Clinical Research Directory

Inclusion Criteria: * uses a wheelchair * medically stable (e.g. not currently undergoing rehabilitation or treatment for a medical problem) * has only the use of their upper limbs for exercise * lives within one hour driving time from the research center * has adequate upper limb strength and function to operate an arm ergometer * has obtained physician clearance to conduct moderate to vigorous exercise * has room in their home or residence to accommodate the ParaCycle and internet connection Exclusion Criteria: * history of fractures or dislocations in the upper extremity from which the participant has not fully recovered * upper limb pain or injury that interferes with the ability to perform aerobic exercise * recent hospitalization for any reason (within the past three months) * history of coronary artery disease, coronary bypass surgery or other cardiorespiratory events or conditions * likely to experience clinically significant autonomic dysreflexia and/ or orthostatic hypotension in response to exercise * any other conditions that the persons primary care physician deems is a contraindication to participation in arm ergometry exercise stress testing or moderate to vigorous exercise