“…Post-SCI sports participation is thought to encourage psychological adjustment to injury, reduce depression, and improve self-image (Jacobs, Roswal, Horaut, & Gorman, 1990;Madorsky & Madorsky, 1983;Monnazzi, 1982). It has been found that higher levels of activity are associated with a smaller discrepancy between pre and post injury self-concept (Jackson & Davis, 1983;Kennedy & Smith, 1990). In addition, it can counteract loss of confidence and mental inactivity (Guttmann, 1976) and results in improved perceptions of physical competence, and self-efficacy in wheelchair mobility (Greenwood, Dzewaltowski, & French, 1990;Hedrick, 1985).…”