SpecialUse/RX WheelChair Pushers

Walking Poles for the Active Wheelchair Pusher

Pushing my chair for exercise has never been an appealing option for me in these last 15+ years of living with a SCI. I am an active WC user. I play tennis, kayak, and swim, walk the dogs, XC-ski, water ski, hand-cycle, stretch, strengthen and look for opportunities to get my endorphin lift. Recently I tried a pair of Exerstrider® adjustable length walking poles. Now this may sound a little weird for someone who does not walk for exercise given my above list of regular activities but it’s true, walking poles can be adapted for use by WC users.

As an avid XC-Skier, I often wondered how I could do some off-snow training, as the snow is a 90-minute drive to the mountains. The ways that stand-up XC-skiers train off snow is by way of “poling”, usually on skates, to get the same upper and lower body experience of skiing. Once again, walking poles have come to assist me with that training. It’s easy, it’s fun and now I can use my WC for exercise but not have to use the same old muscles and repetitive motion that pushing a WC demands.

Exerstrider® walking poles were originally designed by fitness innovator and RECTECH/RERC advisory panel member Tom Rutlin to bring about the involvement of large core strength and other upper body muscles while walking, but he says that the same type of upper body muscle involvement can occur when poles are used by WC users. To get an idea just what happens with important upper body muscles, try a very simple demonstration. Sit facing a desk or table and extend one or both arms out as though you are offering them for a friendly handshake. Make a fist, with the thumbs up, and place the fist(s) on the surface of the desk or table. Now, push down on the surface and note how your abdominals, lats, pectorals and spinal erectors as well as muscles in your shoulders and arms contract. Significant contractions of all these and other upper body muscles occur repeatedly when force is applied to the poles to propel both walkers and WC users. Use of walking poles offers WC users a unique opportunity to condition many large upper body muscles that simply don’t get involved when the WC is propelled in the regular way. Activating a significantly greater amount of large upper body muscle mass in what can be a great combined aerobic and muscle conditioning workout may prove to be an important new tool for many WC users seeking an effective way to burn significant calories and build cardiovascular fitness.

I adjusted my Exerstrider® walking poles so that they allowed my arms to fully extend just below the level of my shoulders. This height allowed for a strong push back and yet did not put excess strain on my elbow or shoulder joints. On my first go-around of a 2.5 mile loop of a pedestrian and bike roadway of Washington Park in Denver, I felt exhilarated by the use of my upper trunk and back, going fast and feeling a form of exercise that was using many more muscles. I completed the course in just over 30 minutes. My heart rate was elevated; a slight sweat glistened on my brow and a big smile was on my face. I felt great! I knew that this was an exercise option that was portable, convenient and much less expensive than anything other piece of equipment I currently utilize.

A few tips for the WC user of walking poles:

  • Make sure WC tires are fully inflated to ensure less drag. Slick, high-pressure tires would probably be ideal.
  • Check caster bearings and be sure they are lubed and running smoothly. I clean mine often as hair and dirt can accumulate and cause slow rolling.
  • Secure your legs to the WC frame. I use a wide strap over the top of my knees to keep me in contact with the WC. Its’ similar in other chair sports such as rugby and tennis to be in oneness with one’s wheelchair creates efficient use of energy and power.
  • Keep to smooth pathways. Watch out for cracks and other uneven surfaces as your front casters may get caught.
  • Flat, rolling surfaces lend to a fast, smooth workout. The walking poles work well for uphill pushing and even seemed easier than regular pushing. I prefer flatter, rolling for a more sustained workout and cardiovascular response versus the big uphill grunt workout.
  • Use the poles for forward power, turning and stopping. The handles can be useful for stopping by rubbing on the push rim of the wheelchair. However, a full stop, especially on a steep downhill, may require that poles be put in the lap and full hand control be used on the push rim.
  • Have fun! It’s a great upper body exercise that is portable, easy and beneficial to the WC user who wants variety in exercise options.

So now I have an exercise option that is inexpensive, portable and easy on my body and fun. I can train for XC-skiing any time of year and get a great cardiovascular workout at the same time. Happy poling!!

— Terry Chase, ND, RN
T-12 Para
Patient & Family Education Program Coordinator
Craig Hospital, Englewood, CO

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