School of Health Sciences, Faculty of Human and Health Sciences, University of Northern British Columbia, Prince George, BC, Canada.
Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Appl Physiol Nutr Metab. 2023 Dec 1;48(12):882-895. doi: 10.1139/apnm-2023-0227. Epub 2023 Oct 10.
Persons with spinal cord injury (SCI) experience gains in fitness, physical and mental health from regular participation in exercise and physical activity. Due to changes in physiological function of the cardiovascular, nervous, and muscular systems, general population physical activity guidelines and traditional exercise prescription methods are not appropriate for the SCI population. Exercise guidelines specific to persons with SCI recommend progressive training beginning at 20 min of moderate to vigorous intensity aerobic exercise twice per week transitioning to 30 min three times per week, with strength training of the major muscle groups two times per week. These population-specific guidelines were designed considering the substantial barriers to physical activity for persons with SCI and can be used to frame an individual exercise prescription. Rating of perceived exertion (i.e., perceptually regulated exercise) is a practical way to indicate moderate to vigorous intensity exercise in community settings. Adapted exercise modes include arm cycle ergometry, hybrid arm-leg cycling, and recumbent elliptical equipment. Body weight-supported treadmill training and other rehabilitation modalities may improve some aspects of health and fitness for people with SCI if completed at sufficient intensity. Disability-specific community programs offer beneficial opportunities for persons with SCI to experience quality exercise opportunities but are not universally available.
脊髓损伤（SCI）患者通过定期参加运动和体育活动，可以提高健康水平、改善身心健康。由于心血管、神经和肌肉系统的生理功能发生变化，针对普通人群的身体活动指南和传统的运动处方方法并不适用于 SCI 人群。针对 SCI 患者的运动指南建议，从每周两次、每次 20 分钟的中等至剧烈强度有氧运动开始，逐渐增加到每周三次、每次 30 分钟，每周两次进行主要肌肉群的力量训练。这些特定于人群的指南是在考虑到 SCI 患者身体活动的实质性障碍的情况下设计的，可用于制定个性化的运动处方。感知用力（即感知调节的运动）是在社区环境中表示中等至剧烈强度运动的一种实用方法。适应性运动模式包括手臂循环式测力计、混合臂-腿循环式测力计和卧式椭圆训练器。如果以足够的强度完成，减重支持跑步机训练和其他康复方式可能会改善 SCI 患者的某些健康和健身方面。残疾特定的社区项目为 SCI 患者提供了有益的机会，让他们体验高质量的运动机会，但并非普遍适用。
