A Wheelchair Propulsion Training Program (HS)
Spinal Cord Injuries, Multiple Sclerosis, Amputation
About this trial
This is an interventional treatment trial for Spinal Cord Injuries focused on measuring manual wheelchair, wheelchair propulsion, motor learning
Eligibility 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
Sites / Locations
- Washington University School of Medicine
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
Training group
Control group
Training group will first receive 30 minutes of education about biomechanically efficient propulsion techniques. They will be tested on this knowledge to make sure participants understand the material. The participant then will be asked to come into the lab for 6 sessions of training, two times per week for three weeks. The training is an hour of the proper wheelchair propulsion techniques broken into 5 parts, 7 minutes each with breaks. Based on the motor learning principles, we gradually increase the components of the training by focusing either hand reaching toward the back of the wheel or hands reaching down toward the axle.
Control group will first receive 30 minutes of education about the biomechanically efficient propulsion. They will be tested on this knowledge to make sure participants understand the material. No further training will be implemented with this group.