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Physical Activity Module

Current Canadian SCI Physical Activity Practice Profile CLINICAL PRACTICE GUIDELINES 1. SCI Action Canada. Physical Activity Guidelines for Adults with Spinal Cord Injury. McMaster University, Hamilton, ON; 2011. www.sciactioncanada/guidelines. Accessed May 30, 2012. 2. Figoni SF. Spinal cord disabilities: paraplegia and tetraplegia. In: Durstine JL, Moore GE, Painter PL, Roberts SO, eds. American College of Sports Medicine (ACSM)’s Exercise Management for Persons with Chronic Diseases and Disabilities. 3rd ed. Champaign, IL: Human Kinetics; 2009:298-303. Care Pathwa ys or Local Protocols 1. Half of sites (6/12) report having a treatment protocol. However, only two sites report having a published CPG (ACSM and SCI Action Canada). Key References • Jacobs PL, Nash MS. Exercise recommendations for individuals with spinal cord injury. Sports Med. 2004;34(11):727-51. • Martin Ginis KA, Arbour-Nicitopoulos KP, Latimer AE, et al. Leisure-time physical activity in a population-based sample of people with spinal cord injury part II: activity types, intensities, and durations. Arch Phys Med Rehabil. 2010;91(5):729-33. • Wolfe DL, Martin Ginis KA, Latimer AE, et al. Physical activity and SCI. In: Eng JJ, Teasell RW, Miller WC, et al., eds. Spinal Cord Injury Rehabilitation Evidence. Version 3.0. Vancouver, BC; 2010. www.scireproject.com/rehabilitation-evidence/physical-activity. Accessed May 30, 2012. Assessments Standardized or routine use of assessment tools that focus on physical activity participation, or other aspects of fitness, are infrequently used in rehabilitation settings. The Physical Activity Recall Assessment for People with Spinal Cord Injury (PARA-SCI), or the related short form (Leisure Time Physical Activity Questionnaire for People with SCI (LTPAQ-SCI)), are measures that allow providers to quantify the number of minutes an individual engages in light, medium and heavy leisure time physical activity. These measures are routinely used in 2/12 (16.7%) of sites for research purposes. Similarly, the Borg Rating of Perceived Exertion, a measure to quantify exertion, is employed at 1/12 (8.3%) of E-Scan sites, for both research and clinical purposes. Most often, physical activity participation patterns are reported as being assessed as part of a leisure and recreation assessment. This is noted by 4/12 (33.3%) of sites, although it is uncertain whether these sites used standardized or customized assessment tools. PHYSICAL ACTIVITY | PARTICIPATION 171


Physical Activity Module
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