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  4. Manual wheelchair training approaches and intended training outcomes for adults who are new to wheelchair use: A scoping review

Manual wheelchair training approaches and intended training outcomes for adults who are new to wheelchair use: A scoping review

Australian Occupational Therapy Journal, 2025 · DOI: 10.1111/1440-1630.12992 · Published: January 1, 2025

Assistive TechnologyRehabilitation

Simple Explanation

This study reviews existing manual wheelchair training programs for adults who are new to using a wheelchair. The review looks at different training approaches and what outcomes the training aims to achieve for wheelchair users. The review found that most training programs focus on short-term goals like learning skills and feeling confident, with less emphasis on long-term goals like community participation.

Study Duration
Not specified
Participants
2413 manual wheelchair users
Evidence Level
Scoping Review

Key Findings

  • 1
    Manual wheelchair training programs often target individuals with spinal cord injuries, potentially overlooking the needs of older adults or those with progressive conditions.
  • 2
    Training programs vary significantly in structure, including the number of sessions, duration, and overall time period, without clear justification for these differences.
  • 3
    The majority of programs focus on individual wheelchair skill attainment, building confidence, and efficient propulsion biomechanics.

Research Summary

This scoping review examined manual wheelchair (MWC) training approaches and intended outcomes for adults new to wheelchair use. The review found that training often focuses on skill acquisition and confidence, with less emphasis on long-term occupational engagement. The study highlights the need for tailored MWC training that addresses individual needs and promotes participation in daily occupations and community life.

Practical Implications

Tailored Training

Wheelchair training should be tailored to the individual needs and context of the user.

Occupational Focus

Training programs should emphasize occupational engagement and longer-term participatory outcomes.

Contextualized Guidelines

Clinical guidelines should be developed to consider diverse populations and environmental contexts.

Study Limitations

  • 1
    The review was limited to English-language articles, potentially missing training programs designed for non-Western contexts.
  • 2
    The review excluded studies with able-bodied participants, clinicians/students, and those under 18, potentially limiting the scope of training approaches captured.
  • 3
    Grey literature from health and community service organizations may not have been fully captured, missing some emerging peer-led MWC training programs.

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