According to the study's statistical findings, the peak work rate was highest among the wheelchair athletes, and peak VO2 was similar for runners and wheelchair athletes compared to the control group. Runners had the lowest heart rate response to each work rate. LV volume index also tended to be largest in the runners. Wheelchair athletes' LV volume and mass increased, but not to the same extent as the runners. According to these findings, leg training does present a training effect to arm exercise.