Document Detail


Aerobic exercise during early rehabilitation for cervical spinal cord injury.
MedLine Citation:
PMID:  20093326     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: People with spinal cord injuries (SCIs), particularly those with injuries causing tetraplegia, are at risk for cardiovascular illnesses. There is a compelling need to address poor cardiovascular health as early as possible after cervical SCI. The purpose of this case report is to illustrate the process of aerobic exercise prescription during inpatient rehabilitation for cervical SCI. CASE DESCRIPTION: The patient was a 22-year-old man who had sustained a complete C5 SCI during a swimming accident 12 weeks before he participated in an aerobic exercise program. The program was developed to facilitate aerobic capacity while minimizing muscular fatigue. The patient attended 18 sessions over a 2-month period. OUTCOMES: The patient's exercise tolerance increased in terms of both exercise duration and exercise intensity. Measurements of cardiovascular health, taken before and after training, revealed substantial increases in peak oxygen uptake (20%) and orthostatic tolerance over the course of the program. DISCUSSION: The patient experienced typical complications associated with acute SCI (eg, orthostatic hypotension, urinary tract infections). He exhibited several signs of improved exercise tolerance and wheelchair mobility during the 2-month program, indicating potential cardiovascular and functional improvements from the exercise training.
Authors:
Amira E Tawashy; Janice J Eng; Andrei V Krassioukov; William C Miller; Shannon Sproule
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-21
Journal Detail:
Title:  Physical therapy     Volume:  90     ISSN:  1538-6724     ISO Abbreviation:  Phys Ther     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-01     Completed Date:  2010-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0022623     Medline TA:  Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  427-37     Citation Subset:  AIM; IM    
Affiliation:
Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
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MeSH Terms
Descriptor/Qualifier:
Cervical Vertebrae / injuries*
Cholesterol / blood
Exercise*
Exercise Tolerance
Heart Rate
Humans
Hypotension, Orthostatic / therapy
Male
Oxygen Consumption
Patient Satisfaction
Physical Fitness
Spinal Cord Injuries / rehabilitation*
Wheelchairs
Young Adult
Chemical
Reg. No./Substance:
57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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