Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, Canada.
International Collaboration of Repair Discoveries (ICORD), Vancouver, Canada.
Disabil Rehabil. 2022 Jul;44(15):3915-3924. doi: 10.1080/09638288.2021.1894245. Epub 2021 Mar 17.
Arm crank ergometry and adaptive rowing are existing exercise options for wheelchairs users, but not commonly available. This study was conducted to explore exercise participation of wheelchair users, as well as the usability of the adaptive rowing ergometer (aROW) and arm crank ergometer (ACE).
This mixed-methods study used a concurrent triangulation design. Following completion of both exercise sessions (5 min each), participants ( = 14) with spinal cord injury/disease (SCI/D) completed the System Usability Scale (SUS), and a semi-structured interview. Participants were asked about the use of both exercise modalities, and general exercise participation. SUS data were analyzed using a paired sample -test and qualitative data were analyzed through conventional content analysis.
Wheelchair users exercised for improved physical and mental health, as well as for functional independence, and community participation; however, lack of accessible equipment was a prominent barrier. Both the aROW and ACE have high usability, but the aROW was perceived as more enjoyable and effective for cardiovascular exercise.
The implementation of the aROW into community gyms has the potential to help close the existing gap in inclusive equipment and may help people with disabilities to be more fully included in their community and lead healthier lives.Implications for rehabilitationWheelchair users perceive exercise as a meaningful activity that enhances physical health and risk of disease, functional independence, community participation, and overall social and emotional health.The adapted rowing machine was perceived as highly usable and was felt to be more enjoyable and effective for cardiovascular exercise compared to traditional arm crank ergometers.The adaptive rower provides an additional accessible equipment option for wheelchair users to obtain effective cardiovascular exercise.More available equipment may increase community participation and promote inclusion for wheelchair users.
手臂曲柄测功和自适应划船是轮椅使用者现有的运动选择，但并不常见。本研究旨在探讨轮椅使用者的运动参与情况，以及自适应划船测功仪（aROW）和手臂曲柄测功仪（ACE）的可用性。
本混合方法研究采用并行三角设计。在完成两次运动（每次 5 分钟）后，脊髓损伤/疾病（SCI/D）患者（n=14）完成了系统可用性量表（SUS）和半结构化访谈。参与者被问及这两种运动模式的使用情况以及一般的运动参与情况。使用配对样本 t 检验分析 SUS 数据，通过常规内容分析分析定性数据。
轮椅使用者为改善身心健康、功能独立性和社区参与而运动；然而，缺乏无障碍设备是一个突出的障碍。aROW 和 ACE 的可用性都很高，但 aROW 被认为更适合心血管运动，也更有趣和有效。
将 aROW 引入社区健身房有可能有助于缩小现有无障碍设备差距，并可能帮助残疾人更充分地融入社区，过上更健康的生活。
轮椅使用者将运动视为一项有意义的活动，可增强身体健康和降低患病风险、提高功能独立性、促进社区参与以及整体的社会和情感健康。
与传统的手臂曲柄测功仪相比，自适应划船机被认为具有高度的可用性，并且更具趣味性和有效性，可用于心血管运动。
自适应划船器为轮椅使用者提供了另一种可获得有效心血管运动的无障碍设备选择。
更多的设备可能会增加社区参与度，促进轮椅使用者的融入。
