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Table 5 Combining evidence from literature of phase 1 with the clinical expertise of phase 2 and 3

From: Development of a wheelchair mobility skills test for children and adolescents: combining evidence with clinical expertise

Phase 1: wheelchair mobility skill items

Phase 2: selection of relevant items

Phase 3: Pilot testing

Health care professional

Children and their parents

Item selected for phase 3

Opinion of health care professional

Relevant items

Relevant items

Activities

Cross the road

Maneuver in crowded place

Maneuver in small rooms

Uneven surfaces

1. Propulsion forwarda, b, c, d

10–50 m

Yes

Yes

x

x

x

x

Yes

Include

2. Propulsion backwardsa

5 m

Yes

  

x

x

 

Yes

Include

3. Rolls on soft surfacea, c

2 m (gravel, mat, grass)

Yes

Yes

   

x

Yes

Include mat, exclude gravel and grass

4. Turns 90° while moving forwarda

Left

Yes

Yes

 

x

x

 

Yes

Include

Right

  

5. Turns 90° while moving backwarda

Left

Yes

  

x

x

 

Yes

Include

Right

   

6. Turns 180° in placea

Left

Yes

  

x

x

 

Yes

Include

Right

   

7. Parallel parking/maneuvers sidewaysa

Left

No

     

No

-

Right

     

8. Avoids moving obstaclea

Left

Adapted

  

x

  

Adapt into sudden stop

Include

Right

    

9. Opening/Closing a doora, c

Open toward

Yes

Yes

    

Yes

Include

Open away

    

10. Figure-of-8-shapec

 

Yes

  

x

x

 

Yes

Include

11. Holding a Wheeliea, c

0–30 s

No

Yes

    

Yes

Include

12. Propelling in a Wheelie forwardc

3 m

No

     

No

-

13. Turns 180° in place in wheelie positiona

Left

No

     

No

-

Right

     

-

14. Slope ascenta, c, d

3–20%

Yes

Yes

    

Yes

Include, adapt scoring

15. Slope descenta, d

3–20%

Yes

Yes

    

Yes

Include, adapt scoring

16. Side Slopea, c

 

Yes

Yes

    

Yes

Exclude, material too big

17. Platform ascendinga, c, d

2,5–15 cm

Yes

Yese

x

   

Yes

Include, adapt scoring

18. Platform descendinga

2.5–15 cm

Yes

Yese

x

   

Yes

Include, adapt scoring

19. Doorstepa, c

1,2–4 cm

Yes

Yese

    

Yes

Include, adapt scoring

20. Gets over potholea

15 cm

No

     

No

-

21. Ascends stairsa

 

No

Yes

    

No

-

22. Descends stairsa

 

No

     

No

-

New item

 

Gutter, escalator

  

sidewalk

No

-

  1. aWheelchair Skills Test, bWheelchair Propulsion Test, cWheelchair Circuit, d5 Additional Mobility and Locomotor items, ewith and without anti-tippers