Andrabi Mudasir Saleem, Mumba Mercy, Key Betty, Motl Robert
Capstone College of Nursing, University of Alabama, Tuscaloosa, United States.
Idda Moffet School of Nursing, Samford University, Birmingham, AL, United States.
Front Rehabil Sci. 2022 Nov 4;3:1007778. doi: 10.3389/fresc.2022.1007778. eCollection 2022.
Physical inactivity is one of the important factors leading to chronic diseases including cardiovascular disease (CVD) in individuals with disabilities. However, not many Physical Activity (PA) interventions are available for improving the efficacy of PA and cardiovascular outcomes among community wheelchair users. Therefore, this systematic review will appraise the existing PA interventions for the community dwelling wheelchair users; we especially examined features of the PA programs that showed the improvements in PA and the CVD outcomes compared to the interventions that did not show any improvements in these outcomes among these population. The study also aimed to provide some recommendations for future research.
A comprehensive and systematic search of literature published between 2015 and 2020 using the databases Scopus, Pubmed, Embase, and Cochrane CENTRAL was conducted. This review has followed the Preferred Reporting Items for Systematic Review (PRISMA) guidelines. The quality of the evidence was assessed by Using Joanna Briggs Institute's critical appraisal tool. Studies that tested the efficacy of PA interventions for community-dwelling adult wheelchair users and published in English were involved. Two reviewers reviewed the literature and any disagreements among these reviewers were resolved by a third reviewer.
Fourteen articles were selected for this review. Most of the studies reported improvements in PA. A few studies followed up the participants and majority of the studies have looked at the CVD outcomes.
Large-scale studies with follow-ups, and community participatory research that evaluates the effect of PA interventions on PA and CVD outcomes among wheelchair users are needed.
缺乏身体活动是导致残疾人患包括心血管疾病（CVD）在内的慢性病的重要因素之一。然而，针对提高社区轮椅使用者身体活动（PA）效果和心血管健康结果的PA干预措施并不多。因此，本系统评价将评估现有的针对社区居住轮椅使用者的PA干预措施；我们特别研究了与未使这些人群的PA和CVD结果得到改善的干预措施相比，能使PA和CVD结果得到改善的PA项目的特点。该研究还旨在为未来研究提供一些建议。
使用Scopus、Pubmed、Embase和Cochrane CENTRAL数据库对2015年至2020年发表的文献进行了全面系统的检索。本评价遵循系统评价的首选报告项目（PRISMA）指南。采用乔安娜·布里格斯研究所的批判性评价工具评估证据质量。纳入了测试PA干预措施对社区居住成年轮椅使用者有效性并以英文发表的研究。两名评审员对文献进行评审，评审员之间的任何分歧由第三名评审员解决。
本评价选取了14篇文章。大多数研究报告了PA的改善情况。少数研究对参与者进行了随访，大多数研究关注了CVD结果。
需要开展有随访的大规模研究以及评估PA干预措施对轮椅使用者PA和CVD结果影响的社区参与性研究。
