Manual Wheelchair Speed, Maneuverability, and Endurance and Community Access

Allina Health System

Status: Terminated

Conditions: Physical Disability

Treatments: Other: Life Space Assessment Scale; Other: GPS Tracking; Other: Wheelchair Slalom Test; Other: Craig Handicap Assessment and Reporting Technique; Other: 6-Minute Push Test; Other: PART-O; Other: Forward Push Test

Study type: Observational

Funder types: Other

Identifiers

NCT03469414

CKNF-1703

Details and patient eligibility

About

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.

Enrollment: 1 patient

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria include:

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

Exclusion criteria would include:

• 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

Trial design

1 participants in 2 patient groups

Wheelchair Mobility and Speed

Description:

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.

Treatment:

Other: 6-Minute Push Test

Other: Life Space Assessment Scale

Other: PART-O

Other: Wheelchair Slalom Test

Other: Craig Handicap Assessment and Reporting Technique

Other: Forward Push Test

GPS Tracking

Description:

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.

Treatment:

Other: 6-Minute Push Test

Other: Life Space Assessment Scale

Other: PART-O

Other: Wheelchair Slalom Test

Other: GPS Tracking

Other: Craig Handicap Assessment and Reporting Technique

Other: Forward Push Test