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Aerobic exercise during early rehabilitation for cervical spinal cord injury

TAWASHY AE; ENG JJ; KRASSIOUKOV AV; MILLER WC; SPROULE S
PHYS THER , 2010, vol. 90, n° 3, p. 427-437
Doc n°: 145193
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2522/ptj.20090023
Descripteurs : KA4 - RENFORCEMENT MUSCULAIRE, AE21 - ORIGINE TRAUMATIQUE

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.

Langue : ANGLAIS

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