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Use of Virtual Technology as an Intervention for Wheelchair Skills Training: A Systematic Review

Published:March 09, 2018DOI:https://doi.org/10.1016/j.apmr.2018.02.007

      Abstract

      Objective

      To provide a comprehensive description of the current state of knowledge regarding the use of virtual technology (VT) for wheelchair skills training.

      Data Sources

      The Cochrane Library, MEDLINE, CINAHL, Embase, ACM, IEEE Xplore, Inspec, and Web of Science databases were searched for relevant articles from 1990 to February 2016.

      Study Selection

      We included peer-reviewed studies or long conference proceedings that examined the use of VT as a medium to provide a wheelchair skills training intervention for any population with any diagnosis using any research design. One investigator screened the titles and abstracts, then 2 investigators independently reviewed the full-text articles. Disagreements regarding inclusion were resolved by consensus or a third reviewer. Ten studies were included out of 4994 initially identified.

      Data Extraction

      Two investigators extracted data to systematically assess the studies’ findings into 5 tables (study design and participant characteristics, equipment and technology used, intervention characteristics, outcome measures, and outcomes).

      Data Synthesis

      Most studies demonstrated that VT wheelchair skills training showed improved outcomes (eg, simulation score, completion time, number of collisions) in the virtual environment and/or in the real world. However, subject characteristics, equipment, virtual environment, intervention tasks, and outcome measures varied across the studies.

      Conclusions

      There are a variety of studies using VT as an intervention for wheelchair skills training. Given the positive outcomes for most of the studies, it appears as though VT may indeed be a solution that can help to alleviate barriers to wheelchair skills training and subsequently improve wheelchair user skill.

      Keywords

      List of abbreviations:

      MWC (manual wheelchair), PWC (power wheelchair), VE (virtual environment), VT (virtual technology), WST (Wheelchair Skills Test)
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      References

        • World Health Organization
        Guidelines on the provision of manual wheelchairs in less-resourced settings.
        (Available at:) (Accessed September 21, 2015)
        • Statistics Canada
        Seniors.
        (Available at:) (Accessed September 21, 2015)
        • Rushton P.W.
        • Miller W.C.
        • Mortenson W.B.
        • Garden J.
        Satisfaction with participation using a manual wheelchair among individuals with spinal cord injury.
        Spinal Cord. 2010; 48: 691-696
        • Kilkens O.J.
        • Post M.W.
        • Dallmeijer A.J.
        • van Asbeck F.W.
        • van der Woude L.H.
        Relationship between manual wheelchair skill performance and participation of persons with spinal cord injuries 1 year after discharge from inpatient rehabilitation.
        J Rehabil Res Dev. 2005; 42: 65-73
        • Hosseini S.M.
        • Oyster M.L.
        • Kirby R.L.
        • Harrington A.L.
        • Boninger M.L.
        Manual wheelchair skills capacity predicts quality of life and community integration in persons with spinal cord injury.
        Arch Phys Med Rehabil. 2012; 93: 2237-2243
        • Akbar M.
        • Balean G.
        • Brunner M.
        • et al.
        Prevalence of rotator cuff tear in paraplegic patients compared with controls.
        J Bone Joint Surg Am. 2010; 92: 23-30
        • Impink B.G.
        • Collinger J.L.
        • Boninger M.L.
        The effect of symptoms of carpal tunnel syndrome on ultrasonographic median nerve measures before and after wheelchair propulsion.
        PM R. 2011; 3: 803-810
        • Edwards K.
        • McCluskey A.
        A survey of adult power wheelchair and scooter users.
        Disabil Rehabil Assist Technol. 2010; 5: 411-419
        • Kirby R.L.
        • Ackroyd-Stolarz S.A.
        • Brown M.G.
        • Kirkland S.A.
        • MacLeod D.A.
        Wheelchair-related accidents caused by tips and falls among noninstitutionalized users of manually propelled wheelchairs in Nova Scotia.
        Am J Phys Med Rehabil. 1994; 73: 319-330
        • Berg K.
        • Hines M.
        • Allen S.
        Wheelchair users at home: few home modifications and many injurious falls.
        Am J Public Health. 2002; 92: 48
        • Chen W.Y.
        • Jang Y.
        • Wang J.D.
        • et al.
        Wheelchair-related accidents: relationship with wheelchair-using behavior in active community wheelchair users.
        Arch Phys Med Rehabil. 2011; 92: 892-898
        • Xiang H.
        • Chany A.M.
        • Smith G.A.
        Wheelchair related injuries treated in US emergency departments.
        Inj Prev. 2006; 12: 8-11
        • Calder C.J.
        • Kirby R.L.
        Fatal wheelchair-related accidents in the United States.
        Am J Phys Med Rehabil. 1990; 69: 184-190
        • Morgan K.A.
        • Engsberg J.R.
        • Gray D.B.
        Important wheelchair skills for new manual wheelchair users: health care professional and wheelchair user perspectives.
        Disabil Rehabil Assist Technol. 2017; 12: 28-38
        • Gavin-Dreschnack D.
        • Nelson A.
        • Fitzgerald S.
        • et al.
        Wheelchair-related falls: current evidence and directions for improved quality care.
        J Nurs Care Qual. 2005; 20: 119-127
      1. Kirby R, Parker K, McAllister M, et al. Wheelchair Skills Program (WSP) Manual. Dalhousie University. Available at: www.wheelchairskillsprogram.ca/eng/manual.php. Accessed October 7, 2015.

        • MacPhee A.H.
        • Kirby R.L.
        • Coolen A.L.
        • Smith C.
        • MacLeod D.A.
        • Dupuis D.J.
        Wheelchair skills training program: a randomized clinical trial of wheelchair users undergoing initial rehabilitation.
        Arch Phys Med Rehabil. 2004; 85: 41-50
        • Routhier F.
        • Kirby R.L.
        • Demers L.
        • Depa M.
        • Thompson K.
        Efficacy and retention of the French-Canadian version of the wheelchair skills training program for manual wheelchair users: a randomized controlled trial.
        Arch Phys Med Rehabil. 2012; 93: 940-948
        • Worobey L.A.
        • Kirby R.L.
        • Heinemann A.W.
        • et al.
        Effectiveness of group wheelchair skills training for people with spinal cord injury: a randomized controlled trial.
        Arch Phys Med Rehabil. 2016; 97: 1777-1784.e3
        • Best K.L.
        • Kirby R.L.
        • Smith C.
        • MacLeod D.A.
        Wheelchair skills training for community-based manual wheelchair users: a randomized controlled trial.
        Arch Phys Med Rehabil. 2005; 86: 2316-2323
        • Kirby R.L.
        • Miller W.C.
        • Routhier F.
        • et al.
        Effectiveness of a wheelchair skills training program for powered wheelchair users: a randomized controlled trial.
        Arch Phys Med Rehabil. 2015; 96: 2017-2026.e3
        • Mountain A.D.
        • Kirby R.L.
        • Smith C.
        • Eskes G.
        • Thompson K.
        Powered wheelchair skills training for persons with stroke: a randomized controlled trial.
        Am J Phys Med Rehabil. 2014; 93: 1031-1043
        • Hoenig H.
        • Landerman L.R.
        • Shipp K.M.
        • et al.
        A clinical trial of a rehabilitation expert clinician versus usual care for providing manual wheelchairs.
        J Am Geriatr Soc. 2005; 53: 1712-1720
        • Lemay V.
        • Routhier F.
        • Noreau L.
        • Phang S.H.
        • Ginis K.A.
        Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury.
        Spinal Cord. 2012; 50: 37-41
        • van Velzen J.M.
        • van Leeuwen C.M.
        • de Groot S.
        • van der Woude L.H.
        • Faber W.X.
        • Post M.W.
        Return to work five years after spinal cord injury inpatient rehabilitation: is it related to wheelchair capacity at discharge?.
        J Rehabil Med. 2012; 44: 73-79
        • Sakakibara B.M.
        • Miller W.C.
        • Souza M.
        • Nikolova V.
        • Best K.L.
        Wheelchair skills training to improve confidence with using a manual wheelchair among older adults: a pilot study.
        Arch Phys Med Rehabil. 2013; 94: 1031-1037
        • Mortenson W.B.
        • Miller W.C.
        • Backman C.L.
        • Oliffe J.L.
        Predictors of mobility among wheelchair using residents in long-term care.
        Arch Phys Med Rehabil. 2011; 92: 1587-1593
        • Krause J.
        • Carter R.E.
        • Brotherton S.
        Association of mode of locomotion and independence in locomotion with long-term outcomes after spinal cord injury.
        J Spinal Cord Med. 2009; 32: 237-248
        • Phang S.H.
        • Martin Ginis K.A.
        • Routhier F.
        • Lemay V.
        The role of self-efficacy in the wheelchair skills-physical activity relationship among manual wheelchair users with spinal cord injury.
        Disabil Rehabil. 2012; 34: 625-632
        • Borg J.
        • Larsson S.
        • Ostergren P.O.
        • Rahman A.S.
        • Bari N.
        • Khan A.H.
        User involvement in service delivery predicts outcomes of assistive technology use: a cross-sectional study in Bangladesh.
        BMC Health Serv Res. 2012; 12: 330
        • Best K.L.
        • Routhier F.
        • Miller W.C.
        A description of manual wheelchair skills training: current practices in Canadian rehabilitation centers.
        Disabil Rehabil Assist Technol. 2015; 10: 393-400
        • Kirby R.L.
        • Keeler L.
        • Wang S.
        • Thompson K.
        • Theriault C.
        Proportion of wheelchair users who receive wheelchair skills training during an admission to a Canadian rehabilitation center.
        Top Geriatr Rehabil. 2015; 31: 58-66
        • Charbonneau R.
        • Kirby R.L.
        • Thompson K.
        Manual wheelchair propulsion by people with hemiplegia: within-participant comparisons of forward versus backward techniques.
        Arch Phys Med Rehabil. 2013; 94: 1707-1713
        • Smith C.
        • Kirby R.L.
        Manual wheelchair skills capacity and safety of residents of a long-term-care facility.
        Arch Phys Med Rehabil. 2011; 92: 663-669
        • Zanca J.M.
        • Natale A.
        • Labarbera J.
        • Schroeder S.T.
        • Gassaway J.
        • Backus D.
        Group physical therapy during inpatient rehabilitation for acute spinal cord injury: findings from the SCIRehab Study.
        Phys Ther. 2011; 91: 1877-1891
        • Karmarkar A.M.
        • Collins D.M.
        • Wichman T.
        • et al.
        Prosthesis and wheelchair use in veterans with lower-limb amputation.
        J Rehabil Res Dev. 2009; 46: 567-576
      2. Salatin B, Rice I, Teodorski E, Ding D, Cooper R, editors. A survey of outdoor electric powered wheelchair driving. In: Proceedings of the 33rd RESNA International Conference; June 26-30, 2010; Las Vegas, NV.

        • World Health Organization
        Guidelines on the provision of manual wheelchairs in less resourced settings.
        (Available at:) (Accessed October 7, 2015)
        • Prensky M.
        Digital game-based learning.
        Paragon House, 2007
        • Holden M.K.
        • Dyar T.
        Virtual environment training: a new tool for neurorehabilitation.
        J Neurol Phys Ther. 2002; 26: 62-71
        • Kim G.J.
        A SWOT analysis of the field of virtual reality rehabilitation and therapy.
        Presence. 2005; 14: 119-146
        • Moher D.
        • Liberati A.
        • Tetzlaff J.
        • Altman D.G.
        • Prisma Group
        Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.
        Ann Intern Med. 2009; 151: 264-269
      3. Fuchs P, Moreau G. The treatise on virtual reality, volume 1: foundations and behavioural interfaces [French]. 2003. Paris: Presses de l'Ecole des Mines.

        • Levac D.E.
        • Sveistrup H.
        Motor learning and virtual reality.
        in: Weiss P.L. Keshner E.A. Levin M.F. Virtual reality for physical and motor rehabilitation. Springer New York, New York2014: 25-46
        • Levac D.E.
        • Galvin J.
        When is virtual reality “therapy”?.
        Arch Phys Med Rehabil. 2013; 94: 795-798
        • Kenyon R.V.
        • Leigh J.
        • Kesherner E.A.
        Considerations for the future development of virtual technology as a rehabiliation tool.
        J Neuroeng Rehabil. 2004; 1: 13
        • Merriam-Webster Dictionary
        Video game.
        (Available at:) (Accessed November 2, 2015)
      4. Giunti G, Baum A, Giunta D, et al, editors. Serious games: a concise overview on what they are and their potential applications to healthcare. In: MEDINFO 2015: EHealth-enabled Health. Proceedings of the 15th World Congress on Health and Biomedical Informatics; August 19-23, 2015: Sao Paulo, Brazil: IOS Press. p. 386-90.

        • Pluye P.
        • Robert E.
        • Cargo M.
        • et al.
        Proposal: a mixed methods appraisal tool for systematic mixed studies reviews.
        (Available at:) (Accessed November 3, 2015)
      5. Alshaer A, Hoermann S, Regenbrecht H, editors. Influence of peripheral and stereoscopic vision on driving performance in a power wheelchair simulator system. In: 2013 International Conference on Virtual Rehabilitation; August 26-29, 2013; Philadelphia: IEEE.

      6. Anthierens C, Impagliazzo J, Dupuis Y, editors. A specific locomotion interface for virtual reality - design of a wheelchair type haptic. In: Third International Conference on Informatics in Control, Automation and Robotics: Robotics and Automation; August 1-5, 2006; Setúbal, Portugal.

      7. Archambault PS, Routhier F, Hamel M, Boissy P, editors. Analysis of movement to develop a virtual reality powered-wheelchair simulator. In: 2008 Virtual Rehabilitation; August 25-27, 2008; Vancouver, BC, Canada: IEEE.

      8. Archambault PS, Chong JNF, Sorrento G, Routhier F, Boissy P, editors. Comparison of powered wheelchair driving performance in a real and in a simulated environment. In: 2011 International Conference on Virtual Rehabilitation; June 27-29, 2011; Zurich, Switzerland: IEEE.

      9. Archambault PS, Blackburn É, Routhier F, Reid D, Miller WC, Kirby RL, editors. Development and user validation of driving tasks for a power wheelchair simulator. In: 2015 International Conference on Virtual Rehabilitation Proceedings; June 9-12, 2015; Valencia, Spain: IEEE.

        • Blouin M.
        • Lalumière M.
        • Gagnon D.H.
        • Chénier F.
        • Aissaoui R.
        Characterization of the immediate effect of a training session on a manual wheelchair simulator with haptic biofeedback: towards more effective propulsion.
        IEEE Trans Neural Syst Rehabil Eng. 2015; 23: 104-115
        • Byagowi A.
        • Mohaddes D.
        • Moussavi Z.
        Design and application of a novel Virtual Reality Navigational Technology (VRNChair).
        J Exp Neurosci. 2014; 8: 7-14
      10. Caetano D, Mattioli F, Lamounier E, Cardoso A, editors. [DEMO] On the use of augmented reality techniques in a telerehabilitation environment for wheelchair users' training. In: 2014 IEEE International Symposium on Mixed and Augmented Reality (ISMAR); September 10-12, 2014; Munich, Germany: IEEE.

      11. Chénier F. Développement d’un simulateur de propulsion en fauteuil roulant manuel avec biofeedback haptique: École de technologie supérieure; 2012.

        • Cooper R.A.
        • Spaeth D.M.
        • Jones D.K.
        • Boninger M.L.
        • Fitzgerald S.G.
        • Guo S.
        Comparison of virtual and real electric powered wheelchair driving using a position sensing joystick and an isometric joystick.
        Med Eng Phys. 2002; 24: 703-708
        • Desbonnet M.
        • Rahman A.
        • Cox S.
        A virtual reality based training system for disabled children.
        Advancement of Assistive Technology. 1997; 3: 139
        • Dicianno B.E.
        • Mahajan H.
        • Guirand A.S.
        • Cooper R.A.
        Virtual electric power wheelchair driving performance of individuals with spastic cerebral palsy.
        Am J Phys Med Rehabil. 2012; 91: 823
      12. Edey JK, Seaborn K, Branje C, Fels DI, editors. Powered to play: a mixed reality game for people driving powered chairs. In: Games Media Entertainment (GEM), 2014 IEEE; October 22-23, 2014; Toronto, ON, Canada: IEEE.

      13. French B, Tyamagundlu D, Siewiorek DP, Smailagic A, Ding D, editors. Towards a virtual coach for manual wheelchair users. In: 2008 12th IEEE International Symposium on Wearable Computers; Setpember 28- October 1, 2008; Pittsburgh, PA: IEEE.

        • Gentiletti G.
        • Gebhart J.
        • Acevedo R.
        • Yáñez-Suárez O.
        • Medina-Bañuelos V.
        Command of a simulated wheelchair on a virtual environment using a brain-computer interface.
        IRBM. 2009; 30: 218-225
        • Giesbrecht E.M.
        • Miller W.C.
        • Eng J.J.
        • Mitchell I.M.
        • Woodgate R.L.
        • Goldsmith C.H.
        Feasibility of the enhancing participation in the community by improving wheelchair skills (EPIC Wheels) program: study protocol for a randomized controlled trial.
        Trials. 2013; 14: 1
      14. Herrlich M, Meyer R, Malaka R, Heck H, editors. Development of a virtual electric wheelchair–simulation and assessment of physical fidelity using the Unreal Engine 3. In: International Conference on Entertainment Computing; September 8-11, 2010; Heidelberg, Germany: Springer. p. 286-93.

      15. Inoue T, Hirose H, Yasuo S, Kazunori H, editors. Development of a simulator of powered wheelchair. In: Proceedings of the RESNA ’98 Conference; June 26-30, 1998; Minneapolis: ERIC.

        • Kamaraj D.C.
        • Dicianno B.
        • Youk A.
        • Mahajan H.P.
        • Cooper R.
        Perceived workload between experienced and novice power wheelchair users while using a wheelchair driving simulator.
        Arch Phys Med Rehabil. 2015; 10: e60-e61
        • Katevas N.
        • Triantafillou S.
        • Koutsouris D.
        WHEELOGO: navigation in virtual space by wheelchairs and LOGO.
        Advancement of Assistive Technology. 1997; 3: 314
      16. Ktena SI, Abbott W, Faisal AA, editors. A virtual reality platform for safe evaluation and training of natural gaze-based wheelchair driving. In: 2015 7th International IEEE/EMBS Conference on Neural Engineering (NER); April 22-24, 2015; Montpellier, France: IEEE.

      17. Lanyi CS, Tolgyesy SM, Szucs V, Toth Z, editors. Wheelchair driving simulator: computer aided training for persons with special need. In: 2015 6th IEEE International Conference on Cognitive Infocommunications (CogInfoCom); October 19-21, 2015; Gyor, Hungary: IEEE.

      18. Nybakke A, Ramakrishnan R, Interrante V, editors. From virtual to actual mobility: Assessing the benefits of active locomotion through an immersive virtual environment using a motorized wheelchair. In: 2012 IEEE Symposium on 3D User Interfaces (3DUI); 2012; IEEE.

      19. Nybakke A, Ramakrishnan R, Interrante V, editors. Are motorized wheelchairs an effective method of locomotion in virtual environments? In: 2012 IEEE Virtual Reality Workshops (VRW); 2012; IEEE.

        • O'Connor T.J.
        • Fitzgerald S.G.
        • Cooper R.A.
        • Thorman T.A.
        • Boninger M.L.
        Does computer game play aid in motivation of exercise and increase metabolic activity during wheelchair ergometry?.
        Med Eng Phys. 2001; 23: 267-273
      20. Ponce P, Molina A, Mendoza R, Ruiz MA, Monnard DG, Del Campo LDF, editors. Intelligent wheelchair and virtual training by labVIEW. In: Mexican International Conference on Artificial Intelligence; November 8-13, 2010; Heidelberg, Germany: Springer. p. 422-35.

      21. Randria I, Abellard A, Khelifa MB, Abellard P, Ramanantsizehena P, editors. Evaluation of trajectory applied to collaborative rehabilitation for a wheelchair driving simulator. In: 4th European Conference of the International Federation for Medical and Biological Engineering; November 23-27, 2009; Heidelberg, Germany: Springer. p. 1843-6.

        • Secoli R.
        • Zondervan D.
        • Reinkensmeyer D.
        Using a smart wheelchair as a gaming device for floor-projected games: a mixed-reality environment for training powered-wheelchair driving skills.
        Studies in Health Technology and Informatics. 2011; 173: 450-456
      22. Secco EL, Sottile R, Davalli A, Calori L, Cappello A, Chiari L, editors. VR-Wheel: a rehabilitation platform for motor recovery. In: 2007 Virtual Rehabilitation; Setpember 27-29, 2007; Venice, Italy: IEEE.

      23. Sonar AV, Burdick KD, Begin RR, et al, editors. Development of a virtual reality-based power wheel chair simulator. In: IEEE International Conference Mechatronics and Automation, 2005; July 29-August 1, 2005; Niagra Falls, On, Canada: IEEE.

        • Spaeth D.M.
        • Mahajan H.
        • Karmarkar A.
        • Collins D.
        • Cooper R.A.
        • Boninger M.L.
        Development of a wheelchair virtual driving environment: trials with subjects with traumatic brain injury.
        Arch Phys Med Rehabil. 2008; 89: 996-1003
        • Stott I.
        • Sanders D.
        The use of virtual reality to train powered wheelchair users and test new wheelchair systems.
        Int J Rehabil Res. 2000; 23: 321-326
      24. Suqita N, Yoshizawa M, Kojima Y, et al, editors. Evaluation of navigation skill of elderly people using the cycling wheel chair in a virtual environment. In: 2015 International Conference on Virtual Rehabilitation Proceedings (ICVR); 2013; IEEE.

      25. Tao G, Archambault P, editors. Using a 3D hand motion controller in a virtual power wheelchair simulator for navigation-reaching. In: 2015 International Conference on Virtual Rehabilitation Proceedings (ICVR); March 18-20, 2015; Lake Buena Vista, FL: IEEE.

      26. Zatla H, Hadj-Abdelkader A, Morere Y, Bourhis G, editors. OPCM model application on a 3D simulator for powered wheelchair. In: Virtual Rehabilitation Proceedings (ICVR), 2015 International Conference on; June 9-12, 2015; Valencia, Spain: IEEE.

        • Adelola I.A.
        • Cox S.L.
        • Rahman A.
        Virtual environments for powered wheelchair learner drivers: case studies.
        Technol Disabil. 2009; 21: 97-106
        • Archambault P.S.
        • Tremblay S.
        • Cachecho S.
        • Routhier F.
        • Boissy P.
        Driving performance in a power wheelchair simulator.
        Disabil Rehabil Assistive Technol. 2012; 7: 226-233
        • Harrison A.
        • Derwent G.
        • Enticknap A.
        • Rose F.
        • Attree E.
        The role of virtual reality technology in the assessment and training of inexperienced powered wheelchair users.
        Disabil Rehabil. 2002; 24: 599-606
        • Hasdai A.
        • Jessel A.S.
        • Weiss P.L.
        Use of a computer simulator for training children with disabilities in the operation of a powered wheelchair.
        Am J Occup Ther. 1998; 52: 215-220
        • Huang W.P.
        • Wang C.C.
        • Hung J.H.
        • et al.
        Joystick-controlled video console game practice for developing power wheelchairs users’ indoor driving skills.
        J Phys Ther Sci. 2015; 27: 495
        • Linden M.A.
        • Whyatt C.
        • Craig C.
        • Kerr C.
        Efficacy of a powered wheelchair simulator for school aged children: a randomized controlled trial.
        Rehabil Psychol. 2013; 58: 405
      27. Majdolashrafi M, Ahmadabadi MN, Ghazavi A, editors. A desktop virtual environment to train motorized wheelchair driving. In: 2002 IEEE International Conference on Systems, Man and Cybernetics; October 6-9, 2002; Yasmine Hammamet, Tunisia: IEEE.

      28. Morère Y, Bourhis G, Cosnuau K, Guilmois G, Blangy E, Rumilly É, editors. ViEW, a wheelchair simulator for driving analysis. In: 2015 International Conference on Virtual Rehabilitation Proceedings (ICVR); June 9-12, 2015; Valencia, Spain: IEEE.

        • Tao G.
        • Archambault P.S.
        Powered wheelchair simulator development: implementing combined navigation-reaching tasks with a 3D hand motion controller.
        J Neuroeng Rehabil. 2016; 13: 1
        • Webster J.S.
        • McFarland P.T.
        • Rapport L.J.
        • Morrill B.
        • Roades L.A.
        • Abadee P.S.
        Computer-assisted training for improving wheelchair mobility in unilateral neglect patients.
        Arch Phys Med Rehabil. 2001; 82: 769-775
        • Kirby R.L.
        • Swuste J.
        • Dupuis D.J.
        • MacLeod D.A.
        • Monroe R.
        The Wheelchair Skills Test: a pilot study of a new outcome measure.
        Arch Phys Med Rehabil. 2002; 83: 10-18
        • Breslin M.L.
        • Yee S.
        The current state of health care for people with disabilities.
        National Council on Disability, Washington, DC2009
        • Dabbs A.D.
        • Myers B.A.
        • Mc Curry K.R.
        • et al.
        User-centered design and interactive health technologies for patients.
        Comput Inform Nurs. 2009; 27: 175
        • Anthony P.
        • Brinson C.M.
        • Brownrigg S.
        • et al.
        Occupational therapy practice framework: domain and process.
        Am J Occup Ther. 2002; 56: 609-639
        • Rebeiro K.L.
        • Polgar J.M.
        Enabling occupational performance: optimal experiences in therapy.
        Can J Occup Ther. 1999; 66: 14-22
        • Rushton P.W.
        • Kirby R.L.
        • Routhier F.
        • Smith C.
        Measurement properties of the Wheelchair Skills Test–Questionnaire for powered wheelchair users.
        Disabil Rehabil Assist Technol. 2016; 11: 400-406
        • Lindquist N.J.
        • Loudon P.E.
        • Magis T.F.
        • Rispin J.E.
        • Kirby R.L.
        • Manns P.J.
        Reliability of the performance and safety scores of the wheelchair skills test version 4.1 for manual wheelchair users.
        Arch Phys Med Rehabil. 2010; 91: 1752-1757