Barriers and facilitators of physical activity participation for young people and adults with childhood‐onset physical disability: a mixed methods systematic review

McKenzie, Georgia; Willis, Claire; Shields, Nora

doi:10.1111/dmcn.14830

Cited by 42 publications

(36 citation statements)

References 81 publications

(484 reference statements)

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“…Reasons for this inactivity could be due to different factors like physical impairments, but probably the lack of knowledge and life skills, limited availability of transport and professional guidance as well as social support plays a role (11). McKenzie et al (12) concluded in a systematic review that (young) adults struggle to find the right balance to be physically active because of their social and physical environment. However, since these studies are mainly focused on HIC, little is known about the influence of cultural and socio-economic factors on the level of an individual's PA in resource-limited settings such as South Africa.…”

Section: Introductionmentioning

confidence: 99%

Physical Activity Levels of Adolescents and Adults With Cerebral Palsy in Urban South Africa

et al. 2021

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Background: Research in high income countries shows that people with cerebral palsy (CP) are less physically active than typically developing (TD) peers, but less is known regarding physical activity (PA) in those with CP in low-to-middle income countries. The aim of this study was to determine daily step count and levels of PA in adolescents and adults with CP living in urban South Africa, compared to TD peers, and to determine associations with sex, Gross Motor Function Classification System (GMFCS) level, body mass index and socio-economic status.Materials and Methods: This case–control study included 26 adolescents and 22 adults with CP (GMFCS Level I-V) and matched TD peers (25 and 30, respectively). Participants wore an ActiGraph GT3X for 7 consecutive days to determine step count and time (minutes per hour) spent in PA levels, including sedentary (SED), low physical activity (LPA) and moderate to vigorous physical activity (MVPA).Results: The daily step count and PA levels for ambulant adolescents with CP (GMFCS level I-III) were similar to TD peers, while this was less for adolescents classified in GMFCS level IV-V. Daily step count, SED and MVPA were similar for adults classified in GMFCS level I-II compared to TD adults, while all parameters were lower for adults using assistive devices (GMFCS level III) and non-ambulant adults (GMFCS level IV-V) compared to TD peers. Daily step count and PA levels were inversely associated with GMFCS, while no other associations were found.Conclusion: People with CP who were more mobile dependent (higher GMFCS level) were less active. However, adolescents and adults with CP classified as GMFCS levels I-II living in urban South Africa recorded similar step count and PA levels as their TD peers. This was also the case for adolescents using assistive devices, though not for those in the adult group (GMFCS level III). Furthermore, it was apparent that even the ambulant individuals with CP and TD cohorts were relatively inactive. Intervention programs for CP and TD adolescents should be aimed at finding strategies to keep adolescents physically active well into adulthood, in order to promote physical health, social and emotional well-being and independence.

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Section: Introductionmentioning

confidence: 99%

Physical Activity Levels of Adolescents and Adults With Cerebral Palsy in Urban South Africa

et al. 2021

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“…integração e a socialização pelas trocas de ideias e experiências vividas, e esse convívio fortalece as relações pessoais no dia a dia (AMARAL FILHO et al, 2013). A boa intervenção por parte do profissional de saúde ( VAN der PLOEG et al, 2004), aliada à positiva influência social, opinião e comportamento da sociedade, são fatores determinantes para o envolvimento das pessoas com deficiência nos programas de exercícios ou esportivos (MACKENZI et al, 2021). Facilitadores como, gostar das atividades realizadas, sentir prazer na prática, não apresentar timidez ou preguiça, dispor de tempo e não vivenciar experiências negativas foram elencados por 1191 pessoas com deficiência intelectual que frequentavam as Associação de Pais e Amigos dos Excepcionais (APAES) do Rio Grande do Sul (JUNG et al, 2017).…”

Section: Resultsunclassified

Barreiras e facilitadores percebidos por pessoas com deficiência praticantes de esportes

Biduski

Lunardi

Rossato

et al. 2021

Kinesis

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Considerando a importância da inserção de pessoas com deficiência no esporte, objetivamos identificar as barreiras e os facilitadores para a prática esportiva de pessoas com deficiência inseridas nos projetos de extensão da Universidade Federal de Santa Catarina (Brasil). Para determinar as barreiras e os facilitadores foi aplicado um questionário a 19 participantes. Usou-se o teste qui-quadrado para avaliar a associação entre barreiras e facilitadores (p0,05). Os indicadores estatisticamente associados como facilitadores para a prática esportiva de pessoas com deficiência incluem a simpatia e conhecimento profissional, apoio da família e amigos e a ausência de constrangimento à prática. A presença de lesões, o clima e a distância do local da prática foram associados como barreiras. Desse modo, propiciar um ambiente de elevado apoio social, estabelecer cuidados para evitar lesões físicas e oferecer programas esportivos descentralizados, na cidade, parecem ser medidas importantes para a efetiva participação de pessoas com deficiência no esporte.

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“…Social construction theory was applied to the construct of disability to suggest the meaning ascribed by society to physical, cognitive, mental, and emotional impairments [28]. According to this theory, disability cannot exist independently of the context within From these three accessible belief systems, behavioural intention is the immediate antecedent of a particular behaviour.…”

Section: Social Construction Of Disability and Barriers To Sport And Pa Engagementmentioning

confidence: 99%

Impact of the Paralympic Games on the Beliefs of Children with Physical Disabilities Engaging in Sports and Physical Activities: A Chinese Perspective

Cai

Meng

2021

IJERPH

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The purpose of this qualitative study was to explore the beliefs of Chinese children with physical disabilities engaging in sports and physical activity (PA), and the impact of the Paralympic Games on these beliefs. Five Chinese children with physical disabilities (female = 2, male = 3) were recruited for participating in the workshops of the Paralympic Games and PA, and received individual semi-structured interviews before and after the workshop implementations. Interview transcripts were analysed and presented as descriptive summaries. Three themes emerged based on the analysis of the participants’ interview data: (1) shocked, knowledgeable, and useful; (2) willingness to try, and (3) hope to obtain support. Results indicated that children with physical disabilities in this study acknowledged the positive outcomes of participating in the workshops of the Paralympic Games on the sports and PA engagement attitude change. However, children with disabilities also expressed that they need more related knowledge and information. The results of the study revealed that impairment and contextual factors (i.e., lack of support from family and physical education teachers, unsafe environments, and negative attitudes of peers without disabilities) were barriers to sports and PA engagement among children with physical disabilities in this study.

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Barriers and facilitators of physical activity participation for young people and adults with childhood‐onset physical disability: a mixed methods systematic review

Cited by 42 publications

References 81 publications

Physical Activity Levels of Adolescents and Adults With Cerebral Palsy in Urban South Africa

Physical Activity Levels of Adolescents and Adults With Cerebral Palsy in Urban South Africa

Barreiras e facilitadores percebidos por pessoas com deficiência praticantes de esportes

Impact of the Paralympic Games on the Beliefs of Children with Physical Disabilities Engaging in Sports and Physical Activities: A Chinese Perspective

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