Objective
To investigate the feasibility and effects of a mobile app-based home cycling exercise program compared to home cycling exercise without additional monitoring system. Compared with fitness facilities or outdoor exercise, home-based exercise programs effectively improve physical performance in an indwelling community. However, a flexible, informal environment may decrease motivation and impair adherence to physical exercise. Mobile devices for aerobic exercise and mobile applications provide real-time monitoring, immediate feedback, and encouragement to increase motivation and promote physical performance. We investigated the feasibility and effects of a mobile app-based home exercise program on body composition, muscular strength, and cardiopulmonary function.
Methods
Between February and May 2023, 20 participants were randomly allocated to the intervention (mobile application with a tablet) and control groups, and they performed aerobic exercise using a stationary bicycle for ≥150 minutes per week for 6 weeks (≤30-minute exercise session, with 3-minute warm-up and 3-minute cool-down). Karvonen formula-based heartrate defined the weekly increase in exercise intensity. Outcome measures included body-composition parameters, isokinetic knee flexor and extensor strength tests, cardiopulmonary exercise test results, and rate of target heart rate (HR) achievement. Participants were assessed at baseline and after the intervention.
Results
Unrelated personal events led two participants to drop out. The intervention and control groups had similar baseline characteristics. Compared with the control group, in the post-intervention isokinetic strength test, bilateral knee flexor and extensor power, and time to target HR achievement significantly increased each week in the intervention group.
Conclusion
Home-based exercise to achieve long-term cardiovascular fitness with portable electronic/mobile devices facilitates individualized exercise using real-time feedback to improve motivation and adherence.

Citations

• Impact of heart rate variability-based exercise prescription: self-guided by technology and trainer-guided exercise in sedentary adults
  Antonio Casanova-Lizón, Agustín Manresa-Rocamora, José Manuel Sarabia, Diego Pastor, Alejandro Javaloyes, Iván Peña-González, Manuel Moya-Ramón
  Frontiers in Sports and Active Living.2025;[Epub]     CrossRef

Citations

• Approaches to self-management integration and influencing factors in everyday life after spinal cord injury: A qualitative narrative analysis
  Enxhi Qama, Nicola Diviani, Clara Häfliger, Xavier Jordan, Anke Scheel-Sailer, Claudia Zanini, Sara Rubinelli
  Patient Education and Counseling.2025; 136: 108763.     CrossRef
• Cervicalgia and cervicobrachialgia in periarticular cyst at the cervical level. Case report
  Ekaterina K. Kerimova, Aleksei I. Isaikin, Anastasia S. Romanova, Mikhail G. Bashlachev, Kinan Mouki
  Consilium Medicum.2025; 27(02): 94.     CrossRef
• The Diagnostic Odyssey of Patients with Chronic Neuropathic Pain—Expert Opinion of Greek Pain Specialists
  Persefoni Kritikou, Athina Vadalouca, Martina Rekatsina, Giustino Varrassi, Ioanna Siafaka
  Clinics and Practice.2023; 13(1): 166.     CrossRef
• A scoping review of medication self-management intervention tools to support persons with traumatic spinal cord injury
  Lauren Cadel, Stephanie R. Cimino, Glyneva Bradley-Ridout, Sander L. Hitzig, Tanya L. Packer, Lisa M. McCarthy, Tejal Patel, Aisha K. Lofters, Shoshana Hahn-Goldberg, Chester H. Ho, Sara J. T. Guilcher, Saeed Ahmed
  PLOS ONE.2023; 18(4): e0284199.     CrossRef
• Aging with spinal cord injury: A narrative review of consequences and challenges
  Gabriel Guízar-Sahagún, Israel Grijalva, Rebecca E. Franco-Bourland, Ignacio Madrazo
  Ageing Research Reviews.2023; 90: 102020.     CrossRef
• Spinal cord injury/dysfunction and medication management: a qualitative study exploring the experiences of community-dwelling adults in Ontario, Canada
  Lauren Cadel, Sander L. Hitzig, Tanya L. Packer, Tejal Patel, Aisha K. Lofters, Alison Thompson, Sara J. T. Guilcher
  Disability and Rehabilitation.2022; 44(1): 24.     CrossRef
• Preventing pediatric chronic postsurgical pain: Time for increased rigor
  Christine B. Sieberg, Keerthana Deepti Karunakaran, Barry Kussman, David Borsook
  Canadian Journal of Pain.2022; 6(2): 73.     CrossRef
• Diagnosis and management of persistent posttraumatic trigeminal neuropathic pain secondary to implant therapy
  Divya Kohli, Giannina Katzmann, Rafael Benoliel, Olga A. Korczeniewska
  The Journal of the American Dental Association.2021; 152(6): 483.     CrossRef
• Spinal cord injury and polypharmacy: a scoping review
  Lauren Cadel, Amanda C. Everall, Sander L. Hitzig, Tanya L. Packer, Tejal Patel, Aisha Lofters, Sara J. T. Guilcher
  Disability and Rehabilitation.2020; 42(26): 3858.     CrossRef
• Subgroup Perspectives on Chronic Pain and Its Management After Spinal Cord Injury
  Eva Widerström-Noga, Kim D. Anderson, Salomé Perez, Alberto Martinez-Arizala, Jessica M. Cambridge
  The Journal of Pain.2018; 19(12): 1480.     CrossRef

Objective
To verify the safety and clinical utility of noninvasive respiratory management as an alternative method of invasive respiratory management for the patients with cervical spinal cord injury (CSCI) who often present with ventilatory insufficiency (due to inspiratory muscle paralysis) or difficulty in removing airway secretions (because of expiratory muscle weakness). Method: Nineteen patients with CSCI (male: 15, female: 4, mean age: 45.6) were recruited. All of the patients were in need of mechanical ventilation due to ventilatory failure or indwelling tracheostomy tube for secretion management. In order to switch from invasive to noninvasive means of respiratory management, expiratory muscle aids such as manual assist or CoughAassist^Ⱂ and inspiratory muscle aids such as noninvasive ventilatory support were applied to all candidates. Results: Fifteen out of the 19 patients had indwelling tracheostomy tubes, and the remaining 4 patients were intubated via endotracheal tubes at admission. Through the noninvasive respiratory management, we were able to remove intubation or traheostomy tubes for all of the patients. Eleven patients were able to maintain normal ventilation status without ventilatory support, as time went on. The rest 8 patients were continuously in need of ventilatory support, but they could maintain normal ventilation status by noninvasive method. Conclusion: Noninvasive respiratory management is safe and equally effective in treating ventilatory insufficiency or removing airway secretions for patients with CSCI. In cases of long-term ventilator dependency or chronic tracheostomy state, it can be replaced as a creditable alternative to invasive respiratory management. (J Korean Acad Rehab Med 2010; 34: 518-523)

Obejctive: To survey the method of bladder management and to evaluate the risk factor for urinary tract infection in chronic spinal cord injured patients. Method: We retrospectively reviewed the medical records and interviewed 129 spinal cord injured patients who have been for at least 2 years. We obtained demographic characteristics, associated factors, methods of bladder management and frequency of urinary tract infections. Logistic regression analysis and analysis of variance were done to evaluate the risk factor for urinary tract infection. Results: The mean duration since spinal cord injury was 10.14 years. The method of bladder management was as follows: percussion and crede, valsalva maneuver (42.1%), clean intermittent catheterization (37.3%), combination of above 2 methods (9.4%), suprapubic catheter (4.7%), condom catheter (3.1%) and indwelling urethral catheter (2.3%). The overall incidence and frequency of urinary tract infection was 67.5%, 3.7 times/year respectively and was highest in indwelling urethral catheter group. The risk factors for urinary tract infection were age over 60, complete spinal cord injury (p＜0.05). Conclusion: Complete spinal cord injury and old age are risk factors for urinary tract infection in chronic spinal cord injured patients. Incidence and frequency of urinary tract infection was affected by the method of bladder management. (J Korean Acad Rehab Med 2005; 29: 181-186)

Objective
To evaluate the effect of Vacuum-Assisted Closure (V.A.C.) therapy in stage 3 or 4 pressure ulcers refractory to traditional saline wet gauze dressing. Method: Ten patients who had stage 3 or 4 pressure ulcers which were failed to heal with saline wet gauze dressing over 4 weeks were investigated. We treated these subjects with V.A.C. therapy. The length, width and depth of pressure ulcers were evaluated every week for 3 weeks. Soft tissue biopsy from pressure ulcer was taken before starting V.A.C. therapy and after the scheduled therapy was done. Results: The sizes of length, width and depth in pressure ulcer were significantly decreased after one week of V.A.C. application. And then healthy granulation tissue was formed. The length, width and depth of the pressure ulcer were decreased of 40.2%, 42.7% and 79.8% of their original size. Soft tissue biopsy in pressure ulcers was taken in 4 cases, the number and size of capillaries were more increased and inflammatory cells were decreased.Conclusion: V.A.C. therapy promoted wound healing and revealed favorable histological changes in pressure ulcers refractory to traditional dressing. We suggest that V.A.C. therapy can be used for the effective management of pressure ulcer. (J Korean Acad Rehab Med 2005; 29: 128- 134)

Objective
To investigate the evidence of improvement of spinal mobility and the radiologic change of ankylosing spondylitis with comprehensive rehabilitative management. Method: We retrospectively studied spinal mobility index and radiologic changes of the twenty eight patients who had met the modified New York criteria of ankylosing spondylitis. Results: Patients comprised 25 men and 3 women with age ranged from 22 to 63 (mean 44.9) years. With spinal mobility index, including Schöber index, lumbar lateral bending, chest expansion, occiput to wall, and finger to floor, all indices showed improvement after comprehensive rehabilitative management. When we evaluated the correlation between spinal mobility index and radiologic change scored by Bath ankylosing spondylitis radiology index (BASRI), patients with mild radiologic change (BASRI grade 0-2) showed improvement in spinal mobility. Radiologic change from initial visit to after one year showed no statistical difference. Conclusion: We found that intensive rehabilitative management increases spinal mobility of the patients with ankylosing spondylitis. (J Korean Acad Rehab Med 2005; 29: 76-80)