F S Durán1, L Lugo, L Ramírez, E Eusse. 1. Departamento de Medicina Fisica y Rehabilitación, Facultad de Medicina Universidad de Antioquia, Medellín, Columbia. fabios@epm.net.co
Abstract
OBJECTIVES: To evaluate the impact of directed physical exercise in patients with spinal cord injury (SCI) and to measure functional independence before and after an exercise program. DESIGN: Case series. SETTING: Tertiary care center. PARTICIPANTS: Thirteen volunteers with thoracic SCI. INTERVENTION: Patients participated in a 16-week exercise program, consisting of 3 weekly 120-minute sessions. They performed mobility, strength, coordination, aerobic resistance, and relaxation activities. MAIN OUTCOME MEASURES: The FIM instrument, arm crank exercise test, wheelchair skills, maximum strength, anthropometry (body composition measurements), and lipid levels. The results were processed by using nonparametric statistical tests. RESULTS: After comparing the values at the beginning and end of the program, patients showed a significant increase in the following parameters: average FIM score (p < .001) 113 +/- 7.1; weight lifted in the bench press exercise (46%, p < .0001), military press (14%, p < .0002), and butterfly press exercise (23%, p < .0001), and number of repetitions for biceps (10%, p <.0001), triceps (18%, p < .0001), shoulder abductors (61%, p < .0001), abdominals (33%, p <.009), and curl back neck exercise (19%, p < .0001). The maximum resistance achieved during the arm crank exercise test increased (p < .001), and heart rate 6 minutes after the exercise test decreased (p <.05). The time required for the wheelchair skill tests significantly decreased in all the tasks. No statistically significant changes occurred in body weight (p < .154), percentage of body fat (p < .156), lean body weight (p < .158), cholesterol/high-density lipoprotein cholesterol ratio (p < .076), or maximum heart rate (p < .20). The only complication arose in a patient who developed transient sinus bradycardia and hypotension after the arm crank exercise test. CONCLUSION: The directed exercise program had a positive impact for most of the variables of the study. Copyright 2001 by the American Congress of Rehabilitation Medicine and the Amercian Academy of Physical Medicine and Rehabilitation
OBJECTIVES: To evaluate the impact of directed physical exercise in patients with spinal cord injury (SCI) and to measure functional independence before and after an exercise program. DESIGN: Case series. SETTING: Tertiary care center. PARTICIPANTS: Thirteen volunteers with thoracic SCI. INTERVENTION: Patients participated in a 16-week exercise program, consisting of 3 weekly 120-minute sessions. They performed mobility, strength, coordination, aerobic resistance, and relaxation activities. MAIN OUTCOME MEASURES: The FIM instrument, arm crank exercise test, wheelchair skills, maximum strength, anthropometry (body composition measurements), and lipid levels. The results were processed by using nonparametric statistical tests. RESULTS: After comparing the values at the beginning and end of the program, patients showed a significant increase in the following parameters: average FIM score (p < .001) 113 +/- 7.1; weight lifted in the bench press exercise (46%, p < .0001), military press (14%, p < .0002), and butterfly press exercise (23%, p < .0001), and number of repetitions for biceps (10%, p <.0001), triceps (18%, p < .0001), shoulder abductors (61%, p < .0001), abdominals (33%, p <.009), and curl back neck exercise (19%, p < .0001). The maximum resistance achieved during the arm crank exercise test increased (p < .001), and heart rate 6 minutes after the exercise test decreased (p <.05). The time required for the wheelchair skill tests significantly decreased in all the tasks. No statistically significant changes occurred in body weight (p < .154), percentage of body fat (p < .156), lean body weight (p < .158), cholesterol/high-density lipoprotein cholesterol ratio (p < .076), or maximum heart rate (p < .20). The only complication arose in a patient who developed transient sinus bradycardia and hypotension after the arm crank exercise test. CONCLUSION: The directed exercise program had a positive impact for most of the variables of the study. Copyright 2001 by the American Congress of Rehabilitation Medicine and the Amercian Academy of Physical Medicine and Rehabilitation
Authors: Catherine A Warms; Deborah Backus; Suparna Rajan; Charles H Bombardier; Katherine G Schomer; Stephen P Burns Journal: J Spinal Cord Med Date: 2013-11-26 Impact factor: 1.985
Authors: Kathleen F Carlson; Timothy J Wilt; Brent C Taylor; Gary D Goldish; Catherine B Niewoehner; Tatyana A Shamliyan; Robert L Kane Journal: J Spinal Cord Med Date: 2009 Impact factor: 1.985