Model System:

TBI

Reference Type:

Journal

Accession No.:

J68720

Journal:


Journal of Spinal Cord Medicine - JSCM (formerly Journal of the American Paraplegia Society)

Year, Volume, Issue, Page(s):

, 37, 6, 672-692

Publication Website:

Abstract:

Study examined the type and frequencies of adverse events (AEs) associated with cardiovascular-related exercise training in adults with spinal cord injury (SCI). Literature searches were conducted in PubMed, CINAHL, PsycINFO, and EMBASE databases for peer-reviewed studies published in English from 1970 to 2011. Studies that evaluated training protocols consisting of repeated sessions over at least 4 weeks to maintain or improve cardiovascular health, included volitional exercise modalities and functional electrical stimulation (FES)-enhanced exercise modalities, and included a specific statement about AEs were selected. From a total of 144 studies that appeared to meet the inclusion criteria, after further screening, 38 studies were included in the review. Quality of evidence was evaluated using established procedures. In the studies reviewed, there were no serious AEs reported. There were no common AEs reported across most types of interventions, except for musculoskeletal AEs related to FES walking. There were few AEs in volitional exercise studies. There is no evidence to suggest that cardiovascular exercise performed according to guidelines and established safety precautions is harmful for people with SCI. To improve the strength of these conclusions, future publications should include definition of AEs, information about pre-intervention screening, and statements of the nature and extent of AEs.

Author(s):


Warms, Catherine A., Backus, Deborah , Rajan, Suparna, Bombardier, Charles H., Schomer, Katherine G., Burns, Stephen P.

Participating Centers: