AUTHOR=Andrabi Mudasir Saleem , Mumba Mercy , Key Betty , Motl Robert 

TITLE=Physical activity programs for cardiovascular outcomes in community wheelchair users: A systematic review

JOURNAL=Frontiers in Rehabilitation Sciences

VOLUME=Volume 3 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/rehabilitation-sciences/articles/10.3389/fresc.2022.1007778

DOI=10.3389/fresc.2022.1007778

ISSN=2673-6861

ABSTRACT=Abstract
Purpose
Physical inactivity is one of the important factors leading to chronic diseases including cardiovascular disease (CVD) in individuals with disabilities. However, not many PA interventions are available for improving the efficacy of PA and cardiovascular outcomes among community wheelchair users. Therefore, this systematic review will appraise the existing PA interventions for these populations. 
Materials and Methods 
A comprehensive and systematic search of literature published between 2015 and 2020 using the databases Scopus, Pubmed, Embase, and Cochrane CENTRAL was conducted. This review has followed the Preferred Reporting Items for Systematic Review (PRISMA) guidelines. The quality of the evidence was assessed by Using Joanna Briggs Institute’s critical appraisal tool. Studies that tested the efficacy of PA interventions for community-dwelling adult wheelchair users and published in English were involved. Two reviewers reviewed the literature and any disagreements among these reviewers were resolved by a third reviewer. 
Results
 Fourteen articles were selected for this review. Most of the studies reported improvements in PA. Only one study followed up the participants and only one study looked at the CVD outcomes.
Conclusion
 Large-scale studies with follow-ups are needed. Community participatory research that evaluates the effect of PA interventions on CVD outcomes in wheelchair users with physical disabilities.