Kilkens OJ, Dallmeijer AJ, de Witte LP, van der Woude LH, Post MW. The Wheelchair Circuit: construct validity and responsiveness of a test to assess manual wheelchair mobility in persons with spinal cord injury. Arch Phys Med Rehabil 2004;85:424–31.
To assess the validity and responsiveness of the Wheelchair Circuit, a test to assess manual wheelchair mobility in persons with spinal cord injury (SCI).
Longitudinal. Subjects performed the Wheelchair Circuit at the start (T1) and at the end (T3) of inpatient functional rehabilitation. Construct validity and responsiveness were assessed.
Eight rehabilitation centers in the Netherlands.
Seventy-four subjects with SCI admitted for inpatient rehabilitation.
Main outcome measures
The Wheelchair Circuit consists of 8 wheelchair skills and results in 3 test scores: ability, performance time, and physical strain. The construct validity of the Wheelchair Circuit was assessed by testing whether the test scores were significantly related to the subjects’ functional status, physical capacity, lesion level, motor completeness of the lesion, and age. To prove the test’s responsiveness, it was assessed whether the test scores had significantly improved between T1 and T3.
For construct validity, 4 of the 5 hypotheses were confirmed. For test responsiveness, all 3 test scores had significantly improved during rehabilitation, and the standardized response mean values ranged from 0.6 to 0.9.
The Wheelchair Circuit is a valid and responsive instrument with which to measure manual wheelchair mobility in subjects with SCI.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Archives of Physical Medicine and Rehabilitation
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Services for spinal cord injured.Spinal Cord. 1997; 35: 109-115
- Barriers to access.Rehabil Nurs. 1998; 23: 120-125
- Spinal cord injury, functional rehabilitation. Appleton & Lange, East Norwalk1992
- Wheelchair prescription.in: Lehmann J.F. Kottke F.J. Krusen’s handbook of physical medicine and rehabilitation. 4th ed. WB Saunders, Philadelphia1990: 548-563
- The wheelchair circuit.Arch Phys Med Rehabil. 2002; 83: 1783-1788
- Health measurements scales. 2nd ed. Oxford Univ Pr, New York1995
- Propulsion technique and anaerobic work capacity in elite wheelchair athletes.Am J Phys Med Rehabil. 1998; 77: 222-234
- Physical performance during rehabilitation in persons with spinal cord injuries.Med Sci Sports Exerc. 1999; 31: 1330-1335
- Effects of an exercise program on the rehabilitation of patients with spinal cord injury.Arch Phys Med Rehabil. 2001; 82: 1349-1354
- Measurement of time in a standardized test of patient mobility.Arch Phys Med Rehabil. 1970; 51: 170-175
- The Wheelchair Skills Test.Arch Phys Med Rehabil. 2002; 83: 10-18
- Relationship between physical strain during standardised ADL tasks and physical capacity in men with spinal cord injuries.Paraplegia. 1994; 32: 844-859
- Wheelchair propulsion in the quadriplegic patient.Arch Phys Med Rehabil. 1974; 55: 183-186
- The social and vocational outcome of spinal cord injury patients.Paraplegia. 1992; 30: 214-219
- Wheelchair exercise performance of the young, middle-aged, and elderly.J Appl Physiol. 1981; 50: 824-828
- Changes in physical capacity and physical strain in persons with acute spinal cord injury.Top Spinal Cord Inj Rehabil. 1997; 3: 1-15
- Normative values and determinants of physical capacity in individuals with spinal cord injury.J Rehabil Res Dev. 2002; 39: 29-39
- Relationship of impairment and functional ability to habitual activity and fitness following spinal cord injury.Int J Rehabil Res. 1993; 16: 265-275
- Physical performance in persons with spinal cord injuries after discharge from rehabilitation.Med Sci Sports Exerc. 1999; 31: 1111-1117
- Health status measures.Phys Ther. 1996; 76: 1109-1123
- A comparison of five low back disability questionnaires.Phys Ther. 2002; 82: 8-24
- Physical strain, work capacity and mechanisms of restoration of mobility in the rehabilitation of individuals with spinal cord injury.in: 1st World Congress of the International Society of Physical and Rehabilitation Medicine: 2001. Monduzzi Editore, Amsterdam (Netherlands). Bologna (Italy)2001: 162 (7–13 July)
- ACSM’s guidelines for exercise testing and prescription. 6th ed. Lippincott Williams & Wilkins, Philadelphia2000
- International standards for neurological and functional classification of spinal cord injury.Spinal Cord. 1997; 35: 266-274
- Reliability of a tool for assessing mobility in wheelchair-dependent paraplegics.Spinal Cord. 1998; 36: 427-431
- The effects of training on heart rate.Ann Med Exp Biol Fenn. 1957; 35: 307-315
- Effect of training on physical capacity and physical strain in persons with tetraplegia.Scand J Rehabil Med. 1997; 29: 181-186
- Characteristics of the Functional Independence Measure in traumatic spinal cord injury.Arch Phys Med Rehabil. 1999; 80: 1471-1476
- Wheelchair ergonomics and physiological testing of prototypes.Ergonomics. 1986; 29: 1561-1573
- Responsiveness to change.Qual Life Res. 1992; 1: 73-75
- Statistical power analysis for the behavioral sciences. Academic Pr, New York1977
- Development of a realistic method to assess wheelchair propulsion by disabled people.Int J Rehabil Res. 1989; 12: 137-145
- Changes in physical strain and physical capacity in men with spinal cord injuries.Med Sci Sports Exerc. 1996; 28: 551-559
- Manual wheelchair skills tests; a systematic review.Clin Rehabil. 2003; 17: 418-430
- Evaluation of manual wheelchair skills.Arch Phys Med Rehabil. 2002; 83: 1295-1299
☆Supported by the Health Research and Development Council of the Netherlands (grant no. 1435.0003).
© 2004 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.