Effect of Wheelchair Skill Training on Fall Concern and Perceived Self- Efficacy in Wheeled Mobility Among Individuals with Spinal Cord Injury Undergoing Rehabilitation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Wheelchair Skills Test (WST)
Study Overview
Brief Summary
The ability to perform safe and effective wheelchair skills, such as wheelies and propulsion up and down a ramp or curb, plays an important role in daily mobility of full-time manual wheelchair users with spinal cord injury (SCI).
Majority of individuals do not self-propel their manual wheelchairs due to the lack of wheelchair skills training in India. Wheelchair skill training program(WSTP) is a formal standardized goal-setting & training method that can help individuals with spinal cord injury (SCI) understand the limits of their mobility skills in order to reduce the risks of tips & falls and regain control over their lives.
The main goal of this study is to implement a safe, practical, and efficient wheelchair skills training protocol during the phase of rehabilitation after spinal cord injury and determine its efficacy on fall concern & confidence in a wheelchair.
Patients will be selected based on inclusion and exclusion criteria. They will receive 16 sessions of wheelchair skill training over 4 weeks (4 sessions/week).
The outcome measurements will be done by wheelchair skills test (WST), SCI fall concern scale (SCI FCS) and self-efficacy in wheeled mobility (SEWM. The changes in the pre and post outcome measure will help us to find out that if and how much is the wheelchair skill training programme effective in improving wheelchair skills, fall concern, confidence and functional ability in individuals with spinal cord injury undergoing supervised rehabilitation.
Study Design
- Study Type
- Interventional
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Spinal Cord injury.
- •paraplegics (AIS A to C, level of injury below T1) . Medically Stable. Not more than 1 year since injury, undergoing conventional rehabilitation. Ability to maintain unsupported sitting position for 30 sec. Using wheelchair as a primary mode of mobility. Subjects who can read and understand English or Hindi.
Exclusion Criteria
- •Subjects with diagnosed neurological/psychiatric problems that might impair learning.
- •Having upper limb pain/injury/ deformity limiting wheelchair mobility.
- •Subjects with unhealed pressure sores.
- •BMI > 30 , would hinder Wheelchair mobility.
Outcomes
Primary Outcomes
Wheelchair Skills Test (WST)
Time Frame: WST on day 0 and again after completion at 4 weeks
Secondary Outcomes
- Spinal cord injury- fall concern scale ( SCI-FCS)(Self efficacy in wheeled mobility (SEWM))