Wheelchair user with tetraplegia: how should I track high-effort wheelchair pushing and arm cycling accurately?

Hi everyone,

I’m looking for some advice from experienced WHOOP users, especially anyone with a spinal cord injury, tetraplegia, or experience with adaptive training.

I have tetraplegia and use an electric wheelchair in daily life, but I also train with a manual wheelchair and an arm bike.

My main issue is that the activity categories do not seem to reflect the real physical effort involved in my case.

For example, when I push my manual wheelchair, I can take around 20 to 22 minutes to complete just 1 km. For me, this is a very demanding cardiovascular and muscular effort. However, when I select “Wheelchair Pushing”, the result appears to be calibrated for a typical wheelchair user and does not seem to represent the intensity I actually experience.

I have a similar problem with arm cycling. A 30-minute arm-bike session can be very demanding for me, but I am not sure which WHOOP activity best represents that workload.

I understand that WHOOP Strain is primarily based on cardiovascular load and that no wearable will perfectly calculate mechanical or neuromuscular effort in someone with tetraplegia. I am also not particularly interested in calorie estimates, as I know they can be inaccurate in my situation.

What I really want is to use WHOOP to track my own progression over time using:

• heart rate during exercise
• HRV
• resting heart rate
• Recovery
• sleep
• Strain trends
• perceived exertion
• distance and time in the manual wheelchair
• performance on the arm bike

My questions are:

  1. For high-effort manual wheelchair training, would you still recommend using “Wheelchair Pushing”, even if the perceived effort is much higher than the activity category seems to suggest?

  2. Is there another WHOOP activity that could better represent sustained upper-body cardiovascular effort?

  3. What activity would you recommend for an arm ergometer / arm bike?

  4. Does the activity selected actually influence the Strain calculation significantly, or is Strain mainly determined by heart-rate data regardless of the activity selected?

  5. Are there any wheelchair users or people with spinal cord injuries here who have developed their own way of interpreting WHOOP data?

My goal is not to compare myself with able-bodied athletes. I want to build my own physiological baseline and understand whether I am becoming more efficient over time.

For example, if I can complete the same 2 km wheelchair route faster, with a similar or lower heart rate and lower perceived exertion, that is meaningful progress for me, regardless of what the calorie estimate says.

I would really appreciate hearing from anyone with similar experience, and I would also be very interested in any guidance from the WHOOP team on adaptive sports and spinal cord injury users.

Thanks!