Physical Activity Barriers in Danish Manual Wheelchair Users: A Cross-sectional Study

Hansen, Rasmus; Larsen, Ryan Godsk; Læssøe, Uffe; Samani, Afshin; Cowan, Rachel E.

doi:10.1016/j.apmr.2020.09.384

Cited by 16 publications

(12 citation statements)

References 36 publications

(68 reference statements)

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“…11 Besides the obvious limitation to physical activities requiring ambulation, explanations for the adoption of a sedentary lifestyle are multifactorial, but studies have identified intrapersonal and socioenvironmental physical activity barriers among manual wheelchair users with SCI. [12][13][14] Some barriers such as the intrapersonal barriers of lack of time 15 or energy 16 identified by individuals with mobility disabilities are consistent with those reported in the non-disabled population. Other barriers are specific to the mobility of individuals with a disability, such as organisational or structural barriers (eg, lack of accessible fitness centres 12 and adaptive exercise equipment 13 and community built environment barriers.…”

Section: Introductionsupporting

confidence: 64%

Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial

et al. 2020

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IntroductionCardiovascular and metabolic diseases are a growing concern for individuals with spinal cord injury (SCI). Physical inactivity contributes to cardiometabolic morbidity and mortality in the SCI population. However, previous studies have shown mixed results regarding the effects of exercise on cardiometabolic risk factors in individuals with SCI. This discrepancy could be influenced by insufficient exercise stimuli. Recent guidelines recommend 30 min of moderate-to-vigorous intensity aerobic exercise, three times per week, for improvement in cardiometabolic health in individuals with SCI. However, to date, no studies have implemented an exercise intervention matching the new recommendations to examine the effects on cardiometabolic risk factors. Therefore, the primary objective of this study is to determine the effects of 12 weeks of wheelchair user-modified upper-body rowing exercise on both traditional (constituents of the metabolic syndrome) and novel (eg, vascular structure and function) cardiometabolic risk factors in manual wheelchair users with SCI.Methods and analysisA randomised controlled trial will compare 12 weeks of upper-body rowing exercise, 30 min three times per week, with a control group continuing their normal lifestyle. Outcome measurements will be performed immediately before (baseline), after 6 weeks (halfway), 12 weeks of training (post) and 6 months after the termination of the intervention period (follow-up). Outcomes will include inflammatory (eg, C reactive protein) and metabolic biomarkers determined from venous blood (with serum fasting insulin as primary outcome), body composition, arterial blood pressure, cardiorespiratory fitness level, brachial artery vascular structure and function and autonomic nervous system function.Ethics and disseminationThis trial is reported to the Danish Data Protection Agency (J.nr. 2019-899/10-0406) and approved by the Committees on Health Research Ethics in The North Denmark Region on 12 December 2019 (J.nr. N-20190053). The principal investigator will collect written informed consent from all participants prior to inclusion. Irrespective of study outcomes, the results will be submitted to peer-reviewed scientific journals for publication.Trial registration numberNCT04390087.

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Section: Introductionsupporting

confidence: 64%

Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial

et al. 2020

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“…Excessive demands placed on the musculoskeletal system of the upper-body result in high prevalence of shoulder pain in wheelchair users and their disengagement from physical activity [4,5]. As wheelchair users rely on their upper limbs for daily function, shoulder pain must be prevented or limited to preserve function, physical independence and quality of life [6].…”

Section: Introductionmentioning

confidence: 99%

Wheelchair-modified ergometer rowing exercise in individuals with spinal cord injury: a feasibility, acceptability, and preliminary efficacy study

Hansen

Wit

Samani

et al. 2022

Spinal Cord Ser Cases

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“…With this reasoning, wheelchair users were handicapped by the push door design in the restroom, which prevented them from leaving without physical effort. In their study, (Hansen et al, 2021) reported that the lack of accessibility to public restrooms is one of the top five barriers in public facilities for wheelchair users.…”

Section: Discussionmentioning

confidence: 99%

Understanding Hotel Design Priorities for Individuals of Different Physical Ability Levels

Vahedi,

Cavuoto

2023

Proceedings of the Human Factors and Ergonomics Society Annual

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This study was designed to evaluate the effects of hotel features on perceptions of stress and usability across groups of healthy adults, older adults, and wheelchair users. Participants completed a guided walkthrough of a hotel that included tasks in the room, bathroom, and lobby. The older adults had the lowest level of perceived stress, whereas the wheelchair users had the lowest rating of usability. The healthy group had generally positive perspectives on the hotel features, while the wheelchair users had predominantly negative comments. Subjects’ concerns ranged from more leisure concerns, such as not having access to preferred television shows (healthy group), to difficulty with accessibility of basic room features such as stepping into the shower area (older adults) and opening the room door (wheelchair users). Although inclusive design may pose a challenge to hotel managers and designers, it is necessary to ensure all guests have access to basic features.

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Physical Activity Barriers in Danish Manual Wheelchair Users: A Cross-sectional Study

Cited by 16 publications

References 36 publications

Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial

Effect of wheelchair-modified rowing exercise on cardiometabolic risk factors in spinal cord injured wheelchair users: protocol for a randomised controlled trial

Wheelchair-modified ergometer rowing exercise in individuals with spinal cord injury: a feasibility, acceptability, and preliminary efficacy study

Understanding Hotel Design Priorities for Individuals of Different Physical Ability Levels

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