A preliminary study on the correlation of upper limb loading during seated push-up test and body compositions of individuals with spinal cord injury
Individuals with spinal cord injury commonly suffer from body composition decline, e.g., skeletal muscle mass (SMM) and bone mineral content (BMC), that could affect force generation and rehabilitation outcomes, as well as risk of secondary consequences and complications. However, the assessments for body compositions using a complex and costly machine could result in late detection on the abnormality occurred in these individuals. Therefore, this research investigated the correlation between the amount of upper limb loading (ULL) during a seated push-up test (PUT), and the amount of SMM and BMC in 20 individuals with SCI. Subjects were cross-sectionally assessed for the ability of ULL while completing a seated PUT, and SMM and BMC using DXA scan. The findings were analyzed using the Pearson's correlation coefficient (r) and Spearman's rank (rs) correlation coefficients. The findings indicated significant correlation between the amount of ULL, and SMM and BMC of the subjects, not only for the arms, but also the legs and whole body (rs, r=0.560-0.805, p<0.05). The current findings offer preliminary data on the use of ULL during seated PUT to monitor the change of body compositions of individuals with SCI. However, further studies in the large number of sample size with data analysis separately for those with complete and incomplete SCI may provide clear information to extend the benefit of seated PUT for these individuals.
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