{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T17:05:59Z","timestamp":1771261559598,"version":"3.50.1"},"reference-count":42,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa de Minas Gerais (FAPEMIG)","award":["APQ-02263-21"],"award-info":[{"award-number":["APQ-02263-21"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sports"],"abstract":"<jats:p>Background: Anxiety and depression are prevalent after spinal cord injury, impairing social participation and quality of life. Objective: This study aimed to investigate the effects of traditional resistance training (TRT), flywheel resistance training (FWRT), and high-velocity resistance training (HVRT) on the mental health and quality of life in individuals with spinal cord injury. Methods: Thirty-two participants were divided into TRT (n = 12), FWRT (n = 8), and HVRT (n = 12) groups, undergoing 8 weeks of upper-limb training twice weekly under super-vision. Training intensity and volume were progressively increased. The Hospital Anxiety and Depression Scale and SF-36 Questionnaire were used to assess outcomes. Results: Both the TRT and FWRT groups showed a reduction in HADS-D scores post-intervention (p &lt; 0.001). The TRT group also presented a significant reduction in HADS-A scores post-intervention (p = 0.003). Concerning quality of life, after training, TRT showed improvements in social functioning (p = 0.013), FWRT improved scores in physical functioning (p = 0.002), bodily pain (p = 0.002), vitality (p = 0.046), and role emotional (p &lt; 0.001), while HVRT enhanced role physical (p &lt; 0.001), social functioning (p = 0.013), and role emotional (p &lt; 0.001). Conclusion: Overall, TRT was the most effective in reducing anxiety and depression and enhancing quality of life, while FWRT showed notable gains in physical and functional capacity. HVRT demonstrated improvements primarily in role physical but was less effective in other domains.<\/jats:p>","DOI":"10.3390\/sports13020060","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T03:47:06Z","timestamp":1739850426000},"page":"60","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Effects of Resistance Training Modalities on Mental Health and Quality of Life in Individuals with Spinal Cord Injury"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5269-1382","authenticated-orcid":false,"given":"Lucas Vieira","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Physical Education, Federal University of Vi\u00e7osa, Vi\u00e7osa 36570-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla Raphaela da Silva Ramos","family":"Freitas","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Vi\u00e7osa, Vi\u00e7osa 36570-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2523-4204","authenticated-orcid":false,"given":"Eveline Torres","family":"Pereira","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Vi\u00e7osa, Vi\u00e7osa 36570-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3012-1327","authenticated-orcid":false,"given":"Luciano Bernardes","family":"Leite","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Vi\u00e7osa, Vi\u00e7osa 36570-900, Brazil"},{"name":"Department of Sports, Instituto Polit\u00e9cnico de Bragan\u00e7a, 5300-253 Bragan\u00e7a, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0184-6780","authenticated-orcid":false,"given":"Pedro","family":"Forte","sequence":"additional","affiliation":[{"name":"Department of Sports, Instituto Polit\u00e9cnico de Bragan\u00e7a, 5300-253 Bragan\u00e7a, Portugal"},{"name":"Department of Sports, Higher Institute of Educational Sciences of the Douro, 4560-708 Penafiel, Portugal"},{"name":"CI-ISCE, Instituto Superior de Ci\u00eancias Educativas do Douro (ISCE Douro), 4560-547 Penafiel, Portugal"},{"name":"Research Center for Active Living and Wellbeing (LiveWell), Instituto Polit\u00e9cnico de Bragan\u00e7a, 5300-253 Bragan\u00e7a, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia Eliza Patroc\u00ednio","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Federal University of Vi\u00e7osa, Vi\u00e7osa 36570-900, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1386-8883","authenticated-orcid":false,"given":"Osvaldo Costa","family":"Moreira","sequence":"additional","affiliation":[{"name":"Institute of Biological and Health Sciences, Federal University of Vi\u00e7osa\u2014Florestal Campus, Florestal 35690-000, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Cardile, D., Calderone, A., De Luca, R., Corallo, F., Quartarone, A., and Calabr\u00f2, R.S. (2024). The Quality of Life in Patients with Spinal Cord Injury: Assessment and Rehabilitation. J. Clin. Med., 13.","DOI":"10.3390\/jcm13061820"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1080\/09638280110067603","article-title":"Health-related quality of life after spinal cord injury","volume":"24","author":"Leduc","year":"2002","journal-title":"Disabil. Rehabil."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1038\/sc.2017.56","article-title":"The impact of spinal cord injury on the quality of life of primary family caregivers: A literature review","volume":"55","author":"Lynch","year":"2017","journal-title":"Spinal Cord"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.jbmt.2024.03.030","article-title":"Strength training as a non-pharmacological alternative to improve body composition and quality of life in people with spinal cord injury: A systematic review","volume":"39","author":"Santos","year":"2024","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Anjum, A., Yazid, M.D.I., Fauzi Daud, M., Idris, J., Ng, A.M.H., Selvi Naicker, A., and Lokanathan, Y. (2020). Spinal cord injury: Pathophysiology, multimolecular interactions, and underlying recovery mechanisms. Int. J. Mol. Sci., 21.","DOI":"10.3390\/ijms21207533"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1093\/bjaed\/mkv073","article-title":"Spinal cord injury and chronic pain","volume":"16","author":"Hadjipavlou","year":"2016","journal-title":"BJA Educ."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Lee, W., Jeong, S., Lee, B.S., Lim, J.C., and Kim, O. (2023). Association between functional outcomes and psychological variables in persons with spinal cord injury. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-50252-8"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"4039580","DOI":"10.1155\/2016\/4039580","article-title":"Exercise training promotes functional recovery after spinal cord injury","volume":"2016","author":"Fu","year":"2016","journal-title":"Neural Plast."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1016\/j.pmr.2017.06.013","article-title":"Aging with spinal cord injury: An update","volume":"28","author":"Frontera","year":"2017","journal-title":"Phys. Med. Rehabil. Clin."},{"key":"ref_10","first-page":"100211","article-title":"Association between anxiety symptoms, depression symptoms, and life satisfaction among individuals 1 year after spinal cord injury: Findings from the SCIRehab Project","volume":"4","author":"Parker","year":"2022","journal-title":"Arch. Rehabil. Res. Clin. Transl."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1123","DOI":"10.1038\/s41393-022-00831-9","article-title":"Clinical and demographic predictors of symptoms of depression and anxiety in patients with spinal cord injury","volume":"60","author":"Hara","year":"2022","journal-title":"Spinal Cord"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1038\/s41394-022-00525-7","article-title":"Does severity of spinal cord injury predict likelihood of suffering chronically from severe depression and anxiety?","volume":"8","author":"Khandelwal","year":"2022","journal-title":"Spinal Cord Ser. Cases"},{"key":"ref_13","first-page":"192","article-title":"Effect of strength training on physical and mental health and quality of life of people with spinal cord injury: A literature review","volume":"37","author":"Rodrigues","year":"2020","journal-title":"Arch. Med. Deport."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1007\/s11332-024-01176-x","article-title":"Effects of high-intensity and progressive volume resistance training on functional, mental states, and quality of life of people with spinal cord injury","volume":"20","author":"Rodrigues","year":"2024","journal-title":"Sport Sci. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.jbmt.2021.09.031","article-title":"Resistance Training and Muscle Strength in people with Spinal Cord Injury: A systematic review and meta-analysis","volume":"29","author":"Santos","year":"2022","journal-title":"J. Bodyw. Mov. Ther."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"4015","DOI":"10.1007\/s10072-024-07611-8","article-title":"Efficacy of a dual task protocol on neurophysiological and clinical outcomes in migraine: A randomized control trial","volume":"45","author":"Deodato","year":"2024","journal-title":"Neurol. Sci."},{"key":"ref_17","first-page":"3","article-title":"Endogenous systems involved in exercise-induced analgesia","volume":"69","author":"Galdino","year":"2018","journal-title":"J. Physiol. Pharmacol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/j.jsams.2017.03.004","article-title":"Skeletal muscle functional and structural adaptations after eccentric overload flywheel resistance training: A systematic review and meta-analysis","volume":"20","author":"Moreira","year":"2017","journal-title":"J. Sci. Med. Sport"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Suchomel, T.J., Wagle, J.P., Douglas, J., Taber, C.B., Harden, M., Haff, G.G., and Stone, M.H. (2019). Implementing eccentric resistance training\u2014Part 1: A brief review of existing methods. J. Funct. Morphol. Kinesiol., 4.","DOI":"10.3390\/jfmk4020038"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Beato, M., and Dello Iacono, A. (2020). Implementing flywheel (isoinertial) exercise in strength training: Current evidence, practical recommendations, and future directions. Front. Physiol., 11.","DOI":"10.3389\/fphys.2020.00569"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1310\/sci17-00052","article-title":"Strength and step activity after eccentric resistance training in those with incomplete spinal cord injuries","volume":"24","author":"Stone","year":"2018","journal-title":"Top. Spinal Cord Inj. Rehabil."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"105081","DOI":"10.1016\/j.archger.2023.105081","article-title":"High-velocity resistance training improves executive function in mobility-limited older adults","volume":"114","author":"Feter","year":"2023","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1093\/gerona\/glac230","article-title":"Does high-velocity resistance exercise elicit greater physical function benefits than traditional resistance exercise in older adults? A systematic review and network meta-analysis of 79 trials","volume":"78","author":"Lopez","year":"2023","journal-title":"J. Gerontol. Ser. A"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1590\/S0034-89101995000500004","article-title":"Mood disorders among medical in-patients: A validation study of the hospital anxiety and depression scale (HAD)","volume":"29","author":"Botega","year":"1995","journal-title":"Rev. Sa\u00fade P\u00fablica"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1080\/10749357.2015.1110307","article-title":"A randomized trial investigating the influence of strength training on quality of life in ischemic stroke","volume":"23","author":"Aidar","year":"2016","journal-title":"Top. Stroke Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1007\/s40279-017-0769-0","article-title":"The effects of resistance exercise training on anxiety: A meta-analysis and meta-regression analysis of randomized controlled trials","volume":"47","author":"Gordon","year":"2017","journal-title":"Sports Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1001\/jamapsychiatry.2018.0572","article-title":"Association of efficacy of resistance exercise training with depressive symptoms: Meta-analysis and meta-regression analysis of randomized clinical trials","volume":"75","author":"Gordon","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jad.2021.10.006","article-title":"Effects of exercise on symptoms of anxiety in primary care patients: A randomized controlled trial","volume":"297","author":"Henriksson","year":"2022","journal-title":"J. Affect. Disord."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1037\/a0029256","article-title":"Trajectories of resilience, depression, and anxiety following spinal cord injury","volume":"57","author":"Bonanno","year":"2012","journal-title":"Rehabil. Psychol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1053\/apmr.2000.5580","article-title":"Anxiety and depression after spinal cord injury: A longitudinal analysis","volume":"81","author":"Kennedy","year":"2000","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Lim, S.W., Shiue, Y.L., Ho, C.H., Yu, S.C., Kao, P.H., Wang, J.J., and Kuo, J.R. (2017). Anxiety and depression in patients with traumatic spinal cord injury: A nationwide population-based cohort study. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0169623"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Chen, Z., Lan, W., Yang, G., Li, Y., Ji, X., Chen, L., and Li, S. (2020). Exercise intervention in treatment of neuropsychological diseases: A review. Front. Psychol., 11.","DOI":"10.3389\/fpsyg.2020.569206"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"274","DOI":"10.3109\/09638237.2011.648344","article-title":"Mental health and physical activity interventions: A review of the qualitative literature","volume":"21","author":"Mason","year":"2012","journal-title":"J. Ment. Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1123\/jsep.29.6.723","article-title":"Resistance training and older adults\u2019 beliefs about psychological benefits: The importance of self-efficacy and social interaction","volume":"29","author":"Dionigi","year":"2007","journal-title":"J. Sport Exerc. Psychol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1806","DOI":"10.1017\/S0144686X1800034X","article-title":"Encouraging older people to engage in resistance training: A multi-stakeholder perspective","volume":"39","author":"Pettigrew","year":"2019","journal-title":"Ageing Soc."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.1136\/bjsports-2016-096950","article-title":"Factors associated with participation in resistance training: A systematic review","volume":"51","author":"Rhodes","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/15438627.2020.1870977","article-title":"Effects of flywheel training on strength-related variables in female populations: A systematic review","volume":"30","author":"Bishop","year":"2022","journal-title":"Res. Sports Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1519\/JSC.0000000000003428","article-title":"Improved muscle strength, muscle power, and physical function after flywheel resistance training in healthy older adults: A randomized controlled trial","volume":"36","author":"McVeigh","year":"2022","journal-title":"J. Strength Cond. Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.exger.2014.07.001","article-title":"High-speed resistance training is more effective than low-speed resistance training to increase functional capacity and muscle performance in older women","volume":"58","author":"Castillo","year":"2014","journal-title":"Exp. Gerontol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.exger.2018.06.014","article-title":"High-speed resistance training in elderly women: Effects of cluster training sets on functional performance and quality of life","volume":"110","author":"Alvarez","year":"2018","journal-title":"Exp. Gerontol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.apmr.2017.06.012","article-title":"Health conditions: Effect on function, health-related quality of life, and life satisfaction after traumatic spinal cord injury. A prospective observational registry cohort study","volume":"99","author":"Rivers","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1038\/sj.sc.3101487","article-title":"Maintenance of exercise participation in individuals with spinal cord injury: Effects on quality of life, stress, and pain","volume":"41","author":"Ditor","year":"2003","journal-title":"Spinal Cord"}],"container-title":["Sports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4663\/13\/2\/60\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T16:36:30Z","timestamp":1760027790000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4663\/13\/2\/60"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,18]]},"references-count":42,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["sports13020060"],"URL":"https:\/\/doi.org\/10.3390\/sports13020060","relation":{},"ISSN":["2075-4663"],"issn-type":[{"value":"2075-4663","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,18]]}}}