Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia.
Dev Med Child Neurol. 2021 Aug;63(8):914-924. doi: 10.1111/dmcn.14830. Epub 2021 Feb 9.
To understand the attitudes, barriers, and facilitators to physical activity participation for young people and adults with childhood-onset physical disability.
Seven electronic databases (Embase, MEDLINE, PsychINFO, AMED, CINAHL, SPORTDiscus, and ERIC) were searched to November 2019. English language studies were included if they investigated attitudes, barriers, or facilitators to physical activity for young people (≥15y) or adults with childhood-onset physical disabilities. Two reviewers applied eligibility criteria and assessed methodological quality. Data were synthesized in three stages: (1) thematic analysis into descriptive themes, (2) thematic synthesis via conceptual framework, and (3) an interpretive synthesis of the thematic results.
Nineteen studies were included. Methodological quality varied, with only four qualitative studies and one quantitative study meeting all quality items. An overarching theme of 'finding the right balance' emerged. Six subthemes relating to capability, opportunity, and motivation contributed to physical activity participation being seen as 'the right fit' or 'all too hard'. The interpretive synthesis found social connections, social environment support, and an appropriate physical environment were essential to 'finding the right balance' to be physically active.
Physical activity participation for young people and adults with childhood-onset physical disabilities is primarily influenced by the social and physical environment. What this paper adds Physical activity participation for young people and adults with childhood-onset physical disabilities is primarily influenced by environmental factors. 'Finding the right balance' between enabling and inhibitory factors was important to physical activity participation being perceived as 'the right fit'. The opportunity for social connection is an important motivator for physical activity participation for young people and adults. The physical environment continues to act as a barrier to physical activity participation for those with physical disabilities.
了解儿童期起病的身体残疾的年轻人和成年人参与身体活动的态度、障碍和促进因素。
检索了 7 个电子数据库（Embase、MEDLINE、PsychINFO、AMED、CINAHL、SPORTDiscus 和 ERIC），检索时间截至 2019 年 11 月。如果研究调查了年轻人（≥15 岁）或儿童期起病的身体残疾的成年人参与身体活动的态度、障碍或促进因素，则纳入英语语言研究。两名审查员应用了合格标准并评估了方法学质量。数据分三个阶段进行综合：（1）主题分析为描述性主题，（2）通过概念框架进行主题综合，（3）对主题结果进行解释性综合。
纳入了 19 项研究。方法学质量差异很大，只有 4 项定性研究和 1 项定量研究符合所有质量项目。出现了一个总体主题“寻找适当的平衡”。与能力、机会和动机相关的六个亚主题有助于将身体活动参与视为“合适的选择”或“太难了”。解释性综合发现，社会联系、社会环境支持和适当的物理环境对于“寻找适当的平衡”以进行身体活动至关重要。
儿童期起病的身体残疾的年轻人和成年人参与身体活动主要受到社会和物理环境的影响。本文的新增内容儿童期起病的身体残疾的年轻人和成年人参与身体活动主要受到环境因素的影响。在促进因素和抑制因素之间“寻找适当的平衡”对于将身体活动参与视为“合适的选择”很重要。社会联系的机会是年轻人和成年人参与身体活动的重要动机。对于身体残疾者来说，物理环境仍然是身体活动参与的障碍。
