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NCHPAD - Building Healthy Inclusive Communities

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Special Considerations in Respect to Exercise and SCI


  • Some individuals with SCI have rods and other hardware implanted to stabilize the spine. There will be decreased movement at these spinal segments, and forces through these areas should be minimized. End range of bending and extending (arching back) should be avoided. Positioning in neutral will allow the individual to work the appropriate muscles while minimizing stress to the joints.
  • For important considerations on exercise for individuals with SCI, please refer to NCPAD's fact sheet on Spinal Cord Injury.
  • When using Pilates equipment, a trained instructor should be spotting the individual at all times to ensure safety.

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