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CTRI Number  CTRI/2023/11/059492 [Registered on: 03/11/2023] Trial Registered Prospectively
Last Modified On: 26/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Effect of Wheelchair Skill Training on Concern of Falling and Self-Confidence in Using a Wheelchair During Various Activities Among Individuals with Spinal Cord Injury Undergoing Rehabilitation 
Scientific Title of Study   Effect of Wheelchair Skill Training on Fall Concern and Perceived Self- Efficacy in Wheeled Mobility Among Individuals with Spinal Cord Injury Undergoing Rehabilitation 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ayushi Tokas 
Designation  PG student 
Affiliation  Indian Spinal Injuries Centre 
Address  Institute of Rehabilitation Sciences- Indian Spinal Injuries Centre, Rehabilitation Department- ground floor Sector C, Vasant Kunj, Opp. Vasant Valley School

South West
DELHI
110067
India 
Phone  9968844941  
Fax    
Email  tokasayushi98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Chitra Kataria 
Designation  Principal 
Affiliation  Indian Spinal Injury Centre- Institute of rehabilitation sciences 
Address  Indian Spinal Injuries Centre Rehabilitation Department, ground floor Sector C, Vasant Kunj, Opp. Vasant Valley School

South West
DELHI
110070
India 
Phone  9810310670  
Fax    
Email  chitrakataria@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Chitra Kataria 
Designation  Principal 
Affiliation  Indian Spinal Injury Centre- Institute of rehabilitation sciences 
Address  Institute of Rehabilitation Sciences-Indian Spinal Injuries Centre Rehabilitation department, ground floor Sector C, Vasant Kunj, Opp. Vasant Valley School

South West
DELHI
110070
India 
Phone  9810310670  
Fax    
Email  chitrakataria@yahoo.com  
 
Source of Monetary or Material Support  
Institute of rehabilitation Sciences- Indian Spinal Injuries Centre 
 
Primary Sponsor  
Name  Chitra Kataria 
Address  Indian Spinal Injuries Centre Sector C, Vasant Kunj, Opp. Vasant Valley School 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chitra Kataria  Indian Spinal Injuries Centre  Rehabilitation Department Ground floor Sector C, Vasant Kunj, Opp. Vasant Valley School
South West
DELHI 
9810310670

chitrakataria@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Indian Spinal Injuries Centre - Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G958||Other specified diseases of spinalcord,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  not applicable  not applicable 
Intervention  Wheelchair Skill Training  A Total of 24hrs of training distributed over a period of 4 weeks- comprising of basic, community and advanced wheelchair skills. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Spinal Cord injury - paraplegics (AIS A to C, level of injury below T1) .
Medically Stable.
Not more than 1 year since injury, undergoing conventional rehabilitation.
Ability to maintain unsupported sitting position for 30 sec.
Using wheelchair as a primary mode of mobility.
Subjects who can read and understand English or Hindi.
 
 
ExclusionCriteria 
Details  Subjects with diagnosed neurological/psychiatric problems that might impair learning.
Having upper limb pain/injury/ deformity limiting wheelchair mobility.
Subjects with unhealed pressure sores.
BMI > 30 , would hinder Wheelchair mobility.
Subjects with hearing/ visual impairment  
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Wheelchair Skills Test (WST)  WST on day 0 and again after completion at 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Spinal cord injury- fall concern scale ( SCI-FCS)
Self efficacy in wheeled mobility (SEWM) 
SCI FCS, SEWM on day 0 and again after completion at 4 weeks 
 
Target Sample Size   Total Sample Size="18"
Sample Size from India="18" 
Final Enrollment numbers achieved (Total)= "18"
Final Enrollment numbers achieved (India)="18" 
Phase of Trial   N/A 
Date of First Enrollment (India)   11/11/2023 
Date of Study Completion (India) 20/05/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The ability to perform safe and effective wheelchair skills, such as wheelies and propulsion up and down a ramp or curb, plays an important role in daily mobility of full-time manual wheelchair users with spinal cord injury (SCI).

Majority of individuals do not self-propel their manual wheelchairs due to the lack of wheelchair skills training in India. Wheelchair skill training program(WSTP) is a formal standardized goal-setting & training method that can help individuals with spinal cord injury (SCI) understand the limits of their mobility skills in order to reduce the risks of tips & falls and regain control over their lives.

The main goal of this study is to implement a safe, practical, and efficient wheelchair skills training protocol during the phase of rehabilitation after spinal cord injury and determine its efficacy on fall concern & confidence in a wheelchair.

Patients will be selected based on inclusion and exclusion criteria. They will receive 16 sessions of wheelchair skill training over 4 weeks (4 sessions/week). 

The outcome measurements will be done by wheelchair skills test (WST), SCI fall concern scale (SCI FCS) and self-efficacy in wheeled mobility (SEWM. The changes in the pre and post outcome measure will help us to find out that if and how much is the wheelchair skill training programme effective in improving wheelchair skills, fall concern, confidence and functional ability in individuals with spinal cord injury undergoing supervised rehabilitation.

 
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