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Is exercise medicine for people with spinal cord injury? In what dose and…
Is exercise medicine for people with spinal cord injury?
In what dose and in which form?
What is the SCI specific PA guidelines?
40 mins of moderate-to-vigorous activity per week - for fitness
90 minutes of moderate-to-vigorous intensity activity per week - for cardio metabolic health.
Best volume for MVPA?
(Piercy et al., 2018); Powell et al., 2011)
For
additional health benefits
, adults should try to increase their moderate intensity PA to
300 minutes per week
.
'Adults with
chronic conditions or disabilities
who are able, should follow the guidelines.'
Updated Systematic Review of the Literature
(Van Der Scheer et al., 2017)
'
Low to moderate confidence
in evidence that
3-5 sessions/week
of upper-body aerobic exercise at
moderate to vigorous intensity
for 20-45 mins can
improve
cardiorespiratory fitness, body composition and CVD risk.
✚ adverse events besides occasional musculoskeletal complaints.
−
high quality studies still lacking.
Arguments
(Gins et al., 2018)
Utilised guidelines development framework
Rigorous, systematic and transparent process.
Incorporated broader levels of evidence
Argue that 29 and 8 levels 3-4 studies support the effectiveness and safety of the fitness and cardiometabolic guidelines, respectively.
Nothing for the people without the people
Meaningful engagement of people who use the guidelines.
Reflects concerns, values, and preferences of the SCI community.
Feasible
Also based on SCI-specific evidence.
Testing the Updated Guidelines
(Krassioukov et al., 2019)
Frequency
3 times per week
Duration
30 mins per session
Intensity
12-14 on the Borg scale (moderate)
Measured at baseline and 6 months