Document Detail


Manual Wheelchair Skills Capacity Versus Performance.
MedLine Citation:
PMID:  22365479     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Inkpen P, Parker K, Kirby RL. Manual wheelchair skills capacity versus performance. OBJECTIVES: To test the hypotheses that self-reported manual wheelchair skills capacity and performance are highly correlated and that capacity significantly exceeds performance. DESIGN: Cross-sectional. SETTING: Rehabilitation center. PARTICIPANTS: Manual wheelchair users (N=26) with a variety of diagnoses and an average of 10.8 years of wheelchair experience. INTERVENTIONS: None. MAIN OUTCOME MEASURE: We administered the questionnaire version of the Wheelchair Skills Test version 4.1 (WST-Q), recording the participants' capacity and performance scores on each of 32 skills. RESULTS: The mean total WST-Q capacity and performance scores ± SD were 72.5%±19.2% and 58.1%±21.2%. The Spearman rho correlation coefficient between total WST-Q capacity and performance scores was .853 (P=.000). The mean difference ± SD in total WST-Q scores (capacity minus performance) was 14.4%±9.5% with a median of 10.9% (P=.000 on a Wilcoxon signed-rank test). There were 9 (28%) of the 32 skills for which the participants' mean capacity success rates were ≥20% higher than the mean performance success rates. Of the reasons for not performing individual skills, 66% of the instances were because the participant lacked the capacity. A variety of other reasons were given by participants for not performing skills of which they were capable (eg, the situation was not encountered, it could be avoided, or assistance was usually available). CONCLUSIONS: Manual wheelchair skills capacity and performance are highly correlated but capacity exceeds performance, more so for some skills than others. Although further study is needed, these findings have implications for the assessment and training of wheelchair skills.
Authors:
Peter Inkpen; Kim Parker; R Lee Kirby
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-23
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 the American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Medicine, Division of Physical Medicine and Rehabilitation, Dalhousie University, Halifax, NS, Canada.
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