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Maximizing Children and Adolescents’ Wheelchair Independence and Participation in Meaningful Activities Through Wheelchair Skills Training

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1.  Which of the following statements accurately describes the steps of the wheelchair provision process? When selecting a wheelchair for a person with mobility limitations a physical therapist should conduct an individual assessment that takes into account several elements, including the physical conditions, wheelchair skills, everyday life activities, and home environment. After the delivery of the wheelchair, physical therapists should proceed to the fitting. They assess that the wheelchair is correctly assembled, set up and offer appropriate postural support for the user. Wheelchair skills training is a specialized intervention requiring many resources. Therefore, this service should only be offered to current wheelchair users. Follow-up, maintenance and repair activities should only be provided when wheelchair users or caregivers notice problems. None of the above. Steps of the wheelchair provision process is dependent on the supplier only.

2.  Which of the following spotting intervention is preferable to prevent a lateral tip or fall (e.g., when descending a curb)? Use a spotter strap Hold the back canes of the wheelchair Put one hand in front of the shoulder of the wheelchair user’s shoulder There are no preferable techniques. You can use all interchangeably to prevent a specific directional tip or fall

3.  Which of the following resources are actually available on the Wheelchair Skills Program’s website to facilitate the delivery of evidence-based wheelchair skills training? A condensed pediatric-specific manual to provide physical therapists with guidelines on how to train wheelchair skills in children and adolescents Videos and posters illustrating the main steps to perform several wheelchair skills, Remote learning courses to train physical therapists on how to deliver evidence-based wheelchair skills testing and training interventions, and a manual that includes evaluation and training protocols Remote learning courses to train physical therapists on how to deliver evidence-based wheelchair skills testing and training interventions and an elaborate pediatric-specific manual to provide physical therapists with guidelines on how to train wheelchair skills in children and adolescents only (no content on adult wheelchair users) Remote learning courses to train physical therapists on how to deliver evidence-based wheelchair skills testing and training interventions only. No other resources available.

4.  Which (or all) of the following elements are key ingredients to include in a wheelchair skills training intervention to facilitate children’s and adolescents’ motor learning and active engagement? Playful approach Collaboration with caregivers Training in real life settings to ensure skill generation and transfer. All of the above are key ingredients to include in a wheelchair skills training intervention to facilitate children’s and adolescents’ motor learning and active engagement

5.  Which of these is TRUE regarding using a peer-led approach to wheelchair skills training? The only advantage of using a peer-led approach is that it fosters observational learning. Vicarious experience can strengthen self-efficacy (confidence in children’s and adolescents’ ability to learn new wheelchair skills) and a peer-led approach to wheelchair skills training promotes social support Skills demonstrations are only possible using peer-led approach All of the above are true