The development of evidence-informed physical activity guidelines for adults with spinal cord injury.

OBJECTIVES: To systematically develop evidence-informed physical activity guidelines to improve physical fitness in people with spinal cord injury (SCI). SETTING: This study was conducted in Canada. METHODS: The Appraisal of Guidelines, Research and Evaluation II guideline development protocol was used to develop exercise guidelines to improve physical capacity and muscular strength. The evidence base for the guideline development process consisted of a systematic review and quality appraisal of research examining the effects of exercise on physical fitness among people with SCI. A multidisciplinary expert panel deliberated the evidence and generated the guidelines. Pilot testing led to refinement of the wording and presentation of the guidelines. RESULTS: The expert panel generated the following guidelines: for important fitness benefits, adults with a SCI should engage in (a) at least 20 min of moderate to vigorous intensity aerobic activity two times per week and (b) strength training exercises two times per week, consisting of three sets of 8-10 repetitions of each exercise for each major muscle group. CONCLUSION: People with SCI, clinicians, researchers and fitness programmers are encouraged to adopt these rigorously developed guidelines.

A low-friction high-load thrust bearing and the human hip joint.

A hydrostatic thrust bearing operating at a pressure of 130 MPa and with a coefficient of friction rising to 0.004 in 6 days is described. It consists of interleaved oil-coated Mylar and brass sheets, each 0.1 mm thick. At this pressure, the Mylar deforms to reveal a pool of lubricant bounded by contacting layers at its edges where the pressure tapers off to zero. Thus, most of the load is borne by the oil so its effective Coulomb (slip-stick) friction is very low. Expressions for the effective coefficient of friction, the area of the solid-to-solid contact and the torque needed to rotate the bearing are given in terms of its geometry, the viscosity of the lubricant and elapsed time. The mechanism of a bearing with similar geometry and properties, the human hip joint, is compared with this plastic bearing. While their low friction properties arise from the same basic cause, the different natures of their soft deformable materials lead to the hip joint having a much wider range of action. This work is an example of new engineering leading to a fresh insight into an action of Nature, which in turn suggests an improvement in engineering.