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Adapting a Bicycle Ergometer for Arm Crank Ergometry: Suggestion from the Field

Mr. Bohannon is Chief, Department of Physical Therapy, Southeastern Regional Rehabilitation Center, Cape Fear Valley Medical Center, PO Box 2000, Fayetteville, NC 28302 (USA).

This excerpt was created in the absence of an abstract.

Disabled individuals often demonstrate decreased cardiorespiratory fitness.^1,2 One of the methods that has been used increasingly to document the fitness level of these persons, particularly those with lower extremity amputations and spinal cord injuries, is arm crank ergometry.^3–5 Apparently, arm crank ergometers, which are used also for increasing upper extremity exercise capacity,^4,6,7 are adapted often from standard bicycle ergometers.^4–6,8

When we sought to adapt a standard bicycle ergometer* for arm crank ergometry, we met with several problems that others may also have encountered. The purpose of this suggestion from the field is to identify these problems and the solutions we applied to them. Most of the adaptations are pictured in Figure 1.

PROBLEMS AND SOLUTIONS

Problem and Solution 1

Foot pedals were found to be inadequate for hand cranking. We, therefore, removed from the foot pedals everything except the central hubs, which we wrapped with adhesive tape....

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