Status:
COMPLETED
Motor Learning Approach for Manual Wheelchair Users
Lead Sponsor:
Washington University School of Medicine
Collaborating Sponsors:
The Craig H. Neilsen Foundation
Conditions:
Spinal Cord Injuries
Eligibility:
All Genders
18-60 years
Phase:
NA
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 ...
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) ...
Eligibility Criteria
Inclusion
- 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
- 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.
Key Trial Info
Start Date :
November 5 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 30 2021
Estimated Enrollment :
14 Patients enrolled
Trial Details
Trial ID
NCT03781609
Start Date
November 5 2018
End Date
July 30 2021
Last Update
October 6 2021
Active Locations (1)
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1
Washington University School of Medicine
St Louis, Missouri, United States, 63108