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Utrecht Pediatric Wheelchair Mobility Skills Test: Reliability, Validity, and Responsiveness in Youths Using a Manual

Marleen E Sol1, Janke F de Groot2, Maremka Zwinkels3

  • 1Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands; Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, the Netherlands; and De Hoogstraat Rehabilitation, Utrecht, the Netherlands.

Physical Therapy
|April 3, 2019
PubMed

Insights

The Utrecht Pediatric Wheelchair Mobility Skills Test (UP-WMST) 2.0 demonstrates strong reliability and validity for assessing manual wheelchair skills in youth. This validated tool shows promise for measuring changes in mobility skills after interventions.

Area of Science:

  • Pediatric Rehabilitation
  • Assistive Technology Assessment
  • Motor Skill Development

Background:

  • Assessing wheelchair mobility skills (WMS) in youth using manual wheelchairs is crucial for their development and independence.
  • Limited psychometric data exists for the Utrecht Pediatric Wheelchair Mobility Skills Test (UP-WMST).

Purpose of the Study:

  • To evaluate the reliability, content validity, construct validity, and responsiveness of the UP-WMST 2.0.
  • To establish the UP-WMST 2.0 as a robust tool for assessing manual wheelchair skills in pediatric populations.

Main Methods:

  • A cross-sectional study involving 117 manual wheelchair users (children and adolescents).
  • UP-WMST 2.0 assessed for test-retest reliability (n=30), content validity (floor/ceiling effects), construct validity (hypothesis testing), and responsiveness (n=23 post-training).

Main Results:

  • High test-retest reliability (ICC=0.97 for total score, Cohen kappa 0.63-0.98 for items).
  • No floor or ceiling effects detected, indicating good content validity.
  • Construct validity confirmed through significant differences between groups.
  • Preliminary responsiveness showed a significant increase in UP-WMST 2.0 scores post-training (8.3 points).

Conclusions:

  • The UP-WMST 2.0 exhibits strong test-retest reliability and content/construct validity for pediatric manual wheelchair users.
  • Initial evidence suggests the UP-WMST 2.0 is responsive to changes in WMS, supporting its use in evaluating interventions.
Abstract

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