Hong Kong Physiotherapy Journal
Volume 27, Issue 1 , Pages 30-38, 2009

Participation in and Adherence to Physical Activity in People With Physical Disability

  • Ka Chuen Lui, MSc

      Affiliations

    • Jockey Club New Page Inn, SAHK
    • ,
  • Stanley S.C. Hui, EdD

      Affiliations

    • Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong SAR, China
    • Corresponding Author InformationReprint requests and correspondence to: Professor Stanley S.C. Hui, Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong SAR, China

Received 18 May 2009; accepted 1 December 2009.

Article Outline

Abstract 

It is a challenge for physiotherapists and fitness instructors to promote adherence to regular physical activity/exercise in people with physical disabilities. Although there has been emerging awareness of this in recent years, this topic remains relatively underexplored. The literature has shown that multiple factors affect the initiation and maintenance of participation in regular physical activity in this population, and relevant behavioural strategies are useful in this regard. The main theme of the present review is to provide frontline exercise professionals a wide picture for understanding participation in and adherence to physical activity for people with physical disabilities. The objectives are as follows: (1) to explore the need for regular physical activity/exercise for people with physical disability; (2) to sum up the correlates between people with disabilities and physical activity participation, as well as physical activity adherence; (3) to review strategies for increasing physical activity participation and adherence in people with disabilities; and (4) to point out the practical difficulties and implications from the reviewed papers concerning the improvement of physical activity/exercise participation and adherence.

Key words:  adherence , correlates , participation , physical activity , physical disabilities

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References 

  1. Somers MF . Spinal Cord Injury: Functional Rehabilitation . 2nd edition. Upper Saddle River, NJ: Prentice Hall; 2001;
  2. Centers for Disease Control and Prevention  . Physical activity among adults with a disability-United States, 2005 . MMWR Morb Mortal Wkly Rep . 2007;56:1021–1024
  3. Centers for Disease Control and Prevention  . Physical activity among adults =50 yrs with and without disabilities, BRFSS 2001 . Med Sci Sports Exerc . 2005;37:620–629
  4. Kinne S , Patrick DL , Doyle DL . Prevalence of secondary conditions among people with disabilities . Am J Public Health . 2004;94:443–445
  5. Dishman RK . Increasing and maintaining exercise and physical activity . Behav Ther . 1989;22:345–378
  6. Hicks AL , Martin KA , Ditor DS , et al.   Long-term exercise training in persons with spinal cord injury: effects on strength, arm ergometry performance and psychological well-being . Spinal Cord . 2003;41:34–43
  7. Ditor DS , Latimer AE , Martin Ginis KA , et al.   Maintenance of exercise participation in individuals with spinal cord injury: effects on quality of life, stress and pain . Spinal Cord . 2003;41:446–450
  8. Davis AHT . Exercise adherence in patients with chronic obstructive pulmonary disease: an exploration of motivation and goals . Rehabil Nurs . 2007;32:104–110
  9. Myers J , Lee M , Kiratli J . Cardiovascular disease in spinal cord injury: an overview of prevalence, risk, evaluation, and management . Am J Phys Med Rehabil . 2007;86:142–152
  10. Garshick E , Kelley A , Cohen SA , et al.   A prospective assessment of mortality in chronic spinal cord injury . Spinal Cord . 2005;43:408–416
  11. Torkildsen NG , Lie SA , Aarseth JH , et al.   Survival and cause of death in multiple sclerosis: results from a 50-year follow-up in Western Norway . Mult Scler . 2008;14:1191–1198
  12. Frugoli BA , Guion WK , Joyner BA , et al.   Cardiovascular disease risk factors in an amputee population . J Prosthet Orthot . 2000;12:80–87
  13. Modan M , Peles E , Halkin H , et al.   Increased cardiovascular disease mortality rates in traumatic lower limb amputees . Am J Cardiol . 1998;82:1242–1247
  14. Seaman JA . Physical activity and fitness for persons with disabilities . Res Dig . 1999;3:1–6
  15. Kosma M , Cardinal BJ , Rintala P . Motivating individuals with disabilities to be physical active . Quest . 2002;54:116–132
  16. Heath GW , Fentem PH . Physical activity among persons with disabilities-a public health perspective . Exerc Sports Sci Rev . 1997;25:195–234
  17. White LJ , Dressendorfer RH . Exercise and multiple sclerosis . Sports Med . 2004;34:1077–1100
  18. McCartney N , Moroz D , Garner SH , et al.   The effects of strength training in patients with selected neuromuscular disorders . Med Sci Sports Exerc . 1988;20:362–368
  19. Seekins T , Clay J , Ravesloot C . A descriptive study of secondary conditions reported by a population of adults with physical disabilities served by three independent living centers in a rural state . J Rehabil . 1994;60:47–51
  20. Brenes G , Dearwater S , Shapera R , et al.   High density lipoprotein cholesterol concentrations in physically active and sedentary spinal cord injured patients . Arch Phys Med Rehabil . 1986;67:445–450
  21. Kaplan PE , Roden W , Gilbert E , et al.   Reduction of hypercal-ciuria in tetraplegia after weight-bearing and strengthening exercises . Paraplegia . 1981;19:289–293
  22. Santiago MC , Coyle CP . Leisure-time physical activity and secondary conditions in women with physical disabilities . Disabil Rehabil . 2004;26:485–494
  23. Kroll T , Neri MT , Ho PS . Secondary conditions in spinal cord injury: result from a prospective survey . Disabil Rehabil . 2007;29:1229–1237
  24. Heller T , Ying GS , Rimmer JH , et al.   Determinants of exercise in adults with cerebral palsy . Public Health Nurs . 2002;19:223–231
  25. Damush TM , Plue L , Bakas T , et al.   Barriers and facilitators to exercise among stroke survivors . Rehabil Nurs . 2007;32:253–262
  26. Motl RW , Snook EM , McAuley E , et al.   Correlates of physical activity among individuals with multiple sclerosis . Ann Behav Med . 2006;32:154–161
  27. Motl RW , Snook EM , McAuley E , et al.   Demographic correlates of physical activity in individuals with multiple sclerosis . Disabil Rehabil . 2007;29:1301–1304
  28. Eurenius E , Stenstrom CH . Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis . Arthritis Rheum . 2005;53:48–55
  29. Warms CA , Belza BL , Whitney JD . Correlates of physical activity in adults with mobility limitations . Fam Community Health . 2007;30(2 Suppl):S5–16
  30. Kroll T , Jones GC , Kehn M , et al.   Barriers and strategies affecting the utilization of primary preventive services for people with physical disabilities: a qualitative inquiry . Health Soc Care Community . 2006;14:284–293
  31. Rimmer JH , Riley B , Wang E , et al.   Physical activity participation among persons with disabilities: barriers and facilitators . Am J Prev Med . 2004;26:419–425
  32. Rimmer JH , Riley B , Wang E , et al.   Accessibility of health clubs for people with mobility disabilities and visual impairments . Am J Public Health . 2005;95:2022–2028
  33. Kinne S , Patrick DL , Maher EJ . Correlates of exercise maintenance among people with mobility impairments . Disabil Rehabil . 1999;21:15–22
  34. Boslaugh SE , Andresen EM . Correlates of physical activity for adults with disability . Prev Chronic Dis . 2006;3:1–14
  35. Taylor NF , Dodd KJ , McBurney H , et al.   Factors influencing adherence to a home-based strength-training programme for young people with cerebral palsy . Phys Ther . 2004;90:57–63
  36. Forkan R , Pumper B , Smyth N , et al.   Exercise adherence following physical therapy intervention in older adults with impaired balance . Phys Ther . 2006;86:401–410
  37. Ellis R , Kosma M , Cardinal BJ , et al.   Physical activity beliefs and behaviour of adults with physical disabilities . Disabil Rehabil . 2007;29:1221–1227
  38. Kosma M , Gardner RE , Cardinal BJ , et al.   Psychosocial determinants of stages of change and physical activity among adults with physical disabilities . Adapt Phys Activ Q . 2006;23:49–64
  39. Guillot J , Kilpatrick M , Hebert E , et al.   Applying the transtheoretical model to exercise adherence in clinical setting . Am J Health Stud . 2004;19:1–10
  40. Cardinal BJ , Kosma M , McCubbin JA . Factors influencing the exercise behavior of adults with physical disabilities . Med Sci Sports Exerc . 2004;36:868–875
  41. Kosma M , Cardinal BJ , McCubbin JA . Predictors of physical activity stage of change among adults with physical disabilities . Am J Health Promot . 2004;19:114–117
  42. McAuley E , Motl RW , Morris KS , et al.   Enhancing physical activity adherence and well-being in multiple sclerosis: a randomized controlled trial . Mult Scler . 2007;13:652–659
  43. Kosma M , Cardinal BJ , McCubbin JA . A pilot study of a web-based physical activity motivational program for adults with physical disabilities . Disabil Rehabil . 2005;27:1435–1442
  44. Warms CA , Belza BL , Whitney JD , et al.   Lifestyle physical activity for individuals with spinal cord injury: a pilot study . Am J Health Promot . 2004;18:288–291
  45. Bandura A . The anatomy of stages of change . Am J Health Promot . 1997;12:8–10
  46. Bandura A . Health promotion by social cognitive means . Health Educ Behav . 2004;31:143–164
  47. Allen NA . Social cognitive theory in diabetes exercise research: an integrative literature review . Diabetes Educ . 2004;30:805–819
  48. McKay HG , King D , Eakin EG , et al.   The diabetes network internet-based physical activity intervention . Diabetes Care . 2001;24:1328–1334
  49. Keyserling TC , Samuel-Hodge CD , Ammerman AS , et al.   A randomized trial of an intervention to improve self-care behaviours of African American women with type 2 diabetes: impact of physical activity . Diabetes Care . 2002;25:1576–1583
  50. Di Loreto C , Fanelli C , Lucidi P , et al.   Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects . Diabetes Care . 2003;26:404–408
  51. Gleeson-Kreig JM . Self-monitoring of physical activity: effects on self-efficacy and behavior in people with type 2 diabetes . Diabetes Educ . 2006;32:69–77
  52. US Department of Health and Human Services  . Physical Activity and Health: A Report of Surgeon General . Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention; 1996;
  53. Bassett RL , Martin Ginis KA , Latimer AE . Wheeling for fitness in people with SCI: what's pain got to do with it? [Abstract] . J Sport Exerc Psychol . 2007;29(Suppl 1):S146
  54. van der Ploeg HP , van der Beek AJ , van der Woude LH , et al.   Physical activity for people with a disability: a conceptual model . Sports Med . 2004;34:639–649
  55. Kisner C , Colby LA . Therapeutic Exercise . 5th edition. Philadelphia: FA Davis; 2007;
  56. Migliorini C , Tonge B , Taleporos G . Spinal cord injury and mental health . Aust N Z J Psychiatry . 2008;42:309–314
  57. Beiske AG , Svensson E , Sandanger I , et al.   Depression and anxiety amongst multiple sclerosis patients . Eur J Neurol . 2008;15:239–245
  58. Post MWM , Bloemen J , de Witte LP . Burden of support for partners of persons with spinal cord injuries . Spinal Cord . 2005;43:311–319
  59. Rodgers H , Francis JJ , Brittain K , et al.   Who cares? - caring for the carers of stroke patients . Disabil Rehabil . 2007;29:425–427
  60. Courneya KS , Friedenreich CM , Quinney HA , et al.   Predictors of adherence and contamination in a randomized trial of exercise in colorectal cancer survivors . Psychooncology . 2004;13:857–866

PII: S1013-7025(10)70006-3

doi:10.1016/S1013-7025(10)70006-3

Hong Kong Physiotherapy Journal
Volume 27, Issue 1 , Pages 30-38, 2009

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