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[Training programs in spinal cord injury].

D Rimaud1, P Calmels, X Devillard

  • 1Unité PPEH-GIP E2S EA 3062, faculté de médecine Jacques-Lisfranc, université Jean-Monnet service de médecine physique et de réadaptation, hôpital Bellevue CHU, 42055 Saint-Etienne cedex 02, France. diana.rimaud@univ-st-etienne.fr

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|May 26, 2005
PubMed
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Individualized exercise programs significantly improve cardiorespiratory fitness in spinal cord injury (SCI) individuals. Recommendations include training at 70% max heart rate, 30 minutes, 3 times weekly for 8 weeks.

Area of Science:

  • Exercise physiology
  • Rehabilitation science

Context:

  • Spinal cord injury (SCI) necessitates tailored physical activity to maintain function and reduce cardiovascular risk.
  • Lack of consensus on optimal exercise parameters for SCI individuals hinders effective program design.

Purpose:

  • To systematically review SCI exercise training literature.
  • To analyze training characteristics, efficacy, limitations, and outcomes.
  • To propose evidence-based recommendations for SCI exercise programs.

Summary:

  • A literature review of 25 cardiorespiratory training studies in SCI subjects showed significant improvements in VO2max (9-99%) and power output (19-118%).
  • Wheelchair ergometry is highlighted for its relevance to daily activities and adaptability.
  • Both continuous and interval training are effective, with intermittent exercise potentially offering greater benefits due to mimicking daily activity.

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Impact:

  • Provides specific, evidence-based recommendations for designing effective endurance exercise programs for individuals with SCI.
  • Aims to optimize physical capacity and cardiovascular health in the SCI population.
  • Addresses the need for standardized, effective exercise interventions in SCI rehabilitation.