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Improving and Monitoring Adherence to Exercise Interventions Involving Persons with a Spinal Cord Injury: Actionable

Matteo Ponzano¹, Jennifer R Tomasone², Kenneth S Noguchi^3,4,5

¹Division of Kinesiology, Health and Sport Studies, Wayne State University, Detroit, Michigan, USA.

Topics in Spinal Cord Injury Rehabilitation

|May 29, 2026

Summary

This study provides 12 recommendations to improve exercise intervention research for people with spinal cord injuries (PwSCI). Guidance covers supporting adherence, using behavior change techniques, and monitoring exercise participation for better research quality.

Keywords:

behavior change disabilities physical activity study quality

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Area of Science:

Rehabilitation Medicine
Exercise Science
Clinical Research Methodology

Background:

Persons with spinal cord injuries (PwSCI) require effective exercise interventions.
Methodological quality in spinal cord injury (SCI) exercise research needs improvement.
Adherence to exercise protocols is crucial for research validity and participant outcomes.

Purpose of the Study:

To present consensus-based recommendations for supporting and monitoring exercise adherence in PwSCI.
To provide guidance on implementing strategies to enhance the quality of SCI exercise research.
To offer practical advice on behavior change techniques and monitoring methods.

Main Methods:

Formation of an international expert panel by the ISCoS Physical Activity Special Interest Group.
Development of 12 consensus-based recommendations.
Review of behavior change theories, physical activity counseling, and adherence monitoring techniques.

Main Results:

Established 12 recommendations to improve exercise intervention research quality for PwSCI.
Detailed strategies for supporting and monitoring exercise adherence.
Discussed advantages, disadvantages, and practical examples of adherence monitoring techniques.

Conclusions:

Adoption and reporting of adherence strategies are vital for enhancing SCI exercise research.
Implementing these recommendations can improve the methodological rigor and impact of SCI research.
Facilitating quality exercise participation and monitoring adherence are key to advancing SCI rehabilitation.