A Wheelchair Propulsion Training Program
Efficacy of a Wheelchair Propulsion Training Program for Manual Wheelchair Users: a Pilot Study
What it found
We found no results in the registry or in papers.
This trial finished 7 years ago. We found no results in the registry or in any paper that cites it.
What was tested
Treatment tested
- In-person wheelchair propulsion training program
- 30-minute education session
What it measured
Main measures
Motion capture - changes in push angle
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Motion capture - changes in hand-axle distance
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Wheelchair Propulsion Test (WPT) - changes in effectiveness
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Walking and mobilityWheelchair Propulsion Test (WPT) - changes in cadence
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Walking and mobilityWheelchair Propulsion Test (WPT) - changes in propulsion pattern
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Walking and mobilityOutdoor propulsion - ratio of efficient propulsion pattern
Baseline, 3-week after baseline for the control group/immediate after training group intervention, 3-weeks after second assessment
Who could take part
MS (type not specified) · 18 to 65
Show the full criteria
Inclusion criteria
* 18-65 years of age * have a mobility limitation requiring the use of a manual wheelchair (MWC) * be able to self-propel a MWC bilaterally with their upper extremities * plan to use a MWC for at least 75% of their activities throughout the day * live in the community * understand English at a sixth-grade level or higher * can follow multi-step instructions * able to provide informed consent independently * able to tolerate propelling their wheelchair independently for 10m * be willing to participate in three assessments and six training sessions at the Enabling Mobility in the Community Laboratory (EMC Lab).
Exclusion criteria
* maneuver their MWC with their lower extremities or with only one upper extremity * display the proper wheelchair propulsion techniques during the screening process * MWC position inhibits them from following the CPGs * bilateral incoordination * upper extremity strength inequalities resulting in a 12-inch deviation from a marked pathway * surgeries compromising the integrity of the upper extremities * cardiovascular complications within the past year * upper extremity or overall bodily pain is rated 8/10 or higher per the Wong-Baker FACES Numeric Pain Scale (FACES) * currently receiving medical treatment for an acute upper extremity injury * have a Stage IV pressure injury or are currently hospitalized
As registered. Criteria can change, so ask the trial team or your neurologist.
About this trial
In the sponsor's words
The overall purpose of this project is to test the feasibility of a manual wheelchair propulsion program which aims to reduce the chance of development of upper limbs pain and injury.
Papers
Background
Boninger ML, Souza AL, Cooper RA, Fitzgerald SG, Koontz AM, Fay BT. Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion. Arch Phys Med Rehabil. 2002 May;83(5):718-23. doi: 10.1053/apmr.2002.32455.Background
Morgan KA, Tucker SM, Klaesner JW, Engsberg JR. A motor learning approach to training wheelchair propulsion biomechanics for new manual wheelchair users: A pilot study. J Spinal Cord Med. 2017 May;40(3):304-315. doi: 10.1080/10790268.2015.1120408. Epub 2015 Dec 16.Background
Morgan KA, Engsberg JR, Gray DB. Important wheelchair skills for new manual wheelchair users: health care professional and wheelchair user perspectives. Disabil Rehabil Assist Technol. 2017 Jan;12(1):28-38. doi: 10.3109/17483107.2015.1063015. Epub 2015 Jul 3.Background
Paralyzed Veterans of America Consortium for Spinal Cord Medicine. Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med. 2005;28(5):434-70. doi: 10.1080/10790268.2005.11753844. No abstract available.Background
Sawatzky B, DiGiovine C, Berner T, Roesler T, Katte L. The need for updated clinical practice guidelines for preservation of upper extremities in manual wheelchair users: a position paper. Am J Phys Med Rehabil. 2015 Apr;94(4):313-24. doi: 10.1097/PHM.0000000000000203.Background
Askari S, Kirby RL, Parker K, Thompson K, O'Neill J. Wheelchair propulsion test: development and measurement properties of a new test for manual wheelchair users. Arch Phys Med Rehabil. 2013 Sep;94(9):1690-8. doi: 10.1016/j.apmr.2013.03.002. Epub 2013 Mar 14.Background
MacPhee AH, Kirby RL, Coolen AL, Smith C, MacLeod DA, Dupuis DJ. Wheelchair skills training program: A randomized clinical trial of wheelchair users undergoing initial rehabilitation. Arch Phys Med Rehabil. 2004 Jan;85(1):41-50. doi: 10.1016/s0003-9993(03)00364-2.Background
Kirby RL, Dupuis DJ, Macphee AH, Coolen AL, Smith C, Best KL, Newton AM, Mountain AD, Macleod DA, Bonaparte JP. The wheelchair skills test (version 2.4): measurement properties. Arch Phys Med Rehabil. 2004 May;85(5):794-804. doi: 10.1016/j.apmr.2003.07.007.Background
Rice IM, Pohlig RT, Gallagher JD, Boninger ML. Handrim wheelchair propulsion training effect on overground propulsion using biomechanical real-time visual feedback. Arch Phys Med Rehabil. 2013 Feb;94(2):256-63. doi: 10.1016/j.apmr.2012.09.014. Epub 2012 Sep 26.Background
DeGroot KK, Hollingsworth HH, Morgan KA, Morris CL, Gray DB. The influence of verbal training and visual feedback on manual wheelchair propulsion. Disabil Rehabil Assist Technol. 2009 Mar;4(2):86-94. doi: 10.1080/17483100802613685.
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History
Started
Mar 2018
Main results due
Oct 2019
Finished
Oct 2019