title: Effectiveness of aerobic physical training for treatment of chronic asymptomatic bacteriuria in subjects with spinal cord injury: a randomized controlled trial.
abstract: OBJECTIVE
  To evaluate the effectiveness and safety of aerobic physical training for treatment of chronic asymptomatic bacteriuria in subjects with spinal cord injury.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  Forty-two participants with spinal cord injury between C8 and T12 segments were randomly assigned to intervention or control groups.
  
  
  METHODS
  In the intervention group, subjects received a risk evaluation, stress test and urinary culture before the start of the study and after 16 weeks. The study consisted of aerobic physical conditioning with moderate intensity for the intervention group while the control group was asked to maintain their daily life activities.
  
  
  METHODS
  Increase of estimated peak oxygen consumption and also if there was a decrease in the proportions of positive urinary culture.
  
  
  RESULTS
  The intervention group showed an increase of estimated peak oxygen consumption of between 939 (714-1215) and 1154 (1005-1351) mL/min (P = 0.009) and a reduction of chronic asymptomatic bacteria of between 52.3% (29.8-74.3%) and 14.2% (3-36.3%) (P < 0.001). No adverse effects related to physical activity were recorded during the period of training.
  
  
  CONCLUSIONS
  The regular practice of physical activity of moderate intensity applied to patients with spinal cord injury may be an effective and safe method for the treatment of chronic asymptomatic bacteriuria.
authors: Physiotherapy Department, Laboratory of Biomechanics and Clinical Epidemiology at Universidade Estadual de Londrina, Londrina, Brazil. lavado@uel.br
authors: Edson L
authors: EL
authors: Lavado
authors: Jefferson R
authors: JR
authors: Cardoso
authors: Luiza G A
authors: LG
authors: Silva
authors: Lais F
authors: LF
authors: Dela Bela
authors: Alvaro N
authors: AN
authors: Atallah
mesh_terms: D000328:Adult; D001437:Bacteriuria / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D002574:Cervical Vertebrae; D015331:Cohort Studies; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010101:Oxygen Consumption; D013119:Spinal Cord Injuries / Q000150:complications* / Q000534:rehabilitation*; D013904:Thoracic Vertebrae; D016896:Treatment Outcome; D055815:Young Adult