Loughborough University
Leicestershire, UK
LE11 3TU
+44 (0)1509 263171
Loughborough University

Loughborough University Institutional Repository

Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/25106

Title: Effects of exercise on fitness and health of adults with spinal cord injury: a systematic review
Authors: van der Scheer, Jan W.
Martin Ginis, Kathleen A.
Ditor, David S.
Goosey-Tolfrey, Victoria L.
Hicks, Audrey L.
West, Christopher R.
Wolfe, Dalton L.
Issue Date: 2017
Publisher: © American Academy of Neurology (AAN)
Citation: 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, doi:10.1212/WNL.0000000000004224.
Abstract: Objective: 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.
Description: This paper is closed access until 21st July 2018.
Sponsor: 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).
Version: Accepted for publication
DOI: ​10.​1212/​WNL.​0000000000004224
URI: https://dspace.lboro.ac.uk/2134/25106
Publisher Link: http:/​/​dx.​doi.​org/​10.​1212/​WNL.​0000000000004224
ISSN: 0028-3878
Appears in Collections:Closed Access (Sport, Exercise and Health Sciences)

Files associated with this item:

File Description SizeFormat
Manuscript Resubmission- Van der Scheer et al - ID# NEUROLOGY 2017 796169.pdfAccepted version220.4 kBAdobe PDFView/Open

 

SFX Query

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.