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  4. Exercise for Everyone: A randomized controlled trial of Project Workout On Wheels in promoting exercise among wheelchair users

Exercise for Everyone: A randomized controlled trial of Project Workout On Wheels in promoting exercise among wheelchair users

Arch Phys Med Rehabil, 2014 · DOI: 10.1016/j.apmr.2013.07.006 · Published: January 1, 2014

RehabilitationDisability

Simple Explanation

This study investigates how to help wheelchair users exercise more. Two different programs were tested: one with lots of staff support and one with minimal support. Both programs gave information and tools to help people exercise at home. Researchers looked at how much exercise people did and how fit they became after a year. They wanted to see if having more support from staff made a big difference. The study found that the group with more staff support did exercise a bit more often. This suggests that extra help can encourage wheelchair users to be more active, even if it's just a little bit.

Study Duration
12 Months
Participants
128 inactive wheelchair users (64 women)
Evidence Level
Level I, Randomized controlled trial

Key Findings

  • 1
    The staff-supported group reported significantly greater exercise (~ 16 minutes/week) than the self-guided group over the year.
  • 2
    There were significant within, but not between group differences for change in peak aerobic capacity and maximal strength over 12 months.
  • 3
    After accounting for other predictors only exercise barriers (for staff-supported group) and exercise self-efficacy (for self-guided group) significantly predicted weekly minutes of aerobic exercise over 12-months.

Research Summary

This study compared two home-based exercise interventions for wheelchair users over 12 months: a staff-supported group and a self-guided group. The staff-supported group reported moderately more exercise and exercised more frequently than the self-guided group, suggesting potential clinical significance. Both groups showed significant increases in peak aerobic capacity and muscular strength. The study suggests that the staff-supported approach holds promise but may require additional support to meet national exercise recommendations.

Practical Implications

Enhanced Support Systems

Implementing staff-supported interventions may lead to increased exercise adoption and maintenance among wheelchair users.

Personalized Exercise Plans

Individualized exercise plans, including goal setting and relapse prevention strategies, can promote exercise adherence.

Addressing Barriers

Identifying and addressing individual exercise barriers is crucial for improving physical activity levels in this population.

Study Limitations

  • 1
    Underpowered study due to lower than expected sample size.
  • 2
    High attrition rate (approximately 33%).
  • 3
    Substantial delays between eligibility determination and program initiation.

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