomechanics","perceptions"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en","eng"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2022 Joseph Peters"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://hdl.handle.net/2142/116189"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2022-11-15 without embargo terms","The student, Joseph Peters, accepted the attached license on 2022-07-07 at 08:07.","The student, Joseph Peters, submitted this Dissertation for approval on 2022-07-07 at 08:15.","This Dissertation was approved for publication on 2022-07-13 at 16:31.","DSpace SAF Submission Ingestion Package generated from Vireo submission #18164 on 2022-11-15 at 17:38:16","Following the acquisition of a spinal cord injury (SCI), an individual may experience mobility impairments to the lower extremities and autonomic deficiencies of the central nervous system. With limited access to the lower extremities and a blunted sweat and heart rate response, people with SCI (PwSCI) find difficulties maintaining adequate levels of exercise for health and wellness. Currently, over 50% of PwSCI present signs or symptoms of cardiometabolic disease (CMD). In order to reduce the high prevalence of CMD among PwSCI, research must develop novel exercise modes that effectively stimulate positive fitness adaptations in PwSCI. High intensity interval training (HIIT) presents a promising alternative to current exercise approaches for PwSCI. HIIT alternates short, explosive submaximal bursts with periods of active recovery or rest, which may enable PwSCI to accumulate high exercise volumes while compensating for the central adaptive deficiencies associated with SCI. In other populations living with CMD, HIIT superiorly improves cardiometabolic health compared to traditional modes of aerobic training (i.e., moderate intensity continuous training [MICT]). Unfortunately, the cardiometabolic benefits of HIIT for PwSCI are less clear and require further exploration. As PwSCI also present high rates of upper extremity pain and dissatisfaction towards exercise, research must also address the upper-limb loading patterns and affective responses to HIIT in order to determine its viability as a long-term fitness option. Therefore, the purpose of this dissertation was to assess the feasibility of a HIIT-based handcycling activity in PwSCI. In order to accomplish this goal, three studies were performed: 1) the comparison of cardiorespiratory responses during a single-bout of HIIT and MICT, 2) the evaluation of kinetic outputs during a single-bout of HIIT and MICT, and 3) the assessment of PwSCI’s perceptions towards HIIT. Results from this dissertation indicate that a HIIT-based handcycling activity more effectively stimulated the cardiometabolic system compared to MICT in PwSCI. While HIIT required higher applied force outputs than MICT, the applied forces during HIIT were performed with greater propulsive efficiency that did not degrade over time. Finally, PwSCI enjoyed HIIT over MICT and believed that consistent adherence to HIIT would lead to positive physical and self-evaluative outcomes. Overall, the results from this study demonstrate that a HIIT-based handcycling activity is a feasible exercise option for PwSCI that has the potential to improve fitness and health. The novel HIIT protocol developed for the current study addressed many of the barriers preventing adequate exercise accumulation among PwSCI. Moving forward, exercise clinicians and scientists may benefit from utilizing this methodology for improving the health of PwSCI."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["The feasibility of a high intensity interval training-based handcycling activity in people with spinal cord injury"]}]}],"canonical_facts":{"dc:contributor":["Rice, Ian","Kersh, Mariana","Rice, Laura","Burd, Nicholas"],"dc:creator":["Peters, Joseph Alexander"],"dc:date":["2022-08","2022-07-13"],"dc:description":["Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2022-11-15 without embargo terms","The student, Joseph Peters, accepted the attached license on 2022-07-07 at 08:07.","The student, Joseph Peters, submitted this Dissertation for approval on 2022-07-07 at 08:15.","This Dissertation was approved for publication on 2022-07-13 at 16:31.","DSpace SAF Submission Ingestion Package generated from Vireo submission #18164 on 2022-11-15 at 17:38:16","Following the acquisition of a spinal cord injury (SCI), an individual may experience mobility impairments to the lower extremities and autonomic deficiencies of the central nervous system. With limited access to the lower extremities and a blunted sweat and heart rate response, people with SCI (PwSCI) find difficulties maintaining adequate levels of exercise for health and wellness. Currently, over 50% of PwSCI present signs or symptoms of cardiometabolic disease (CMD). In order to reduce the high prevalence of CMD among PwSCI, research must develop novel exercise modes that effectively stimulate positive fitness adaptations in PwSCI. High intensity interval training (HIIT) presents a promising alternative to current exercise approaches for PwSCI. HIIT alternates short, explosive submaximal bursts with periods of active recovery or rest, which may enable PwSCI to accumulate high exercise volumes while compensating for the central adaptive deficiencies associated with SCI. In other populations living with CMD, HIIT superiorly improves cardiometabolic health compared to traditional modes of aerobic training (i.e., moderate intensity continuous training [MICT]). Unfortunately, the cardiometabolic benefits of HIIT for PwSCI are less clear and require further exploration. As PwSCI also present high rates of upper extremity pain and dissatisfaction towards exercise, research must also address the upper-limb loading patterns and affective responses to HIIT in order to determine its viability as a long-term fitness option. Therefore, the purpose of this dissertation was to assess the feasibility of a HIIT-based handcycling activity in PwSCI. In order to accomplish this goal, three studies were performed: 1) the comparison of cardiorespiratory responses during a single-bout of HIIT and MICT, 2) the evaluation of kinetic outputs during a single-bout of HIIT and MICT, and 3) the assessment of PwSCI’s perceptions towards HIIT. Results from this dissertation indicate that a HIIT-based handcycling activity more effectively stimulated the cardiometabolic system compared to MICT in PwSCI. While HIIT required higher applied force outputs than MICT, the applied forces during HIIT were performed with greater propulsive efficiency that did not degrade over time. Finally, PwSCI enjoyed HIIT over MICT and believed that consistent adherence to HIIT would lead to positive physical and self-evaluative outcomes. Overall, the results from this study demonstrate that a HIIT-based handcycling activity is a feasible exercise option for PwSCI that has the potential to improve fitness and health. The novel HIIT protocol developed for the current study addressed many of the barriers preventing adequate exercise accumulation among PwSCI. Moving forward, exercise clinicians and scientists may benefit from utilizing this methodology for improving the health of PwSCI."],"dc:format":["application/pdf"],"dc:identifier":["https://hdl.handle.net/2142/116189"],"dc:language":["en","eng"],"dc:rights":["Copyright 2022 Joseph Peters"],"dc:subject":["spinal cord injury","high intensity interval training","HIIT","upper-body","cardiorespiratory","biomechanics","perceptions"],"dc:title":["The feasibility of a high intensity interval training-based handcycling activity in people with spinal cord injury"],"dc:type":["text","Thesis"],"thesis:degree_discipline":["Kinesiology"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["Ph.D."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:24:55Z"}