Motor Learning Approach for Manual Wheelchair Users

NCT ID: NCT03781609

Last Updated: 2021-10-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 14 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-11-05
• Study Completion Date: 2021-07-30

Brief Summary

The overall purpose of this project is to pilot test a manual wheelchair (MWC) training program based on motor learning theory to improve wheelchair propulsion for manual wheelchair users (MWUs) with spinal cord injury (SCI).

Detailed Description

The project objective is to conduct a pilot randomized control trial (RCT) examining (1) the number of task-specific repetitions required to produce change in wheelchair propulsion techniques and (2) identifying the most conducive surface (overground or on a stationary device such as rollers) for implementing a repetition-based manual wheelchair propulsion training program. The long-term goals of this research are to minimize upper extremity pain and chronic overuse injury and to increase mobility efficiency in in persons with SCI who use MWCs for everyday mobility. The current project goal is to test the effects of a repetition-based manual wheelchair propulsion training program that emphasizes the recommended clinical practice guidelines (CPG). The expected outcome will be evidence to use in training MWUs with SCI in proper propulsion techniques in order to prevent or delay pain and chronic overuse injuries and maximize mobility through efficient wheelchair propulsion techniques. The long-term impact will be implementing evidence-based MWC propulsion training in appropriate amounts to facilitate a reduction in pain and dysfunction, a reduction in health costs, and prolonged participation in major life activities for MWUs with SCI.

Our research aims are to:

1. Compare wheelchair propulsion kinematics, kinetics, and wheelchair performance changes among three independent groups (Roller Group, Overground Group, Wheelchair Skills Group).

2. Characterize the dose-response relationship of repetition-based propulsion practice.

3. Evaluate the long-term impact of propulsion training on performance in the lived environment.

A single-blind pilot RCT will be conducted. Forty-eight individuals with SCI who use MWCs and who do not follow the recommended clinical guidelines for propulsion will be recruited. Each participant will be randomized into one of three independent groups: motor learning repetitions on a roller system (RG), motor learning repetitions overground (OG), or the placebo-controlled group receiving conventional MWC skills training (WSG). The WSG will operate as a placebo by receiving basic MWC skills training-the current standard of rehabilitation care. Participants' kinematics (video motion analysis), kinetics (SmartWheel), and wheelchair performance overground (Wheelchair Propulsion Test) will be assessed pre-intervention (Baseline), immediately following intervention (Follow-up), and three months' post-intervention (3-Month Follow-up).

Conditions

Spinal Cord Injuries

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Roller system group (RG)

A group performing motor learning manual wheelchair propulsion repetitions on a roller system.

Group Type: ACTIVE_COMPARATOR

Roller system group (RG)

Intervention Type: BEHAVIORAL

They will first receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented. In addition, they will execute 750-1250 wheelchair propulsion repetitions on the roller system per each 1 hour session (2-3 x per week for 4-6 weeks) until they reach approximately 10,000 repetitions (10 sessions). Each session will focus on minimizing the force and frequency of pushes while using longer push strokes during propulsion.

Overground group (OG)

A group performing motor learning manual wheelchair propulsion repetitions overground.

Group Type: ACTIVE_COMPARATOR

Overground group (OG)

Intervention Type: BEHAVIORAL

They will first receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented. In addition, they will execute 750-1250 wheelchair propulsion repetitions overground per each 1 hour session (2-3 x per week for 4-6 weeks) until they reach approximately 10,000 repetitions (10 sessions). Each session will focus on minimizing the force and frequency of pushes while using longer push strokes during propulsion.

Placebo - Wheelchair skills group (WSG)

A group receiving conventional manual wheelchair skills training.

Group Type: PLACEBO_COMPARATOR

Placebo - Wheelchair skills group (WSG)

Intervention Type: BEHAVIORAL

They will receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented.

Interventions

Roller system group (RG)

They will first receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented. In addition, they will execute 750-1250 wheelchair propulsion repetitions on the roller system per each 1 hour session (2-3 x per week for 4-6 weeks) until they reach approximately 10,000 repetitions (10 sessions). Each session will focus on minimizing the force and frequency of pushes while using longer push strokes during propulsion.

Intervention Type: BEHAVIORAL

Overground group (OG)

They will first receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented. In addition, they will execute 750-1250 wheelchair propulsion repetitions overground per each 1 hour session (2-3 x per week for 4-6 weeks) until they reach approximately 10,000 repetitions (10 sessions). Each session will focus on minimizing the force and frequency of pushes while using longer push strokes during propulsion.

Intervention Type: BEHAVIORAL

Placebo - Wheelchair skills group (WSG)

They will receive the standard of care that is often used in rehabilitation: a 30 minute educational session about recommended propulsion techniques with no motor learning principles implemented.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Participants must be 18 to 60 years of age
• Have a mobility limitation due to SCI, which requires 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 activities throughout the day
• Live in the community
• Understand English at a sixth-grade level or higher
• Be able to follow multi-step instructions
• Participants must be able to provide informed consent independently
• Be able to tolerate propelling their wheelchair independently for 10 meters
• Be willing to participate in three assessments and up to 13 training sessions at the Enabling Mobility in the Community Laboratory (EMC Lab).

Exclusion Criteria

• People will be excluded if they maneuver their MWC with their lower extremities or with only one upper extremity.
• Individuals who display the proper MWC propulsion techniques during the screening process, who already follow the CPG, or whose MWC position inhibits them from following the CPG will be excluded.
• Potential participants also will be excluded if they have bilateral incoordination due to strength inequality or neurological involvement that impairs propulsion in a steady, straight line. Specifically, if a person demonstrates upper extremity strength inequalities resulting in a 12-inch deviation from a marked pathway, he or she will be excluded.
• Other exclusionary criteria include surgeries compromising the integrity of the upper extremities or cardiovascular complications within the past year.
• Potential participants will also be excluded if upper extremity or overall bodily pain is rated 8/10 or higher per the Wong-Baker FACES Numeric Pain Scale (FACES). -In addition, potential participants will be excluded if they are currently receiving medical treatment for an acute upper extremity injury, have a Stage IV pressure injury, or are currently hospitalized.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Craig H. Neilsen Foundation

OTHER

Sponsor Role: collaborator

Washington University School of Medicine

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Kerri A Morgan, PhD

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

Washington University School of Medicine

St Louis, Missouri, United States

Countries

United States

References

National Spinal Cord Injury Statistical Center. (2016). Facts and Figures at a Glance. Birmingham, AL: University of Alabama at Birmingham.

Reference Type: BACKGROUND

Cott CA. Client-centred rehabilitation: client perspectives. Disabil Rehabil. 2004 Dec 16;26(24):1411-22. doi: 10.1080/09638280400000237.

Reference Type: BACKGROUND

PMID: 15764361 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 26138222 (View on PubMed)

Cox RJ, Amsters DI, Pershouse KJ. The need for a multidisciplinary outreach service for people with spinal cord injury living in the community. Clin Rehabil. 2001 Dec;15(6):600-6. doi: 10.1191/0269215501cr453oa.

Reference Type: BACKGROUND

PMID: 11777090 (View on PubMed)

Estores IM. The consumer's perspective and the professional literature: what do persons with spinal cord injury want? J Rehabil Res Dev. 2003 Jul-Aug;40(4 Suppl 1):93-8. doi: 10.1682/jrrd.2003.08.0093.

Reference Type: BACKGROUND

PMID: 15077653 (View on PubMed)

National Spinal Cord Injury Statistical Center. (2015). Annual Statistical Report-Complete Public Version. Birmingham, AL: University of Alabama at Birmingham.

Reference Type: BACKGROUND

Kaye, H. S., Kang, T., & LaPlante, M. P. (2002). Wheelchair use in the United States [abstract]. Disability Statistics Abstract, 23, 1-4.

Reference Type: BACKGROUND

LaPlante MP, Kaye HS. Demographics and trends in wheeled mobility equipment use and accessibility in the community. Assist Technol. 2010 Spring;22(1):3-17; quiz 19. doi: 10.1080/10400430903501413.

Reference Type: BACKGROUND

PMID: 20402043 (View on PubMed)

Kilkens OJ, Dallmeijer AJ, De Witte LP, Van Der Woude LH, Post MW. The Wheelchair Circuit: Construct validity and responsiveness of a test to assess manual wheelchair mobility in persons with spinal cord injury. Arch Phys Med Rehabil. 2004 Mar;85(3):424-31. doi: 10.1016/j.apmr.2003.05.006.

Reference Type: BACKGROUND

PMID: 15031828 (View on PubMed)

Kilkens OJ, Post MW, Dallmeijer AJ, van Asbeck FW, van der Woude LH. Relationship between manual wheelchair skill performance and participation of persons with spinal cord injuries 1 year after discharge from inpatient rehabilitation. J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):65-73. doi: 10.1682/jrrd.2004.08.0093.

Reference Type: BACKGROUND

PMID: 16195964 (View on PubMed)

Ozturk A, Ucsular FD. Effectiveness of a wheelchair skills training programme for community-living users of manual wheelchairs in Turkey: a randomized controlled trial. Clin Rehabil. 2011 May;25(5):416-24. doi: 10.1177/0269215510386979. Epub 2010 Nov 8.

Reference Type: BACKGROUND

PMID: 21059666 (View on PubMed)

Bernard, B. P., Cohen, A. L., Fine, L. J., Gjessing, C. C., & McGlothlin, J. D. (1997). Elements of ergonomics programs: A primer based on workplace evaluations of musculoskeletal disorders. US Department of Health and Human Services publication, (97-117).

Reference Type: BACKGROUND

Kohn, J. P. (1998). Ergonomics Process Management: A Blueprint for Quality and Compliance. Boca Raton, FL: CRC Press.

Reference Type: BACKGROUND

Boninger ML, Cooper RA, Robertson RN, Rudy TE. Wrist biomechanics during two speeds of wheelchair propulsion: an analysis using a local coordinate system. Arch Phys Med Rehabil. 1997 Apr;78(4):364-72. doi: 10.1016/s0003-9993(97)90227-6.

Reference Type: BACKGROUND

PMID: 9111455 (View on PubMed)

Hoover, A. E., Cooper, R. A., Dan, D., Dvorsnak, M., Cooper, R., Fitzgerald, S. G., & Boninger, M. L. (2003). Comparing driving habits of wheelchair users: Manual versus power. In Proceedings of the Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) 26th International Conference on Technology & Disability: Research, Design, Practice, and Policy, (pp. 19-23).

Reference Type: BACKGROUND

Koontz AM, Yang Y, Boninger DS, Kanaly J, Cooper RA, Boninger ML, Dieruf K, Ewer L. Investigation of the performance of an ergonomic handrim as a pain-relieving intervention for manual wheelchair users. Assist Technol. 2006 Fall;18(2):123-43; quiz 145. doi: 10.1080/10400435.2006.10131912.

Reference Type: BACKGROUND

PMID: 17236472 (View on PubMed)

Akbar M, Balean G, Brunner M, Seyler TM, Bruckner T, Munzinger J, Grieser T, Gerner HJ, Loew M. Prevalence of rotator cuff tear in paraplegic patients compared with controls. J Bone Joint Surg Am. 2010 Jan;92(1):23-30. doi: 10.2106/JBJS.H.01373.

Reference Type: BACKGROUND

PMID: 20048092 (View on PubMed)

Boninger ML, Baldwin M, Cooper RA, Koontz A, Chan L. Manual wheelchair pushrim biomechanics and axle position. Arch Phys Med Rehabil. 2000 May;81(5):608-13. doi: 10.1016/s0003-9993(00)90043-1.

Reference Type: BACKGROUND

PMID: 10807100 (View on PubMed)

Collinger JL, Impink BG, Ozawa H, Boninger ML. Effect of an intense wheelchair propulsion task on quantitative ultrasound of shoulder tendons. PM R. 2010 Oct;2(10):920-5. doi: 10.1016/j.pmrj.2010.06.007.

Reference Type: BACKGROUND

PMID: 20970761 (View on PubMed)

Davidoff G, Werner R, Waring W. Compressive mononeuropathies of the upper extremity in chronic paraplegia. Paraplegia. 1991 Jan;29(1):17-24. doi: 10.1038/sc.1991.3.

Reference Type: BACKGROUND

PMID: 2023767 (View on PubMed)

Finley MA, Rasch EK, Keyser RE, Rodgers MM. The biomechanics of wheelchair propulsion in individuals with and without upper-limb impairment. J Rehabil Res Dev. 2004 May;41(3B):385-95. doi: 10.1682/jrrd.2004.03.0385.

Reference Type: BACKGROUND

PMID: 15543456 (View on PubMed)

Gellman H, Chandler DR, Petrasek J, Sie I, Adkins R, Waters RL. Carpal tunnel syndrome in paraplegic patients. J Bone Joint Surg Am. 1988 Apr;70(4):517-9.

Reference Type: BACKGROUND

PMID: 3356717 (View on PubMed)

Koontz AM, Cooper RA, Boninger ML, Yang Y, Impink BG, van der Woude LH. A kinetic analysis of manual wheelchair propulsion during start-up on select indoor and outdoor surfaces. J Rehabil Res Dev. 2005 Jul-Aug;42(4):447-58. doi: 10.1682/jrrd.2004.08.0106.

Reference Type: BACKGROUND

PMID: 16320141 (View on PubMed)

Mercer JL, Boninger M, Koontz A, Ren D, Dyson-Hudson T, Cooper R. Shoulder joint kinetics and pathology in manual wheelchair users. Clin Biomech (Bristol). 2006 Oct;21(8):781-9. doi: 10.1016/j.clinbiomech.2006.04.010. Epub 2006 Jun 30.

Reference Type: BACKGROUND

PMID: 16808992 (View on PubMed)

Richter WM, Axelson PW. Low-impact wheelchair propulsion: achievable and acceptable. J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):21-33. doi: 10.1682/jrrd.2004.06.0074.

Reference Type: BACKGROUND

PMID: 16195960 (View on PubMed)

Robertson RN, Boninger ML, Cooper RA, Shimada SD. Pushrim forces and joint kinetics during wheelchair propulsion. Arch Phys Med Rehabil. 1996 Sep;77(9):856-64. doi: 10.1016/s0003-9993(96)90270-1.

Reference Type: BACKGROUND

PMID: 8822674 (View on PubMed)

Collinger JL, Boninger ML, Koontz AM, Price R, Sisto SA, Tolerico ML, Cooper RA. Shoulder biomechanics during the push phase of wheelchair propulsion: a multisite study of persons with paraplegia. Arch Phys Med Rehabil. 2008 Apr;89(4):667-76. doi: 10.1016/j.apmr.2007.09.052.

Reference Type: BACKGROUND

PMID: 18373997 (View on PubMed)

Dalyan M, Cardenas DD, Gerard B. Upper extremity pain after spinal cord injury. Spinal Cord. 1999 Mar;37(3):191-5. doi: 10.1038/sj.sc.3100802.

Reference Type: BACKGROUND

PMID: 10213328 (View on PubMed)

Nichols PJ, Norman PA, Ennis JR. Wheelchair user's shoulder? Shoulder pain in patients with spinal cord lesions. Scand J Rehabil Med. 1979;11(1):29-32.

Reference Type: BACKGROUND

PMID: 419395 (View on PubMed)

Sie IH, Waters RL, Adkins RH, Gellman H. Upper extremity pain in the postrehabilitation spinal cord injured patient. Arch Phys Med Rehabil. 1992 Jan;73(1):44-8.

Reference Type: BACKGROUND

PMID: 1729973 (View on PubMed)

Boninger ML, Cooper RA, Baldwin MA, Shimada SD, Koontz A. Wheelchair pushrim kinetics: body weight and median nerve function. Arch Phys Med Rehabil. 1999 Aug;80(8):910-5. doi: 10.1016/s0003-9993(99)90082-5.

Reference Type: BACKGROUND

PMID: 10453767 (View on PubMed)

Boninger ML, Koontz AM, Sisto SA, Dyson-Hudson TA, Chang M, Price R, Cooper RA. Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations. J Rehabil Res Dev. 2005 May-Jun;42(3 Suppl 1):9-19. doi: 10.1682/jrrd.2004.08.0103.

Reference Type: BACKGROUND

PMID: 16195959 (View on PubMed)

Fay BT, Boninger ML, Fitzgerald SG, Souza AL, Cooper RA, Koontz AM. Manual wheelchair pushrim dynamics in people with multiple sclerosis. Arch Phys Med Rehabil. 2004 Jun;85(6):935-42. doi: 10.1016/j.apmr.2003.08.093.

Reference Type: BACKGROUND

PMID: 15179647 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 26674751 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 16869091 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 25299526 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 11994814 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 23499781 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 14970966 (View on PubMed)

Kendall MB, Ungerer G, Dorsett P. Bridging the gap: transitional rehabilitation services for people with spinal cord injury. Disabil Rehabil. 2003 Sep 2;25(17):1008-15. doi: 10.1080/0963828031000122285.

Reference Type: BACKGROUND

PMID: 12851090 (View on PubMed)

Best KL, Miller WC, Routhier F. A description of manual wheelchair skills training curriculum in entry-to-practice occupational and physical therapy programs in Canada. Disabil Rehabil Assist Technol. 2015;10(5):401-6. doi: 10.3109/17483107.2014.907368. Epub 2014 Apr 7.

Reference Type: BACKGROUND

PMID: 24702609 (View on PubMed)

Fliess-Douer O, Vanlandewijck YC, Lubel Manor G, Van Der Woude LH. A systematic review of wheelchair skills tests for manual wheelchair users with a spinal cord injury: towards a standardized outcome measure. Clin Rehabil. 2010 Oct;24(10):867-86. doi: 10.1177/0269215510367981. Epub 2010 Jun 16.

Reference Type: BACKGROUND

PMID: 20554638 (View on PubMed)

McNevin NH, Wulf G, Carlson C. Effects of attentional focus, self-control, and dyad training on motor learning: implications for physical rehabilitation. Phys Ther. 2000 Apr;80(4):373-85. doi: 10.1093/ptj/80.4.373.

Reference Type: BACKGROUND

PMID: 10758522 (View on PubMed)

Axelson, P., Chesney, D. Y., Minkel, J., & Perr, A. (1996). The manual wheelchair training guide. Santa Cruz, CA: Pax Press.

Reference Type: 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.

Reference Type: BACKGROUND

PMID: 15129405 (View on PubMed)

Isaacson, M. (2011). Best practices by occupational and physical therapists performing seating and mobility evaluations. Assistive Technology, 23(1), 13-21.

Reference Type: BACKGROUND

Mitchell, M., Jin, B. T., Kim, A. J., Giesbrecht, E. M., Miller, W. C. (2014). METTA: A tablet-based platform for monitored at-home training as demonstrated through the EPIC Wheels Wheelchair Skills Training Program. In Proceedings of the Rehabilitation Engineering and Assistive Technology Society of North America Conference. Vancouver: University of British Columbia.

Reference Type: BACKGROUND

Baddeley, A. D. & Longman, D. J. A. (1978). The influence of length and frequency of training session on the rate of learning to type. Ergonomics, 21(8), 627-635.

Reference Type: BACKGROUND

Karni A. The acquisition of perceptual and motor skills: a memory system in the adult human cortex. Brain Res Cogn Brain Res. 1996 Dec;5(1-2):39-48. doi: 10.1016/s0926-6410(96)00039-0. No abstract available.

Reference Type: BACKGROUND

PMID: 9049069 (View on PubMed)

Kitago T, Krakauer JW. Motor learning principles for neurorehabilitation. Handb Clin Neurol. 2013;110:93-103. doi: 10.1016/B978-0-444-52901-5.00008-3.

Reference Type: BACKGROUND

PMID: 23312633 (View on PubMed)

Korman M, Raz N, Flash T, Karni A. Multiple shifts in the representation of a motor sequence during the acquisition of skilled performance. Proc Natl Acad Sci U S A. 2003 Oct 14;100(21):12492-7. doi: 10.1073/pnas.2035019100. Epub 2003 Oct 6.

Reference Type: BACKGROUND

PMID: 14530407 (View on PubMed)

Rice I, Gagnon D, Gallagher J, Boninger M. Hand rim wheelchair propulsion training using biomechanical real-time visual feedback based on motor learning theory principles. J Spinal Cord Med. 2010;33(1):33-42. doi: 10.1080/10790268.2010.11689672.

Reference Type: BACKGROUND

PMID: 20397442 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 23022092 (View on PubMed)

Boudreau SA, Farina D, Falla D. The role of motor learning and neuroplasticity in designing rehabilitation approaches for musculoskeletal pain disorders. Man Ther. 2010 Oct;15(5):410-4. doi: 10.1016/j.math.2010.05.008. Epub 2010 Jul 7.

Reference Type: BACKGROUND

PMID: 20615749 (View on PubMed)

Dayan E, Cohen LG. Neuroplasticity subserving motor skill learning. Neuron. 2011 Nov 3;72(3):443-54. doi: 10.1016/j.neuron.2011.10.008.

Reference Type: BACKGROUND

PMID: 22078504 (View on PubMed)

Lang CE, Macdonald JR, Reisman DS, Boyd L, Jacobson Kimberley T, Schindler-Ivens SM, Hornby TG, Ross SA, Scheets PL. Observation of amounts of movement practice provided during stroke rehabilitation. Arch Phys Med Rehabil. 2009 Oct;90(10):1692-8. doi: 10.1016/j.apmr.2009.04.005.

Reference Type: BACKGROUND

PMID: 19801058 (View on PubMed)

Nudo RJ. Mechanisms for recovery of motor function following cortical damage. Curr Opin Neurobiol. 2006 Dec;16(6):638-44. doi: 10.1016/j.conb.2006.10.004. Epub 2006 Nov 3.

Reference Type: BACKGROUND

PMID: 17084614 (View on PubMed)

Karni A, Meyer G, Rey-Hipolito C, Jezzard P, Adams MM, Turner R, Ungerleider LG. The acquisition of skilled motor performance: fast and slow experience-driven changes in primary motor cortex. Proc Natl Acad Sci U S A. 1998 Feb 3;95(3):861-8. doi: 10.1073/pnas.95.3.861.

Reference Type: BACKGROUND

PMID: 9448252 (View on PubMed)

Lang CE, MacDonald JR, Gnip C. Counting repetitions: an observational study of outpatient therapy for people with hemiparesis post-stroke. J Neurol Phys Ther. 2007 Mar;31(1):3-10. doi: 10.1097/01.npt.0000260568.31746.34.

Reference Type: BACKGROUND

PMID: 17419883 (View on PubMed)

Krebs HI, Hogan N, Hening W, Adamovich SV, Poizner H. Procedural motor learning in Parkinson's disease. Exp Brain Res. 2001 Dec;141(4):425-37. doi: 10.1007/s002210100871. Epub 2001 Oct 18.

Reference Type: BACKGROUND

PMID: 11810137 (View on PubMed)

Mak MK, Hui-Chan CW. Cued task-specific training is better than exercise in improving sit-to-stand in patients with Parkinson's disease: A randomized controlled trial. Mov Disord. 2008 Mar 15;23(4):501-9. doi: 10.1002/mds.21509.

Reference Type: BACKGROUND

PMID: 18074365 (View on PubMed)

Birkenmeier RL, Prager EM, Lang CE. Translating animal doses of task-specific training to people with chronic stroke in 1-hour therapy sessions: a proof-of-concept study. Neurorehabil Neural Repair. 2010 Sep;24(7):620-35. doi: 10.1177/1545968310361957. Epub 2010 Apr 27.

Reference Type: BACKGROUND

PMID: 20424192 (View on PubMed)

Kimberley TJ, Samargia S, Moore LG, Shakya JK, Lang CE. Comparison of amounts and types of practice during rehabilitation for traumatic brain injury and stroke. J Rehabil Res Dev. 2010;47(9):851-62. doi: 10.1682/jrrd.2010.02.0019.

Reference Type: BACKGROUND

PMID: 21174250 (View on PubMed)

de Groot S, Veeger HE, Hollander AP, van der Woude LH. Influence of task complexity on mechanical efficiency and propulsion technique during learning of hand rim wheelchair propulsion. Med Eng Phys. 2005 Jan;27(1):41-9. doi: 10.1016/j.medengphy.2004.08.007.

Reference Type: BACKGROUND

PMID: 15604003 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 19253097 (View on PubMed)

Rice LA, Smith I, Kelleher AR, Greenwald K, Boninger ML. Impact of a wheelchair education protocol based on practice guidelines for preservation of upper-limb function: a randomized trial. Arch Phys Med Rehabil. 2014 Jan;95(1):10-19.e11. doi: 10.1016/j.apmr.2013.06.028. Epub 2013 Jul 13.

Reference Type: BACKGROUND

PMID: 23856151 (View on PubMed)

Zwinkels M, Verschuren O, Janssen TW, Ketelaar M, Takken T; Sport-2-Stay-Fit study group; Sport-2-Stay-Fit study group. Exercise training programs to improve hand rim wheelchair propulsion capacity: a systematic review. Clin Rehabil. 2014 Sep;28(9):847-61. doi: 10.1177/0269215514525181. Epub 2014 Mar 10.

Reference Type: BACKGROUND

PMID: 24615862 (View on PubMed)

Rodgers MM, Keyser RE, Rasch EK, Gorman PH, Russell PJ. Influence of training on biomechanics of wheelchair propulsion. J Rehabil Res Dev. 2001 Sep-Oct;38(5):505-11.

Reference Type: BACKGROUND

PMID: 11732828 (View on PubMed)

de Groot S, de Bruin M, Noomen SP, van der Woude LH. Mechanical efficiency and propulsion technique after 7 weeks of low-intensity wheelchair training. Clin Biomech (Bristol). 2008 May;23(4):434-41. doi: 10.1016/j.clinbiomech.2007.11.001. Epub 2008 Feb 20.

Reference Type: BACKGROUND

PMID: 18077065 (View on PubMed)

Kotajarvi BR, Basford JR, An KN, Morrow DA, Kaufman KR. The effect of visual biofeedback on the propulsion effectiveness of experienced wheelchair users. Arch Phys Med Rehabil. 2006 Apr;87(4):510-5. doi: 10.1016/j.apmr.2005.12.033.

Reference Type: BACKGROUND

PMID: 16571390 (View on PubMed)

Klaesner J, Morgan KA, Gray DB. The development of an instrumented wheelchair propulsion testing and training device. Assist Technol. 2014 Spring;26(1):24-32. doi: 10.1080/10400435.2013.792020.

Reference Type: BACKGROUND

PMID: 24800451 (View on PubMed)

Kwarciak AM, Turner JT, Guo L, Richter WM. Comparing handrim biomechanics for treadmill and overground wheelchair propulsion. Spinal Cord. 2011 Mar;49(3):457-62. doi: 10.1038/sc.2010.149. Epub 2010 Nov 2.

Reference Type: BACKGROUND

PMID: 21042332 (View on PubMed)

Stephens CL, Engsberg JR. Comparison of overground and treadmill propulsion patterns of manual wheelchair users with tetraplegia. Disabil Rehabil Assist Technol. 2010;5(6):420-7. doi: 10.3109/17483101003793420.

Reference Type: BACKGROUND

PMID: 20441443 (View on PubMed)

DiGiovine CP, Cooper RA, Boninger ML. Dynamic calibration of a wheelchair dynamometer. J Rehabil Res Dev. 2001 Jan-Feb;38(1):41-55.

Reference Type: BACKGROUND

PMID: 11322470 (View on PubMed)

Best KL, Routhier F, Miller WC. A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers. Disabil Rehabil Assist Technol. 2015;10(5):393-400. doi: 10.3109/17483107.2014.907367. Epub 2014 Apr 7.

Reference Type: BACKGROUND

PMID: 24702608 (View on PubMed)

Kilkens OJ, Post MW, Dallmeijer AJ, Seelen HA, van der Woude LH. Wheelchair skills tests: a systematic review. Clin Rehabil. 2003 Jul;17(4):418-30. doi: 10.1191/0269215503cr633oa.

Reference Type: BACKGROUND

PMID: 12785251 (View on PubMed)

Belmont PJ, Owens BD, Schoenfeld AJ. Musculoskeletal Injuries in Iraq and Afghanistan: Epidemiology and Outcomes Following a Decade of War. J Am Acad Orthop Surg. 2016 Jun;24(6):341-8. doi: 10.5435/JAAOS-D-15-00123.

Reference Type: BACKGROUND

PMID: 27115793 (View on PubMed)

Blair JA, Patzkowski JC, Schoenfeld AJ, Cross Rivera JD, Grenier ES, Lehman RA Jr, Hsu JR; Skeletal Trauma Research Consortium (STReC). Spinal column injuries among Americans in the global war on terrorism. J Bone Joint Surg Am. 2012 Sep 19;94(18):e135(1-9). doi: 10.2106/JBJS.K.00502.

Reference Type: BACKGROUND

PMID: 22992883 (View on PubMed)

Blackbourne LH. Combat damage control surgery. Crit Care Med. 2008 Jul;36(7 Suppl):S304-10. doi: 10.1097/CCM.0b013e31817e2854.

Reference Type: BACKGROUND

PMID: 18594257 (View on PubMed)

Ma VY, Chan L, Carruthers KJ. Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain. Arch Phys Med Rehabil. 2014 May;95(5):986-995.e1. doi: 10.1016/j.apmr.2013.10.032. Epub 2014 Jan 21.

Reference Type: BACKGROUND

PMID: 24462839 (View on PubMed)

National Spinal Cord Injury Statistical Center. (2016). Spinal Cord Injury Data Sheet. Birmingham: University of Alabama at Birmingham.

Reference Type: BACKGROUND

Finley MA, Rodgers MM. Prevalence and identification of shoulder pathology in athletic and nonathletic wheelchair users with shoulder pain: A pilot study. J Rehabil Res Dev. 2004 May;41(3B):395-402. doi: 10.1682/jrrd.2003.02.0022.

Reference Type: BACKGROUND

PMID: 15543457 (View on PubMed)

Fritz HA, Lysack C, Luborsky MR, Messinger SD. Long-term community reintegration: concepts, outcomes and dilemmas in the case of a military service member with a spinal cord injury. Disabil Rehabil. 2015;37(16):1501-7. doi: 10.3109/09638288.2014.967415. Epub 2014 Oct 1.

Reference Type: BACKGROUND

PMID: 25270306 (View on PubMed)

Krahn GL, Suzuki R, Horner-Johnson W. Self-rated health in persons with spinal cord injury: relationship of secondary conditions, function and health status. Qual Life Res. 2009 Jun;18(5):575-84. doi: 10.1007/s11136-009-9477-z. Epub 2009 Apr 19.

Reference Type: BACKGROUND

PMID: 19381872 (View on PubMed)

Plach HL, Sells CH. Occupational performance needs of young veterans. Am J Occup Ther. 2013 Jan-Feb;67(1):73-81. doi: 10.5014/ajot.2013.003871.

Reference Type: BACKGROUND

PMID: 23245785 (View on PubMed)

Walker KA, Morgan KA, Morris CL, DeGroot KK, Hollingsworth HH, Gray DB. Development of a community mobility skills course for people who use mobility devices. Am J Occup Ther. 2010 Jul-Aug;64(4):547-54. doi: 10.5014/ajot.2010.08117.

Reference Type: BACKGROUND

PMID: 20825125 (View on PubMed)

Goins AM, Morgan K, Stephens CL, Engsberg JR. Elbow kinematics during overground manual wheelchair propulsion in individuals with tetraplegia. Disabil Rehabil Assist Technol. 2011;6(4):312-9. doi: 10.3109/17483107.2010.528143. Epub 2010 Oct 20.

Reference Type: BACKGROUND

PMID: 20961219 (View on PubMed)

Julien MC, Morgan K, Stephens CL, Standeven J, Engsberg J. Trunk and neck kinematics during overground manual wheelchair propulsion in persons with tetraplegia. Disabil Rehabil Assist Technol. 2014 May;9(3):213-8. doi: 10.3109/17483107.2013.775362. Epub 2013 Apr 2.

Reference Type: BACKGROUND

PMID: 23548111 (View on PubMed)

Will, K., Engsberg, J. R., Foreman, M., Klaesner, J., Birkenmeier, R., & Morgan, K. A. (2015). Repetition based training for efficient propulsion in new manual wheelchair users. Journal of Physical Medicine, Rehabilitation & Disabilities, 1(001), 1-9.

Reference Type: BACKGROUND

Flaherty E. Using pain-rating scales with older adults. Am J Nurs. 2008 Jun;108(6):40-7; quiz 48. doi: 10.1097/01.NAJ.0000324375.02027.9f. No abstract available.

Reference Type: BACKGROUND

PMID: 18535445 (View on PubMed)

SAS Institute Inc., Cary, NC, USA.

Reference Type: BACKGROUND

Gray DB, Hollingsworth HH, Stark SL, Morgan KA. Participation survey/mobility: psychometric properties of a measure of participation for people with mobility impairments and limitations. Arch Phys Med Rehabil. 2006 Feb;87(2):189-97. doi: 10.1016/j.apmr.2005.09.014.

Reference Type: BACKGROUND

PMID: 16442971 (View on PubMed)

Curtis KA, Roach KE, Applegate EB, Amar T, Benbow CS, Genecco TD, Gualano J. Development of the Wheelchair User's Shoulder Pain Index (WUSPI). Paraplegia. 1995 May;33(5):290-3. doi: 10.1038/sc.1995.65.

Reference Type: BACKGROUND

PMID: 7630657 (View on PubMed)

Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.

Reference Type: BACKGROUND

PMID: 15817019 (View on PubMed)

Toglia J, Fitzgerald KA, O'Dell MW, Mastrogiovanni AR, Lin CD. The Mini-Mental State Examination and Montreal Cognitive Assessment in persons with mild subacute stroke: relationship to functional outcome. Arch Phys Med Rehabil. 2011 May;92(5):792-8. doi: 10.1016/j.apmr.2010.12.034.

Reference Type: BACKGROUND

PMID: 21530727 (View on PubMed)

Rushton PW, Kirby RL, Miller WC. Manual wheelchair skills: objective testing versus subjective questionnaire. Arch Phys Med Rehabil. 2012 Dec;93(12):2313-8. doi: 10.1016/j.apmr.2012.06.007. Epub 2012 Jun 21.

Reference Type: BACKGROUND

PMID: 22728701 (View on PubMed)

Lindquist NJ, Loudon PE, Magis TF, Rispin JE, Kirby RL, Manns PJ. Reliability of the performance and safety scores of the wheelchair skills test version 4.1 for manual wheelchair users. Arch Phys Med Rehabil. 2010 Nov;91(11):1752-7. doi: 10.1016/j.apmr.2010.07.226.

Reference Type: BACKGROUND

PMID: 21044722 (View on PubMed)

Mountain AD, Kirby RL, Smith C. The wheelchair skills test, version 2.4: Validity of an algorithm-based questionnaire version. Arch Phys Med Rehabil. 2004 Mar;85(3):416-23. doi: 10.1016/s0003-9993(03)00427-1.

Reference Type: BACKGROUND

PMID: 15031827 (View on PubMed)

Heinemann AW, Lai JS, Magasi S, Hammel J, Corrigan JD, Bogner JA, Whiteneck GG. Measuring participation enfranchisement. Arch Phys Med Rehabil. 2011 Apr;92(4):564-71. doi: 10.1016/j.apmr.2010.07.220. Epub 2011 Mar 2.

Reference Type: BACKGROUND

PMID: 21367395 (View on PubMed)

Stinson JN, Kavanagh T, Yamada J, Gill N, Stevens B. Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain. 2006 Nov;125(1-2):143-57. doi: 10.1016/j.pain.2006.05.006. Epub 2006 Jun 13.

Reference Type: BACKGROUND

PMID: 16777328 (View on PubMed)

Gagnon DH, Roy A, Verrier MC, Duclos C, Craven BC, Nadeau S. Do Performance-Based Wheelchair Propulsion Tests Detect Changes Among Manual Wheelchair Users With Spinal Cord Injury During Inpatient Rehabilitation in Quebec? Arch Phys Med Rehabil. 2016 Jul;97(7):1214-8. doi: 10.1016/j.apmr.2016.02.018. Epub 2016 Mar 15.

Reference Type: BACKGROUND

PMID: 26987621 (View on PubMed)

Pradon D, Pinsault N, Zory R, Routhier F. Could mobilty performance measures be used to evaluate wheelchair skills? J Rehabil Med. 2012 Mar;44(3):276-9. doi: 10.2340/16501977-0919.

Reference Type: BACKGROUND

PMID: 22278048 (View on PubMed)

Sawatzky B, Hers N, MacGillivray MK. Relationships between wheeling parameters and wheelchair skills in adults and children with SCI. Spinal Cord. 2015 Jul;53(7):561-4. doi: 10.1038/sc.2015.29. Epub 2015 Feb 17.

Reference Type: BACKGROUND

PMID: 25687512 (View on PubMed)

Motion Analysis Corporation. HiRes Motion Analysis Corporation System. Santa Rosa, CA.

Reference Type: BACKGROUND

Cowan RE, Nash MS, Collinger JL, Koontz AM, Boninger ML. Impact of surface type, wheelchair weight, and axle position on wheelchair propulsion by novice older adults. Arch Phys Med Rehabil. 2009 Jul;90(7):1076-83. doi: 10.1016/j.apmr.2008.10.034.

Reference Type: BACKGROUND

PMID: 19577019 (View on PubMed)

Three Rivers Holdings, LLC. SmartWheel. Mesa, AZ.

Reference Type: BACKGROUND

Asato KT, Cooper RA, Robertson RN, Ster JF. SMARTWheels: development and testing of a system for measuring manual wheelchair propulsion dynamics. IEEE Trans Biomed Eng. 1993 Dec;40(12):1320-4. doi: 10.1109/10.250587.

Reference Type: BACKGROUND

PMID: 8125507 (View on PubMed)

Cooper RA. SMARTWheel: From concept to clinical practice. Prosthet Orthot Int. 2009 Sep;33(3):198-209. doi: 10.1080/03093640903082126.

Reference Type: BACKGROUND

PMID: 19658010 (View on PubMed)

Lui J, MacGillivray MK, Sawatzky BJ. Test-retest reliability and minimal detectable change of the SmartWheel clinical protocol. Arch Phys Med Rehabil. 2012 Dec;93(12):2367-72. doi: 10.1016/j.apmr.2012.07.008. Epub 2012 Jul 25.

Reference Type: BACKGROUND

PMID: 22842483 (View on PubMed)

ActiGraph, LLC. GT9X Activity Monitors. Pensacola, FL.

Reference Type: BACKGROUND

Bailey RR, Klaesner JW, Lang CE. An accelerometry-based methodology for assessment of real-world bilateral upper extremity activity. PLoS One. 2014 Jul 28;9(7):e103135. doi: 10.1371/journal.pone.0103135. eCollection 2014.

Reference Type: BACKGROUND

PMID: 25068258 (View on PubMed)

Garcia-Masso X, Serra-Ano P, Garcia-Raffi LM, Sanchez-Perez EA, Lopez-Pascual J, Gonzalez LM. Validation of the use of Actigraph GT3X accelerometers to estimate energy expenditure in full time manual wheelchair users with spinal cord injury. Spinal Cord. 2013 Dec;51(12):898-903. doi: 10.1038/sc.2013.85. Epub 2013 Sep 3.

Reference Type: BACKGROUND

PMID: 23999111 (View on PubMed)

Nyland J, Quigley P, Huang C, Lloyd J, Harrow J, Nelson A. Preserving transfer independence among individuals with spinal cord injury. Spinal Cord. 2000 Nov;38(11):649-57. doi: 10.1038/sj.sc.3101070.

Reference Type: BACKGROUND

PMID: 11114770 (View on PubMed)

Wulf G, McNevin N, Shea CH. The automaticity of complex motor skill learning as a function of attentional focus. Q J Exp Psychol A. 2001 Nov;54(4):1143-54. doi: 10.1080/713756012.

Reference Type: BACKGROUND

PMID: 11765737 (View on PubMed)

Wulf G, Shea C, Lewthwaite R. Motor skill learning and performance: a review of influential factors. Med Educ. 2010 Jan;44(1):75-84. doi: 10.1111/j.1365-2923.2009.03421.x.

Reference Type: BACKGROUND

PMID: 20078758 (View on PubMed)

Shea, J. B. & Morgan, R. L. (1979). Contextual interference effects on the acquisition, retention, and transfer of a motor skill. Journal of Experimental Psychology: Human Learning and Memory, 5, 179-187.

Reference Type: BACKGROUND

Del Rey P, Wughalter EH, Whitehurst M. The effects of contextual interference on females with varied experience in open sport skills. Res Q Exerc Sport. 1982 Jun;53(2):108-15. doi: 10.1080/02701367.1982.10605236. No abstract available.

Reference Type: BACKGROUND

PMID: 7111849 (View on PubMed)

Hall KG, Domingues DA, Cavazos R. Contextual interference effects with skilled baseball players. Percept Mot Skills. 1994 Jun;78(3 Pt 1):835-41. doi: 10.1177/003151259407800331.

Reference Type: BACKGROUND

PMID: 8084699 (View on PubMed)

Schmidt RA, Young DE, Swinnen S, Shapiro DC. Summary knowledge of results for skill acquisition: support for the guidance hypothesis. J Exp Psychol Learn Mem Cogn. 1989 Mar;15(2):352-9. doi: 10.1037//0278-7393.15.2.352.

Reference Type: BACKGROUND

PMID: 2522520 (View on PubMed)

Gevins A, Smith ME, Leong H, McEvoy L, Whitfield S, Du R, Rush G. Monitoring working memory load during computer-based tasks with EEG pattern recognition methods. Hum Factors. 1998 Mar;40(1):79-91. doi: 10.1518/001872098779480578.

Reference Type: BACKGROUND

PMID: 9579105 (View on PubMed)

Schmidt RA, Wulf G. Continuous concurrent feedback degrades skill learning: implications for training and simulation. Hum Factors. 1997 Dec;39(4):509-25. doi: 10.1518/001872097778667979.

Reference Type: BACKGROUND

PMID: 9473972 (View on PubMed)

Goodwin JE, Eckerson JM, Voll CA Jr. Testing specificity and guidance hypotheses by manipulating relative frequency of KR scheduling in motor skill acquisition. Percept Mot Skills. 2001 Dec;93(3):819-24. doi: 10.2466/pms.2001.93.3.819.

Reference Type: BACKGROUND

PMID: 11806606 (View on PubMed)

MATLAB version 7.10.0. (2010). Natick, Massachusetts: The MathWorks Inc.

Reference Type: BACKGROUND

SPSS Inc. (2012). SPSS Statistics Version 21. Chicago, IL: IBM.

Reference Type: BACKGROUND

Chisholm D, Toto P, Raina K, Holm M, Rogers J. Evaluating capacity to live independently and safely in the community: Performance Assessment of Self-care Skills. Br J Occup Ther. 2014 Feb;77(2):59-63. doi: 10.4276/030802214X13916969447038.

Reference Type: BACKGROUND

PMID: 25298616 (View on PubMed)

Other Identifiers

201804133

Identifier Type: -

Identifier Source: org_study_id