Requirements for Universally Accessible Upper-Body Exercise Equipment: The Case of People with Spinal Cord Injuries in Korea

Occupational Therapy International, 2023 · DOI: https://doi.org/10.1155/2023/6652703 · Published: December 22, 2023

Spinal Cord Injury Accessibility Rehabilitation

Simple Explanation

This study focuses on improving the accessibility of exercise equipment for individuals with paraplegia due to spinal cord injuries, who need upper body strength for mobility and daily activities. The research evaluates existing upper-body exercise equipment and proposes guidelines for universally accessible designs, considering the perspectives of people with disabilities, clinicians, and exercise equipment experts. The goal is to create exercise equipment that can be used by both people with and without disabilities, promoting inclusivity and better health management in the community.

Study Duration

Not specified

Participants

5 participants with thoracic level (T3~T12) spinal cord injury

Evidence Level

Not specified

Key Findings

1
The arm ergometer showed higher scores in performance, stability, and satisfaction compared to strength exercise equipment for people with spinal cord injuries.
2
Among strength exercise equipment, the shoulder press impacted performance, the seated lat pull-down impacted stability, and the seated chest press impacted satisfaction.
3
Wheelchair users' access, equipment placement, information visibility, transfer methods, range of motion, body support, and wheelchair securement are critical considerations for accessible exercise equipment design.

Research Summary

This study evaluated the usability of four upper-body exercise equipment types for individuals with paraplegia and spinal cord injuries, identifying areas for improvement to enhance accessibility. A multidisciplinary team was formed to gather opinions and develop guidelines for universal exercise equipment, considering factors such as wheelchair access, information visibility, and ease of transfer. The research concludes by proposing eight requirements for universal accessibility in exercise equipment design, emphasizing the importance of inclusive design for people with disabilities.

Practical Implications

Design Recommendations

Exercise equipment should be designed considering wheelchair accessibility, clear information visibility, easy transfer methods, and appropriate range of motion for users.

Facility Guidelines

Gymnasiums and fitness facilities should adhere to barrier-free criteria and provide auxiliary equipment to support users with disabilities.

Policy and Standards

The development of universal guidelines and certification systems can promote the manufacturing of inclusive exercise equipment and improve health management for people with disabilities.

Study Limitations

1
The study acknowledges limitations, including the need for more diverse international standards.
2
The reliance on observation and questionnaires necessitates the addition of objective detection methods like EMG and IMU signals.
3
The limited range of equipment and disability types calls for expanding the scope to include various exercise equipment and spinal cord injury levels.

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