Martin Ginis Kathleen A, van der Scheer Jan W, Latimer-Cheung Amy E, Barrow Andy, Bourne Chris, Carruthers Peter, Bernardi Marco, Ditor David S, Gaudet Sonja, de Groot Sonja, Hayes Keith C, Hicks Audrey L, Leicht Christof A, Lexell Jan, Macaluso Steven, Manns Patricia J, McBride Christopher B, Noonan Vanessa K, Pomerleau Pierre, Rimmer James H, Shaw Robert B, Smith Brett, Smith Karen M, Steeves John D, Tussler Dot, West Christopher R, Wolfe Dalton L, Goosey-Tolfrey Victoria L
University of British Columbia, Kelowna, Canada.
ICORD, Vancouver, Canada.
Spinal Cord. 2018 Apr;56(4):308-321. doi: 10.1038/s41393-017-0017-3. Epub 2017 Oct 25.
To describe the process and outcomes of using a new evidence base to develop scientific guidelines that specify the type and minimum dose of exercise necessary to improve fitness and cardiometabolic health in adults with spinal cord injury (SCI).
International.
Using Appraisal of Guidelines, Research and Evaluation (AGREE) II reporting criteria, steps included (a) determining the guidelines' scope; (b) conducting a systematic review of relevant literature; (c) holding three consensus panel meetings (European, Canadian and International) to formulate the guidelines; (d) obtaining stakeholder feedback; and (e) process evaluation by an AGREE II consultant. Stakeholders were actively involved in steps (c) and (d).
For cardiorespiratory fitness and muscle strength benefits, adults with a SCI should engage in at least 20 min of moderate to vigorous intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week (strong recommendation). For cardiometabolic health benefits, adults with a SCI are suggested to engage in at least 30 min of moderate to vigorous intensity aerobic exercise 3 times per week (conditional recommendation).
Through a systematic, rigorous, and participatory process involving international scientists and stakeholders, a new exercise guideline was formulated for cardiometabolic health benefits. A previously published SCI guideline was endorsed for achieving fitness benefits. These guidelines represent an important step toward international harmonization of exercise guidelines for adults with SCI, and a foundation for developing exercise policies and programs for people with SCI around the world.
描述利用新的证据基础制定科学指南的过程和结果，该指南明确了脊髓损伤（SCI）成人改善体能和心脏代谢健康所需的运动类型和最小剂量。
国际。
采用指南研究与评价（AGREE）II报告标准，步骤包括：（a）确定指南范围；（b）对相关文献进行系统评价；（c）召开三次共识小组会议（欧洲、加拿大和国际会议）以制定指南；（d）征求利益相关者反馈；（e）由AGREE II顾问进行过程评估。利益相关者积极参与步骤（c）和（d）。
为获得心肺适能和肌肉力量益处，脊髓损伤成人应每周进行至少20分钟的中等至剧烈强度有氧运动，每周2次，并且对每个主要功能肌肉群进行3组中等至剧烈强度的力量训练，每周2次（强烈推荐）。为获得心脏代谢健康益处，建议脊髓损伤成人每周进行至少30分钟的中等至剧烈强度有氧运动，每周3次（有条件推荐）。
通过一个涉及国际科学家和利益相关者的系统、严谨且参与性强的过程，制定了一项关于心脏代谢健康益处的新运动指南。先前发布的脊髓损伤指南被认可用于获得体能益处。这些指南是朝着脊髓损伤成人运动指南国际协调迈出的重要一步，也是为全球脊髓损伤患者制定运动政策和项目的基础。
