Experiences of Introduction to and Participation in Quad Rugby: A Grounded Theory Approach

Individuals with spinal cord injuries (SCI) report low physical activity participation levels. A lack of physical activity can lead to increased secondary health concerns, such as cardiovascular, psychological, genitourinary, and musculoskeletal complications. Adaptive sports, such as quad rugby, allow individuals with SCI to maintain appropriate physical activity levels. This grounded theory study aimed to explore the experiences of individuals learning about and participating in quad rugby after SCI in the United States. Twelve participants from seven states across the United States completed semistructured interviews. Four themes emerged: benefits of quad rugby participation, enabling quad rugby participation, barriers to quad rugby participation, and motivation for continued participation in quad rugby. This study highlights the importance of an early introduction to quad rugby after SCI and the biopsychosocial benefits of participation. Occupational therapy practitioners can address barriers identified in this study through innovative approaches and advocacy efforts. Plain Language Summary People with spinal cord injuries (SCI) often report low levels of physical activity, leading to various health problems. Quad rugby, an adaptive sport, offers an opportunity for individuals with SCI to maintain physical activity levels. This study focused on understanding the experiences of individuals in the United States who learned about and participated in quad rugby after their SCI. Four key themes emerged through interviews with twelve participants from seven states: the benefits of quad rugby participation, enabling quad rugby participation, barriers to quad rugby participation, and motivation for continued participation in quad rugby. The findings emphasize the importance of introducing quad rugby early after SCI and highlight the physical, psychological, and social benefits of participation. Occupational therapy practitioners can play a crucial role in addressing the identified barriers through innovative approaches and advocacy efforts.