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Aim

Explore the efficiency of immediate video feedback in teaching wheelchair skills to individuals with spinal cord injury undergoing rehabilitation. The study compares traditional training methods with IVF, assessing skills like propelling on inclines, wheelies, and curb navigation. The research highlights the similarity in results between IVF and conventional training, suggesting IVF as a promising alternative for wheelchair skill development.

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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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