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Technical Report Impact of Elliptical Trainer Ergonomic Modifications on Perceptions of Safety, Comfort, Workout, and Usability for People With Physical Disabilities and Chronic Conditions Judith M. Burnfield, Yu Shu, Thad W. Buster, Adam P. Taylor, Carl A. Nelson J.M. Burnfield, PT, PhD, Move- ment and Neurosciences Center, Institute for Rehabilitation Science and Engineering, Madonna Reha- Background. The popularity of elliptical training has grown in rehabilitation, bilitation Hospital, 5401 South St, fitness, and home settings as a means for improving fitness and walking, yet many Lincoln, NE 68506 (USA). Address people with physical disabilities and chronic conditions experience difficulties when all correspondence to Dr Burnfield trying to use elliptical trainers. at: jburnfield@. Y. Shu, PhD, Movement and Neu- Objective. The purpose of this study was to compare, for people with disabilities rosciences Center, Institute for and chronic conditions, perceptions of safety, comfort, workout, and usability of 4 Rehabilitation Science and Engi- elliptical trainers before and after the development of a set of low-cost adaptations. neering, Madonna Rehabilitation Hospital. Design. This study was a quasi-experimental repeated-measures investigation. T.W. Buster, MS, Movement and Neurosciences Center, Institute Methods. Twenty adults with diverse medical conditions and functional abilities for Rehabilitation Science and Engineering, Madonna Rehabilita- evaluated 4 elliptical trainers for safety, comfort, workout, and usability. Barriers to tion Hospital. the use of the elliptical trainers and