Spinal cord injury (SCI) presents unique challenges for maintaining health and fitness, often leading to increased sedentary behaviour and secondary health complications. In this episode, we break down the ESSA position statement on exercise for adults with SCI, covering aerobic, strength, and flexibility training recommendations tailored to this population. Learn how exercise improves cardiovascular fitness, muscle strength, respiratory function, and mental well-being—and what special considerations, like autonomic dysreflexia, orthostatic hypotension, and thermoregulation, must be taken into account. Whether you’re a health professional, researcher, or someone living with SCI, this episode provides practical insights into safe, effective exercise prescription for optimising health and function