ObjectivesTo evaluate the difference between healthcare professionals (HCPs) and adults with spinal cord injury (SCI) in Asia regarding knowledge and interpretation of ‘exercise intensity’ for aerobic exercise prescription.Methods and study designA survey was distributed to practising HCP and adults with SCI. It was completed in participants’ local language on topics related to the importance of exercise frequency, intensity, time and type; methods for monitoring and terms related to exercise intensity prescription. χ2analysis was used to detect differences in HCP or those with SCI.Results121 HCP and 107 adults with an SCI ≥1 years (C1–L4) participated. Responses revealed 61% of all HCP ranked ‘intensity’ being most important whereas only 38% respondents from the SCI group ranked it as high importance (p=0.008). For those with SCI, ‘frequency’ was most important (61%) which was significantly higher than the 45% selected by HCPs (p=0.030). Of the 228 respondents on average only 34% believed that the terms, ‘moderate’ and ‘vigorous’ provided enough information for aerobic exercise intensity prescription. HCP most often used HR methods compared with the SCI group (90% vs 54%; p<0.01). Both groups frequently used the subjective measures of exercise intensity, for example, Ratings of Perceived Exertion (8%3 vs 76% for HCP and SCI), HCP also frequently used speed (81%) and SCI also frequently relied on ‘the affect’ or feelings while exercising (69%).ConclusionsThese differences must be considered when developing clinical-practice exercise guidelines and health referral educational pathways for adults with SCI in Asia.

Objective: To culturally validate and translate the Scientific Exercise Guidelines for Adults with Spinal Cord Injury (SEG-SCI) for use in four Asian countries. Design: Systematic Review Participants: N/A Methods: A systematic review was conducted to identify all published English-and local-language studies conducted in Indonesia, Japan, Korea, and Thailand, testing the effects of exercise training interventions on fitness and cardiometabolic health in adults with acute or chronic SCI. Protocols and results from highquality controlled studies were compared with the SEG-SCI. Forward and backward translation processes

Decreased physical performance of lower extremity increases the risk of injury or repetitive injury. Lower extremity physical performance is objectively reflected in lower extremity motor components consisting of triple leg hop test, one leg stance test, star excursion balance test, and agility T-test. A factor associated with decreased physical performance of lower extremity is highly likely because of rising body mass index (BMI). To analyse the association of body mass index of adult athletes and the physical performance of lower extremity. Secondary data from athletes screening of Regional Exercise Center (PUSLATDA) East Java was used in this study. Analyzed variables were including BMI, triple leg hop test, one leg stance, star excursion balance test, agility T-test. Randomization technique was applied to recruit 91 proper respondents. Normality test, Spearman test for calculating the correlation between BMI and triple leg hop test, one leg stance, star excursion balance test, agility T-test was performed with the statistical significance of p < 0.05. This finding shows that there was a significant correlation BMI and one leg stance foot in athletes, with a correlation coefficient of -0.229 (p-value=0.029). Meanwhile, triple leg hop test, star excursion balance test (SEBT) and agility T-test showed no significant relationship with BMI of athletes. A significant correlation has been found between body mass index and one leg stance test in adult athletes.

Below-knee (BK) amputation is one of the most commonly performed actions in dysvascular cases, but rare caused by arterial stenosis. Those had significant impacts on clinical functions and affect the contralateral limb, so its need adequate supervision during rehabilitation programs. The report are to describe the stump wound healing of the patient after amputation surgery, stump preparation at pre-prosthetic phase, prevention of knee contracture, prosthetic preparation and use, gait training and evaluation of unaffected limb. A 44-years old female with right below-knee amputation caused by stenosis of right peroneal and dorsalis pedis artery, and the wound in the residual limb was not healed within 4 weeks. She got rehabilitation to accelerate stump healing and stump shaping, maintain knee flexibility, muscle strengthening, cardiovascular endurance, transfer and ambulation. She had good compliance to the programs and achieved independent ambulation using the prosthetic within 6 months. Improvement in residual limb healing within 6 weeks, pain reduction from VAS score 3 to zero, and stump shape changes from buldging to conical. And also in knee joint range of motion, transfer ability, gait pattern using BK prosthetic (by modifying shoe components), and the patient's ability to carry out ADL (BI score 75 to 100). Laser therapy, stump shaping, flexibility exercise, strengthening exercise, endurance exercise, ambulation exercise and prosthetic use on transtibial dysvascular amputation showed good results for ADL. Careful examination to the unaffected limb could identify early occurence of stenosis. Early intervention could prevent future ischaemia and amputation.

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