Evidence map›Paper›PMID 34318937›Full record

ArticleAustralian occupational therapy journal2021

Facilitating manual wheelchair skills following lower limb amputation using a group process: A nested mixed methods pilot study.

Kimberly Charlton, Carolyn Murray, Rose Boucaut, Angela Berndt

Abstract read
In one paragraph

Article in Australian occupational therapy journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. The Experience of Manual Wheelchair Training for People With Chronic and Progressive Conditions: Perspectives of Users and Trainers.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kimberly CharltonCentral Adelaide Local Health Network, Department of Health and Wellbeing, South Australian Government, Hampstead Rehabilitation Centre, Lightsview, South Australia, Australia.ORCID 0000-0001-7154-0459
Carolyn MurrayAllied Health and Human Performance, International Centre for Allied Health Evidence, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0003-4471-0509
Rose BoucautAllied Health and Human Performance, International Centre for Allied Health Evidence, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-1832-077X
Angela BerndtAllied Health and Human Performance, International Centre for Allied Health Evidence, University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0002-5473-5155

Funding

The Hospital Research FundThe University of South Australia and SA Health
6 · The paper itself

Abstract

introductionThe manual wheelchair skills training programme is used to structure teaching manual wheelchair use for people following injury or disability. This pilot study aimed to explore the outcomes of introducing a group wheelchair skills training programme on skill performance, confidence and frequency of wheelchair use for people with lower limb amputation in a rehabilitation setting from the perspective of participants and group facilitators.

methodThis pilot study used a two-phase mixed methods nested design. Eleven people with lower limb amputations received a minimum of two 45-min wheelchair skills sessions, using the Wheelchair Skills Training Program, delivered in a mix of group and one-to-one sessions. In phase one, wheelchair skill performance, confidence and frequency were measured using the Wheelchair Skills Test Questionnaire-Version 5.0, goal achievement was measured through the Functional Independence Measure and Goal Attainment Scale. These measures were repeated in phase two. Nested within phase two was qualitative data collection. Interviews were conducted with eight participants and a focus group held with three programme facilitators, to gather their perceptions of the training process. Descriptive statistics were used to analyse and report quantitative data and thematic analysis was used to combine qualitative data from the two participant groups.

resultsPost intervention, the mean Wheelchair Skills Test Questionnaire score increased in performance (42.3 ± 13.4), confidence (33.9 ± 20.7) and frequency (33.9 ± 27.3). Goal Attainment was achieved or exceeded by 91% of all participants. Four themes were developed from qualitative data including, "motivators driving learning," "delivery methods, structure and profile of the Wheelchair Skills Training Program," "managing risk and safety" and "confidence in wheelchair use."

conclusionsThe pilot study found that The Wheelchair Skills Training Program can improve wheelchair performance, confidence and frequency to support enhanced safety, independence and quality of life for people with lower limb amputations.

Indexed as

Occupational TherapyWheelchairsAmputation, SurgicalHumansLower ExtremityMotor SkillsPilot ProjectsQuality of Lifeamputeesdisabilitymotor skillspatient educationrehabilitationwheelchairs

Identifiers

PMID34318937
PMCPMC9290744

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.