ResistanceBands Home Strength Training Guide Tetraplegia

Active HOMES
HOME
STRENGTH-TRAINING
GUIDE
For people with Tetraplegia
SCI Action Canada 2012
SCI Action Canada. (2012). Active Homes: Home Strength-Training Guide for People with Tetraplegia.
Burlington, ON: Eagle Press.
Anatomy images courtesy of Ron Easteal, School of Medicine, Queens University.
Photos courtesy of Atif Kukaswadia, atif.ak@gmail.com
TABLE OF CONTENTS
A ] Introduction
B ] Warm-up
C ] Resistance Training Exercises
Page
3-6
7
8-18
Back Row
Lat Pulldown
Bicep Curl
10
External Rotation
11
Internal Rotation
12
Additional Exercises
13-18
D ] Stretching Exercises
19-20
E ] How Do I Reach My Goal?
21-23
How do I increase the difficulty?
21
What should I do?
21
Intensity Classification System Chart
22
How should I plan my exercise sessions?
23
Weekly exercise plan worksheet
23
F ] Helpful Resources
24-25
A]#INTRODUCTION#
A ] INTRODUCTION
This&guide&serves&as&a&resource&manual&for&individuals&with&a&spinal&cord&injury&who&want&to&&
incorporate&regular&physical&activity&into&their&daily&lives.&Here&are&the&physical&activity&
This guide serves as a resource manual for individuals with a spinal cord injury who want to
guidelines&for&people&with&spinal&cord&injury.&&
incorporate regular physical activity into their daily lives.
The Physical Activity Guidelines for Adults with SCI, released by SCI Action Canada in 2011,
The&Physical&Activity&Guidelines&for&Adults&with&SCI,&released&by&SCI&Action&Canada&in&2011,&
are the first evidence-based guidelines to be developed specifically to support people with SCI
are&the&first&evidenceFbased&guidelines&to&be&developed&specifically&to&support&people&with&SCI&
in living healthier, more active lives. They state that to improve fitness, healthy adults with SCI
in&living&healthier,&more&active&lives.&They&state&that&to&improve&fitness,&healthy&adults&with&SCI&
should&participate&in&at&least&20&minutes&of&moderateFvigorous&aerobic&activity&at&least&two&times&
should participate in at least 20 minutes of moderate-to-vigorous aerobic activity at least two
per&week,&as&well&as&strength&training&exercises&at&least&two&times&per&week.&
times per week, as well as strength training exercises at least two times per week.
These&guidelines&are&appropriate&for&all&healthy&adults&with&chronic&SCI,&traumatic&or&nonF
These guidelines are appropriate for all healthy adults with chronic SCI, traumatic or nontraumatic,&including&tetraplegia&and&paraplegia,&irrespective&of&gender,&race,&ethnicity&or&socioF
traumatic, including tetraplegia and paraplegia, irrespective of gender, race, ethnicity or socioeconomic&status.&Adults&are&encouraged&to&participate&in&a&variety&of&physical&activities&that&are&
economic status. Adults are encouraged to participate in a variety of physical activities that are
enjoyable&and&safe.&
enjoyable and safe.
3
Active Homes is designed to help you achieve the strength-training recommendations included
in these guidelines. Before getting started, please follow this checklist:
Inform your doctor - Let your family physician know about your plans for a home exercise
program. He/she may have some precautions or recommendations for you to consider.
Monitor yourself - Exercising alone means being responsible for yourself. Use the talk test
throughout your workout can you talk without gasping for air? If not, its time to take a
break and reduce the intensity of your workout. It is important to listen to your body. If you
experience prolonged muscle and/or joint soreness, stop doing the activity that is causing the
pain and consult your physician. Know that some initial discomfort is normal. If you feel signs
or symptoms of autonomic dysreflexia, stop doing the activity immediately and determine the
cause of the reaction.
Signs and symptoms of autonomic dysreflexia:
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t (PPTFQJNQMFT
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What to do if you think you are experiencing autonomic dysreflexia:
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head elevated.
t *EFOUJGZBOESFNPWFUIFDBVTF"GVMMCMBEEFSJTUIFNPTUDPNNPODBVTF
Check the urinary drainage system - Bowel and skin might also be a cause.
If the symptoms do not go away, consult a physician immediately
Home Strength-Training Guide
Pace yourself Start your program slowly and progress at an even rate during each workout and
between workouts. Ease into your exercise program to avoid injuries and to minimize pain. If
your breathing is uncomfortably fast, be sure to slow down until you start breathing normally
again. Remember to use the talk test while working out if you cannot talk without gasping
for air, then it is time to take a break and reduce the intensity of your workout.
If youve never exercised before, note the following:
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few weight training sessions. Delayed onset muscle soreness is the general muscle pain
felt usually the day following an initial bout of exercise. For example, if you do arm curls
today, tomorrow when you wake up, the muscles in the front of your arm will be sore. This
soreness may be felt for up to 48 hours.
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severe cases, pain can persist for up to a week. Severe delayed onset muscle soreness may
limit mobility.
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activities that warm up the muscles.
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sessions, and only returns after a long period of inactivity.
Dress the part - Wear comfortable clothing.
Check your environment - Choose a spot in your home that is spacious and clear of obstacles.
Warm-Up - Remember to do light endurance work before your strength or flexibility exercises to
ensure your muscles are warm.
Cool-Down - Complete some gentle stretching at the end of your routine and ensure that your
breathing has returned to normal before you stop.
KEEP HYDRATED! - Be sure to drink lots of fluids while partaking in activities and after you
are done.
Tips for Success

Using Exercise Bands.
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TVSFUIBUUIFCBOEJTXSBQQFESNMZ CVUOPUUPPUJHIU
BSPVOEZPVSIBOET:PVDBOBMTP
tie a loop at each end of the band and put your wrists through the loop. Adjust the
length of the band so that there is just enough slack and exercise resistance so that you are
able to go through the full range of motion while exercising.

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JOTUFBEPGXFJHIUT:PVDBOWBSZUIFSFTJTUBODFCZBEKVTUJOHZPVSIBOEXSJTUQPTJUJPO
on the band. To increase resistance (for example, when an exercise becomes easier), grasp
PSUJFMPPQTJOUIFCBOEDMPTFSUPUIFDFOUSFTPUPEFDSFBTFUIFCBOETMFOHUI:PVDBOBMTP
try folding the band in half to increase the resistance. To decrease resistance, grasp or tie
loops in the band closer to the ends.
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of place. Each time you use an excercise band try to anchor it to something stable such as
a doorknob or place it below the push handles on your wheelchair.
t #FGPSFCFHJOOJOHBOFYFSDJTFHJWFUIFFYFSDJTFCBOEBGFXUVHTUPFOTVSFUIFTUVSEJOFTTPG
your anchor.
Using this manual

The exercises listed in this manual are only guidelines. We recommended that you start with 3
sets of 8-10 repetitions; however, once you feel comfortable you can adapt and modify the sets
and repetitions to suit your needs and goals (for more information, see the section on How Do
I Reach My Goal). Balance is essential to any exercise regime, it is important to work the left
and right sides of the body as well as the front and back to maintain muscle balance and prevent
any injuries. It is also recommended to start with large muscle groups such as your chest and
back muscles first, and end with the smaller muscle groups such as the muscles in your arms.
Once you are comfortable with the first five exercises, you can read more about the Additional
Resistance Training Exercises and incorporate those into your plan. The exercises presented are
in an order that promotes muscle balance and are separated into body areas. The Active Homes
Participant Manual for People with Paraplegia has some additional exercises and stretches. If you
have good control of your abdominal and upper body muscles, we encourage you to consult that
manual for more exercise ideas.
As with any physical activity, please consult with your doctor before engaging in any of the
exercises in this resource manual.
Have Fun, But Be Safe!

6
B ] WARM-UP
Before engaging in resistance training, it is important to warm-up to increase blood circulation
and prepare the body for work. Here is a sample warm-up that can be done. If possible, you can
work both sides of the body at the same time to increase difficulty:
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Shoulder rolls
!
Arm circles
!
!
Wrist rolls
C ] RESISTANCE TRAINING EXERCISES

(Information adapted from NCPAD - http://www.ncpad.org/exercise/)
Back Row
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tugs to ensure the sturdiness of your anchor.
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when reaching for it.
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shoulder width apart. If possible, contract your abdominals for trunk stability.
t (SBCPOFFOEPGUIFFYFSDJTFCBOEJOFBDIIBOEPSQVUZPVSXSJTUTUISPVHIFBDIMPPQXJUI
QBMNTGBDJOHEPXO1PTJUJPOUIFFYFSDJTFCBOETPUIBUJUJTBUBOFRVBMIFJHIUXJUIZPVS
shoulders. Keep your head, neck, and spine in a neutral position.
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VQSJHIUBOETUSBJHIUBTZPVCSJOHZPVSFMCPXTCFIJOEZPVXIJMFTRVFF[JOHZPVSTIPVMEFS
blades together. Inhale and return to starting position in a slow and controlled manner.
t 3FQFBUUIJTQSPDFTTUJNFTGPSTFUT
t Note::PVDBOBMTPQPTJUJPOUIFFYFSDJTFCBOETMJHIUMZIJHIFSUIBOTIPVMEFSIFJHIU GPSB
high-row) and slightly lower than shoulder height (for a low-row).
Upper back
muscles
Start/End position
You already do this movement everyday when you:

t 1VMMPQFOEPPST
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Midpoint
Lat Pulldown
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or on the edge of a door) so that you can pull the exercise band down.
shoulder width apart. If possible, contract your abdominals for trunk stability. Keep your
head, neck, and spine in a neutral position.
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t &YIBMFBOEQVMMUIFFYFSDJTFCBOEEPXOXIJMFCFOEJOHZPVSFMCPXTBOECSJOHJOHZPVS
hands to the sides of your waist. Inhale as you bring the exercise band back to the starting
position in a controlled manner.
Middle back and side

(Latissimus dorsi muscle)
Start/End position
Midpoint

t 5SBOTGFS
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Bicep Curl
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With your palms facing up, let your arms extend straight down by your sides.
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taking care to keep the elbows tucked into your side. Inhale as you slowly lower the band
back to your side, but dont straighten your arm completely. Keep the tension on the
muscle throughout the movement.
Front of upper arm

(Bicep muscle)
Start/End position
Or try with a weight:
You already do this

movement everyday
when you:
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10
Midpoint
External Rotation
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when you sit, the side you want to work is facing away from the pole.
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to face the anchor while you hold the exercise band in the left hand. Vice versa for your
SJHIUSPUBUPSDVNVTDMFT
t -PPQUIFFYFSDJTFCBOEBSPVOEUIFQPMFBUXBJTUIFJHIUBOEHJWFJUGFXUVHTUPJOTVSFJUT
sturdiness. Hold the exercise band so that it is not too slack or too tight when holding it in
the starting position.
t #FHJOCZIPMEJOHUIFCBOEPSQVUUJOHZPVSXSJTUTUISPVHIBMPPQ&OTVSFZPVSUIVNCJT
facing the ceiling with your elbows at your side bent to a 90 degree angle.
t &YIBMFBTZPVTMPXMZCSJOHUIFFYFSDJTFCBOEPVUXBSET BXBZGSPNZPVSCPEZ XIJMF
keeping your elbow at your side. Inhale as you bring the exercise band back to the starting
position in a controlled manner.
t "TBOPUIFSPQUJPO ZPVDBOEPUIJTFYFSDJTFXJUIBTNBMMXFJHIUIFMEJOZPVSQBMNPS
secured to your wrist.
Rotator cuff muscles
Start/End position
Midpoint

t 5SBOTGFS
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11
Internal Rotation
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side that you want to work.
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ZPVSBODIPS7JDFWFSTBGPSZPVSSJHIUSPUBUPSDVNVTDMFT
t -PPQUIFFYFSDJTFCBOEBSPVOEUIFQPMFBUXBJTUIFJHIUBOEHJWFJUGFXUVHTUPJOTVSFJUT
sturdiness. Hold the exercise band so that it is not too slack or too tight when holding it in
the starting position.
t )PMEUIFCBOEPSQVUZPVSXSJTUUISPVHIBMPPQ&OTVSFZPVSUIVNCJTGBDJOHUIFDFJMJOH
with your elbows at your side bent to a 90 degree angle.
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elbow at your side. Inhale as you bring the exercise band back to the starting position in a
controlled manner.
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secured to your wrist.
Rotator cuff muscles
Start/End position

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12
Midpoint
ADDITIONAL RESISTANCE TRAINING EXERCISES

Chest Press
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shoulder blades or around the back of your chair and under your handlebars. Grab one
end of the band in each hand or put each wrist through each loop.
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you.
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lock your elbows at the end of the motion. Inhale and bring the exercise band back to
starting position.
Chest
(Pectoralis muscle)
Start/End position
Midpoint

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13
Chest Fly
Note: This exercise may be difficult if you have limited use of your chest muscles.
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blades or around the back of your chair and under your handlebars. Grab one end of the
exercise band in each hand or put each wrist through each loop. Alternatively, you can do
this exercise with a weight in your hand or secured to each wrist.
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forward. Bend your elbows slightly and maintain this natural curve throughout the motion
of the exercise.
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as you return them to starting position.
Chest
Pectoralis muscle
Start/End position

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14
Midpoint
Reverse Fly
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few tugs to ensure the sturdiness of your anchor.
t 1PTJUJPOZPVSDIBJSBGFXGFFUBXBZTPUIBUUIFFYFSDJTFCBOEJTOPUUPPTMBDLPSUPPUJHIU
when in the starting position. Keep your head, neck, and spine in a neutral alignment.
shoulder width apart. If possible, contract your abdominals for trunk stability. Grab the
ends of the band in each hand or put each wrist through each loop. Keep your palms
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t &YIBMFBOEQVMMUIFFYFSDJTFCBOEPVUUPXBSETZPVSTJEFJOBOBSDIJOHNPUJPO XJUIPVU
bending your elbows. When your elbows are in line with your shoulders, inhale and return
the exercise band to starting position.
Upper back muscles
Start/End position
Midpoint

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t 5SBOTGFS
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15
Lateral Shoulder Raise

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hand or put each of your wrists through each loop in the band. Alternatively, you can also
try this exercise with a weight held in each hand or secured to each wrist.
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apart. If possible, contract your abdominals for trunk stability. Keep your head, neck, and
spine in a neutral position.
t )PMEUIFFYFSDJTFCBOEEPXOBUZPVSTJEFXJUIZPVSQBMNTGBDJOHJOUPXBSETZPVSCPEZ
t &YIBMFBOETMPXMZSBJTFCPUIBSNTTUSBJHIUPVUUPZPVSTJEFVOUJMUIFZBSFBUTIPVMEFS
height. Inhale as you bring them back down to starting position, lowering them in a slow
and controlled manner.
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alternating the arms.
Shoulder
(Deltoid muscle)
Start/End position
You already do this

movement everyday
when you:
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16
Midpoint
Front Shoulder Raise

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try stabilizing yourself in your chair with a chest strap. Try to keep your head, neck, and
spine in a neutral position.
t )PMEPSTFDVSFXFJHIUTUPZPVSXSJTUT1VUZPVSBSNTEPXOBUZPVSTJEFXJUIZPVSQBMNT
facing behind you. (As an alternative, an exercise band may be used by securing it
underneath your chair. Hold one end of the band in each hand or put each of your wrists
through each loop with your palms facing behind you.)
t &YIBMFBTZPVTMPXMZSBJTFUIFXFJHIUTTUSBJHIUPVUJOGSPOUPGZPVVOUJMUIFZSFBDITIPVMEFS
height. When bringing them back down to the starting position, inhale as you lower them
in a slow and controlled manner (do not let the weights drop back down).
t FGSPOUSBJTFFYFSDJTFDBOCFEPOFXJUICPUIBSNTTJNVMUBOFPVTMZPSCZBMUFSOBUJOHUIF
arms.
Shoulder
(Deltoid muscle)
Start/End position
Midpoint
You already do this

movement everyday
when you:
t 5SBOTGFS
t (FUESFTTFE
17
Shoulder Shrug
Note: This exercise is especially important if you use an electric chair, a manual assisted
chair, or if you do not spend a lot of time wheeling, as you are not targeting these muscles
everyday. If you do a lot of wheeling in a manual chair, then you do not have to perform
this exercise as your upper back and neck muscles are sufficiently worked when you wheel.

shoulder width apart. If possible, contract your abdominals for trunk stability. If not, you
should stabilize yourself in your chair with a chest strap.
t )PMEPSTFDVSFXFJHIUTUPZPVSXSJTUT1MBDFZPVSBSNTEPXOBUUIFTJEFPGZPVSDIBJSXJUI
your palms are facing behind you. (This can also be done without using weights.)
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XFSFTISVHHJOHZPVSTIPVMEFST:PVSIBOETTIPVMEDPOUJOVFUPCFQFSQFOEJDVMBSUPUIF
floor throughout the movement of the exercise. Inhale as you slowly lower your shoulders
in a controlled manner.
Upper back and neck

(Upper trapezius muscle)
Start/End position

t 5SBOTGFS
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18
Midpoint
D ] STRETCHING EXERCISES Cool Down

Lateral Neck Flexion
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and shoulder width apart.
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t )PMEGPSTFDPOET CSFBUIJOHJO
through your nose and out through your
mouth, then switch sides.
STRETCHING EXERCISES
Neck Flexion
Note: Avoid this stretch if you have hardware in your neck.

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tension and not pain.
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nose and out through your mouth.
19
Neck Rotation
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t )PMEGPSTFDPOET CSFBUIJOHJOUISPVHIZPVSOPTFBOEPVUUISPVHIZPVSNPVUI
then switch sides.
Chest Stretch
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both arms at the same time or one arm at a time).
t )PMEGPSTFDPOET CSFBUIJOHJOUISPVHI
your nose and out through your mouth.
20
E ] HOW DO I REACH MY GOAL?

How do I increase the difficulty of my Home Exercise Program?
We have recommended that you start with 3 sets of 8-10 repetitions. When you begin to feel
UIBUZPVSFYFSDJTFQSPHSBNPOMZSFRVJSFTiNJMEFPSUwUPDPNQMFUF ZPVTIPVMEJODSFBTFUIF
difficulty of your program. There are two ways to do so:
t*ODSFBTFUIFOVNCFSPGSFQFUJUJPOT
t*GZPVTUBSUFEZPVSQSPHSBNXJUITFUTPGSFQFUJUJPOT XPSLVQUPTFUTPG
repetitions. This will help increase your muscle endurance.
t*GZPVTUBSUFEZPVSQSPHSBNXJUITFUTPGSFQFUJUJPOT UIFOJODSFBTFUIFXFJHIU
resistance you are using.
t*ODSFBTFUIFXFJHIUSFTJTUBODF
t*GZPVBSFQFSGPSNJOHBOFYFSDJTFUIBUVTFTBOPCKFDU JFTPVQDBO XBUFSCPUUMFMMFE
XJUIQFCCMFT PSXSJTUXFJHIU
PUIFSUIBOBOFYFSDJTFCBOE USZUPOEBEJFSFOUPCKFDU
that is 1-2 pounds heavier. Try to perform 3 sets of 8 repetitions with the new weight.
*GZPVGFFMMJLFZPVBSFXPSLJOHXJUINPEFSBUFUPIFBWZFPSU UIFOZPVIBWFDIPTFOB
good weight. If not, try to find an object that is even heavier.
t*GZPVBSFQFSGPSNJOHFYFSDJTFTUIBUVTFBOFYFSDJTFCBOE ZPVBSFHPJOHUPOFFEUP
increase the resistance of the band when performing your exercises. An easy way to do
this is to grasp the exercise band or tie the loops closer to its attachment point. For
example, if performing lat pull downs, reach higher on the exercise band so that there is
less distance between the overhead attachment point and your hands.
* If you want, you can use a ballpoint pen to make marks on your exercise band to
remember where you should be grasping the exercise band for each exercise. Be sure to
mark the attachment point (i.e. the point that gets looped around your pole/banister)
BOEUIFQPJOUTBUXIJDIZPVIPMEUIFCBOE:PVDBOVTFUIJTNBSLFSTZTUFNBTBXBZUP
measure your progress as you continue to increase the resistance of the exercises.
t 0ODFZPVIBWFJODSFBTFEUIFXFJHIUSFTJTUBODF XPSLVQGSPNTFUTPGSFQFUJUJPOTUP
sets of 10 repetitions.
What should I do?
4PNFJOGPSNBUJPOJTJODMVEFECFMPX:PVDBOBMTPDPOTVMUUIF1IZTJDBM"DUJWJUZ(VJEFMJOFTGPS
"EVMUTXJUI4QJOBM$PSE*OKVSZJODMVEFEJOUIF*OUSPEVDUJPOPGUIJTNBOVBM:PVNBZBMTPXBOU
to refer to the SCI Get Fit Toolkit on the SCI Action Canada website for more activity ideas.
Please visit www.sciactioncanada.ca.
Endurance Activities
(at least 20 minutes twice per week)
- Get your heart pumping and blood flowing
- Wheeling in a manual chair, performing chores/
housework and doing recreational sports
- Included in the Warm-Up section of this manual
Strength Activities
(at least twice per week)
- Work your muscles against some kind of resistance
- Exercises range from lifting weights, using exercise
bands, heavy chores
- Focus on the first five exercises in this manual
21
INTENSITY CLASSIFICATION CHART

How hard are you working?
NOTHING AT ALL
MILD
MODERATE
HEAVY
Includes activities that

even when you are
doing them, you do
not feel like you are
working at all.
Includes physical
BDUJWJUJFTUIBUSFRVJSF
you to do very light
XPSL:PVTIPVMEGFFM
like you are working
a little bit but overall
you shouldnt find
yourself working too
hard.
Includes physical
TPNFQIZTJDBMFPSU
:PVTIPVMEGFFMMJLFZPV
are working somewhat
hard but you should feel
like you can keep going
for a long time.
Includes physical
BMPUPGQIZTJDBMFPSU
:PVTIPVMEGFFMMJLF
you are working really
hard (almost at your
maximum) and can
only do the activity
for a short time before
getting tired. These
activities can be
exhausting.
How does your body feel?

NOTHING AT ALL
MILD
MODERATE
HEAVY
Breathing &
Heart rate
Everything is
normal
Stays normal or
is only a little bit
harder and/or
faster than normal.
Noticeably harder
and faster than
normal but NOT
extremely hard or
fast.
Fairly hard and

much faster than
normal.
Muscles
Everything is
normal
Feel loose,
warmed-up
and relaxed.
Feel normal
temperature or a
little bit warmer and
not tired at all.
Feel pumped and

worked. Feel
warmer than
normal and
starting to get
tired after awhile.
Burn and feel tight

and tense. Feel a
lot warmer than
normal and feel
tired.
Skin
Everything is
normal
Normal
temperature or
is only a little bit
warmer and not
sweaty.
A little bit warmer

than normal and
might be a little
sweaty.
Much warmer
than normal and
might be sweaty.
Mind
Everything is
normal
:PVNJHIUGFFM
very alert. Has
OPFFDUPO
concentration.
3FRVJSFTPNF
concentration to
complete.
3FRVJSFTBMPUPG
concentration
(almost full) to
complete.
Martin Ginis, K. A. & Latimer, A. E. (2008) PARA-SCI: The Physical Activity Recall Assessment for People with
Spinal Cord Injury. Available from http://www.flintbox.com/public/project/1902/
22
How should I plan my exercise sessions?

t *ODMVEFBTNVDIEFUBJMBTQPTTJCMFJOZPVSXFFLMZFYFSDJTFQMBOFNPSFEFUBJMZPV
include, the more likely you are to follow your plan. Be sure to write down the activity,
where you will do the activity, what day you will do it and at what time.
t 'PSJNQPSUBOUUOFTTCFOFUT TDIFEVMFBUMFBTUUXPTUSFOHUIUSBJOJOHTFTTJPOTQFSXFFL
consisting of 3 sets of 8-10 repetitions of each exercise for each major muscle group.
t Avoid doing your strength training program 3 days in a row.
t *GZPVOFFE CSFBLVQZPVSUOFTTSPVUJOFUISPVHIPVUUIFEBZ JFNJOVUFTJOUIF
morning, 15 minutes in the evening) .
t 1PTUUIFDBMFOEBSTPNFXIFSFZPVXJMMTFFJU JFPOUIFGSJEHFPSCVMMFUJOCPBSE

t $SFBUFTPNFTPSUPGSFXBSETZTUFNGPSXFFLTUIBUZPVDPNQMFUFZPVSFYFSDJTFQMBO JFHP
to see a movie in the theatre or buy that item that you have had your eye on).
WEEKLY EXERCISE PLAN WORKSHEET
Now use the following calendar to plan out your Weekly Exercise Plan.
Week 1
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
WHEN
WHEN
WHEN
WHEN
WHEN
WHEN
WHEN
WHERE
WHERE
WHERE
WHERE
WHERE
WHERE
WHERE
WHAT
WHAT
WHAT
WHAT
WHAT
WHAT
WHAT
EQUIPMENT
EQUIPMENT EQUIPMENT EQUIPMENT EQUIPMENT EQUIPMENT EQUIPMENT
Total number of times Home Exercise Plan completed: ___________________________________

Total minutes of strength activities completed: __________________________________________
Notes: ________________________________________________________________________
23
F ] HELPFUL RESOURCES
Groups who encourage physical activity among people with SCI:
SCI Action Canada (www.sciactioncanada.ca, 905-525-9140 ext 21374)
An ongoing, collaborative endeavour bringing together university-based researchers, knowledge
mobilization specialists, support networks, service groups and community members focused
on advancing physical activity, knowledge and participation among Canadians living with
spinal cord injury. Check the website often as there are ongoing updates to the physical activity
resources.

Get in Motion is a free physical activity counseling service associated with SCI Action
Canada for Canadians with spinal cord injury. This Canada-wide service is supported by
the SCI Translational Research Network in partnership with the Rick Hansen Institute. Get
in Motion is designed to provide you with the information and support you may need to
BOTXFSRVFTUJPOTBOENFFUQFSTPOBMQIZTJDBMBDUJWJUZHPBMT:PVXJMMSFDFJWFBGSFFQIZTJDBM
activity toolkit that includes two exercise bands and information on physical activity for
QFPQMFXJUI4$*:PVXJMMBMTPCFJOWJUFEUPQBSUJDJQBUFJOBSFTFBSDITUVEZPOUIFFFDUJWFOFTT
of the service. Whether you are considering becoming physically active, have just begun a
physical activity program, or have been engaging in physical activity for a while, you can
benefit from this service, as physical activity counseling sessions are created to meet your
specific needs. To participate or receive more information, please call the voicemail line at
1-866-678-1966 or visit our website at www.sciactioncanada.ca
The SCI Get Fit Toolkit is a Canadian resource to help adults with spinal cord injury meet
QIZTJDBMBDUJWJUZHVJEFMJOFT:PVDBOEPXOMPBEZPVSGSFFDPQZJOUIFi5PPMLJUwUBCBU
www.sciactioncanada.ca.
The Active Homes Manual for Adults with Paraplegia provides additional strength
USBJOJOHBOETUSFUDIJOHFYFSDJTFT:PVDBOEPXOMPBEZPVSGSFFDPQZJOUIFi"DUJWF)PNFTw
tab at www.sciactioncanada.ca. In the Active Homes tab, you will also find links to videos
that demonstrate how to do the exercises in the Active Homes manuals.
Canadian Paraplegic Association (CPA) (www.canparaplegic.org)

Mission is to assist persons with spinal cord injuries and other physical disabilities to achieve
independence, self reliance and full community participation.
Spinal Cord Connections (http://www.spinalcordconnections.ca/)
An online Canadian source of the most current and reliable information about spinal cord injury
and disease. This website is also your online connection to people in the spinal cord community.
It is a new and innovative e-resource centre for people with SCI, their families, and communitybased health and service providers.
24
Canadian Paralympic Committee (CPC) (www.paralympic.ca, 613-569-4333)

A non-profit, private organization with 43 member sports organizations. Check out their Get
Involved Portal which provides a listing of all opportunities for individuals to become involved
in Para-sport across Canada.
National Center for Physical Activity and Disability (NCPAD)
XXXODQBEPSH WPJDFBOE55:
An information center concerned with physical activity and disability. Being physically active
is good for every body. Their goal is to provide you with options and information to help you
pursue whatever kind of activity you think you would enjoy. The important thing is not what
you do, but that you do something. Indoor or outdoor, recreational or competitive, solo or team,
easy or intensive, NCPAD has the resources, contacts, and assistance you need. **Check out
their exercise videos**
Active Living Alliance for Canadians with a Disability (www.ala.ca, 1-800-771-0663)
Goal is to promote inclusion and active living lifestyles of persons in Canada with disabilities by
facilitating communication and collaboration among organizations, agencies and individuals.
Canadian Wheelchair Sports Association (CWSA) (www.cwsa.ca/en/site)
Mission is to promote excellence and develop opportunities for Canadians in wheelchair sport.
In addition to its role as a developer of elite athletes, CWSA is a national and international voice
for Canadian wheelchair athletes. CWSA also provides a national link for the development of
wheelchair athletes and sports, at all levels and in all areas of the country.
Map My Ride (www.mapmyride.com)
A website that allows users to map a specific route or course. Distance is calculated between start
BOEOJTIQPJOUT"HSFBUUPPMUPIFMQLFFQUSBDLPGEJTUBODFTXIFFMFEPWFSUJNF:PVDBOSFHJTUFS
for a free account to keep track of your progress.
Adaptavie (www.adaptavie.org)
"EBQUBWJF*ODFTUVOPSHBOJTNFTBOTCVUMVDSBUJGRVJPSFVOFQSPHSBNNBUJPOEBDUJWJUT
QIZTJRVFTFUTQPSUJWFTBEBQUFTMJOUFOUJPOEFTQFSTPOOFTQSTFOUBOUVOFEDJFODFQIZTJRVFPV
intellectuelle.
25

ResistanceBands Home Strength Training Guide Tetraplegia

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What are the physical activity guidelines for people with spinal cord injuries?

What are the physical activity guidelines for people with spinal cord injuries?

What is Active Homes designed to help achieve?

What is Active Homes designed to help achieve?

Active HOMES

SCI Action Canada 2012

E ] How Do I Reach My Goal?

How do I increase the difficulty?

What should I do?

Intensity Classification System Chart

How should I plan my exercise sessions?

Weekly exercise plan worksheet

Home Strength-Training Guide

For people with Tetraplegia

Tips for Success

Using this manual

Have Fun, But Be Safe!

Home Strength-Training Guide

For people with Tetraplegia

C ] RESISTANCE TRAINING EXERCISES

You already do this movement everyday when you:

Home Strength-Training Guide

Middle back and side

You already do this movement everyday when you:

Front of upper arm

Or try with a weight:

You already do this

Home Strength-Training Guide

Rotator cuff muscles

You already do this movement everyday when you:

For people with Tetraplegia

Rotator cuff muscles

You already do this movement everyday when you:

Home Strength-Training Guide

ADDITIONAL RESISTANCE TRAINING EXERCISES

You already do this movement everyday when you:

For people with Tetraplegia

You already do this movement everyday when you:

Home Strength-Training Guide

Upper back muscles

You already do this movement everyday when you:

For people with Tetraplegia

Lateral Shoulder Raise

Or try with a weight:

You already do this

Home Strength-Training Guide

Front Shoulder Raise

Or try with a weight:

You already do this

Upper back and neck

You already do this movement everyday when you:

Home Strength-Training Guide

D ] STRETCHING EXERCISES Cool Down

For people with Tetraplegia

Home Strength-Training Guide

E ] HOW DO I REACH MY GOAL?

INTENSITY CLASSIFICATION CHART

Includes activities that

How does your body feel?

Fairly hard and