Background/aim: The Americans with Disabilities Act (ADA) Title III mandates accessibility of all public facilities, including fitness facilities. The purpose of this study was to examine the ADA compliance of fitness facilities located in the St. Paul and Minneapolis metropolitan area, US. Methods: Twenty randomly selected fitness facilities were evaluated for ADA compliance using the Accessibility Instruments Measuring Fitness and Recreation Environments (AIMFREE) Professional Version ( The National Center on Physical Activity and Disability, 2010 ). The assessment evaluated physical, educational, and informational aspects within each fitness facility. Results: None of the 20 participating fitness facilities in the St. Paul and Minneapolis metropolitan area were 100% ADA compliant. The overall compliance of all 20 participating fitness facilities, as measured by the AIMFREE, was 48.4%. The highest scoring domain was water fountains (77.8%) and the lowest scoring domain was telephones (23.3%). The results of the study showed the fitness facilities in the St. Paul and Minneapolis metropolitan area were not compliant with ADA standards. Conclusion: Occupational and physical therapy practitioners have a significant role in advocating for accessibility of public facilities, such as fitness facilities. Practitioners can collaborate with fitness facility owners to provide structural and educational resources to better accommodate the needs of individuals with disabilities.
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