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Introduction <p>Spinal cord injury (SCI) is a complex condition that significantly impacts the patient’squality of life. The integration of Aerobic Training (AT) with Conventional Therapy (CT) during rehabilitation is often underestimated, despite its potential to prevent long-term complications. This study aims to evaluate the integration of AT into the CT program of a hospitalized patient with ASIA B tetraplegia.</p> Case presentation <p>A 25 year oldindividual with complete motor tetraplegia was admitted to the hospital in the sub-acute phase. AT sessionsintegrated with CT were performed twice daily, 5 days a week including three hydrokinesis and standing frame therapy sessions on weekends. AT was delivered using an upper limb cycle ergometer, consisting of 10 min of work at 20% of predicted heart rate (HR), 5 min of rest, and 5 min of work at 35% of predicted HR. The MRC scale, SCIM scaleand WHO-QOL questionnaire were administered before and after six days of combined CT and AT. Heart rate reserve (HRR), Respiratory rate (RR), rate of perceived exertion (RPE), blood pressure and SpO₂ were measured before and after each AT session.</p> Discussion <p>Despite the brief duration of the rehabilitation program, preliminary adaptations were observed in parameters such as RPE. These findings suggest that AT may play a valuable role in rehabilitation protocols for patients with SCI in the subacute phase. However, due to thesingle patient design and short duration of intervention (six-days), further research with larger sample sizes and longer follow-up is necessary to validate these results.</p>

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“The integration of aerobic exercise in rehabilitation of a subacute inpatient with spinal cord injury: a case report”

  • 期刊论文

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  • 发表日期：

    2026年5月22日

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  • Lorenzo D’Orio,
  • Adriana Semprini,
  • Elisa Barbiani,
  • Francesco Giuseppe Materazzi

摘要

Introduction

Spinal cord injury (SCI) is a complex condition that significantly impacts the patient’squality of life. The integration of Aerobic Training (AT) with Conventional Therapy (CT) during rehabilitation is often underestimated, despite its potential to prevent long-term complications. This study aims to evaluate the integration of AT into the CT program of a hospitalized patient with ASIA B tetraplegia.

Case presentation

A 25 year oldindividual with complete motor tetraplegia was admitted to the hospital in the sub-acute phase. AT sessionsintegrated with CT were performed twice daily, 5 days a week including three hydrokinesis and standing frame therapy sessions on weekends. AT was delivered using an upper limb cycle ergometer, consisting of 10 min of work at 20% of predicted heart rate (HR), 5 min of rest, and 5 min of work at 35% of predicted HR. The MRC scale, SCIM scaleand WHO-QOL questionnaire were administered before and after six days of combined CT and AT. Heart rate reserve (HRR), Respiratory rate (RR), rate of perceived exertion (RPE), blood pressure and SpO₂ were measured before and after each AT session.

Discussion

Despite the brief duration of the rehabilitation program, preliminary adaptations were observed in parameters such as RPE. These findings suggest that AT may play a valuable role in rehabilitation protocols for patients with SCI in the subacute phase. However, due to thesingle patient design and short duration of intervention (six-days), further research with larger sample sizes and longer follow-up is necessary to validate these results.