Overview of Systematic Reviews of Aerobic Fitness and Muscle Strength Training after Spinal Cord Injury.

Eitivipart, AC; de Oliveira, CQ; Arora, M; Middleton, J; Davis, GM

Overview of Systematic Reviews of Aerobic Fitness and Muscle Strength Training after Spinal Cord Injury.

Eitivipart, AC de Oliveira, CQ Arora, M Middleton, J Davis, GM

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Publisher:: Mary Ann Liebert Inc
Publication Type:: Journal Article
Citation:: Journal of neurotrauma, 2019, 36, (21), pp. 2943-2963
Issue Date:: 2019-11

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Field	Value	Language
dc.contributor.author	Eitivipart, AC
dc.contributor.author	de Oliveira, CQ
dc.contributor.author	Arora, M
dc.contributor.author	Middleton, J
dc.contributor.author	Davis, GM
dc.date.accessioned	2020-05-18T06:16:45Z
dc.date.available	2020-05-18T06:16:45Z
dc.date.issued	2019-11
dc.identifier.citation	Journal of neurotrauma, 2019, 36, (21), pp. 2943-2963
dc.identifier.issn	0897-7151
dc.identifier.issn	1557-9042
dc.identifier.uri	http://hdl.handle.net/10453/140781
dc.description.abstract	The number of systematic reviews on the effects of exercise on aerobic fitness and muscle strength in people with spinal cord injury (SCI) has recently increased. However, the results of some of these reviews are inconclusive or inconsistent. To strengthen recommendations, this overview was undertaken to assimilate evidence about the effectiveness of different types of physical activities, exercises, and therapeutic interventions for improving aerobic fitness and muscle strength in people with SCI. Cochrane Overview of reviews methods were adopted to undertake this overview. An online search was conducted in August 2018 on eight databases based on predefined search criteria. Potential systematic reviews were screened, selected, and assessed on methodological quality by two independent authors, and discussed and resolved with a third author, when necessary. Only systematic reviews published in the English language were included. The protocol was registered on PROSPERO. Overall, 16 systematic reviews were included (aerobic fitness, n = 10; muscle strength, n = 15). For all 16 reviews, the quality of evidence was rated as "critically low." Despite low evidence, this overview strengthens the existing guidelines for people with SCI, providing specific advice on exercise domains (types, intensities, frequency, and duration) for improving aerobic fitness and muscle strength. The evidence from this overview suggests that ergometry training with/without additional therapeutic interventions (20 min, moderate to vigorous intensity, twice weekly for 6 weeks) may improve aerobic fitness; similarly, resistance training with/without additional therapeutic interventions (three sets of 8-10 repetitions, moderate to vigorous intensity, twice weekly for 6 weeks) may improve muscle strength.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Mary Ann Liebert Inc
dc.relation.ispartof	Journal of neurotrauma
dc.relation.isbasedon	10.1089/neu.2018.6310
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1103 Clinical Sciences, 1109 Neurosciences
dc.subject.classification	Neurology & Neurosurgery
dc.title	Overview of Systematic Reviews of Aerobic Fitness and Muscle Strength Training after Spinal Cord Injury.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	United States
utslib.for	1103 Clinical Sciences
utslib.for	1109 Neurosciences
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-05-18T06:16:40Z
pubs.issue	21
pubs.publication-status	Published
pubs.volume	36
utslib.start-page	2943
utslib.citation.issue	21

Abstract:

The number of systematic reviews on the effects of exercise on aerobic fitness and muscle strength in people with spinal cord injury (SCI) has recently increased. However, the results of some of these reviews are inconclusive or inconsistent. To strengthen recommendations, this overview was undertaken to assimilate evidence about the effectiveness of different types of physical activities, exercises, and therapeutic interventions for improving aerobic fitness and muscle strength in people with SCI. Cochrane Overview of reviews methods were adopted to undertake this overview. An online search was conducted in August 2018 on eight databases based on predefined search criteria. Potential systematic reviews were screened, selected, and assessed on methodological quality by two independent authors, and discussed and resolved with a third author, when necessary. Only systematic reviews published in the English language were included. The protocol was registered on PROSPERO. Overall, 16 systematic reviews were included (aerobic fitness, n = 10; muscle strength, n = 15). For all 16 reviews, the quality of evidence was rated as "critically low." Despite low evidence, this overview strengthens the existing guidelines for people with SCI, providing specific advice on exercise domains (types, intensities, frequency, and duration) for improving aerobic fitness and muscle strength. The evidence from this overview suggests that ergometry training with/without additional therapeutic interventions (20 min, moderate to vigorous intensity, twice weekly for 6 weeks) may improve aerobic fitness; similarly, resistance training with/without additional therapeutic interventions (three sets of 8-10 repetitions, moderate to vigorous intensity, twice weekly for 6 weeks) may improve muscle strength.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/140781