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Study Tests Wheelchair Propulsion Alternative to Tandem Gait

A small repeated-measures study examined a wheelchair propulsion task as a possible tandem-gait alternative, reporting dual-task slowing and reliability over 45 days.

Study Tests Wheelchair Propulsion Alternative to Tandem Gait

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Wheelchair-Specific Task

Researchers described a wheelchair-specific alternative to tandem gait for wheelchair sport athletes. Conventional timed tandem gait, including complex and dual-task versions, requires heel-to-toe walking unavailable to this population. The cross-sectional, repeated-measures study took place at a university adapted athletics facility.

Study Procedures

Twenty-six wheelchair-using collegiate athletes from one institution completed three single-task and three dual-task propulsion trials along a straight, nine-metre line. They wheeled down and back quickly while staying centered and continuously feeding the wheel, without power pushes or gliding. Testing occurred at baseline and after one week and 45 days; average completion time was recorded.

Performance and Reliability

Dual-task performance was 1.42 seconds slower than single-task performance. No differences were found by sex or concussion history in either condition. Test-retest reliability was good at one week (ICC 0.79-0.82) and moderate at 45 days (ICC 0.50-0.56). The authors said the findings provide baseline and reliability context, but questioned the task’s feasibility for concussion evaluation and management, noting that upper-extremity neurological assessments may be warranted.

Sources & further reading

Europe PMC — original report

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