The manual wheelchair wheelie: A review of our current understanding of an important motor skill

Kirby, R. Lee; Smith, Cher; Seaman, Roxanne; MacLeod, Donald A.; Parker, Kim

doi:10.1080/09638280500167605

Cited by 28 publications

(7 citation statements)

References 24 publications

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“…balancing on rear wheels) is an important skill as it allows a wheelchair user to negotiate curbs and confined spaces, as well as safely and independently navigate their environment [ 41 ]. Yet, many wheelchair users cannot perform a wheelie [ 42 ]. Reasons for this are that a wheelchair user may be fearful of losing their balance and/or the clinician teaching the skill may lack confidence/knowledge of the skill [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

et al. 2020

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Introduction Wheelchair users with spinal cord injury are at a high risk of falls. However, the perspectives of wheelchair users with spinal cord injury on their fall circumstances and their preferences for fall prevention strategies/interventions remain understudied. Therefore, we aimed to: a) describe the circumstances of falls experienced by wheelchair users with spinal cord injury over a six-month period, b) explore their perspectives of why falls occurred in certain situations, and c) explore their perspectives on recommended content/structure of fall prevention strategies/interventions. Methods This sequential explanatory mixed methods study had two phases. Phase I involved tracking of falls experienced by wheelchair users with spinal cord injury over six months, in which participants completed a survey after experiencing a fall to track the number/circumstance of each fall. Data from the surveys were descriptively reported. Phase II involved a photovoice focus group discussion of the survey findings and their preferences for fall prevention strategies/interventions. Data from the focus group discussion were analyzed using a thematic analysis. Results Thirty-two participants completed phase I. More than half of the participants fell at least once in six months. Falls commonly occurred in the afternoon during a transfer, or when participants were wheeling over uneven ground. One-third of the falls caused an injury. Eleven

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Section: Discussionmentioning

confidence: 99%

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

et al. 2020

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“…None of the Child users and only 11 % of Adult users reported being able to perform a wheelie. This skill is essential to perform the most advanced skills [ 69 ] which are instrumental to navigate through architectural barriers often found in less resourced settings [ 1 , 11 , 20 , 22 , 33 , 41 , 70 ]. In addition, Caregiver scores for Adults with proxiesand Children with proxies were similar to pre-training scores in the wheelchair skills training study for caregivers [ 71 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia

Toro

Eke

Pearlman

2015

BMC Health Serv Res

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BackgroundFor people who have a mobility impairment, access to an appropriate wheelchair is an important step towards social inclusion and participation. The World Health Organization Guidelines for the Provision of Manual Wheelchairs in Less Resourced Settings emphasize the eight critical steps for appropriate wheelchair services, which include: referral, assessment, prescription, funding and ordering, product preparation,fitting and adjusting, user training, and follow-up and maintenance/repairs. The purpose of this study was to investigate how the provision of wheelchairs according to the World Health Organization’s service provision process by United Cerebral Palsy Wheels for Humanity in Indonesia affects wheelchair recipients compared to wait-listed controls.MethodsThis study used a convenience sample (N = 344) of Children, Children with proxies, Adults, and Adults with proxies who were on a waiting list to receive a wheelchair as well as those who received one. Interviews were conducted at baseline and a 6 month follow-up to collect the following data: Demographics and wheelchair use questions, the World Health Organization Quality of Life-BREF, Functional Mobility Assessment, Craig Handicap Assessment Recording Technique Short Form. The Wheelchair Assessment Checklist and Wheelchair Skills Test Questionnaire were administered at follow up only.Results167 participants were on the waiting list and 142 received a wheelchair. Physical health domain in the World Health Organization Quality of Life-BREF improved significantly for women who received a wheelchair (p = 0.044) and environmental health improved significantly for women and men who received a wheelchair as compared to those on the waiting list (p < 0.017). Satisfaction with the mobility device improved significantly for Adults with proxies and Children with proxies as compared to the waiting list (p < 0.022). Only 11 % of Adults who received a wheelchair reported being able to perform a “wheelie”. The condition of Roughrider wheelchairs was significantly better than the condition of kids wheelchairs for Children with proxies as measured by the Wheelchair Assessment Checklist (p = 0.019).ConclusionsWheelchair provision according to World Health Organization’s 8-Steps in a less-resourced setting has a range of positive outcomes including increased satisfaction with the mobility device and better quality of life. Wheelchair provision service could be improved by providing more hours of wheelchair skills training. There is a need for outcome measures that are validated across cultures and languages.

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“…Figure 8 provides the overall scores for the subjects in each of the six skill activities for Visit 1, Visit 2 and Visit 3. Balancing a wheelchair on the two rear wheels is a practical skill that can assist the user in maneuvering over uneven and loose surfaces and up over steps, curbs and other obstacles [8]. Rear wheel balancing is also, in part, dependent on having the rear axle of the wheelchair adjusted relative to the user's center of gravity in the wheelchair.…”

Section: Wheelchair Skill Activitiesmentioning

confidence: 99%

Evaluation of CIR-Whirlwind Wheelchair and service provision in Afghanistan

Armstrong

Reisinger

Smith

2007

Disability and Rehabilitation

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Data collected indicates that the study wheelchair performed very well. The data also served to identify those aspects of the wheelchair that may require additional development and testing prior to further production. To gain additional information on long term wheelchair use and performance, the CIR plans to extend this study by interviewing the same subjects at nine and fifteen months from the date they originally received the study wheelchair.

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The manual wheelchair wheelie: A review of our current understanding of an important motor skill

Abstract: Improvements in our understanding of the nature of wheelies, formalization of training protocols and innovations in wheelchair design hold promise for improved activities and participation by wheelchair users.

Cited by 28 publications

References 24 publications

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

Perspectives of wheelchair users with spinal cord injury on fall circumstances and fall prevention: A mixed methods approach using photovoice

The impact of the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia

Evaluation of CIR-Whirlwind Wheelchair and service provision in Afghanistan

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