Evidence map›Paper›PMID 42651521›Full record

ArticleBehavioral sciences (Basel, Switzerland)2026

An Active Approach to Behavior: Exergaming Bike Breaks for Students with Disabilities.

Sara Kupzyk, Heidi K Reelfs, Kevin Kupzyk

Abstract read
In one paragraph

Article in Behavioral sciences (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sara KupzykDepartment of Psychology, University of Nebraska at Omaha, Omaha, NE 68182, USA.ORCID 0000-0002-6721-8659
Heidi K ReelfsDepartment of Physical Therapy, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE 68106, USA.
Kevin KupzykCollege of Nursing, University of Nebraska Medical Center, Omaha, NE 68198, USA.

Funding

Munroe-Meyer Institute Guild Grant 2017
6 · The paper itself

Abstract

Many children, particularly those with disabilities, do not meet the recommended amount of physical activity per day, which can increase the likelihood of poor health outcomes. Beyond the potential health benefits, physical activity breaks are associated with increased academic engagement and decreased stereotypy and off-task behavior. It is important to increase periods of physical activity in naturalistic settings like schools. The purpose of this article is to describe two pilot studies that examined the feasibility of integrating exergaming bike breaks into daily school routines for students with disabilities. Across the studies, data were collected on physical fitness, mood, classroom behavior, and acceptability. In Study 1, 13 students ages 9-13 with autism participated in exergaming biking for 15 min, 3 days per week for 6 weeks. No significant differences were observed between ride and non-ride days for teacher-reported behaviors; however, researcher-observed disruptive behaviors were significantly lower on ride days. In Study 2, six students with disabilities ages 9-17 who had a behavior intervention plan participated in biking for 5 days per week for 10 weeks. There was a significant increase in the percentage of time students were on-task and a decrease in time students were reported to be disruptive based on teacher behavior reports. Physical fitness remained low following intervention. Overall, exergaming biking was an acceptable and engaging form of physical activity that can be integrated into students' daily routines. Use of the bikes was associated with some improvement in classroom behavior. We discuss implications for practice and recommendations for future research.

Indexed as

exergamingphysical activity breakspositive behavior intervention

Identifiers

PMID42651521
PMCPMC13509195

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.