Development and Feasibility of a Group Tele-Exercise Program for Individuals With Spinal Cord Injury

Area of Science:

• Rehabilitation Science
• Exercise Physiology
• Health Technology

Background:

• Over 50% of individuals with spinal cord injury (SCI) face barriers to regular exercise.
• Tele-exercise offers a potential solution to increase physical activity participation.
• Limited evidence exists for SCI-specific tele-exercise programs.

Discussion:

• The study demonstrated the feasibility of a synchronous group tele-exercise program for individuals with SCI.
• Facilitating factors for participation included class length, frequency, co-leadership by SCI-knowledgeable instructors, and group motivation.
• This tele-service strategy can bridge rehabilitation specialists, fitness instructors, and individuals with SCI to promote physical activity.

Key Insights:

• 100% retention and 62.5% attendance were achieved in a 2-month biweekly program.
• Participants reported increased exercise knowledge, confidence, and motivation.
• Co-instruction by individuals with SCI-specific knowledge and lived experience was crucial for satisfaction.

Outlook:

• Further research can explore long-term adherence and broader implementation of tele-exercise for SCI.
• Developing standardized protocols for SCI tele-rehabilitation is recommended.
• Integrating tele-exercise into community fitness programs can enhance accessibility.