Most Essential Wheeled Mobility Skills for Daily Life:An International Survey Among Paralympic Wheelchair Athletes With Spinal Cord Injury

Fliess-Douer O, Vanlandewijck YC, Van Der Woude LHV. Most essential wheeled mobility skills for daily life: an international survey among paralympic wheelchair athletes with spinal cord injury. Arch Phys Med Rehabil 2012;93:629-35.Objectives: To create a hierarchical list of the most essential wheeled mobility (WM) skills for everyday life of wheelchair users with a spinal cord injury (SCI), and to compare perceptions of WM gained during and after clinical rehabilitation.Design: Cross-sectional study using survey questionnaires.Setting: The Beijing Paralympic games, at the international zone of the Olympic village and in different sports venues.Participants: A sample of men (N=49) and women (N=30) elite manual wheelchair user athletes with SCI (paraplegia, n=64; tetraplegia, n=15).Interventions: Not applicable.Main Outcome Measure: A survey with 24 predefined skills was distributed during the Beijing Paralympic games. Respondents were asked to rate the essentiality of each skill (I, not essential; 5, extremely essential); to state where, when, and with whom they have learned to perform each skill; and to mark the level of WM, which they gained during and after clinical rehabilitation, on 3 different WM visual analog scales (scores 1-10).Results: Rated as the most essential skill was transfer into and out of a car (mean +/- SD, 4.7 +/- 0.7). Rated as the least essential skill was the 1-handed wheelie (mean SD, 1.9 +/- 1.3). Of the respondents, 57% have learned the most essential skills in clinical rehabilitation, while 40% claimed to have learned those skills afterward in a community setting. Three percent have never learned to perform the most essential skills. Of the very essential skills, 40% were self-taught. Mean score +/- SD for the extent to which WM skills were gained in rehabilitation was 5.4 +/- 2.5.Conclusions: The main survey outcome is a sorted list of WM skills according to their essentiality for daily life of hand-rim wheelchair users with SCI. It is recommended to incorporate the skills that were graded as very essential and extremely essential during inpatient rehabilitation and in postrehabilitalion WM workshops.