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  4. Comparison of the functional and cardiovascular effects of home-based versus supervised hospital circuit training exercises in male wheelchair users with chronic paraplegia

Comparison of the functional and cardiovascular effects of home-based versus supervised hospital circuit training exercises in male wheelchair users with chronic paraplegia

Turk J Phys Med Rehab, 2021 · DOI: 10.5606/tftrd.2021.6533 · Published: September 1, 2021

Spinal Cord InjuryRehabilitation

Simple Explanation

This study compares home-based upper extremity circuit training exercises with a supervised hospital program for men with paraplegia. The study examines the effects of upper extremity circuit training using elastic bands for 60 minutes a day, five days a week, for eight weeks. The study found improvements in upper extremity strength, cardiovascular endurance, and lipid profile in both groups, suggesting home-based exercise programs may be a good alternative to hospital rehabilitation.

Study Duration
8 weeks
Participants
20 men with paraplegia
Evidence Level
Not specified

Key Findings

  • 1
    Both supervised and home-based circuit training exercises improved upper extremity strength, cardiovascular endurance, and lipid profile in men with paraplegia.
  • 2
    Improvements in VO2max, physical independence, and mobility scores were greater in the supervised exercise group.
  • 3
    There were no significant differences in muscle strength and serum lipid levels between the home-based and supervised groups.

Research Summary

This study compared the effectiveness of home-based versus supervised hospital circuit training exercises (CTEs) on functional and cardiovascular outcomes in male wheelchair users with chronic paraplegia. The results showed significant improvements in upper extremity strength, VO2max, maximum heart rate, and serum lipid profiles in both groups after the 8-week CTE program. While both groups improved, the supervised CTE group showed greater improvements in VO2max, physical independence, and mobility scores compared to the home-based CTE group.

Practical Implications

Alternative Rehabilitation Option

Home-based exercise programs can serve as effective alternatives to hospital-based rehabilitation for men with paraplegia, reducing costs and transportation burdens.

Improved Physical Function

Circuit training exercises, whether supervised or home-based, can significantly improve upper extremity strength, cardiovascular endurance, and lipid profiles in this population.

Enhanced Independence

Supervised exercise programs may lead to greater improvements in physical independence and mobility compared to home-based programs.

Study Limitations

  • 1
    Relatively small sample size
  • 2
    Inclusion of only male patients with paraplegia, limiting generalizability
  • 3
    Not specified

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