PMID- 24090603
OWN - NLM
STAT- MEDLINE
DCOM- 20150120
LR  - 20211021
IS  - 1079-0268 (Print)
IS  - 2045-7723 (Electronic)
IS  - 1079-0268 (Linking)
VI  - 37
IP  - 6
DP  - 2014 Nov
TI  - Adverse events in cardiovascular-related training programs in people with spinal 
      cord injury: a systematic review.
PG  - 672-92
LID - 10.1179/2045772313Y.0000000115 [doi]
AB  - CONTEXT: There are anecdotal reports of adverse events (AEs) associated with 
      exercise in people with spinal cord injury (SCI) and consequent concern by people 
      with SCI and their providers about potential risks of exercise. Enumeration of 
      specific events has never been performed and the extent of risk of exercise to 
      people with SCI is not understood. OBJECTIVE: To systematically review published 
      evidence to identify and enumerate reports of adverse events or AEs associated 
      with training in persons with SCI. METHODS: Review was limited to peer-reviewed 
      studies published in English from 1970 to 2011: (1) in adults with SCI, (2) 
      evaluating training protocols consisting of repeated sessions over at least 4 
      weeks to maintain or improve cardiovascular health, (3) including volitional 
      exercise modalities and functional electrical stimulation (FES)-enhanced exercise 
      modalities, and (4) including a specific statement about AEs. Trained reviewers 
      initially identified a total of 145 studies. After further screening, 38 studies 
      were included in the review. Quality of evidence was evaluated using established 
      procedures. RESULTS: There were no serious AEs reported. There were no common AEs 
      reported across most types of interventions, except for musculoskeletal AEs 
      related to FES walking. There were few AEs in volitional exercise studies. 
      CONCLUSION: There is no evidence to suggest that cardiovascular exercise done 
      according to guidelines and established safety precautions is harmful. To improve 
      the strength of these conclusions, future publications should include definition 
      of AEs, information about pre-intervention screening, and statements of the 
      nature and extent of AEs.
FAU - Warms, Catherine A
AU  - Warms CA
FAU - Backus, Deborah
AU  - Backus D
FAU - Rajan, Suparna
AU  - Rajan S
FAU - Bombardier, Charles H
AU  - Bombardier CH
FAU - Schomer, Katherine G
AU  - Schomer KG
FAU - Burns, Stephen P
AU  - Burns SP
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PT  - Review
PT  - Systematic Review
DEP - 20131126
PL  - England
TA  - J Spinal Cord Med
JT  - The journal of spinal cord medicine
JID - 9504452
SB  - IM
MH  - Cardiovascular System/*physiopathology
MH  - Databases, Factual/statistics & numerical data
MH  - Electric Stimulation Therapy
MH  - Exercise Therapy/*methods
MH  - Humans
MH  - Outcome Assessment, Health Care
MH  - Spinal Cord Injuries/*therapy
PMC - PMC4231956
OTO - NOTNLM
OT  - Aerobic exercise
OT  - Ergometry
OT  - Functional electric stimulation
OT  - Gait training
OT  - Locomotor training
OT  - Paraplegia
OT  - Spinal cord injuries
OT  - Tetraplegia
OT  - Treadmill training
OT  - Wheelchair exercise
EDAT- 2013/10/05 06:00
MHDA- 2015/01/21 06:00
PMCR- 2015/11/01
CRDT- 2013/10/05 06:00
PHST- 2013/10/05 06:00 [entrez]
PHST- 2013/10/05 06:00 [pubmed]
PHST- 2015/01/21 06:00 [medline]
PHST- 2015/11/01 00:00 [pmc-release]
AID - jscm-d-12-00147 [pii]
AID - scm-37-672 [pii]
AID - 10.1179/2045772313Y.0000000115 [doi]
PST - ppublish
SO  - J Spinal Cord Med. 2014 Nov;37(6):672-92. doi: 10.1179/2045772313Y.0000000115. 
      Epub 2013 Nov 26.