Activity Based Therapy, Spinal Cord Injury Program, Shepherd Center, Atlanta, GA, USA.
J Neurol Phys Ther. 2013 Jun;37(2):65-71. doi: 10.1097/NPT.0b013e31829247a9.
People with spinal cord injury (SCI) have limited options for aerobic exercise. Existing options are often difficult to access, or they result in muscle imbalances that can eventually contribute to joint dysfunction. These difficulties can cause individuals to live a more sedentary lifestyle, putting them at greater risk for developing obesity and other cardiovascular disease risk factors. Therefore, a mode of exercise that allows people with SCI an affordable, accessible, and effective way to engage in cardiovascular exercise is needed.
The participant was a 44-year-old man with chronic, complete T12 SCI resulting from a motor vehicle accident 28 years ago. He participated in a case study evaluating the effectiveness of a home-based aerobic and strengthening exercise program.
Outcome measures were assessed before and after completing a 12-week home-based circuit resistance training (CRT) program. The intervention was a modified version of a previously studied CRT program performed in a traditional gym that was designed to improve strength and aerobic fitness and to elicit healthy cholesterol levels in people with paraplegia.
After performing the CRT program, the participant demonstrated improvements in cardiovascular fitness and upper extremity strength. Cholesterol levels were unchanged. He also lost weight and his shoulder pain improved.
The findings demonstrate the potential for some individuals with SCI to safely and effectively engage in aerobic and strengthening exercise in their home to improve or prevent cardiovascular-related risk factors.Video Abstract available (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A44) for more insights from the authors.
脊髓损伤（SCI）患者的有氧运动选择有限。现有的选择往往难以获得，或者会导致肌肉失衡，最终导致关节功能障碍。这些困难可能导致个体过上更加久坐不动的生活方式，使他们面临更大的肥胖和其他心血管疾病风险因素的风险。因此，需要一种运动方式，让 SCI 患者能够负担得起、方便获得并有效地进行心血管运动。
参与者是一名 44 岁的男子，因 28 年前的一场机动车事故导致慢性完全性 T12 SCI。他参加了一项案例研究，评估了一种基于家庭的有氧运动和强化锻炼计划的有效性。
在完成为期 12 周的基于家庭的循环电阻训练（CRT）计划前后评估了结果测量。干预措施是先前在传统健身房中进行的 CRT 计划的修改版本，旨在提高力量和有氧运动能力，并在截瘫患者中引起健康的胆固醇水平。
在进行 CRT 计划后，参与者的心血管健康和上肢力量得到了改善。胆固醇水平保持不变。他还减轻了体重，肩部疼痛也有所改善。
研究结果表明，一些 SCI 患者有可能在家中安全有效地进行有氧运动和强化锻炼，以改善或预防与心血管相关的风险因素。（请观看视频，补充数字内容 1，http://links.lww.com/JNPT/A44，了解作者的更多见解）
