Mulligan Hilda F, Hale Leigh A, Whitehead Lisa, Baxter G David
Centre for Physiotherapy Research, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
Adapt Phys Activ Q. 2012 Jul;29(3):243-65. doi: 10.1123/apaq.29.3.243.
People with disability are insufficiently physically active for health. This study identified the volume, quality, and findings of research that exposes environmental and personal barriers of physical activity participation for people with neurological conditions. CINAHL, Sport Discus, EMBASE, Medline, and AMED were systematically searched between 1999 and week one 2010 for peer reviewed studies that fit the aim of the review. Identified barriers to physical activity participation were categorized into the World Health Organization's ICF framework of domains. Of the 2,061 studies uncovered in the search, 29 met inclusion criteria and 28 met quality appraisal. Findings showed that barriers to physical activity participation arise from personal factors that, coupled with lack of motivational support from the environment, challenge perceptions of safety and confidence to exercise.
残疾人的身体活动不足，难以促进健康。本研究确定了相关研究的数量、质量和结果，这些研究揭示了神经疾病患者参与体育活动的环境和个人障碍。1999年至2010年第一周期间，对CINAHL、Sport Discus、EMBASE、Medline和AMED进行了系统检索，以查找符合该综述目的的同行评审研究。确定的体育活动参与障碍被归类到世界卫生组织的国际功能、残疾和健康分类（ICF）框架的各个领域。在检索到的2061项研究中，29项符合纳入标准，28项通过了质量评估。结果表明，体育活动参与障碍源于个人因素，再加上缺乏来自环境的激励支持，对运动的安全感和信心构成了挑战。
