Randomized trial demonstrates improved exercise self-efficacy in individuals with spinal cord injury, indicating positive behavioral changes.
Key Points
To compare exercise outcomes for individuals with spinal cord injury based on baseline physical activity levels after an 8-week tele-exercise program.
51 individuals with chronic spinal cord injury participated, including 24 non-exercisers.
Primary and secondary outcomes related to physical activity and quality of life were evaluated pre-, post-, and 8 weeks after intervention.
Program participation involved a novel group tele-exercise format addressing barriers to exercise.
Non-exercisers reported significantly lower exercise expectations and physical activity levels at baseline (P<0.001).
Post-program, non-exercisers improved their exercise self-efficacy (P=0.02) and matched exercisers' levels of moderate to high-intensity physical activity (P=0.01).
Large effect sizes were observed in social participation and self-esteem among non-exercisers post-program (d=0.92 to 1.0).