Health and Fitness

Rethinking aerobic exercise intensity prescription in adults with spinal cord injury: time to end the use of "moderate to vigorous" intensity?

M. J. Hutchinson and V. L. Goosey-tolfrey

Discover groundbreaking insights from researchers Michael J. Hutchinson and Victoria L. Goosey-Tolfrey as they delve into the complexities of aerobic exercise intensity for adults with spinal cord injury. This study uncovers why fixed percentages for intensity prescription may not be the best approach, paving the way for tailored exercise strategies.

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Abstract

This cohort study investigated aerobic exercise intensity prescription methods for adults with spinal cord injury (SCI). Athletes with paraplegia (PARA; n=47), tetraplegia (TETRA; n=20), or other health conditions (NON-SCI; n=67) completed submaximal and graded exercise tests. Lactate thresholds (LT1, LT2) were identified to demarcate exercise intensity domains. Associations between %VO2peak, %HRpeak, and RPE differed between PARA and TETRA. Fixed %VO2peak and %HRpeak did not result in uniform exercise intensity distribution. The study concludes that fixed percentages should not be used for aerobic exercise intensity prescription in adults with SCI.

Publisher

Spinal Cord

Published On

Dec 08, 2021

Authors

Michael J. Hutchinson, Victoria L. Goosey-Tolfrey

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