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  4. Feasibility of a virtual service delivery model to support physical activity engagement during the COVID-19 pandemic for those with spinal cord injury

Feasibility of a virtual service delivery model to support physical activity engagement during the COVID-19 pandemic for those with spinal cord injury

The Journal of Spinal Cord Medicine, 2021 · DOI: 10.1080/10790268.2021.1970885 · Published: September 1, 2021

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

This study explores the use of online group exercise programs for people with spinal cord injuries during the COVID-19 pandemic. It looks at whether such programs are feasible and if they can improve participants' well-being. The program consisted of 1-hour sessions twice a week for six weeks, including exercises and social interaction. Participants' satisfaction and psychosocial well-being were assessed. The results showed that participants were generally satisfied with the program and felt it improved their physical and mental health. This suggests online exercise programs could be a good way to support people with SCI.

Study Duration
6 weeks
Participants
4 adult females with SCI
Evidence Level
Preliminary pre–post study

Key Findings

  • 1
    Participants were highly satisfied with the online instruction, content, and platform.
  • 2
    The online program was beneficial for participants' physical and psychosocial wellbeing.
  • 3
    The program resulted in improvement in anxiety and satisfaction with social roles and activities.

Research Summary

This study evaluated the feasibility and limited efficacy of an online group PA program designed specifically for persons with SCI. The current pilot study demonstrates the acceptability and limited efficacy of an online PA program for those with SCI. The program was found to be acceptable and participants reported increases in perceived health benefits.

Practical Implications

Clinical Implementation

The results have important implications for the clinical implementation of online PA programs in a hospital and community setting.

Accessibility

A virtual exercise program increases the availability of accessible services and minimizes physical and environmental barriers to activity participation for this population.

Customization

The program has the capability for customization and adaption to the participants needs; ability to monitor participants and provide feedback; and the ability to reach a larger population.

Study Limitations

  • 1
    Small sample size limits generalizability.
  • 2
    Lack of a control group limits the conclusions about efficacy.
  • 3
    Short follow-up period of three months.

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