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Enhancing health and occupational performance: A group-based exercise programme for people with visual impairment
Chun-Wei Chang1, Ming-De Chen2, Nikos Thomacos1,3
1Department of Occupational Therapy, School of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia.
The British Journal of Occupational Therapy
|August 9, 2026
Summary
This study shows that a 10-week exercise program improved physical fitness, quality of life, and occupational performance for people with severe visual impairment (VI). Participation in physical activity increased, while sedentary time decreased.
Area of Science:
- Occupational therapy
- Health promotion
- Exercise science
Background:
- Exercise is a key occupation for health management and well-being.
- Occupational therapy can facilitate exercise participation for individuals with visual impairment (VI).
- This study investigated the impact of a tailored exercise program on health and occupational participation in people with VI.
Purpose of the Study:
- To assess the outcomes of a 10-week group-based mat exercise program for individuals with severe VI.
- To determine the program's effects on physical fitness, health-related quality of life (HRQoL), physical activity (PA) participation, and occupational performance.
- To evaluate participant satisfaction with the exercise program and its impact on their daily lives.
Main Methods:
- A 10-week group-based mat exercise program was implemented.
- Twelve participants with severe VI were enrolled in a pretest-posttest design.
- Outcome measures included physical fitness (balance, flexibility, strength), HRQoL, PA levels, and occupational performance and satisfaction.
Main Results:
- Significant improvements were noted in static balance, flexibility, and muscle strength.
- Participants reported enhanced HRQoL in bodily pain, vitality, and social functioning.
- Physical activity participation increased, particularly moderate PA and walking, with reduced sedentary time. Occupational performance and satisfaction also improved.
Conclusions:
- A structured, adapted exercise program can enhance both health and occupational performance for individuals with VI.
- Occupational therapy plays a crucial role in exercise-based health promotion for this population.
- Occupational performance should be considered a key outcome measure in interventions for people with VI.

