{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T04:30:08Z","timestamp":1774499408740,"version":"3.50.1"},"reference-count":37,"publisher":"Korean Academy of Rehabilitation Medicine","issue":"1","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004625","name":"Universiti Teknologi MARA","doi-asserted-by":"crossref","award":["600-RMC\/GPK 5\/3 [134\/202]"],"award-info":[{"award-number":["600-RMC\/GPK 5\/3 [134\/202]"]}],"id":[{"id":"10.13039\/501100004625","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["e-arm.org"],"crossmark-restriction":true},"short-container-title":["Ann Rehabil Med"],"published-print":{"date-parts":[[2022,2,28]]},"abstract":"<jats:p>Objective To determine the effects of the Paraplegia Fitness Integrated Training (PARAFiT) program, which is an integrated graded physical exercise and health education program for individuals with spinal cord injury (SCI).Methods This nonrandomized single-blind study included 44 participants, who were assigned to either an intervention (PARAFiT) group or an active control (conventional physiotherapy) group. The intervention group underwent the PARAFiT program (8 weeks), which consisted of circuit-based interval training, progressive upper limb resistance training, and health education sessions. During the unsupervised period, the intervention group continuously underwent health education program once a month for 2 months (8 weeks). Repeated-measures analysis of variance was used for the analysis.Results The intervention group presented with a higher level of physical activity than did the control group; however, the difference was not significant (p=0.36). Additionally, the intervention group presented with better exercise self-efficacy and cardiorespiratory fitness and stronger bilateral shoulder muscle and handgrip than did the control group (all p&lt;0.05). Exercise adherence was higher in the intervention group than in the control group during both the supervised (80% vs. 75%) and unsupervised (40% vs. 20%) periods.Conclusion The PARAFiT program enhanced the level of physical activity, exercise self-efficacy, physical fitness, and exercise adherence among the patients with SCI. Future studies should incorporate guidelines for home-based exercises and regular monitoring to promote long-term adherence to exercise and physical activity among individuals with SCI.<\/jats:p>","DOI":"10.5535\/arm.21127","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T07:52:39Z","timestamp":1646207559000},"page":"33-44","update-policy":"https:\/\/doi.org\/10.5535\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Effects of Paraplegia Fitness Integrated Training on Physical Function and Exercise Self-Efficacy and Adherence Among Individuals With Spinal Cord 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the physical activity guidelines for adults\u00a0 with spinal cord injury for 16 weeks does not\u00a0improve vascular health: a randomized controlled trial","author":"Totosy de Zepetnek","year":"2015"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2006.10.003"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.090449"},{"key":"ref30","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2014.237"},{"key":"ref31","doi-asserted-by":"publisher","DOI":"10.1348\/135910709x461752"},{"key":"ref32","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1544294"},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2009.178"},{"key":"ref34","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000518002.99303.73"},{"key":"ref35","first-page":"60","volume-title":"Cardio respiratory fitness testing in spinal cord injury patients using 6 minute push 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