ArticleAnnals of medicine2026
Beyond rehabilitation: a qualitative exploration of sport participation context and FES-cycling user experience in spinal cord injury.
Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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Authors and funding
11 authors.
Funding
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Abstract
backgroundWhile functional electrical stimulation (FES)-cycling benefits for spinal cord injury (SCI) are documented, user acceptance and sustained engagement remain underexplored. Understanding how sport participation history and values shape FES-cycling experiences is essential for predicting technology adoption beyond rehabilitation.
objectiveTo explore FES-cycling user experiences within the context of participants' sport participation history, examining how sport-related values, post-injury adaptations, and existing barriers influence device acceptance and attitudes towards sustained use.
methodsFifteen male individuals with SCI (mean age 43.9 ± 14.0 years; mean time since injury 11.2 ± 11.9 years) participated in the study, with 11 presenting complete and four incomplete SCI. They all completed a short FES-cycling training and semi-structured interviews exploring: sport experiences pre/post-injury, disability impact on participation, barriers and facilitators to sport access, FES-cycling user experience and future use perspectives. An inductive thematic analysis identified patterns across data, adopting a data-driven approach through line-by-line coding to identify emergent themes, subsequently organized within a higher-order thematic framework.
resultsFive themes emerged: (1) meanings attached to sport (competition, cooperation, escape, resilience, self-improvement); (2) post-injury sport changes (physical/psychological adaptations, renewed appreciation); (3) sport access (barriers: cost, infrastructure, time; facilitators: organizations, policies); (4) FES-cycling experience (physical/emotional benefits, frustrations); and (5) future perspectives (opportunities, limitations).
conclusionsSport-related values directly shaped how participants evaluated FES-cycling capabilities and practical viability. FES-cycling acceptance depends on whether the device aligns with users' sport-related values and addresses their existing barriers to participation. Realistic implementation, supported by dialogue with participants about limitations and challenges, can help bridge the gap between rehabilitation and sustained engagement in physical activity.
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