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 Six areas of research and development include: (1) a precision-based decision support tool to improve quality of exercise and recreation recommendations and outcomes; (2) advancement of a wheelchair accessible active video gaming controller to expand game play among users with physical disabilities; (3) final development of an exercise device that allows single-to-multiple limb loading in engaging virtual exercise environments; (4) a crowdsourcing platform for building accessible community-based exercise and recreation resources; (5) an eHealth tele-exercise platform for increasing exercise among adults with spinal cord injury; and (6) a mixed-methods study examining barriers and facilitators associated with adoption of universal design of fitness equipment standards by manufacturers and fitness facility managers. Training initiatives involve undergraduate and graduate level training in exercise/recreational technologies targeting engineering, exercise science, and rehabilitation science students. Dissemination includes presentations at engineering and rehabilitation conferences, publications in high-impact peer-reviewed journals, press releases, websites, and faculty presentations. Anticipated outcomes include a set of hardware and software products that improve the health, function, and quality of life among people with physical disabilities. A secondary outcome is to ensure that dissemination of these products and tools reach an array of stakeholders, including people with disabilities, caregivers, rehabilitation and exercise science researchers, and rehabilitation and exercise professionals, who can use them in their respective communities and professions.