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From guidelines to practice: development and implementation of disability-specific physical activity guidelines
Kathleen A Martin Ginis1,2,3,4, Christopher R West3,4,5
1Department of Medicine, Division of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada.
Disability and Rehabilitation
|May 13, 2020
Summary
Developing physical activity guidelines for people with disabilities addresses key informational barriers. These guidelines, alongside behavioral interventions, are crucial for promoting regular exercise and improving health outcomes in this population.
Area of Science:
- Physical activity promotion
- Disability studies
- Rehabilitation science
Background:
- Lack of information is a major barrier to physical activity for individuals with disabilities.
- Rehabilitation professionals often lack knowledge to prescribe physical activity for clients with disabilities.
- Disability-specific guidelines are needed to overcome these informational gaps.
Purpose of the Study:
- To outline the rationale for disability-specific physical activity guidelines.
- To describe the development process for guidelines in spinal cord injury and multiple sclerosis.
- To detail behavioral interventions for supporting physical activity in people with disabilities.
Main Methods:
- The paper describes the reasoning and gold-standard process for developing disability-specific guidelines.
- It also covers "who, what, and how" for behavioral interventions and messaging.
- Consideration of needs, values, and preferences of people with disabilities is integral.
Main Results:
- Not Applicable.
Conclusions:
- Guidelines are vital for physical activity promotion but require complementary behavioral interventions.
- Activity levels below WHO recommendations can yield significant health benefits for people with and without disabilities.
- Disability-specific guidelines and interventions can effectively reduce barriers and increase physical activity participation.

