Abstract The purpose of this study is to compare participation in leisure time physical activities among Canadian and Dutch individuals with a spinal cord injury (SCI). This international comparative study used cross-sectional data from Canadians with SCI (n=695) and Dutch individuals with SCI (n=429). Leisure time physical activity was measured using a selection of items from the PASIPD and the PARA-SCI. Physical activity levels were reported in MET h/day. In both countries, 50% of the participants reported no or low levels of leisure time physical activities (Canada: <0.1 MET h/day; the Netherlands: <3.1 MET h/day). While the results showed that leisure time physical activity levels tend to be higher among Dutch individuals with SCI compared to Canadians with SCI (p<.001), the results need to be interpreted with caution due to differences in terminology and questionnaires used in both countries. In this study, a unique dataset is created including information on leisure time physical activity of ...