The Effectiveness of a 30-Week Concurrent Strength and Endurance Training Program in Preparation for an Ultra-Endurance Handcycling Challenge: A Case Study

Purpose: The aim of the following case study was to evaluate the effectiveness of a 30-week concurrent strength and endurance training program designed to prepare a trained H4 male handcyclist (aged 28 y, bilateral, above knee amputee, and body mass 65.6 kg) for a 1407-km ultra-endurance handcycling challenge. Methods: This observational case study tracked selected physiological measures, training intensity distribution, and total training load over the course of a 30-week concurrent training protocol. Furthermore, the athlete’s performance profile during the ultra-endurance challenge was monitored with power output, cadence, speed, and heart rate recorded throughout. Results: Findings revealed considerable improvements in power output at a fixed blood lactate concentration of 4 mmol·L^-1 (+25.7%), peak aerobic power output (+18.9%), power-to-mass ratio (+18.3%), relative peak oxygen uptake (+13.9%), gross mechanical efficiency (+4.6%), bench press 1-repetition maximum (+4.3%), and prone bench pull 1-repetition maximum (+14.9%). The athlete completed the 1407-km route in a new handcycling world record time of 89:55 hours. Average speed was 18.7 (2.1) km·h^-1; cadence averaged 70.0 (2.6) rpm, while average power output was 67 (12) W. In terms of internal load, the athlete’s average heart rate was 111 (11) beats per minute. Conclusion: These findings demonstrate how a long-term concurrent strength and endurance training program can be used to optimize handcycling performance capabilities in preparation for an ultra-endurance cycling event. Knowledge emerging from this case study provides valuable information that can guide best practices with respect to handcycling training for ultra-endurance events.