Manual Wheelchair Speed, Maneuverability, and Endurance and Community Access

NCT ID: NCT03469414

Last Updated: 2021-02-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Total Enrollment

1 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-31

Study Completion Date

2021-02-01

Brief Summary

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This is a cross-section correlational study that will examine the relationships between wheelchair speed, maneuverability, and endurance with community integration. By identifying which of these has the biggest contribution to community participation, the information will be used to justify continues therapy, to alter the focus of therapy, and to justify purchase of power or power assist wheelchairs when needed. Currently, therapists make the recommendation for a power or power assist chair based on their clinical judgement and the patient's experience, but there has been limited justification from the literature for these decisions. Finally, because the CHART measure is the gold standard in rehabilitation research for community integration, but has psychometric problems, we will use this opportunity to validate a new more psychometrically solid measure, the PART-O, against the CHART.

Detailed Description

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Conditions

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Physical Disability

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Wheelchair Mobility and Speed

This group will participate in activity-based measures employed in routine occupational and physical therapy practice to assess participants' wheelchair speed, maneuverability, and endurance. These measures include: the Life Space Assessment Scale, 6-Minute Push Test, Forward Push Test, Wheelchair Slalom Test, Craig Handicap Assessment and Reporting Technique, and PART-O.

Life Space Assessment Scale

Intervention Type OTHER

This nine question survey asks participants where they have gone in the last week, frequency of those visits, and how independently they went there.

6-Minute Push Test

Intervention Type OTHER

The 6 Minute Push Test is a measure of endurance, and requires that the participant wheel themselves around two pylons that are located 15 meters apart for 6 minutes.

Forward Push Test

Intervention Type OTHER

This measure of wheelchair propulsion speed asks patients to propel themselves as fast as they can over 20 meters. This task is performed twice, and the average time is used for the score.

Wheelchair Slalom Test

Intervention Type OTHER

In this measure, participants propel themselves through an 18 meter slalom course at their maximum self-selected speed, wheeling around seven cones, separated by three, two, or one meter.

Craig Handicap Assessment and Reporting Technique

Intervention Type OTHER

A measure of social participation in individuals with SCI.

PART-O

Intervention Type OTHER

The PART-O is a community participation measure.

GPS Tracking

A GPS tracker will be placed on the wheelchairs of 25 individuals who consent to participate in this arm of the project. Using a GPS tracker will provide a direct measure of the community locations these participants go. The GPS location is collected every minute, and mapped to Google Maps, which would allow calculation of speed of movement.

Life Space Assessment Scale

Intervention Type OTHER

This nine question survey asks participants where they have gone in the last week, frequency of those visits, and how independently they went there.

6-Minute Push Test

Intervention Type OTHER

The 6 Minute Push Test is a measure of endurance, and requires that the participant wheel themselves around two pylons that are located 15 meters apart for 6 minutes.

Forward Push Test

Intervention Type OTHER

This measure of wheelchair propulsion speed asks patients to propel themselves as fast as they can over 20 meters. This task is performed twice, and the average time is used for the score.

Wheelchair Slalom Test

Intervention Type OTHER

In this measure, participants propel themselves through an 18 meter slalom course at their maximum self-selected speed, wheeling around seven cones, separated by three, two, or one meter.

Craig Handicap Assessment and Reporting Technique

Intervention Type OTHER

A measure of social participation in individuals with SCI.

PART-O

Intervention Type OTHER

The PART-O is a community participation measure.

GPS Tracking

Intervention Type OTHER

A GPS tracker will be attached to the wheelchairs of a subset of participants for one week. The GPS location is collected every minute, and mapped to Google Maps, which would allow calculation of speed of movement.

Interventions

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Life Space Assessment Scale

This nine question survey asks participants where they have gone in the last week, frequency of those visits, and how independently they went there.

Intervention Type OTHER

6-Minute Push Test

The 6 Minute Push Test is a measure of endurance, and requires that the participant wheel themselves around two pylons that are located 15 meters apart for 6 minutes.

Intervention Type OTHER

Forward Push Test

This measure of wheelchair propulsion speed asks patients to propel themselves as fast as they can over 20 meters. This task is performed twice, and the average time is used for the score.

Intervention Type OTHER

Wheelchair Slalom Test

In this measure, participants propel themselves through an 18 meter slalom course at their maximum self-selected speed, wheeling around seven cones, separated by three, two, or one meter.

Intervention Type OTHER

Craig Handicap Assessment and Reporting Technique

A measure of social participation in individuals with SCI.

Intervention Type OTHER

PART-O

The PART-O is a community participation measure.

Intervention Type OTHER

GPS Tracking

A GPS tracker will be attached to the wheelchairs of a subset of participants for one week. The GPS location is collected every minute, and mapped to Google Maps, which would allow calculation of speed of movement.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* presence of a physical disability
* use of a manual wheelchair for primary mobility
* living in the community.

Exclusion Criteria

* individuals who have significant expressive or receptive language deficits (i.e. aphasia, verbal apraxia, etc.)
* limb orthopedic conditions that would contraindicate speed and endurance testing, such as recent fractures or joint instability
* cardiopulmonary resting heart rate of less than 50 or over 100, resting vitals of systolic blood pressure of \> 200 or \< 90, diastolic blood pressure of \>110, resting O2 levels of less than 90 (ACSM, 205; Fletcher, et al., 1993).
* any other cardiac symptoms
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allina Health System

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy Flinn, PhD, OTR/L

Role: PRINCIPAL_INVESTIGATOR

Allina Health

Locations

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Courage Kenny Rehabilitation Institute

Golden Valley, Minnesota, United States

Site Status

Countries

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United States

Other Identifiers

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CKNF-1703

Identifier Type: -

Identifier Source: org_study_id

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