A Randomized Exercise Trial for Wheelchair Users

Study Overview
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Brief Summary
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People with mobility disabilities are at greater risk than the general population for incurring health problems. Many of these conditions are preventable through behavior and lifestyle changes such as exercise and physical activity. Recent evidence suggests that people with disabilities experience the same physiologic response to exercise as the general population. Nonetheless, nearly three-fourths of those with disabilities report being entirely sedentary or not active enough to achieve health benefits. Despite some knowledge of issues that limit physical activity among this population, few studies have investigated methods for promoting physical activity adoption among people with disabilities, including wheelchair users. The purpose of this study is to test the effectiveness of a behavioral intervention to promote physical activity adoption over 6 months and maintenance of physical activity over another 6 months by community-dwelling manual wheelchair users.

Official Title
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A Randomized Exercise Trial for Wheelchair Users

Conditions
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Spinal Cord Injury, Multiple Sclerosis, Muscular Dystrophy, Cerebral Palsy, Spina Bifida, Amputation, Arthritis, Stroke

Intervention / Treatment
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* Other: Educational session to promote physical activity
* Other: Minimal contact


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be experiencing a permanent disability of at least 6 months that limits mobility sufficiently to require use of a wheelchair as the primary method of mobility outside the home Have not been moderately to vigorously physically active for the past 6 months Be willing to attend the educational workshop Receive physician approval for participation Exclusion criteria include: Presence of medical conditions such as uncontrolled cardiovascular problems that the patient's physician identifies as being contraindicated for exercise Pregnancy or planning to become pregnant

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Intervention group to promote physical activity | Other: Educational session to promote physical activity<br>* Educational session, goal setting, self monitoring of daily engagement in physical activity<br>|
| Other: 2<br>Minimal contact control group | Other: Minimal contact<br>* Self guided education manual about adopting physical activity, self monitor daily engagement in physical activity<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Weekly minutes spent in aerobic and strengthening activity |  | Baseline, 12, 26 and 52 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wheelchair use, Spinal cord injury, Multiple sclerosis, Muscular dystrophy, Cerebral palsy, Spina bifida, Amputation, Arthritis, Stroke