Article

OBJECTIVES: To systematically develop evidence-informed physical activity
guidelines to improve physical fitness in people with spinal cord injury (SCI).
SETTING: This study was conducted in Canada. METHODS: The Appraisal of
Guidelines, Research and Evaluation II guideline development protocol was used to
develop exercise guidelines to improve physical capacity and muscular strength.
The evidence base for the guideline development process consisted of a systematic
review and quality appraisal of research examining the effects of exercise on
physical fitness among people with SCI. A multidisciplinary expert panel
deliberated the evidence and generated the guidelines. Pilot testing led to
refinement of the wording and presentation of the guidelines. RESULTS: The expert
panel generated the following guidelines: for important fitness benefits, adults
with a SCI should engage in (a) at least 20 min of moderate to vigorous intensity
aerobic activity two times per week and (b) strength training exercises two times
per week, consisting of three sets of 8-10 repetitions of each exercise for each
major muscle group. CONCLUSION: People with SCI, clinicians, researchers and
fitness programmers are encouraged to adopt these rigorously developed
guidelines.

Langue : ANGLAIS