Graduate Program in Rehabilitation Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Phys Ther. 2010 Mar;90(3):427-37. doi: 10.2522/ptj.20090023. Epub 2010 Jan 21.
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.
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.
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.
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.
脊髓损伤（SCI）患者，尤其是四肢瘫痪的损伤患者，存在心血管疾病风险。因此，需要在颈 SCI 后尽早解决心血管健康不良的问题。本病例报告旨在说明在颈 SCI 住院康复期间进行有氧运动处方的过程。
患者为 22 岁男性，在一次游泳事故中导致 C5 完全性 SCI，受伤 12 周后参加了有氧运动项目。该项目旨在促进有氧能力，同时最大限度地减少肌肉疲劳。患者在 2 个月的时间内参加了 18 次课程。
患者的运动耐量在运动持续时间和运动强度方面均有所提高。在训练前后测量心血管健康，发现峰值摄氧量（20%）和体位耐受性在整个项目过程中均有显著增加。
患者经历了与急性 SCI 相关的典型并发症（如直立性低血压、尿路感染）。在 2 个月的项目期间，他表现出运动耐量和轮椅移动能力的改善迹象，表明运动训练可能带来心血管和功能方面的改善。
