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Effectiveness of a wheelchair skills training programme for community-living users of manual wheelchairs in Turkey: a randomized controlled trial [with consumer summary]
Ozturk A, Ucsular FD
Clinical Rehabilitation 2011 May;25(5):416-424
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To test the hypothesis that, in comparison with those in a control group, community-dwelling wheelchair users in Turkey who have completed the Wheelchair Skills Training Program have better total percentage performance and safety scores on the Wheelchair Skills Test. DESIGN: Randomized controlled trial. SUBJECTS: The study group comprised individuals (n = 24) who have to use a wheelchair for mobility in daily life. The subjects were randomly allocated to training (n = 14) and control groups (n = 10). INTERVENTIONS: The training group attended a skill training session three times a week for four weeks. The control group did not participate in the training. MAIN OUTCOME MEASURES: At the beginning of the study, subjects underwent a Wheelchair Skills Test (version 4.1), which evaluated their performance and safety for a range of skills. The test was repeated at the end of the study. RESULTS: The mean +/- SD total percentage Wheelchair Skills Test performance scores increased significantly in both the training group (p = 0.002) and control group (p = 0.01), although the training group increased to a greater extent (p = 0.034). The training group's mean +/- SD total percentage Wheelchair Skills Test safety scores increased significantly (p = 0.001), but there was no significant change in the control group. A statistically significant improvement was found between the total percentage Wheelchair Skills Test safety scores in the training group compared with the control group (p = 0.001) CONCLUSION: Community-living wheelchair users who received wheelchair skills training increased their total performance and safety scores to a greater extent than a control group.

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