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ACSM Expert Consensus Statement: Considerations and Recommendations for Prescribing Exercise and Designing Physical

Lauren Ptomey¹, Kerri A Morgan², Cheri A Blauwet³

¹Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, KS.

Medicine and Science in Sports and Exercise

|October 14, 2025

Summary

Physical activity is harder for people with disabilities. This consensus statement offers evidence-based recommendations for tailored exercise programs to overcome barriers and improve participation.

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Area of Science:

Exercise Science
Disability Studies
Public Health

Background:

Physical activity participation and guideline adherence are significantly more challenging for individuals with disabilities compared to the general population.
Understanding the unique physiological factors, guidelines, and barriers is crucial for effective physical activity prescription in this demographic.

Purpose of the Study:

To provide an evidence-based summary on physical activity for individuals with disabilities.
To derive consensus statements from existing research evidence.
To offer practical recommendations for designing and prescribing physical activity programs for adults with disabilities.

Main Methods:

An expert consensus process integrating research evidence.
Systematic review of physiological factors, physical activity guidelines, and barriers.
Development of consensus statements and practical recommendations.

Main Results:

Identified key physiological factors, guidelines, and barriers impacting physical activity in persons with disabilities.
Formulated three consensus statements based on current research.
Developed five practical recommendations for program design and prescription.

Conclusions:

Tailored physical activity programs are essential for adults with disabilities.
Addressing specific barriers and physiological factors improves participation and adherence.
Expert consensus provides a framework for evidence-based physical activity interventions.