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Physiotherapy and Occupational Therapy Journal

Volume  9, Issue 1, January - March 2016, Pages 13-18
 

Original Article

The Effect of Mode of Instructions on Training of Wheelchair Curb Negotiation and Transfers in Paraplegics

Madhurima Shukla*, Jaskirat Kaur**

*Physiotherapist, St. Stephen’s Hospital Marg, Tis Hazari, New Delhi, India 110054. **Assistant Professor, MPT (Neurology), ISIC Institute of Rehabilitation Sciences, Vasant Kunj, New Delhi 110070, India.

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DOI: DOI: http://dx.doi.org/10.21088/potj.0974.5777.9116.3

Abstract

 Background and purpose: The principles of motor learning have been used in neuro-rehabilitation for the learning and re-learning of a skill. Wheelchair skill training is one such aspect in the field of neuro-rehabilitation. As dependence on wheelchair is an important part of daily life in majority of persons with spinal cord injury an effective method of training wheelchair skills is important. The purpose of this study was to evaluate the effects of video and verbal modes of instructions on training of three important wheelchair skills. Methods: 30   participants  with  paraplegia  were recruited into two groups randomly. Group one received video instructions and group two received verbal instructions for three wheelchair skills; ascending 10cm curb, descending 10cm curb and transfers.   participants were given a maximum of five day training sessions. Each task was trained for 20min daily, until passed. Total training time as well as training time for each task was recorded. Success  rate for both the groups was also calculated. Results: The video instruction group required significantly less training time as compared to the verbal instruction group for training of the three wheelchair skills. However, the success rate for both the groups came out to be 100 percent. Conclusion: This study provides the evidence that video mode of instruction is effective in terms of time for training of wheelchair skills in persons with spinal cord injury.

Keywords: Motor Learning; Curb  Negotiation; Transfer; Spinal Cord Injury.

Corresponding Author : Jaskirat Kaur**