Manual wheelchair training programs: a scoping review of educational approaches and intended learning outcomes | BMC Medical Education

Best KL, Miller WC. Physical and leisure activity in older community-dwelling canadians who use wheelchairs: a population study. J Aging Res. 2011;2011:147929.
Pritchard E, Barker A, Day L, Clemson L, Brown T, Haines T. Factors impacting the household and recreation participation of older adults living in the community. Disabil Rehabil. 2015;37(1):56–63.
De Coninck L, Declercq A, Bouckaert L, Vermandere M, Graff MJL, Aertgeert B. Perspectives of older adults with a chronic condition on functioning, social participation and health: a qualitative study. BMC Geriatr. 2021;21(1):418.
Giesbrecht EM, Miller WC, Woodgate RL. Navigating uncharted territory: a qualitative study of the experience of transitioning to wheelchair use among older adults and their care providers. BMC Geriatr. 2015;15:91.
Huebner RA, Johnson K, Bennett CM, Schneck C. Community participation and quality of life outcomes after adult traumatic brain injury. Am J Occup Ther. 2003;57(2):177–85.
Mayo NE, Wood-Dauphinee S, Côté R, Durcan L, Carlton J. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002;83(8):1035–42.
Gill TM, Kurland B. The burden and paterns of disability in activities of daily living among community-living older persons. The Journals of Gerontology. 2003;58A(1):70.
WHO. Wheelchair Provision Guidelines. Geneva; 2023. Report No.: Licence: CC BY-NC-SA 3.0 IGO.
AIHW. Older Australia at a glance (fourth edition). Canberra: AIHW; 2007.
Gowran RJ, Clifford A, Gallagher A, McKee J, O’Regan B, McKay EA. Wheelchair and seating assistive technology provision: a gateway to freedom. Disabil Rehabil. 2022;44(3):370–81.
Best KL, Kirby RL, Smith C, MacLeod DA. Wheelchair skills training for community-based manual wheelchair users: a randomized controlled trial. Arch Phys Med Rehabil. 2005;86(12):2316–23.
Chen P. Wheelchair Propulsion for Everyday Manual Wheelchair Users: Repetition Training and Machine Learning-based Monitoring. Arts & Sciences Electronic Theses and Dissertations. 2019.
Kirby RL, Corkum CG, Smith C, Rushton P, MacLeod DA, Webber A. Comparing performance of manual wheelchair skills using new and conventional rear anti-tip devices: randomized controlled trial. Arch Phys Med Rehabil. 2008;89(3):480–5.
Liu HYT, Chia RM, Setiawan IMA, Crytzer TM, Ding D. Development of “My Wheelchair Guide” app: a qualitative study. Disabil Rehabil Assist Technol. 2019;14(8):839–48.
Routhier F, Kirby RL, Demers L, Depa M, Thompson K. Efficacy and retention of the French-Canadian version of the wheelchair skills training program for manual wheelchair users: a randomized controlled trial. Arch Phys Med Rehabil. 2012;93(6):940–8.
Beaudoin M, Best KL, Raymond E, Routhier F. Influence of Roulez avec confiance, a peer-led community-based wheelchair skills training program, on manual wheelchair users. Disabil Rehabil Assist Technol. 2021;18(7):1093–100.
Best KL, Miller WC, Huston G, Routhier F, Eng JJ. Pilot Study of a Peer-Led Wheelchair Training Program to Improve Self-Efficacy Using a Manual Wheelchair: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2016;97(1):37–44.
Furmaniuk L, Cywinska-Wasilewska G, Kaczmarek D. Influence of long-term wheelchair rugby training on the functional abilities of persons with tetraplegia over a two-year period post-spinal cord injury. Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation). 2010;42(7):688–90.
Miller WC, Best KL, Eng JJ, Routhier F. Influence of Peer-led Wheelchair Training on Wheelchair Skills and Participation in Older Adults: Clinical Outcomes of a Randomized Controlled Feasibility Trial. Arch Phys Med Rehabil. 2019;100(6):1023–31.
Park JM, Jung HS. A study on the effects of modified wheelchair skills program (WSP) for hemiplegic clients. Assist Technol. 2022;34(1):26–33.
Standal OF, Jespersen E. Peers as resources for learning: a situated learning approach to adapted physical activity in rehabilitation. Adapt Phys Activ Q. 2008;25(3):208–27.
Tasiemski T, Wilski M, Urbanski P. One world project’s wheelchair skills training camp in Morocco – effects of a community peer-based programme. Disabil Rehabil Assist Technol. 2021;18(6):736–42.
Charlton K, Murray C, Boucaut R, Berndt A. Facilitating manual wheelchair skills following lower limb amputation using a group process: A nested mixed methods pilot study. Aust Occup Ther J. 2021;68(6):490–503.
Choi WS, Lee JM, Kim TY, Kim JH, Lee JA, Choi H. Development of adjustable wheelchair training structure and validation of usefulness for evaluation and training of manual wheelchair skill. J Mechan Med Biol. 2020;20(10):2040032.
Kirby RL, Mitchell D, Sabharwal S, McCranie M, Nelson AL. Manual Wheelchair Skills Training for Community-Dwelling Veterans with Spinal Cord Injury: A Randomized Controlled Trial. PLoS ONE [Electronic Resource]. 2016;11(12):e0168330.
MacPhee AH, Kirby RL, Coolen AL, Smith C, MacLeod DA, Dupuis DJ. Wheelchair skills training program: A randomized clinical trial of wheelchair users undergoing initial rehabilitation. Arch Phys Med Rehabil. 2004;85(1):41–50.
McClure LA. Implementation of clinical practice guidelines following acute spinal cord injury: University of Pittsburgh; 2010.
Morgan KA, Tucker SM, Klaesner JW, Engsberg JR. A motor learning approach to training wheelchair propulsion biomechanics for new manual wheelchair users: A pilot study. J Spinal Cord Med. 2017;40(3):304–15.
Giesbrecht E, Faieta J, Best K, Routhier F, Miller WC, Laberge M. Impact of the TEAM Wheels eHealth manual wheelchair training program: Study protocol for a randomized controlled trial. PLoS ONE [Electronic Resource]. 2021;16(10):e0258509.
Pellichero A, Best KL, Routhier F, Miller WC. Exploring Older Adults’ Experiences and Perceptions with a Peer-Led Wheelchair Training Program. Canadian Journal of Occupational Therapy – Revue Canadienne d Ergotherapie. 2020;87(3):192–9.
Yong Tai W, Limroongreungrat W, Li-Shan C, Xiang K, Liang-Ching T, Yu-Ping C, et al. Immediate video feedback on ramp, wheelie, and curb wheelchair skill training for persons with spinal cord injury. J Rehabil Res Dev. 2015;52(4):421–30.
Chaar F, Archambault PS. Usability of a virtual reality manual wheelchair simulator. Disabil Rehabil Assist Technol. 2022;18(8):1489–99.
Kotajarvi BR, Basford JR, An KN, Morrow DA, Kaufman KR. The effect of visual biofeedback on the propulsion effectiveness of experienced wheelchair users. Arch Phys Med Rehabil. 2006;87(4):510–5.
Blouin M, Lalumière M, Gagnon DH, Chénier F, Aissaoui R. Characterization of the immediate effect of a training session on a manual wheelchair simulator with haptic biofeedback: towards more effective propulsion. IEEE Trans Neural Syst Rehabil Eng. 2015;23(1):104–15.
DeGroot KK, Hollingsworth HH, Morgan KA, Morris CL, Gray DB. The influence of verbal training and visual feedback on manual wheelchair propulsion. Disabil Rehabil Assist Technol. 2009;4(2):86–94.
Richter WM, Kwarciak AM, Guo L, Turner JT. Effects of single-variable biofeedback on wheelchair handrim biomechanics. Arch Phys Med Rehabil. 2011;92(4):572–7.
Rice I, Gagnon D, Gallagher J, Boninger M, Rice I, Gagnon D, et al. Hand rim wheelchair propulsion training using biomechanical real-time visual feedback based on motor learning theory principles. J Spinal Cord Med. 2010;33(1):33–42.
Rice LA, Smith I, Kelleher AR, Greenwald K, Hoelmer C, Boninger ML. Impact of the clinical practice guideline for preservation of upper limb function on transfer skills of persons with acute spinal cord injury. Arch Phys Med Rehabil. 2013;94(7):1230–46.
Rodgers MM, Keyser RE, Rasch EK, Gorman PH, Russell PJ. Influence of training on biomechanics of wheelchair propulsion. J Rehabil Res Dev. 2001;38(5):505–11.
Worobey L, Kirby RL. Clinician wheelchair skills training using self-study and remote asynchronous feedback. J Spinal Cord Med. 2017;40(5):584.
Giesbrecht EM, Miller WC. Effect of an mHealth Wheelchair Skills Training Program for Older Adults: A Feasibility Randomized Controlled Trial. Arch Phys Med Rehabil. 2019;100(11):2159–66.
Kirby RL, Mifflen NJ, Thibault DL, Smith C, Best KL, Thompson KJ, et al. The manual wheelchair-handling skills of caregivers and the effect of training. Arch Phys Med Rehabil. 2004;85(12):2011–9.
Keeler L, Kirby RL, Parker K, McLean KD, Hayden JA. Effectiveness of the Wheelchair Skills Training Program: a systematic review and meta-analysis. Disabil Rehabil Assist Technol. 2019;14(4):391–409.
Tu CJ, Liu L, Wang W, Du HP, Wang YM, Xu YB, et al. Effectiveness and safety of wheelchair skills training program in improving the wheelchair skills capacity: a systematic review. Clin Rehabil. 2017;31(12):1573–82.
Khalil MK, Elkhider IA. Applying learning theories and instructional design models for effective instruction. Adv Physiol Educ. 2016;40(2):147–56.
Littooij E, Doodeman S, Holla J, Ouwerkerk M, Post L, Satink T, et al. Setting meaningful goals in rehabilitation: A qualitative study on the experiences of clients and clinicians in working with a practical tool. Clin Rehabil. 2022;36(3):415–28.
Mutchnick MG. The Role of Motivation in Rehabilitation. In: Williams JM, Long CJ, editors. Cognitive Approaches to Neuropsychology. Boston, MA: Springer, US; 1988. p. 169–87.
Bandura A. Social foundations of thought and action : a social cognitive theory. Englewood Cliffs, N.J: Prentice-Hall; 1986.
Schmidt RA. A schema theory of discrete motor skill learning. Psychol Rev. 1975;82(4):225–60.
Laver JW, E. Situated Learning: Legitimate Peripheral Participation (Learning in Doing: Social, Cognitive and Computational Perspectives). Cambridge. 1991.
Skinner BF. Science and human behavior: Simon and Schuster; 1965.
Choi J-I, Hannafin M. Situated Cognition and Learning Environments: Roles, Structures, and Implications for Design. Education Tech Research Dev. 1995;43(2):53–69.
Horsburgh J, Ippolito K. A skill to be worked at: using social learning theory to explore the process of learning from role models in clinical settings. BMC Med Educ. 2018;18(1):156.
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19–32.
Yardley S, Dornan T. Kirkpatrick’s levels and education “evidence.” Med Educ. 2012;46(1):97–106.
Bickenbach JE, Chatterji S, Badley EM, Ustün TB. Models of disablement, universalism and the international classification of impairments, disabilities and handicaps. Soc Sci Med. 1999;48(9):1173–87.
Pollock D, Davies EL, Peters MDJ, Tricco AC, Alexander L, McInerney P, et al. Undertaking a scoping review: A practical guide for nursing and midwifery students, clinicians, researchers, and academics. J Adv Nurs. 2021;77(4):2102–13.
Haddaway NR, Collins AM, Coughlin D, Kirk S. The Role of Google Scholar in Evidence Reviews and Its Applicability to Grey Literature Searching. PLoS ONE. 2015;10(9):e0138237.
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–73.
Bonaparte JP, Kirby RL, Macleod DA. Learning to perform wheelchair wheelies: comparison of 2 training strategies. Arch Phys Med Rehabil. 2004;85(5):785–93.
Ctri. Comparing the effectiveness of 3 types of wheelchair skills training. 2023.
Desai R, Jayavant S, Varshneya H. To investigate the immediate and short term effects of wheelchair skill training program (WSTP) on participation in patients with spinal cord involvement. Indian Journal of Occupational Therapy (Indian Journal of Occupational Therapy). 2013;45(2):9–14.
Garrett B, Snowdon L, McCarthy S. Clinical application of the wheelchair skills program: Objective testing and training methods. Topics in Spinal Cord Injury Rehabilitation. 2011;16:59.
Giesbrecht EM, Miller WC. A randomized control trial feasibility evaluation of an mHealth intervention for wheelchair skill training among middle-aged and older adults. PeerJ. 2017;5:e3879.
Giesbrecht EM, Miller WC, Jin BT, Mitchell IM, Eng JJ. Rehab on Wheels: A Pilot Study of Tablet-Based Wheelchair Training for Older Adults. JMIR Rehabilitation And Assistive Technologies. 2015;2(1):e3.
Kirby RL, Lugar JA, Breckenridge C. New wheelie aid for wheelchairs: controlled trial of safety and efficacy. Arch Phys Med Rehabil. 2001;82(3):380–90.
Limroongreungrat W, Chang L-S, Wang YT, Acker C, Maurer C, Sprigle S. Effectiveness Of Immediate Video Feedback On Wheelchair Propulsion Training For Patients With Spinal Cord Injuries: 2693 Board #87 May 29 3:30 PM – 5:00 PM. Med Sci Sports Exerc. 2009;41(5):430.
Ozturk A, Ucsular FD. Effectiveness of a wheelchair skills training programme for community-living users of manual wheelchairs in Turkey: a randomized controlled trial. Clin Rehabil. 2011;25(5):416–24.
Quiñones-Uriostegui I, Alessi-Montero A, Bueyes-Roiz V, Nuñez-Carrera L, Moreno-Hernández A, Quinzaños-Fresnedo J, et al. Wheelchair users’ satisfaction after provision using the WHO 8-step guidelines: A pilot study. J Spinal Cord Med. 2023;47(5):640–8.
Rice IM, Rice LA, Motl RW. Promoting Physical Activity Through a Manual Wheelchair Propulsion Intervention in Persons With Multiple Sclerosis. Arch Phys Med Rehabil. 2015;96(10):1850–8.
Rice LA, Smith I, Kelleher AR, Greenwald K, Boninger ML. Impact of a wheelchair education protocol based on practice guidelines for preservation of upper-limb function: a randomized trial. Arch Phys Med Rehabil. 2014;95(1):10-9.e1.
van der Scheer JW, de Groot S, Vegter RJ, Hartog J, Tepper M, Slootman H, et al. Low-Intensity Wheelchair Training in Inactive People with Long-Term Spinal Cord Injury: A Randomized Controlled Trial on Propulsion Technique. Am J Phys Med Rehabil. 2015;94(11):975–86.
van der Scheer JW, de Groot S, Tepper M, Faber W, group A, Veeger DH, et al. Low-intensity wheelchair training in inactive people with long-term spinal cord injury: A randomized controlled trial on fitness, wheelchair skill performance and physical activity levels. J Rehabil Med. 2016;48(1):33–42.
Worobey LA, Kirby RL, Heinemann AW, Krobot EA, Dyson-Hudson TA, Cowan RE, et al. Effectiveness of Group Wheelchair Skills Training for People With Spinal Cord Injury: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2016;97(10):1777-84.e3.
Yeo SS, Kwon JW. Wheelchair Skills Training for Functional Activity in Adults with Cervical Spinal Cord Injury. Int J Sports Med. 2018;39(12):924–8.
Bandura A. Human agency in social cognitive theory. American Psychological Association. 1989;44:1175–84.
Kafri M, Atun-Einy O. From Motor Learning Theory to Practice: A Scoping Review of Conceptual Frameworks for Applying Knowledge in Motor Learning to Physical Therapist Practice. Phys Ther. 2019;99(12):1628–43.
Ng’andu K, Hambulo F, Haambokoma N, Milingo T. The Contribution of Behavioral Theories of Learning to Education. 2013:1.
Rice IM, Pohlig RT, Gallagher JD, Boninger ML. Handrim wheelchair propulsion training effect on overground propulsion using biomechanical real-time visual feedback. Arch Phys Med Rehabil. 2013;94(2):256–63.
Lee DCA, Pritchard E, McDermott F, Haines TP. Falls prevention education for older adults during and after hospitalization: A systematic review and meta-analysis. Health Educ J. 2013;73(5):530–44.
Mukhalalati BA, Taylor A. Adult learning theories in context: a quick guide for healthcare professional educators. J Med Educ Curric Dev. 2019;6:2382120519840332.
Chowdhury MS. Human behavior in the context of training: An overview of the role of learning theories as applied to training and development. Journal of Knowledge management practice. 2006;7(2):1–11.
Knecht-Sabres LJ. Experiential Learning in Occupational Therapy: Can It Enhance Readiness for Clinical Practice? Journal of Experiential Education. 2013;36(1):22–36.
Amineh RJ, Asl HD. Review of constructivism and social constructivism. Journal of social sciences, literature and languages. 2015;1(1):9–16.
Savery JR, Duffy TM. Problem based learning: An instructional model and its constructivist framework. Educ Technol. 1995;35(5):31–8.
Steffe L, Gale J. A constructivist approach to teaching. Constructivism in education. 1995:489–523.
Islam KF, Awal A, Mazumder H, Munni UR, Majumder K, Afroz K, et al. Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon. 2023;9(4):e14889.
Best KL, Miller WC, Eng JJ, Routhier F, Goldsmith C. Randomized controlled trial protocol feasibility: The Wheelchair Self-Efficacy Enhanced for Use (WheelSeeU). Canadian Journal of Occupational Therapy – Revue Canadienne d Ergotherapie. 2014;81(5):308–19.
Allen LM, Hay M, Palermo C. Evaluation in health professions education—Is measuring outcomes enough? Med Educ. 2022;56(1):127–36.
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