Conclusion : Exercise training programs seem to be effective in improving wheelchair propulsion capacity .
However , there is remarkably little research , particularly for individuals who do not have spinal-cord injury
Objective : An adequate wheelchair propulsion capacity is required to perform daily life activities .
Exercise training may be effective to gain or improve wheelchair propulsion capacity .
This review investigates whether different types of exercise training programs are effective in improving wheelchair propulsion capacity .
A more active lifestyle in persons with a recent spinal cord injury benefits physical fitness and health
Study design : A prospect i ve cohort study . Objectives : To study the longitudinal relationship between objective ly measured everyday physical activity level , and physical fitness and lipid profile in persons with a recent spinal cord injury ( SCI ) . Setting : A rehabilitation centre in the Netherl and s and the participant 's home environment . Methods : Data of 30 persons with a recent SCI were collected at the start of active rehabilitation , 3 months later , at discharge from inpatient rehabilitation , and 1 year after discharge .  Physical activity level ( duration of dynamic activities as % of 24 h ) was measured with an accelerometry-based activity monitor . Regarding physical fitness , peak oxygen uptake ( VO2peak ) and peak power output ( POpeak ) were determined with a maximal wheelchair exercise test , and  upper extremity muscle strength was measured with a h and held dynamometer . Fasting blood sample s were taken to determine the lipid profile . Results : An increase in physical activity level was significantly related to an increase in VO2peak and POpeak , and an increase in physical activity level favourably affected the lipid profile . A nonsignificant relation was found with muscle strength . Conclusion : Everyday physical activity  seems to have an important role in the fitness and health of persons with a recent SCI . An increase in  physical activity level was associated with an increase in physical fitness and with a lower risk of cardiovascular disease
Conclusion : Exercise training programs seem to be effective in improving wheelchair propulsion capacity .
However , there is remarkably little research , particularly for individuals who do not have spinal-cord injury
Objective : An adequate wheelchair propulsion capacity is required to perform daily life activities .
Exercise training may be effective to gain or improve wheelchair propulsion capacity .
This review investigates whether different types of exercise training programs are effective in improving wheelchair propulsion capacity .