Using The Arts & Sports to demonstrate a societal model of rehabilitation

Introduction: Pedal Power is a Physiotherapist led, evidence based intervention, allowing people with acquired brain injury (ABI) to have regular social interaction, to be physically active, to cycle, attain cycling qualifications and to be skilled and equipped. This programme is delivered in partnership with Sustrans (NI) at their Active Travel Hub, at CS Lewis Square, Belfast. Method: Adapted trikes, helmets, cycling shoes and jerseys are provided as part of this adapted cycling programme, 'Pedal Power'. Participants cycle weekly around miles of traffic free paths in their community. It is known people with ABI and disabilities have much lower levels of physical fitness and physical activity. The medical, physical, psychological, cognitive and social benefits of cycling and exercise has been well established. A key influence for 'Pedal Power' was Dr Dave Saunders, University of Edinburgh, lead author of the Cochrane review ‘Physical fitness training for stroke’ (an ABI). More recent research has demonstrated that one of the most important factors in ensuring that people stay engaged in sport and physical activity in the long-term, is social support. Some of this research was carried out 20 years ago, so this adapted cycling programme is about putting that research into practice. Additionally, 'Pedal Power' seeks to reflect the UN Convention on the Rights of People with Disabilities, particularly articles 8 (awareness raising) and article 30 (participation in cultural life, recreation, leisure and sport). Results: Participants with a wide range of clinical needs report enhanced understanding of their ABI as well as improved mood, self-efficacy and social integration. Participants also feel supported across the lifespan and self-report developing new interests and skills. One person who suffered an ABI as a teenager, self-referred 20 years after injury, hoping: “…Just to have a purpose. Meet people with brain injury so I don’t feel alone.” Conclusion: Pedal Power supports the World Health Organisation's definition of rehabilitation i.e., "appropriate measures, including through peer support, to enable persons with disabilities to attain and maintain their maximum independence, full physical, mental, social and vocational ability, and full inclusion and participation in all aspects of life.” This innovative programme shows promise in providing long term community support and rehabilitation to those impacted by ABI, and ultimately offers invaluable support and friendship.