title: Wheelchair skills performance between discharge and one year after inpatient rehabilitation in hand-rim wheelchair users with spinal cord injury.
abstract: OBJECTIVE
  To study possible changes in wheelchair skills in participants with spinal cord injury between discharge and 1 year after rehabilitation, and to determine whether changes in wheelchair skills performance are related to lesion and personal characteristics, self-efficacy, and wheelchair satisfaction.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Eight rehabilitation centres with spinal cord injury units in the Netherlands.
  
  
  METHODS
  A total of 111 participants performed the Wheelchair Circuit twice: at discharge (t1) and 1 year after discharge (t2). Personal/lesion characteristics, self-efficacy, and wheelchair satisfaction were measured. Normalized ability score and performance time score were analysed with a linear multilevel regression analysis for possible associations with wheelchair skills.
  
  
  RESULTS
  No statistically significant changes were found in the ability and performance time scores of the Wheelchair Circuit over the first year after discharge. Younger persons, those with paraplegia, and those with a better self-efficacy score showed higher ability scores and faster performance time scores on both test occasions.
  
  
  CONCLUSIONS
  Wheelchair skills performance, measured with the Wheelchair Circuit, did not change during the first year after discharge from inpatient rehabilitation. Wheelchair skills performance was associated with age, lesion level and self-efficacy perceptions.
authors.affiliation: Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Faculty of Kinesiology and Rehabilitation Sciences, Tervuursevest 101, BE-3001 Leuven, Belgium. douer@netvision.net.il
authors.forename: Osnat
authors.initials: O
authors.lastname: Fliess-Douer
authors.forename: Yves C
authors.initials: YC
authors.lastname: Vanlandewijck
authors.forename: Marcel W M
authors.initials: MW
authors.lastname: Post
authors.forename: Lucas H V
authors.initials: LH
authors.lastname: Van Der Woude
authors.forename: Sonja
authors.initials: S
authors.lastname: De Groot
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D057187:Independent Living; D007297:Inpatients; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010264:Paraplegia / Q000209:etiology / Q000534:rehabilitation*; D010351:Patient Discharge; D010549:Personal Satisfaction; D011446:Prospective Studies; D012047:Rehabilitation Centers; D020377:Self Efficacy; D013119:Spinal Cord Injuries / Q000150:complications / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014910:Wheelchairs; D055815:Young Adult