This study concludes that regular practice of WSEB
exercises significantly improved the functional fitness of
the nursing home older adults in wheelchairs. The WSEB
exercise program could be incorporated as a part of daily
activities for nursing home older adults in wheelchairs.
Nursing home directors could recruit volunteers to betrained as certified instructors of the WSEB exercises, and
lead the nursing home older adults using wheelchairs to
practice the WSEB exercises in groups regularly in the
facilities. It is essential that more exercise-based activities
with evidence-based outcomes be incorporated into longterm
care facilities to enhance the physical fitness of older
adults and to document their progression of health
promotion.