Wheelchair User Physical Activity Training to Improve Heart Health

This study is testing two different approaches to help wheelchair users improve their heart and metabolic health. One group will receive "Intensity-controlled physical activity training (IPAT)", which involves 40 one-on-one exercise sessions over 14 weeks. The other group will receive "Education and Access (EA)", which includes an initial educational session and access to an adapted exercise center. The goal is to see which approach is better at improving your cardiorespiratory fitness (how well your heart and lungs work). You might be able to join if you are 18 or older, use a wheelchair, can attend weekly in-person exercise sessions, and can move one or both of your upper arms independently. The study is currently unclear on its recruitment status and plans to enroll 108 participants.

Study design
This interventional study plans to enroll 108 participants. It compares two behavioral interventions: Intensity-controlled physical activity training (IPAT) and Education and Access (EA).
What's involved
If you join the IPAT group, you will have 40 (90-minute) one-on-one exercise sessions over 14 weeks. If you join the EA group, you will have an initial 60-minute educational session and access to an exercise center.
Compensation
Not stated in the trial record.
Follow-up
Your cardiorespiratory fitness will be measured at the beginning of the study and up to 3 weeks after the intervention ends.

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NCT06013046

Wheelchair User Physical Activity Training Intervention to Enhance Cardiometabolic Health

Recruiting
NAAges 18+InterventionalTreatment
Washington University School of Medicine
~108 participants
Updated 2026-01-29 on ClinicalTrials.gov
What's tested:Intensity-controlled physical activity training (IPAT)Education and Access (EA)

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
VO2max - Cardiorespiratory Fitness change (Max Oxygen Consumption Change in ml/kg/min)
Measured over Baseline and up to 3 weeks post intervention
Physical Disability
1 sites across 1 states
Missouri1
  • Kerri A Morgan, PhD · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine

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Eligibility criteria

Inclusion

Age 18 years or older
Has a physical disability requiring the use of a wheelchair (includes manual wheelchairs, motorized wheelchairs, motor-assisted wheelchairs, and electric scooters)
Ability to attend weekly exercise sessions in person
Ability to independently move one or both upper extremities
Has participated in no more than 60 minutes of moderate-intensity physical activity per week in the past month
English-speaking
Able to provide informed consent
Ability to complete a valid V02max score with 2 attempts

Exclusion

Determination by their physician to be medically unstable
Has had cardiovascular complications within the past year or unstable heart disease
Currently receiving medical treatment for an acute injury
Presence of a stage IV pressure injury
Currently pregnant or suspect pregnancy
  • VO2max - Cardiorespiratory Fitness change (Max Oxygen Consumption Change in ml/kg/min)Baseline and up to 3 weeks post intervention

    VO2max will be measured in ml/kg/min using a portable, breath-by-breath metabolic system with an optoelectronic reader, as well as reliable highly linear and rapid response O2 and CO2 sensors (COSMED K5, COSMED: The Metabolic Company, Chicago, IL). This testing will be completed while the participant performs a graded-exercise test on a crank ergometer (SCIFIT PRO2, Life Fitness, Tulsa, OK). The protocol involves a 3-minute warm-up followed by a standard ramp-up protocol which is typically completed in 8-12 minutes, and a subsequent 5-minute recovery phase.