{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T05:08:15Z","timestamp":1779426495892,"version":"3.53.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T00:00:00Z","timestamp":1779408000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spinal Cord Ser Cases"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Spinal cord injury (SCI) is a complex condition that significantly impacts the patient\u2019squality of life. The integration of Aerobic Training (AT) with Conventional Therapy (CT) during rehabilitation is often underestimated, despite its potential to prevent long-term complications. This study aims to evaluate the integration of AT into the CT program of a hospitalized patient with ASIA B tetraplegia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 25 year oldindividual with complete motor tetraplegia was admitted to the hospital in the sub-acute phase. AT sessionsintegrated with CT were performed twice daily, 5 days a week including three hydrokinesis and standing frame therapy sessions on weekends. AT was delivered using an upper limb cycle ergometer, consisting of 10\u2009min of work at 20% of predicted heart rate (HR), 5\u2009min of rest, and 5\u2009min of work at 35% of predicted HR. The MRC scale, SCIM scaleand WHO-QOL questionnaire were administered before and after six days of combined CT and AT. Heart rate reserve (HRR), Respiratory rate (RR), rate of perceived exertion (RPE), blood pressure and SpO\u2082 were measured before and after each AT session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Despite the brief duration of the rehabilitation program, preliminary adaptations were observed in parameters such as RPE. These findings suggest that AT may play a valuable role in rehabilitation protocols for patients with SCI in the subacute phase. However, due to thesingle patient design and short duration of intervention (six-days), further research with larger sample sizes and longer follow-up is necessary to validate these results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1038\/s41394-026-00736-2","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T04:33:39Z","timestamp":1779424419000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cThe integration of aerobic exercise in rehabilitation of a subacute inpatient with spinal cord injury: a case report\u201d"],"prefix":"10.1038","volume":"12","author":[{"given":"Lorenzo","family":"D\u2019Orio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriana","family":"Semprini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Barbiani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5884-2157","authenticated-orcid":false,"given":"Francesco Giuseppe","family":"Materazzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"736_CR1","doi-asserted-by":"publisher","first-page":"e1004082","DOI":"10.1371\/journal.pmed.1004082","volume":"20","author":"DD Hodgkiss","year":"2023","unstructured":"Hodgkiss DD, Bhangu GS, Lunny C, Jutzeler CR, Chiou SY, Walter M, et al. Exercise and aerobic capacity in individuals with spinal cord injury: a systematic review with meta-analysis and meta-regression. PLoS Med. 2023;20:e1004082 https:\/\/doi.org\/10.1371\/journal.pmed.1004082.","journal-title":"PLoS Med"},{"key":"736_CR2","doi-asserted-by":"publisher","first-page":"2020","DOI":"10.1001\/jama.2018.14854","volume":"320","author":"KL Piercy","year":"2018","unstructured":"Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. JAMA. 2018;320:2020\u20138. https:\/\/doi.org\/10.1001\/jama.2018.14854.","journal-title":"JAMA"},{"key":"736_CR3","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1038\/s41393-017-0017-3","volume":"56","author":"KA Martin Ginis","year":"2018","unstructured":"Martin Ginis KA, van der Scheer JW, Latimer-Cheung AE, Barrow A, Bourne C, Carruthers P, et al. Evidence-based scientific exercise guidelines for adults with spinal cord injury: an update and a new guideline. Spinal Cord. 2018;56:308\u201321. https:\/\/doi.org\/10.1038\/s41393-017-0017-3.","journal-title":"Spinal Cord"},{"key":"736_CR4","doi-asserted-by":"publisher","first-page":"4423","DOI":"10.3390\/ijerph17124423","volume":"17","author":"DI Kim","year":"2020","unstructured":"Kim DI, Lee J, Park H, Jeon JY. The relationship between physical activity levels and mental health in individuals with spinal cord injury in South Korea. Int J Env Res Public Health. 2020;17:4423 https:\/\/doi.org\/10.3390\/ijerph17124423.","journal-title":"Int J Env Res Public Health"},{"key":"736_CR5","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1038\/s41393-017-0052-0","volume":"56","author":"SM Tweedy","year":"2018","unstructured":"Tweedy SM, Beckman EM, Connick MJ, Geraghty TJ, Theisen D, Perret C, et al. Correspondence Re \u201cEvidence-Based scientific exercise guidelines for adults with spinal cord injury: an update and new Guideline\u201d. Spinal Cord. 2018;56:406\u20138. https:\/\/doi.org\/10.1038\/s41393-017-0052-0.","journal-title":"Spinal Cord"},{"key":"736_CR6","doi-asserted-by":"publisher","first-page":"33","DOI":"10.2340\/16501977-2037","volume":"48","author":"J Scheer","year":"2016","unstructured":"Scheer J, de Groot S, Tepper M, Faber W, Veeger D, van der Woude LH. Low-intensity wheelchair training in inactive people with long-term spinal cord injury: a randomized controlled trial on fitness, wheelchair skill performance and physical activity levels. 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This case report is limited to the description of a single clinical case and did not require Ethics Committee approval. All clinical information presented has been collected in accordance with privacy regulations and informed consent has been obtained from the patient for publication of the data and images representing him.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"ethical approval"}}],"article-number":"10"}}