Abstract
Although individuals with spinal cord injury (SCI) regard exercise as important and clearly can benefit from proper exercise, there are several hurdles to overcome. Most importantly, it has been suggested that an exercise intensity of at least 6 METs (i.e. oxygen consumption of 21 ml/kg/min) is required to lower the relative risk for coronary heart disease (Tanasescu et al., 2002) and to significantly improve blood lipids volumes of at least 1,200–2,200 kcal/week (Durstine et al., 2001). However, many persons with SCI can have difficulty achieving these levels (Manns and Chad, 1999). Even though some can achieve moderately high peak oxygen consumptions using their upper body muscles alone, maintaining sufficient aerobic power with small muscle mass exercise is difficult. Exercise performance may be limited by local fatigue of the highly stressed arm musculature despite adequate systemic responses.
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20.5 References
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Andrews, B.J., Hettinga, D., Gibbons, R., Goodey, S., Poulton, A. (2008). FES Indoor Rowing and On-water Sculling. In: Langdon, P., Clarkson, J., Robinson, P. (eds) Designing Inclusive Futures. Springer, London. https://doi.org/10.1007/978-1-84800-211-1_20
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DOI: https://doi.org/10.1007/978-1-84800-211-1_20
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