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Exercise Recommendations and Considerations for Persons With Spinal Cord Injury

      Increasing activity and exercise is essential for health and quality of life for people living with spinal cord injury (SCI). Obesity, cardiovascular disease, and diabetes are 2 to 4 times higher for people with SCI compared to the general population. This is due, in part, to low levels of activity, limited access and opportunities to participate in exercise, as well as changes in muscle and heart function that are common after injury. Exercise is necessary to improve fitness and reduce long-term health complications after SCI. Below are exercise recommendations for improving cardiovascular health, muscular strength and endurance, and flexibility for people with SCI.
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      • Correction
        Archives of Physical Medicine and RehabilitationVol. 97Issue 6
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          In the article “Exercise Recommendations and Considerations for Persons With Spinal Cord Injury” (Evans et al, Arch Phys Med Rehabil 2015;96:1749-50), these cardiovascular and muscular strength/endurance recommendations are a modified version of the Physical Activity Guidelines for Adults with Spinal Cord Injury developed and published by Martin Ginis KA, Hicks AL, Latimer AE, et al. The development of evidence-informed physical activity guidelines for adults with spinal cord injury. Spinal Cord 2011;49:1088-96.
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      • Sedentary Behavior in People With Spinal Cord Injury
        Archives of Physical Medicine and RehabilitationVol. 97Issue 1
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          With great interest we read the articles by Totosy de Zepetnek,1 Evans,2 and colleagues related to physical activity and exercise recommendations for people with spinal cord injury (SCI). Both articles focus on the necessity of exercise and physical activity to reduce (cardio)vascular health complications after SCI. We fully share this objective. However, we would like to raise an important issue.
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