N - CARDIOMETABOLIC
Clinicians should introduce all individuals with SCI to adapted physical activity throughout their lifespan, regardless of prior participation in physical activity. Behaviour change interventions may facilitate physical activity participation. (CAN-SCIP 2020; Level B)
Individuals with SCI should exercise regularly according to their ability and follow the exercise recommendations provided in the Canadian SCI Physical Activity Guidelines (version 2). Consider arm ergometry and upper extremity resistance training as a way to improve cardiometabolic health. Canadian SCI Physical Activity Guidelines: https://doi.org/10.1038/s41393-017-0017-3 (Adapted from Nash 2018, p.408; Level C)
Individuals living with SCI should engage in at least: 20 minutes of moderate to vigorous-intensity aerobic exercise 2 times per week AND 3 sets of strength exercises for each major functioning muscle group, at a moderate to vigorous intensity, 2 times per week to improve cardiorespiratory fitness and muscle strength. (GINIS 2017, p.16; Level A)
Resources- SCI Action Canada Resources: https://sciactioncanada.ok.ubc.ca/resources/
- Strength Training Exercises for Individuals with Paraplegia: http://fhsd-sciactioncanada-2019.sites.olt.ubc.ca/files/2019/11/home-strength-training-guide-paraplegia.pdf
- Strength Training Exercises for Individuals with Tetraplegia: http://fhsd-sciactioncanada-2019.sites.olt.ubc.ca/files/2019/11/home-strength-training-guide-tetraplegia.pdf
- Strength Training Videos for Individuals with Paraplegia or Tetraplegia: https://sciactioncanada.ok.ubc.ca/resources/active-homes/
- Activities for Power Wheelchair Users: https://sciguidelines.ubc.ca/tools-for- success/activity-examples/activities-for-power-wheelchair-users/