{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T07:14:33Z","timestamp":1792048473212,"version":"4.4.0"},"reference-count":41,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T00:00:00Z","timestamp":1626393600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: Regular participation in physical activity (PA) prevents many medical complications and improves the physical fitness of people with spinal cord injury, and in turn improves the functional independence, psychosocial status and quality of life. The goal of Active Rehabilitation Camps (ARCs) is to use various forms of PA in order for the participants to obtain the greatest efficiency and independence in everyday life. (2) Purpose: To evaluate the improvement in physical performance of people with chronic spinal cord disabilities moving in wheelchairs taking part in the Active Rehabilitation Camp depending on (a) sex, (b) type of disability, (c) the level of injury and (d) the type of wheelchair. (3) Methods: The study included 42 wheelchair users: 28 men and 14 women aged 18\u201365 years (34.7 \u00b1 14.9 years) taking part in the Active Rehabilitation Camp. Finally, the study involved 27 paraplegics, 9 tetraplegics and 6 individuals with myelomeningocele. The participants took part in four fitness tests: (1) sprint test (SP)\u2014individual time to cover a distance of 15 m in the wheelchair; (2) slalom test (SL)\u2014time to ride between four cones front and back; (3) basketball ball throw at a distance (BT), (4) zig-zag test (ZZ)\u2014riding continuously for 6 min on the designated track. The tests were performed at the beginning and at the end of the ACR. Active wheelchairs were used by 32 participants, and 10 participants used the classic wheelchairs. (4) Results: Paraplegics achieved the best average results in all the tests and the best improvement in physical performance in comparison to individuals with myelomeningocele and tetraplegics. People in active wheelchairs achieved a statistically significant improvement in the results of SL and ZZ (p &lt; 0.001). People with injury above Th-9 level of the spinal cord achieved a statistically significant improvement in the results of SP (p &lt; 0.01), SL and ZZ (p &lt; 0.01). People with injury below Th6 achieved a statistically significant improvement (p &lt; 0.05) in SP, SL and ZZ. (5) Conclusions: Regular PA during the Active Rehabilitation Camp improves the physical performance of disabled people in wheelchairs, but the scale of improvement of physical performance fitness depends on the type of wheelchair used and the level and the type of injury.<\/jats:p>","DOI":"10.3390\/ijerph18147572","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T10:52:58Z","timestamp":1626432778000},"page":"7572","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The Effectiveness of Active Rehabilitation Camp on Physical Performance of Disabled People Moving in Wheelchairs"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7727-0901","authenticated-orcid":false,"given":"Anna","family":"Lipert","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Medical University of Lodz, 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4272-5440","authenticated-orcid":false,"given":"Kacper","family":"Wr\u00f3bel","sequence":"additional","affiliation":[{"name":"Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micha\u0142","family":"Spycha\u0142a","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Medical University of Lodz, 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4887-130X","authenticated-orcid":false,"given":"Pawe\u0142","family":"Rasmus","sequence":"additional","affiliation":[{"name":"Department of Medical Psychology, Medical University of Lodz, 90-131 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5415-5660","authenticated-orcid":false,"given":"Dariusz","family":"Timler","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, 92-213 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6262-0529","authenticated-orcid":false,"given":"Micha\u0142","family":"Marczak","sequence":"additional","affiliation":[{"name":"Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-131 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2781-5341","authenticated-orcid":false,"given":"Remigiusz","family":"Koz\u0142owski","sequence":"additional","affiliation":[{"name":"Center of Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1097\/PHM.0000000000000016","article-title":"The world report on disability","volume":"93","author":"Bethge","year":"2014","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.ajog.2017.12.001","article-title":"The management of myelomeningocele study investigators. The management of myelomeningocele study: Full cohort 30-month pediatric outcomes","volume":"218","author":"Farmer","year":"2018","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_3","first-page":"A6220","article-title":"Physical activity in wheelchair users with spinal cord injury: Prerequisites for and effects of an active lifestyle","volume":"157","author":"Valent","year":"2013","journal-title":"Ned. Tijdschr. Geneeskd."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1038\/sj.sc.3101915","article-title":"Physical capacity in wheelchair-dependent persons with a spinal cord injury: A critical review of the literature","volume":"44","author":"Haisma","year":"2006","journal-title":"Spinal Cord"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/j.1467-789X.2007.00347.x","article-title":"A comparison of direct vs. self-report measures for assessing height, weight and body mass index: A systematic review","volume":"8","author":"Gorber","year":"2007","journal-title":"Obes. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1093\/geront\/46.1.115","article-title":"Promoting independence for wheelchair users: The role of home accommodations","volume":"46","author":"Allen","year":"2006","journal-title":"Gerontologist"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1038\/sj.sc.3102161","article-title":"Coronary heart disease in individuals with spinal cord injury: Assessment of risk factors","volume":"46","author":"Bauman","year":"2008","journal-title":"Spinal Cord"},{"key":"ref_8","first-page":"1","article-title":"Lipoprotein heterogeneity in persons with spinal cord injury: A model of prolonged sitting and restricted physical activity","volume":"14","author":"Cirnigliaro","year":"2015","journal-title":"Lipids Health Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.jphys.2015.11.003","article-title":"A behavioural intervention increases physical activity in people with subacute spinal cord injury: A randomised trial","volume":"62","author":"Nooijen","year":"2016","journal-title":"J. Physiother."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"337","DOI":"10.4102\/ajod.v6i0.337","article-title":"The health benefits and constraints of exercise therapy for wheelchair users: A clinical commentary","volume":"6","author":"Ellapen","year":"2017","journal-title":"Afr. J. Disabil."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1097\/01.ASW.0000456446.43330.70","article-title":"Measure it","volume":"27","author":"Sprigle","year":"2014","journal-title":"Adv. Ski. Wound Care"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1934","DOI":"10.1080\/09638288.2019.1577503","article-title":"WHEELS\u2014Study group determinants of physical activity in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users","volume":"42","author":"Akker","year":"2019","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"84S","DOI":"10.1177\/2192568217703387","article-title":"A clinical practice guideline for the management of acute spinal cord injury: Introduction, rationale, and scope","volume":"7","author":"Fehlings","year":"2017","journal-title":"Glob. Spine J."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"175S","DOI":"10.1177\/2192568217703084","article-title":"Type and timing of rehabilitation following acute and subacute spinal cord injury: A systematic review","volume":"7","author":"Burns","year":"2017","journal-title":"Glob. Spine J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1023\/B:QURE.0000015284.95515.17","article-title":"Quality of life in spinal cord injured individuals and their caregivers during the initial 6 months following rehabilitation","volume":"13","author":"Lucke","year":"2004","journal-title":"Qual. Life Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"28","DOI":"10.3109\/17483107.2015.1063015","article-title":"Important wheelchair skills for new manual wheelchair users: Health care professional and wheelchair user perspectives","volume":"12","author":"Morgan","year":"2015","journal-title":"Disabil. Rehabil. Assist. Technol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/1545968306297329","article-title":"Confounders in rehabilitation trials of task-oriented training: Lessons from the designs of the EXCITE and SCILT multicenter trials","volume":"21","author":"Dobkin","year":"2007","journal-title":"Neurorehabilit. Neural Repair"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1038\/sc.2017.28","article-title":"Active rehabilitation\u2014A community peer-based approach for persons with spinal cord injury: International utilisation of key elements","volume":"55","author":"Divanoglou","year":"2017","journal-title":"Spinal Cord"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"642","DOI":"10.3109\/09638288.2013.805259","article-title":"Transitional rehabilitation goals for people with spinal cord injury: Looking beyond the hospital walls","volume":"36","author":"Wallace","year":"2013","journal-title":"Disabil. Rehabil."},{"key":"ref_20","first-page":"423","article-title":"Care needs of persons with long-term spinal cord injury living at home in the Netherlands","volume":"48","author":"Post","year":"2009","journal-title":"Spinal Cord"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1123\/ijspp.2017-0759","article-title":"Recovery and performance in sport: Consensus statement","volume":"13","author":"Kellmann","year":"2018","journal-title":"Int. J. Sports Physiol. Perform."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1007\/s40279-014-0253-z","article-title":"Monitoring training load to understand fatigue in athletes","volume":"44","author":"Halson","year":"2014","journal-title":"Sports Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1515\/hukin-2015-0050","article-title":"The functional classification and field test performance in wheelchair basketball players","volume":"46","author":"Gil","year":"2015","journal-title":"J. Hum. Kinet."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.1016\/j.apmr.2018.06.013","article-title":"Relationship of fitness and wheelchair mobility with encounters, avoidances, and perception of environmental barriers among manual wheelchair users with spinal cord injury","volume":"99","author":"Callahan","year":"2018","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_25","first-page":"1","article-title":"Effects of four-month handbike training under free-living conditions on physical fitness and health in wheelchair users","volume":"39","author":"Hoekstra","year":"2016","journal-title":"Disabil. Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1038\/sc.2011.62","article-title":"The effects of exercise training on physical capacity, strength, body composition and functional performance among adults with spinal cord injury: A systematic review","volume":"49","author":"Hicks","year":"2011","journal-title":"Spinal Cord"},{"key":"ref_27","first-page":"1","article-title":"Wheelchair-specific fitness of persons with a long-term spinal cord injury: Cross-sectional study on effects of time since injury and physical activity level","volume":"38","author":"Bakkum","year":"2015","journal-title":"Disabil. Rehabil."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"419","DOI":"10.3233\/BMR-140462","article-title":"The effects of upper extremity progressive resistance and endurance exercises in patients with spinal cord injury","volume":"27","author":"Dost","year":"2014","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"817","DOI":"10.3233\/BMR-160694","article-title":"Short-term effects of upper extremity circuit resistance training on muscle strength and functional independence in patients with paraplegia","volume":"29","author":"Yildirim","year":"2016","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.apmr.2006.02.032","article-title":"Changes in physical capacity during and after inpatient rehabilitation in subjects with a spinal cord injury","volume":"87","author":"Haisma","year":"2006","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1080\/09638288.2018.1493545","article-title":"Relationship between wheelchair skills scores and peak aerobic exercise capacity of manual wheelchair users with spinal cord injury: A cross-sectional study","volume":"42","author":"Kirby","year":"2018","journal-title":"Disabil. Rehabil."},{"key":"ref_32","first-page":"69","article-title":"Wheelchair-bound patients who exercise can prevent further disability","volume":"116","author":"Zolot","year":"2016","journal-title":"AJN Am. J. Nurs."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/172434","article-title":"Development of a wheelchair skills home program for older adults using a participatory action design approach","volume":"2014","author":"Giesbrecht","year":"2014","journal-title":"BioMed Res. Int."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/S0003-9993(03)00364-2","article-title":"Wheelchair skills training program: A randomized clinical trial of wheelchair users undergoing initial rehabilitation","volume":"85","author":"MacPhee","year":"2004","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_35","first-page":"28","article-title":"Multivariate analysis of factors influencing physical work capacity in wheelchair-dependent paraplegics with spinal cord injury","volume":"81","author":"Muraki","year":"2000","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1097\/PHM.0b013e31820f960f","article-title":"Effect of aerobic high-intensity hybrid training on stroke volume and peak oxygen consumption in men with spinal cord injury","volume":"90","author":"Brurok","year":"2011","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2308","DOI":"10.1111\/j.1532-5415.2010.03168.x","article-title":"A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions","volume":"58","author":"Brienza","year":"2010","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_38","first-page":"217","article-title":"Descriptive study about congruence in wheelchair prescription","volume":"48","author":"Cherubini","year":"2011","journal-title":"Eur. J. Phys. Rehabil. Med."},{"key":"ref_39","first-page":"229","article-title":"Reliability and normative values of the wheelchair propulsion test: A preliminary investigation","volume":"45","author":"Andrews","year":"2019","journal-title":"Neurorehabilitaion"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1080\/13548506.2011.555769","article-title":"Difficulties adjusting to post-discharge life following a spinal cord injury: An interpretative phenomenological analysis","volume":"16","author":"Dickson","year":"2011","journal-title":"Psychol. Heal. Med."},{"key":"ref_41","first-page":"1207","article-title":"Primary care of people with spinal cord injury: Scoping review","volume":"58","author":"McColl","year":"2012","journal-title":"Can. Fam. Physician"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7572\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:31:28Z","timestamp":1760164288000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7572"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,16]]},"references-count":41,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["ijerph18147572"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18147572","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,16]]}}}