EUJAPA 2022, 15:14 | DOI: 10.5507/euj.2022.012

Exploring physical activity level after procurement of adapted tricycle; Quantity versus enjoyment

Berit Gjessing1,*, Astrid Nyquist1,, Reidun Jahnsen1-3
1 Beitostølen Healthsports Centre, Norway
2 Faculty of Medicine, University of Oslo, Norway
3 Department of Clinical Neuroscience, Oslo University Hospital, Norway

People with disabilities are less active than people without disabilities, and many do not reach the recommended amount of moderate intensity physical activity. This study aimed to investigate whether people with disabilities who acquired an individually adapted tricycle became more physically active, and to map which factors they reported as important for using their tricycle. People with disabilities applying for an adapted leg-driven tricycle participated in this observational study. ActiGraph GT3x accelerometer was worn for 7 days before and after acquiring the adapted tricycle (pre- and post-test). An open-ended question, in a questionnaire described factors important for tricycle use. Forty-five participants were included, aged 5 to 79 years (Mean = 32.3 years, SD = 22.7) with a large variety of complex disabilities, most with mobility impairments and some with intellectual disability. No significant change in activity level from pre- to post-test was found. However, individual differences were large. Reported reasons for not using the tricycle were bad weather conditions, pain when or after cycling, and insecurity. Reasons for using the tricycle were reported to be increased mobility, joy, and the feeling of freedom. To identify modifiable facilitators and barriers for using an individually adapted tricycle is crucial for regular use.

Keywords: adapted physical activity; disability; accelerometer; self-report motivation; facilitators; barriers

Received: July 21, 2021; Revised: July 27, 2022; Accepted: August 4, 2022; Published online: December 27, 2022Show citation

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Gjessing, B., Nyquist, A., & Jahnsen, R. (2022). Exploring physical activity level after procurement of adapted tricycle; Quantity versus enjoyment. European Journal of Adapted Physical Activity, 15, Article 14. https://doi.org/10.5507/euj.2022.012
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    References

    1. Aadland, E., & Ylvisåker, E. (2015). Reliability of the Actigraph GT3X+ Accelerometer in Adults under Free-Living Conditions. PLoS ONE 10(8), e0124606. https://doi.org/1 0.1371/journal.pone.0134606 Go to original source... Go to PubMed...
    2. Akoglu, H. (2018). User's guide to correlation coefficients. Turkish Journal of Emergency Medicine, 18(3), 91-93. https://doi.org/10.1016/j.tjem.2018.08.001 Go to original source... Go to PubMed...
    3. Baksjøberget, P. E., Nyquist, A., Moser, T., & Jahnsen, R. (2017). Having fun and staying active! Children with disabilities and participation in physical activity: a follow-up study. Physical & Occupational Therapy in Pediatrics, 37(4), 347-358. https://doi.org/10.1080/01942638.2017.1281369 Go to original source... Go to PubMed...
    4. Bedell, G., Coster, W., Law, M., Liljenquist, K., Kao, Y.-C., Teplicky, R., Anaby, D., & Khetani, M. A. (2013). Community participation, supports, and barriers of school-age children with and without disabilities. Archives of Physical Medicine and Rehabilitation, 94(2), 315-323. https://doi.org/10.1016/j.apmr.2012.09.024 Go to original source... Go to PubMed...
    5. Bergem, S. (2020). Knowledge among important actors in the field of adaptive equipment for young people with disabilities. Disability and Rehabilitation: Assistive Technology, 15(1), 109-118. https://doi.org/10.1080/17483107.2018.1538393 Go to original source... Go to PubMed...
    6. Colley, R. C., Butler, G., Garriguet, D., Prince, S. A., & Roberts, K. C. (2018). Comparison of self-reported and accelerometer-measured physical activity in Canadian adults. Health Reports, 29(12), 3-15. https://www.doi.org/10.25318/82-003-x201900700001-eng
    7. Dumith, S. C., Gigante, D. P., Domingues, M. R., & Kohl III, H. W. (2011). Physical activity change during adolescence: a systematic review and a pooled analysis. International Journal of Epidemiology, 40(3), 685-698. https://doi.org/10.1093/ije/dyq272 Go to original source... Go to PubMed...
    8. Gjessing, B., Jahnsen, R. B., Strand, L. I., & Natvik, E. (2018). Adaptation for participation! Children's experiences with use of assistive devices in activities. Disability and Rehabilitation: Assistive Technology, 13(8), 803-808. https://doi.org/10.1080/17483107.2017.1384075 Go to original source... Go to PubMed...
    9. Gjessing, B., & Jahnsen, R. B. (2021). What fits me? Procurement of adapted tricycle for activity and participation. Disability and Rehabilitation: Assistive Technology. https://doi.org/10.1080/17483107.2021.1931967 Go to original source... Go to PubMed...
    10. Gjessing, B., Nyquist, A., & Jahnsen, R. (2022). Acquiring a tailor-made tricycle - implications for people with disabilities. Technology and Disability, 34(1), 35-44. https://doi.org/10.3233/TAD-210343 Go to original source...
    11. Hammel, J., Magasi, S., Heinemann, A., Whiteneck, G., Bogner, J., & Rodriguez, E. (2008). What does participation mean? An insider perspective from people with disabilities. Disability and Rehabilitation, 30(19), 1445-1460. https://doi.org/10.1080/09638280701625534 Go to original source... Go to PubMed...
    12. Hansen, B., Kolle, E., & Anderssen, S. (2014). Fysisk aktivitetsnivå blant voksne og eldre i Norge: oppdaterte analyser basert på nye nasjonale anbefalinger i 2014. [Physical activity level among adults and the elderly in Norway: updated analyses based on new national recommendations in 2014]. Norwegian Directorate of Health: Oslo, Norway.
    13. Herman Hansen, B., Børtnes, I., Hildebrand, M., Holme, I., Kolle, E., & Anderssen, S. A. (2014). Validity of the ActiGraph GT1M during walking and cycling. Journal of Sports Sciences, 32(6), 510-516. https://doi.org/10.1080/02640414.2013.844347 Go to original source... Go to PubMed...
    14. Hodges, P. W., & Smeets, R. J. (2015). Interaction between pain, movement, and physical activity: short-term benefits, long-term consequences, and targets for treatment. The Clinical Journal of Pain, 31(2), 97-107. https://doi.org/10.1097/AJP.0000000000000098 Go to original source... Go to PubMed...
    15. Imms, C. (2008). Review of the Children's Assessment of Participation and Enjoyment and the Preferences for Activity of Children. Physical & Occupational Therapy in Pediatrics, 28(4), 389-404. https://doi.org/10.1080/01942630802307135 Go to original source... Go to PubMed...
    16. Imms, C., Granlund, M., Wilson, P. H., Steenbergen, B., Rosenbaum, P. L., & Gordon, A. M. (2017). Participation, both a means and an end: a conceptual analysis of processes and outcomes in childhood disability. Developmental Medicine & Child Neurology, 59(1), 16-25. https://doi.org/10.1111/dmcn.13237 Go to original source... Go to PubMed...
    17. Laake, P., Benestad, H. B., & Olsen, B. R. (2015). Research in Medical and Biological Sciences. Elsevier
    18. LeBlanc, A. G., & Janssen, I. (2010). Difference between self-reported and accelerometer measured moderate-to-vigorous physical activity in youth. Pediatric Exercise Science, 22(4), 523-534. https://doi.org/10.1123/pes.22.4.523 Go to original source... Go to PubMed...
    19. Li, C., & Chen, S. (2012). Exploring experiences of physical activity in special school
    20. students with cerebral palsy: a qualitative perspective. European Journal of Adapted Physical Activity, 5(1), 7-17. https://doi.org/10.5507/euj.2012.001 Go to original source...
    21. Majnemer, A., Shevell, M., Law, M., Birnbaum, R., Chilingaryan, G., Rosenbaum, P., & Poulin, C. (2008). Participation and enjoyment of leisure activities in school-aged children with cerebral palsy. Developmental Medicine & Child Neurology, 50(10), 751-758. https://doi.org/10.1111/j.1469-8749.2008.03068.x Go to original source... Go to PubMed...
    22. Martin Ginis, K. A. M., van der Ploeg, H. P., Foster, C., Lai, B., McBride, C. B., Ng, K., Pratt, M., Shirazipour, C. H., Smith, B., Vásquez, P. M. & Heath, G. W. (2021). Participation of people living with disabilities in physical activity: a global perspective. The Lancet, 398(10298), 443-455. https://doi.org/10.1016/S0140-6736(21)01164-8 Go to original source... Go to PubMed...
    23. Nyquist, A., Moser, T., & Jahnsen, R. (2016). Fitness, fun and friends through participation in preferred physical activities: achievable for children with disabilities? International Journal of Disability, Development and Education, 63(3), 334-356. https://doi.org/10.1080/1034912X.2015.1122176 Go to original source...
    24. O'Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: a synthesis of recommendations. Academic Medicine, 89(9), 1245-1251. https://doi.org/10.1097/ACM.0000000000000388 Go to original source... Go to PubMed...
    25. O'Donovan, G., Blazevich, A. J., Boreham, C., Cooper, A. R., Crank, H., Ekelund, U., Fox, K. R., Gately, P., Giles-Corti, B., Gill, J. M. R., Hamer, M., McDermott, I., Murphy, M., Mutrie, N., Reilly, J. J., Saxton, J. M., & Stamatakis, E. (2010). The ABC of Physical Activity for Health: a consensus statement from the British Association of Sport and Exercise Sciences. Journal of Sports Sciences, 28(6), 573-591. https://doi.org/10.1080/02640411003671212 Go to original source... Go to PubMed...
    26. Oslo Economics. (2020). Aktivitetshjelpemidler til personer med fysisk funksjonsnedsettelse. [Assistive activity devices for people with physical disabilities].
    27. (2020-36). Retrieved from: https://osloeconomics.no/wp-content/uploads/OE-rapport-2020-36-Evaluering-av-AKT26.pdf
    28. Pedersen, H., Söderström, S., & Kermit, P. (2019). Assistive activity technology as symbolic expressions of the self. Technology and Disability, 31(3), 129-140. https://doi.org/10.3233/TAD-190236 Go to original source...
    29. Pedersen, H., Söderström, S., & Kermit, P. (2021). "The fact that I can be in front of others, I am used to being a bit behind": how assistive activity technology affects participation in everyday life. Disability and Rehabilitation: Assistive Technology, 16(1), 83-91. https://doi.org/10.1080/17483107.2019.1642391 Go to original source... Go to PubMed...
    30. Pickering, D. M., Horrocks, L., Visser, K., & Todd, G. (2013). Adapted bikes-what children and young people with cerebral palsy told us about their participation in adapted dynamic cycling. Disability and Rehabilitation: Assistive Technology, 8(1), 30-37. https://doi.org/10.3109/17483107.2012.680942 Go to original source... Go to PubMed...
    31. Preede, L., Saebu, M., Perrin, P. B., Nyquist, A., Dalen, H., Bautz-Holter, E., & Røe, C. (2015). One-year trajectories of mental and physical functioning during and after rehabilitation among individuals with disabilities. Health and Quality of Life Outcomes, 13(1), 1-11. https://doi.org/10.1186/s12955-015-0328-z Go to original source... Go to PubMed...
    32. Rhodes, R. E., Janssen, I., Bredin, S. S., Warburton, D. E., & Bauman, A. (2017). Physical activity: Health impact, prevalence, correlates and interventions. Psychology & Health, 32(8), 942-975. https://doi.org/10.1080/08870446.2017.1325486 Go to original source... Go to PubMed...
    33. Rikstrygdeverket (1997). Rundskriv til folketrygdlovens § 10-7. Bokstavene a, c og d samt annet og tredje ledd. [Circular to the National Insurance Act § 10-7. Letters a, c and d, and second and third paragraphs].
    34. Rimmer, J. H., Riley, B., Wang, E., Rauworth, A., & Jurkowski, J. (2004). Physical activity participation among persons with disabilities: barriers and facilitators. American Journal of Preventive Medicine, 26(5), 419-425. https://doi.org/10.1016/j.amepre.2004.02.002 Go to original source... Go to PubMed...
    35. Romanzini, M., Petroski, E. L., Ohara, D., Dourado, A. C., & Reichert, F. F. (2014). Calibration of ActiGraph GT3X, Actical and RT3 accelerometers in adolescents. European Journal of Sport Science, 14(1), 91-99. https://doi.org/10.1080/17461391.2012.732614 Go to original source... Go to PubMed...
    36. Rosenbaum, P., & Gorter, J. (2012). The 'F-words' in childhood disability: I swear this is how we should think! Child: Care, Health and Development, 38(4), 457-463. https://doi.org/10.1111/j.1365-2214.2011.01338.x Go to original source... Go to PubMed...
    37. Røe, C., Dalen, H., Lein, M., & Bautz-Holter, E. (2008). Comprehensive rehabilitation at Beitostølen Healthsports Centre: Influence on mental and physical functioning. Journal of Rehabilitation Medicine. 40(6), 410-417. https://doi.org/10.2340/16501977-0179 Go to original source... Go to PubMed...
    38. Ryan, R. M., & Deci, E. L. (2000). Intrinsic and extrinsic motivations: Classic definitions and new directions. Contemporary Educational Psychology, 25(1), 54-67. https://doi.org/10.1006/ceps.1999.1020 Go to original source... Go to PubMed...
    39. Saebu, M., & Sørensen, M. (2011). Factors associated with physical activity among young adults with a disability. Scandinavian Journal of Medicine & Science in Sports, 21(5), 730-738. https://doi.org/10.1111/j.1600-0838.2010.01097.x Go to original source... Go to PubMed...
    40. Scarpa, S. (2011). Physical self-concept and self-esteem in adolescents and young adults with and without physical disability: the role of sports participation. European Journal of Adapted Physical Activity, 4(1), 38-53. https://doi.org/10.5507/euj.2011.003 Go to original source...
    41. Sherrill, C. (2004). Adapted physical activity, recreation and sport (6th ed.). New York.
    42. Skatteboe, S., Røe, C., Perrin, P. B., Dalen, H., Bautz-Holter, E., Nyquist, A., & Saebu, M. (2016). One-year trajectories of motivation and physical activity in persons with disabilities. Journal of Rehabilitation Medicine, 48(4), 371-377. https://doi.org/10.2340/16501977-2071 Go to original source... Go to PubMed...
    43. Steene-Johannesen, J., Anderssen, S., Bratteteig, M., Dalhaug, E., Andersen, I., Andersen, O., & Dalene, K. (2019). Kartlegging av fysisk aktivitet, sedat tid og fysisk form blant barn og unge 2018 [Mapping of physical activity, sedentary time and physical fitness among 504 children and youth in 2018]. Oslo: The Norwegian Directorate of Health.
    44. Steinhardt, F., Ullenhag, A., Jahnsen, R., & Dolva, A.-S. (2020). Perceived facilitators and barriers for participation in leisure activities in children with disabilities: perspectives of children, parents and professionals. Scandinavian Journal of Occupational Therapy, 28(2), 1-15. https://doi.org/10.1080/11038128.2019.1703037 Go to original source... Go to PubMed...
    45. Stålesen, J., Vik, F. N., Hansen, B. H., & Berntsen, S. (2016). Comparison of three activity monitors for estimating sedentary time among children. BMC Sports Science, Medicine and Rehabilitation, 8(2). https://doi.org/10.1186/s13102-016-0028-y Go to original source... Go to PubMed...
    46. Züll, A., Tillmann, V., Froböse, I., Anneken, V., & Girginov, V. (2019). Physical activity of children and youth with disabilities and the effect on participation in meaningful leisure-time activities. Cogent Social Sciences, 5(1), 1648176. https://doi.org/10.1080/23311886.2019.1648176 Go to original source...

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