Article Text

Download PDFPDF
Exercise training programmes to improve hand-rim wheelchair propulsion capacity: PEDro systematic review update
  1. Joanna Diong1,
  2. Claire Boswell-Ruys2
  1. 1Discipline of Biomedical Science, Sydney Medical School, The University of Sydney, Lidcombe, New South Wales, Australia
  2. 2Neuroscience Research Australia, Sydney, New South Wales, Australia
  1. Correspondence to Dr Joanna Diong, Discipline of Biomedical Science, Sydney Medical School, The University of Sydney, Lidcombe, NSW 1825, Australia; joanna.diong{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

This section features a recent systematic review that is indexed on PEDro, the Physiotherapy Evidence Database ( PEDro is a free, web-based database of evidence relevant to physiotherapy.

▸ Zwinkels M, Verschuren O, Janssen TWJ, et al.; on behalf of the Sport-2-Stay-Fit study group. Exercise training programs to improve hand rim wheelchair propulsion capacity: a systematic review. Clin Rehabil 2014;28:847–61.


People who use a manual wheelchair as their primary mode of transport need sufficient physical fitness for wheelchair propulsion. Propulsion of a manual wheelchair often occurs over both long and short bouts of activity1 and tends to involve repetitive arm motion at high muscle forces.2 Consequently, hand-rim wheelchair propulsion presents a challenging but essential motor task for manual wheelchair users, especially those who may already be physically deconditioned. Exercise is known to improve cardiovascular fitness and strength, but the effect of exercise training on the physical ability to propel a manual wheelchair is not known.


This systematic review aimed to determine the effectiveness of different types of exercise training programmes on hand-rim wheelchair propulsion capacity.

Searches and inclusion criteria

Two databases (PubMed and EMBASE) were searched up to October 2013 and reference lists of included studies …

View Full Text


  • Contributors JD selected the systematic review and wrote the first draft of the manuscript. JD and CB-R contributed to interpretation of the data and revision of the final manuscript, and are guarantors.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Linked Articles