What is already known about the topic?
Many of the older adults using wheelchairs in nursing
homes were due to muscle weakness in the lower
extremities caused by previous falls, strokes, or inactivity.
Muscles of the older adults are trainable, and progressive
resistance exercises using elastic bands can increase
muscle strength in older adults.
The Wheelchair-bound Senior Elastic Band (WSEB)
exercise program has been evaluated by experts and
pilot-tested with older adults in wheelchairs with
positive qualitative feedback