Format

Send to

Choose Destination
See comment in PubMed Commons below
Arch Phys Med Rehabil. 2001 Oct;82(10):1349-54.

Effects of an exercise program on the rehabilitation of patients with spinal cord injury.

Author information

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.

PMID:
11588736
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Support Center