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  4. A motor learning approach to training wheelchair propulsion biomechanics for new manual wheelchair users: A pilot study

A motor learning approach to training wheelchair propulsion biomechanics for new manual wheelchair users: A pilot study

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2015.1120408 · Published: May 1, 2017

Spinal Cord InjuryAssistive TechnologyNeurology

Simple Explanation

This study tested a wheelchair training program for new manual wheelchair users with spinal cord injuries. The program focused on improving how they propel their wheelchairs using motor learning principles. The training involved nine sessions and aimed to teach more effective and safer propulsion techniques to prevent injuries. Researchers measured changes in propulsion biomechanics and wheelchair skills before and after the training program.

Study Duration
3-5 weeks (9 sessions)
Participants
6 persons with SCI, novice manual wheelchair users
Evidence Level
Not specified

Key Findings

  • 1
    The training led to significant changes in the area of the push loop, indicating that participants were bringing their hands down toward the axles of their wheelchairs during propulsion.
  • 2
    Participants also showed improvements in push effectiveness and speed after the training.
  • 3
    There was a significant decrease in the slope of the force, which may indicate a decrease in the rate of loading the force onto the pushrim.

Research Summary

This pilot study investigated the effectiveness of a motor learning-based wheelchair training program for new manual wheelchair users with SCI. The training program resulted in changes in propulsion patterns, with participants adopting techniques that align with clinical practice guidelines for upper limb preservation. Despite some challenges in implementation, the study suggests that repetition-based training can improve biomechanics and propulsion patterns for new manual wheelchair users.

Practical Implications

Clinical Practice

The motor learning principles used in the training program could be applied to wheelchair skills training during rehabilitation.

Future Research

More research is needed to understand the number of repetitions needed to promote the propulsion techniques described in the CPG.

Wheelchair Setup

Wheelchair seating and positioning is important in conjunction with wheelchair training.

Study Limitations

  • 1
    Small sample size
  • 2
    Heterogeneity of participants (length and level of injury)
  • 3
    Kinematic and kinetic data were collected on different surfaces

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