Article

OBJECTIVES: To (1) document the success of learners' attempts to overcome a
threshold in a manual wheelchair while using the momentum method ; (2) describe
the frequency and nature of any errors observed ;
and (3) compare the
characteristics of participants who were or were not successful on their first
attempts. DESIGN: Cross-sectional, observational study following Strengthening
the Reporting of Observational Studies in Epidemiology guidelines. SETTING:
Indoor obstacle course in a rehabilitation center. PARTICIPANTS: Able-bodied
students (N=214) learning the threshold skill.
INTERVENTION: Participants
attempted to get over the Wheelchair Skills Test (WST) threshold (2cm high, 1.5m
wide, and 10cm in the line of progression) in a manual wheelchair. MAIN OUTCOME
MEASURES: From each participant's video recording of the first attempt, we
assigned a WST score for the skill and described any errors noted. RESULTS: The
WST scores for the first attempts were "pass" for 16 (7.5%), "pass with
difficulty" for 100 (46.7%), and "fail" for 98 (45.8%). Eventually, requiring up
to 6 attempts, 203 participants (94.9%) were successful (pass or pass with
difficulty). Twenty-six different error types were identified. With the use of
logistic regression analysis, the odds ratio of failing on the first attempt for
women versus men was 2.71 (95% confidence interval, 1.23-6.00) (P=.0138).
CONCLUSIONS: Only about half of able-bodied people learning the threshold skill
using the momentum method are successful on their first attempts, although almost
all are successful with further practice and feedback. During the first attempts,
there are a wide variety of errors, primarily in the popping phase of the skill.
Those who are successful on their first attempts are more likely to be men. These
findings have implications for the assessment and training of the threshold skill.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS