Adhering to recommended healthy physical activity guidelines can be difficult for individuals with spinal cord injury, stroke or other paralytic conditions. Ordinary community structures such as curbs, stairs and narrow passageways can present as major obstacles for individuals who are wheelchair-reliant. The Americans with Disabilities Act of 1990 mandates that public facilities including community fitness centers be accessible to everyone equally. PURPOSE: To determine the level of compliance with ADA accessibility and accommodation of wheelchair-reliant individuals in the Hattiesburg, MS metropolitan area. METHODS: Ten facilities consented to unfettered access allowing evaluation using an 82-item checklist. An ADA Accessibility Stick (Access, Inc., Lawrence, KS) was used to check ADA compliance. Measurements were conducted for parking areas, entrance ramps, exterior door entrances, path of travel throughout the public area, elevators, restrooms and locker rooms, drinking fountains and accessibility to and around exercise equipment. For information concerning accommodation of wheelchair-reliant individuals beyond ADA accessibility, the facility managers were questioned about the training of facility staff and available adaptive equipment. RESULTS: All surveyed facilities were found to be partially compliant, with none of the facilities being 100% compliant. The areas of least compliance were access to and free movement around exercise equipment and full access to restrooms. Beyond ADA accessibility, only 20% of the participating facilities provided suitable adaptive equipment and no facilities employed staff trained in the special needs of those with paralytic conditions. CONCLUSIONS: It remains important for healthcare professionals and other advocacy groups to stress the need for inclusion and accommodation of individuals with disabilities to community fitness facilities allowing wellness needs to be met.
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