A regular exercise program is known to be beneficial for people with SCI. The exercise program designed for spinal cord injury patients is somewhat similar to the program for stroke survivors. However, it should be noted that the concerns for each condition are different, so you need to focus on the individual's specific requirements. The disability of stroke survivors depends on the area of the brain damaged, while the disability of people with SCI depends on the damage to the spine. Therefore, a detailed assessment of the spinal injury must be performed before designing an exercise program for a person with SCI (Jacobs & Nash, 2004). An exercise program that combines mobility activities, aerobic endurance, strength, coordination, recreation, and relaxation can improve function and physical fitness (Durán, Lugo, Ramírez, & Lic, 2001). The individual should have 3 sessions per week for a total of 120 minutes (Durán, Lugo, Ramírez & Lic, 2001). The duration of each session can be initially shorter and increased over time to avoid injury and undue stress for patients. Some very common exercise modalities for this group include crank ergometry and swimming. This is because SCI often causes paralysis and weakness in the lower extremities, which makes sense to focus more on upper extremity exercise modalities in order to achieve the desired level of fitness (Nash,
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