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  4. Telehealth high‑intensity interval exercise and cardiometabolic health in spinal cord injury

Telehealth high‑intensity interval exercise and cardiometabolic health in spinal cord injury

Trials, 2022 · DOI: 10.1186/s13063-022-06585-2 · Published: July 22, 2022

Spinal Cord InjuryRehabilitationTelehealth & Digital Health

Simple Explanation

Individuals with SCI face even greater challenges as they have few, if any options to participate in physical activity. Three of the most frequently reported barriers to participation among people with SCI are structural (accessibility to exercise facilities, exercise equip-ment), time-related (getting dressed/undressed, unreliable transportation services), and lack of knowledgeable exercise personnel. This study will implement a long-term exercise study (16 weeks) that enhances accessibility to the SCI population by incorporating a remote telehealth exercise platform that will allow the training to take place in the participants home during a time period that is convenient for them. This project will expand on these findings and determine the effects of long-term training versus the previous short-term studies in order to provide additional evidence-based data that may potentially support the use of HIIT as a mode of exercise for participants with SCI.

Study Duration
16 weeks
Participants
Men and women between the ages of 19 and 60 with a confirmed diagnosis of SCI between C7 and T12
Evidence Level
Randomized controlled trial

Key Findings

  • 1
    The primary purpose of this study is to integrate a 16 week home-based telehealth HIIT arm crank exer-cise training program in individuals with SCI and assess changes in cardiometabolic health.
  • 2
    Therefore, we hypothesize that the utilization of a home-based telehealth HIIT program will improve cardiometabolic health markers, yield high adherence (> 75%), and will be more enjoyable in individuals with SCI.
  • 3
    Advances in telehealth exercise approaches have improved the capability to prescribe home-based exer-cise programs.

Research Summary

The primary purpose of this study is to implement a home-based telehealth HIIT arm crank exercise training program among individuals with SCI and assess changes in body composition, cardiovascular fitness, muscular strength, glucose tolerance, blood lipids, and vascular health. The secondary purpose of this study is to explore the uptake and implementation of HIIT in SCI. This is a 16-week randomized controlled trial involving a cohort of individuals with chronic SCI.

Practical Implications

Improved Accessibility

Telehealth exercise programs can overcome barriers related to travel, accessibility of gyms, and cost of equipment for individuals with SCI.

Enhanced Cardiometabolic Health

Home-based HIIT programs have the potential to improve cardiometabolic health markers and increase the quality of life for people with SCI.

Increased Adherence

Telehealth approaches may improve exercise participation and adherence by providing convenient and accessible training options.

Study Limitations

  • 1
    Cardiovascular or renal diseases
  • 2
    Orthopedic conditions that prevents arm ergometry
  • 3
    Participation in a structured exercise program currently or in the past 3 months.

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