Phase 3
Completed N=138
Enhancing Indoor, Community, and Advanced Wheelchair Skills in Spinal Cord Injury (SCI)
Source: ClinicalTrials.gov NCT00434018 ↗Enrolled (actual)
138
Serious AEs
9.4%
Results posted
Oct 2014
Primary outcomePrimary: Wheelchair Skills Test (WST) — 90.4; 89.6 units on a scale — p=0.001
Summary
We propose to test an evidence-based wheelchair skills training program to optimize wheelchair safety and performance in veterans with SCI. The proposed training program incorporates emerging evidence on wheelchair biomechanics and motor-skills learning, and addresses recommendations in a new clinical practice guideline. Given the difficulty in translating wheelchair skills learned in a therapy clinic with "real world" problems in the home and community post-discharge, we are proposing to conduct the wheelchair skills training in and around the veteran's home. The immediate goal is to enhance ability, performance time, safety, community participation, and quality of life, while minimizing physical strain. The ultimate goal is to reduce morbidity/mortality associated with wheelchair use and promote successful aging with a disability.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Wheelchair Skills Test (WST) |
90.4; 89.6 | 0.001 sig |
| SECONDARY Craig Handicap Assessment and Reporting Technique (CHART): Physical Independence Subscale |
91; 91 | — |
| SECONDARY Craig Handicap Assessment and Reporting Technique (CHART): Mobility Subscale |
93.7; 92.8 | — |
| SECONDARY Craig Handicap Assessment and Reporting Technique (CHART): Occupation Subscale |
75.1; 73.5 | — |
| SECONDARY Craig Handicap Assessment and Reporting Technique (CHART): Social Integration Subscale |
90; 90.5 | — |
| SECONDARY Craig Handicap Assessment and Reporting Technique (CHART): Economic Self-Sufficiency Subscale |
82.4; 86.5 | — |
Eligibility Criteria
Inclusion Criteria
- SCI for at least 1 year (neurologically stable)
- Level of injury: C6 and below who use manual wheelchair as a primary means of mobility
- Able to self-propel wheelchair
- Between the ages of 18-75
- Able to follow simple instructions
Exclusion Criteria
- Progressive disease (e.g. spinal tumor)
- Extended bedrest for more than 30 days
- Ventilator-dependent
- Any cardiac or respiratory condition that would limit subject's physical performance
- Unstable medical conditions
- Use power wheelchair or scooter as primary means of mobility
- Pregnancy
Data sourced from ClinicalTrials.gov (NCT00434018). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.