Date: Sports, Thursday 6 Nov. 2025

Id 17
Topic Global Approach to rehabilitation
Speaker Jonathan Whiteson USA

Benefits from standard PRM programs for neurologic, oncologic and cardio-vascular disorders have been well established. Rehabilitation programs typically focus on focal areas of deficit designed to optimize specific functions such as standing, self-care, balancing and walking. Aerobic exercise is central to rehabilitation programs for cardiac and pulmonary conditions. While there is benefit to the ‘central’ organ – the heart or lung – from cardiac and pulmonary rehabilitation programs, aerobic exercise in these programs significantly improves function and overall health by impacting multiple organ systems and physiologic, biochemical, neurologic and immunologic pathways.

Beyond recovery of health and function, aerobic exercise builds cellular and organ system resiliency and reserve and contributes significantly to secondary prevention and longevity. Aerobic exercise as a core modality is often overlooked in rehabilitation programs designed to overcome disability resulting from neurologic and oncologic diseases. Yet the data is growing supporting the value of aerobic exercise from the time of the acute event throughout the course of recovery and into the wellness period. While advances in PRM science and technology may come with significant expense beyond the reach of many centers and countries delivering PRM programs, aerobic exercise requires little or no financial outlay to make available and is universally accessible.

This session will present core data supporting the added value of aerobic exercise in functional and health recovery from debilitating neurologic and oncologic illnesses. It will include guidance on integrating safe aerobic exercise programs as part of traditional PRM recovery programs and discuss details of the aerobic exercise prescription, precautions, monitoring and outcome measures. A discussion of the US Department of Health Physical Activity Guidelines will support the primary and secondary preventive role of aerobic exercise that can be employed by PRM Physicians globally.

Chair Jonathan Whiteson

15H30 US Physical Activity Guidelines for Health and Wellness. Jonathan Whiteson

15H40 Cardiac / Pulmonary Rehabilitation – an Existing Model for Aerobic Exercise in Disease Recovery

15H50 Evidence for Aerobic Exercise in Cancer Rehabilitation

16H00 Neurologic Rehabilitation – Stroke and Brain Injury Recovery Enhanced by Aerobic Exercise

16H10 OC ID 629 Botulinum toxin A for post-stroke spasticity: Insights from the French National Hospital Discharge Database (2015-2023). Djamel Bensmail

16H15 OC ID 636 The unravelling of a ‘category mistake’: a new exegesis for post CNS lesion paralysis process and the development of a new restoration therapy. Andromachi Salacha

16H20 OC ID 89 Impact of premorbid physical activity level on recovery following an isolated traumatic brain injury in acute care setting. Jehane Dagher

16H25 DISCUSSION