Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Institut de réadaptation en déficience physique de Québec, Québec City, Québec, Canada.
Arch Phys Med Rehabil. 2012 Jun;93(6):940-8. doi: 10.1016/j.apmr.2012.01.017. Epub 2012 Apr 10.
To test the hypotheses that, in comparison with a control group that received standard care, users of manual wheelchairs who also received the French-Canadian version of the Wheelchair Skills Training Program (WSTP) would significantly improve their wheelchair-skills capacity and that these improvements would be retained at 3 months.
Multicenter, single-blind, randomized controlled trial.
Three rehabilitation centers in Montréal, Quebec, Canada.
Manual wheelchair users (N=39), a sample of convenience.
Participants were randomly allocated to the WSTP or control groups. Participants in both groups received standard care. Participants in the WSTP group also received a mean of 5.9 training sessions (a mean total duration of 5h and 36min).
The French-Canadian version of the Wheelchair Skills Test (WST) (Version 3.2) was administered at evaluation at first time period (baseline) (t1), evaluation at second time period (posttraining) (t2) (a mean of 47d after t1), and at evaluation at third time period (follow-up) (t3) (a mean of 101d after t2).
At t2, the mean ± SD total percentage WST capacity scores were 77.4%±13.8% for the WSTP group and 69.8%±18.4% for the control group (P=.030). Most of this difference was due to the community-level skills (P=.002). The total and subtotal Wheelchair Skills Test scores at t3 decreased by ≤0.5% from the t2 values, but differences between groups at t3, adjusting for t1, did not reach statistical significance (P≥.017 at a Bonferroni-adjusted α level of .005).
WSTP training improves wheelchair skills immediately after training, particularly at the community-skills level, but this study did not show statistically significant differences between the groups at 3 months.
检验以下假设，与接受标准护理的对照组相比，使用手动轮椅的患者在接受法国-加拿大版轮椅技能培训计划（WSTP）后，其轮椅技能能力将显著提高，并且这些提高将在 3 个月时保持。
多中心、单盲、随机对照试验。
加拿大魁北克省蒙特利尔的三个康复中心。
手动轮椅使用者（N=39），方便样本。
参与者被随机分配到 WSTP 或对照组。两组患者均接受标准护理。WSTP 组的参与者还接受了平均 5.9 次培训课程（平均总时长为 5 小时 36 分钟）。
采用法语-加拿大版轮椅技能测试（WST）（第 3.2 版）进行评估，评估时间分别为第一时间段（基线）（t1）、第二时间段（培训后）（t2）（t1 后平均 47 天）和第三时间段（随访）（t3）（t2 后平均 101 天）。
在 t2 时，WSTP 组的平均±SD 总 WST 能力评分±13.8%为 77.4%，对照组为 69.8%±18.4%（P=.030）。这一差异主要归因于社区技能（P=.002）。t3 时的总 WST 评分和各分项评分较 t2 时的评分下降了≤0.5%，但在调整 t1 后，两组间的差异在统计学上无显著性意义（P≥.017，Bonferroni 校正的α水平为.005）。
WSTP 培训可在培训后立即提高轮椅技能，尤其是在社区技能方面，但本研究在 3 个月时未显示出两组间的统计学差异。
