Wheelchair skills test questionnaire for manual and powered wheelchair users: arabic translation, adaptation, and validation.
Hassan Izzeddin Sarsak
PMID 42254477WHAT IT FOUND
Arabic-speaking wheelchair users can now be asked in their own language about their wheelchair skills.
The translated self-report gave consistent answers about nine days apart and lined up with two existing Arabic measures. It records what users say they can do, not observed skill.
Key findings
01The Arabic versions held together as a scale and gave stable answers: internal consistency was 0.91 for the manual version and 0.93 for the power version, and the same people tested an average of 9.4 days apart produced agreement values of 0.963 to 0.976 across the capacity, confidence and performance domains.
02Scores agreed with two established Arabic measures: the manual version correlated at 0.754 with the FEW and 0.642 with the WheelCon, while the power version correlated at 0.864 and 0.744.
03Scores were spread across the range rather than piling up at the extremes: in the manual version 4.2% to 6.3% of users scored above 90% depending on the domain, in the power version up to 9.1%, and nobody in either version scored below 10%.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Everyone was recruited by convenience through three rehabilitation hospitals in Jeddah, Saudi Arabia. People who manage at home without attending a clinic may have different skills, and the authors say their results cannot be generalised regionally or nationally. Four of the 52 people recruited were dropped because they left questions blank, which the authors accept may have removed the people who found the questionnaire hardest to complete. It is a self-report. It records what people believe they can do, and the authors state this can differ from how they actually perform. The translation used Modern Standard Arabic and was tested in one country; the authors point out that dialects and different environments across the Arabic-speaking world may change how items are understood. Only adults took part, so nothing here applies to children who use wheelchairs. There were too few people with any one condition, such as multiple sclerosis or Parkinson's disease, to check agreement separately for those groups. The manual version's daily performance domain was the least stable of the six, with a wider confidence interval than the rest.
Declared interests
The authors declared that no financial support was received for this work or its publication.
The easy way to misread this
Do not read this as the questionnaire replacing hands-on testing. What was tested is a self-report of what users believe they can do, and the authors state this can differ from objective physical performance. Close agreement between two administrations nine days apart shows the questions are answered consistently, not that the answers are correct. The testing also took place only in Saudi Arabia, in Modern Standard Arabic, so how the tool behaves in other dialects and countries is untested.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →