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Aim

Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury. Yong Tai Wang, PhD; Weerawat Limroongreungrat, PhD, PT; Li-Shan Chang, PhD, PT; Xiang Ke, MS; Liang-Ching Tsai, PhD, PT; Yu-Ping Chen, ScD, PT; James Lewis, PT, DPT, ATC. Aim

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Aim

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  1. Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury Yong Tai Wang, PhD; Weerawat Limroongreungrat, PhD, PT; Li-Shan Chang, PhD, PT; Xiang Ke, MS; Liang-Ching Tsai, PhD, PT; Yu-Ping Chen, ScD, PT; James Lewis, PT, DPT, ATC

  2. Aim • To examine the effectiveness of using immediate video feedback (IVF) in a rehabilitation setting to train manual wheelchair users with spinal cord injury (SCI) in learning three wheelchair skills: • Propelling the wheelchair on an inclined surface. • Stationary wheelies. • Ascending/descending a curb. • Relevance • With reduced rehabilitation time, patients with SCI who become full-time manual wheelchair users may not receive adequate wheelchair skill training before discharge.

  3. Method • Manual wheelchair users with recent SCI were matched on motor function level, age, and sex and randomly assigned to a control or experimental group (9 pairs). • Each learned three wheelchair skills followed by testing: • Skill competency test. • Retention test. • Transfer test. • Paired t-tests used to examine training time, spotter intervention needed, and successful rate of performance. • Repeated-measures analysis of variance and Bonferroni adjustment test used to examine differences between groups on wheelchair skills and tests.

  4. Results • No differences were found between the two groups in training times on the three skills (experimental vs control): • Ramp: 14.92 ± 5.80 min vs 11.69 ± 7.85 min • Wheelie: 17.79 ± 6.03 vs 19.92 ± 13.42 min • Curb: 38.35 ± 23.01 vs 48.59 ± 15.21 min

  5. Conclusion • This study demonstrated that IVF for training manual wheelchair skills may produce similar results as the conventional training and may be an alternative training method for wheelchair skills.

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