Manuscript Resubmission- Van der Scheer et al - ID# NEUROLOGY 2017 796169.pdf (220.4 kB)
Effects of exercise on fitness and health of adults with spinal cord injury: a systematic review
journal contribution
posted on 2020-11-24, 09:04 authored by Jan W. van der Scheer, Kathleen A. Martin Ginis, David S. Ditor, Vicky Goosey-TolfreyVicky Goosey-Tolfrey, Audrey L. Hicks, Christopher R. West, Dalton L. WolfeObjective: To synthesize and appraise research testing the effects of exercise interventions on fitness, cardiometabolic health and bone health among adults with spinal cord injury (SCI). Methods: Electronic databases were searched (1980-2016). Included studies: employed exercise interventions for a period ≥2 weeks; involved adults with acute or chronic SCI; and measured fitness (cardiorespiratory fitness, power output and/or muscle strength), cardiometabolic health (body composition and/or cardiovascular risk factors), and/or bone health outcomes. Evidence was synthesized and appraised using GRADE. Results: 211 studies met the inclusion criteria (22 acute, 189 chronic). For chronic SCI, GRADE confidence ratings were moderate to high for evidence showing exercise can improve all of the reviewed outcomes except bone health. For acute SCI, GRADE ratings were very low for all outcomes. For chronic SCI, there was low-to-moderate confidence in the evidence showing that 2-3 sessions/week of upper-body aerobic exercise at a moderate-to-vigorous intensity for 20-40 min, plus upper-body strength exercise (3 sets of 10 repetitions at 50-80% 1RM for all large muscle groups) can improve cardiorespiratory fitness, power output and muscle strength. For chronic SCI, there was low-to-moderate confidence in the evidence showing that 3-5 sessions per week of upper-body aerobic exercise at a moderate-to-vigorous intensity for 20-44 min can improve cardiorespiratory fitness, muscle strength, body composition, and cardiovascular risk.
Conclusions: Exercise improves fitness and cardiometabolic health of adults with chronic SCI. The evidence on effective exercise types, frequencies, intensities and durations should be used to formulate exercise guidelines for adults with SCI.
Funding
Financial support for this project was provided by the Rick Hansen Institute (Grant# G2016-21), The Peter Harrison Foundation (Grant# J13307), HEFCE Catalyst Funding awarded to Loughborough University (UK), and the Social Sciences and Humanities Research Council of Canada (Grant# 895-2013-1021).
History
School
- Sport, Exercise and Health Sciences
Published in
NeurologyVolume
89Issue
7Pages
736-745Citation
VAN DER SCHEER, J.W. ... et al, 2017. Effects of exercise on fitness and health of adults with spinal cord injury: a systematic review. Neurology, 89(7), pp. 736-745.Publisher
© American Academy of Neurology (AAN)Version
- AM (Accepted Manuscript)
Publisher statement
This paper was accepted for publication in the journal Neurology and the definitive published version is available at https://doi.org/10.1212/WNL.0000000000004224Acceptance date
2017-05-15Publication date
2017-07-21ISSN
0028-3878eISSN
1526-632XPublisher version
Language
- en