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Exploring Physical Activity Maintenance Among Adults With Spinal Cord Injury: A Multiple Case Study.

Tayah M Liska¹, Haley Flaro², Mathieu Stever²

¹Department of Kinesiology and Physical Education, McGill University, Montreal, QC, Canada.

Journal of Sport & Exercise Psychology

|December 30, 2025

Summary

This summary is machine-generated.

Adults with spinal cord injury (SCI) maintain physical activity through ease of engagement, enjoyment, consistency, and awareness of health benefits. These factors are key for sustained participation post-rehabilitation.

Keywords:

adherence case study disability exercise qualitative

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Area of Science:

Rehabilitation Medicine
Kinesiology
Health Psychology

Background:

Maintaining physical activity is crucial for individuals with spinal cord injury (SCI) to improve health outcomes and quality of life.
Understanding the facilitators of long-term physical activity engagement in adults with SCI is essential for developing effective support strategies.

Purpose of the Study:

To qualitatively explore the mechanisms and strategies adults with spinal cord injury (SCI) employ to maintain physical activity participation.
To identify key themes that support sustained engagement in physical activity following rehabilitation for SCI.

Main Methods:

A multiple case study design involving four adults with SCI (aged 20-44) who maintained physical activity for over a year post-rehabilitation.
Conducted three semi-structured interviews per case (two with the participant, one with a facilitator), supplemented by activity diaries and photographs.
Utilized inductive thematic analysis for individual case analysis, followed by a cross-case analysis to identify common themes.

Main Results:

Four primary themes emerged supporting physical activity maintenance: (1) ease of engagement, (2) gratification derived from participation, (3) consistency in the behavior, and (4) self-awareness of health benefits.
Individual case results detailed specific reasons and facilitators for sustained physical activity participation.
Photographs and activity diaries provided contextual insights into the physical activity environments and experiences.

Conclusions:

Ease of engagement, enjoyment, behavioral consistency, and perceived health benefits are critical factors for physical activity maintenance in adults with SCI.
These findings offer novel insights into facilitators of physical activity maintenance and inform strategies for supporting long-term participation.
Further research into physical activity maintenance among adults with SCI is warranted to enhance rehabilitation outcomes and promote lifelong health.