A tele-health intervention to increase physical fitness in people with spinal cord injury and cardiometabolic disease or risk factors: a pilot randomized controlled trial

Bombardier, Charles H.; Dyer, Joshua R.; Burns, Patricia; Crane, Deborah A.; Takahashi, Melissa M.; Barber, Jason; Nash, Mark S.

doi:10.1038/s41393-020-0523-6

Cited by 22 publications

(29 citation statements)

References 44 publications

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“…One team used web-based didactic content, assigned exercise homework, and then evaluated exercise diaries remotely every 2 weeks to adjust exercise regimens via email or phone [ 18 ]. Another provided a home exercise tool kit and exercises via a mailed DVD but had a psychologist provide telephone coaching to encourage physical activity every 1 to 2 weeks [ 47 ]. Three interventions used video telehealth either for coaching check-ins and/or real-time exercise monitoring [ 46 , 48 , 49 ].…”

Section: Recent Trends In Telescimentioning

confidence: 99%

“…Three studies demonstrated large effects on physical activity and tolerance outcomes [ 46 , 47 , 49 ], but only one study demonstrated statistically significant improvements in exercise tolerance ( p ≤ 0.05) [ 49 ]. The last study conducted a feasibility case series that found improvements in physical activity and exercise tolerance.…”

Section: Recent Trends In Telescimentioning

confidence: 99%

“…The last study conducted a feasibility case series that found improvements in physical activity and exercise tolerance. Interestingly, while several interventions did not significantly impact physical activity, several demonstrated significant impact on secondary outcomes such as satisfaction with life [ 48 ] and quality of life [ 18 ], depression [ 18 , 47 ], anxiety [ 18 ], health participation [ 47 ], and meaningful life experience [ 46 ], suggesting physical activity interventions may have wider applicability in this population. Only one of these studies focused on nutrition, which found significant improvement in secondary outcomes regarding choice of balanced meals, reading food labels, logging meals, and monitoring food portions [ 50 ].…”

Section: Recent Trends In Telescimentioning

confidence: 99%

“…A small subset of studies used telephones as the primary mode for contact with participants [ 45 , 47 , 63 ], but evidence suggests better interactions occur when video components are included during the clinical visit [ 22 , 75 , 76 ]. Phone communications should be reserved for times when video conferencing is not feasible or practical (e.g., bad video connection).…”

Section: Optimizing Telesci Programsmentioning

confidence: 99%

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Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI)

Touchett

Apodaca

Siddiqui

et al. 2022

Curr Phys Med Rehabil Rep

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Purpose of Review Telehealth and telerehabilitation in spinal cord injury (teleSCI) is a growing field that can improve access to care and improve health outcomes in the spinal cord injury population. This review provides an overview of the recent literature on the topic of teleSCI and provides insights on current evidence, future directions, and considerations when using teleSCI for clinical care. Recent Findings TeleSCI is used most often for preventive health; management of chronic pain, anxiety, and depression; and rehabilitation-related interventions. As video telehealth becomes mainstream, growth in wearable monitors, bio and neurofeedback mechanisms, and app-based care is expected. Summary TeleSCI is growing in prevalence, demonstrates positive impact on health outcomes, and requires ongoing study to identify, refine, and implement best practices.

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Section: Recent Trends In Telescimentioning

confidence: 99%

Section: Recent Trends In Telescimentioning

confidence: 99%

Section: Recent Trends In Telescimentioning

confidence: 99%

Section: Optimizing Telesci Programsmentioning

confidence: 99%

See 2 more Smart Citations

Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI)

Touchett

Apodaca

Siddiqui

et al. 2022

Curr Phys Med Rehabil Rep

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“…Exercise sessions were completed between two to seven times per week. Eleven studies reported a range (e.g., "two to three sessions") or maximum frequency (e.g., "up to three sessions/week") [51,54,57,[60][61][62][63][64][65][66][67], and frequency was either not reported or could not be determined in five studies [68][69][70][71][72]. The remainder reported an exact frequency (e.g., three sessions per week).…”

Section: Exercise Intervention Characteristicsmentioning

confidence: 99%

The effect of exercise on aerobic capacity in individuals with spinal cord injury: A systematic review with meta-analysis and meta-regression

Hodgkiss

Bhangu

Lunny

et al. 2022

Preprint

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Background A low level of cardiorespiratory fitness [CRF; typically defined as peak oxygen uptake (VO2peak) or peak power output (PPO)] is a widely reported consequence of spinal cord injury (SCI). This systematic review with meta-analysis and meta-regression aimed to assess whether certain SCI characteristics and specific exercise considerations are moderators of changes in CRF. Methods Eligible studies included randomised controlled trials (RCTs) and pre-post studies that conducted an exercise intervention lasting >2 weeks. The outcome measures of interest were absolute (AVO2peak) or relative VO2peak (RVO2peak), and/or PPO. Four databases were searched up to July 2021. The Cochrane Risk of Bias 2 tool and the National Institute of Health Quality Assessment Tool were used to assess bias/quality. The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Random effects meta-analyses and meta-regressions were conducted. Results Ninety studies (110 independent exercise interventions) with a total of 1,191 participants were included in our primary meta-analysis. There were significant improvements in AVO2peak [0.22 (0.17, 0.26) L/min, p<0.001)], RVO2peak [2.8 (2.2, 3.4) mL/kg/min, p<0.001)], and PPO [11 (8, 13) W, p<0.001]. There were no subgroup differences in AVO2peak or RVO2peak. There were subgroup differences (p<0.008) for changes in PPO based on time since injury, neurological level of injury, exercise modality, relative exercise intensity, method of exercise intensity prescription, and frequency. The meta-regression found that increased age was associated with increases in AVO2peak and RVO2peak, and exercise intensity prescription and volume were associated with increases in PPO (p<0.05). GRADE assessments indicated a low level of certainty in the estimated effects due to study design, risk of bias, inconsistency, and imprecision. Conclusion The pooled analysis indicates that performing exercise >2 weeks results in significant improvements in AVO2peak, RVO2peak and PPO in individuals with SCI. Subgroup comparisons identify that upper-body aerobic exercise and resistance training appear the most effective at improving PPO. Furthermore, acutely-injured, individuals with paraplegia, exercising at a moderate-to-vigorous intensity, prescribed via a percentage of oxygen consumption or heart rate, for more than 3 sessions/week will likely experience the greatest change in PPO. Registration PROSPERO CRD42018104342

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Effect of Exercise on Mental Health and Health-related Quality of Life in Adults With Spinal Cord Injury: A Systematic Review and Meta-Analysis

Ponzano,

Buren,

Adams

et al. 2024

Archives of Physical Medicine and Rehabilitation

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A tele-health intervention to increase physical fitness in people with spinal cord injury and cardiometabolic disease or risk factors: a pilot randomized controlled trial

Cited by 22 publications

References 44 publications

Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI)

Current Approaches in Telehealth and Telerehabilitation for Spinal Cord Injury (TeleSCI)

The effect of exercise on aerobic capacity in individuals with spinal cord injury: A systematic review with meta-analysis and meta-regression

Effect of Exercise on Mental Health and Health-related Quality of Life in Adults With Spinal Cord Injury: A Systematic Review and Meta-Analysis

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