R. Lee Kirby, MD, a. Lynn A. Worobey ... Michael L. Boninger, MD b. From the ...... 14. Charbonneau R, Kirby RL, Thompson K. Manual wheelchair propulsion.
Archives of Physical Medicine and Rehabilitation journal homepage: www.archives-pmr.org Archives of Physical Medicine and Rehabilitation 2016;97:1761-9
ORIGINAL RESEARCH
Wheelchair Skills Capacity and Performance of Manual Wheelchair Users With Spinal Cord Injury R. Lee Kirby, MD,a Lynn A. Worobey, PhD,b Rachel Cowan, PhD,c Jessica Presperin Pedersen, MBA, OTR/L, ATP,d Allen W. Heinemann, PhD,e Trevor A. Dyson-Hudson, MD,f Mary Shea, MA, OTR, ATP,g Cher Smith, MSc,h Paula W. Rushton, PhD,i Michael L. Boninger, MDb From the aDivision of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, NS, Canada; bDepartment of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; cThe Miami Project to Cure Paralysis, Department of Neurological Surgery, University of Miami, Miami, FL; dRehabilitation Institute of Chicago, Chicago, IL; eSchool of Medicine, Northwestern University, Chicago, IL; fKessler Foundation, West Orange, NJ; gKessler Institute for Rehabilitation, West Orange, NJ; hCapital District Health Authority, Halifax, NS; and i School of Rehabilitation, Occupational Therapy Program, Faculty of Medicine, University of Montreal, Montreal, QC, Canada.
Abstract Objectives: To describe the wheelchair skills capacity and performance of experienced manual wheelchair users with spinal cord injury (SCI) and to assess measurement properties of the Wheelchair Skills Test (WST) and Wheelchair Skills Test Questionnaire (WST-Q). Design: Cross-sectional descriptive study involving within-subject comparisons. Setting: Four Spinal Cord Injury Model Systems centers. Participants: Manual wheelchair users with SCI (NZ117). Interventions: Not applicable. Main Outcome Measures: WST and WST-Q version 4.2 as well as measures for Confidence, Basic Mobility, Independence, Ability to Participate, Satisfaction, and Pain Interference. Results: The median (interquartile range) values for WST capacity, WST-Q capacity, and WST-Q performance were 81.0% (69.0%e90.0%), 88.0% (77.0%e97.0%), and 76.0% (66.3%e84.0%). The total WST capacity scores correlated significantly with the total WST-Q capacity scores (rZ.76; P
