Neurological DisordersNCT07131553
Evaluation of the Wheelchair School (Drivkraft) a Clinical Study
A study testing Wheelchair school and Comparison group, conventional rehabilitation in people with Neurological Disorders and Wheelchair Mobility, run by Karolinska Institutet at 1 site in Sweden.
Trial summary
This project will evaluate the Wheelchair School with the Drivkraft Methodology in a clinical setting. Participants are adults with chronic neurological diagnoses. For a person requiring a wheelchair, a well-functioning, individually adapted wheelchair and good maneuvering skills are essential for an independent daily… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neurological Disorders, Wheelchair Mobility, Rehabilitation
- What is being tested?
- Wheelchair school and Comparison group, conventional rehabilitation
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteSweden
- Study dates
- 1 Oct 2025to Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participant in the Drivkraft Wheelchair school at Aleris Rehab Station
- Adult with neurological diagnosis using manual wheelchair
Who cannot join
- Persons with Parkinsons Disease
- Persons with too limited Swedish language skills to fill in study forms or make a signed consent
- Persons with cognitive impairments affecting their ability to fill in study forms or make a signed consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Sweden1 site
Aleris Rehab Station
Solna, 169 89
Emelie Butler Forslund, PhD, 46-8-555 44 033, emelie.butler.forslund@ki.se
Kerstin Wahman, Associate Professor, kerstin.wahman@ki.se
About this study
Official title: Utvärdering av Rullstolsskolan Drivkraft en Klinisk Studie av Ett beprövat Koncept
This project will evaluate the Wheelchair School with the Drivkraft Methodology in a clinical setting. Participants are adults with chronic neurological diagnoses. For a person requiring a wheelchair, a well-functioning, individually adapted wheelchair and good maneuvering skills are essential for an independent daily life. These factors are also crucial in reducing the risk of secondary complications and pain. The Wheelchair School was founded in the 1990s, is provided by referral and both peer mentors and physiotherapists collaborate. It includes wheelchair prescription and adjustments, individually adapted wheelchair skills training, and theoretical lessons in group during 16 half-day sessions.
The overarching aim is to evaluate the intervention Wheelchair school with the Drivkraft method, for wheelchair skills and patient safety for persons with chronic neurological diagnoses in a Swedish context. Also to evaluate the psychometric properties of the Drivkraft Manouevering Test (DWMT) for wheelchair skills.
Read the detailed description
Evaluation of the Wheelchair School using the Drivkraft Methodology This study focuses on adults with permanent neurological diagnoses (e.g., multiple sclerosis -MS, spinal cord injury) who continuously use a wheelchair. Education in a group setting with peer mentors who have personal experience of using a wheelchair, alongside interaction with other participants in similar situations, can be highly beneficial. The training program includes individual wheelchair prescription and or adjustments, wheelchair technique instruction, theoretical lessons, and group training. The program consists of 16 half-day sessions with peer mentors and physiotherapists in a clinical setting.
Research questions:
Do the participants improve in the following aspects directly after, and two months after the intervention: Wheelchair skills (WST and DWMT), satisfaction during everyday activities (Wheelchair Outcome Measure [WhoM]), confidence during everyday activities (Wheelchair confidence measure [WCM]), shoulder pain (wheelchair user shoulder pain index [WUSPI],fear and concerns about falling (Falls Concern Scale[FCS]), and number of falls and fall-related injuries? Is improvement of wheelchair skills associated with higher satisfaction and confidence, as well as decreased concerns about falling during daily activities? Does DWMT have sound psychometric properties, validity and sensitivity to change compared to WST? Method Design: A prospective intervention study with a comparison group. Participants: Adults with permanent neurological diagnoses referred to the Wheelchair School at Aleris Rehab Station, Stockholm, Sweden. The active comparison group comprises individuals with similar diagnoses in the same age range participating in other programs of similar length and intensity at the same unit.
Procedure: All participants undergo a physiotherapy assessment, assessment of the wheelchair including settings and manouvering skills (DWMT, WST). Also, the participants answer patient reported outcome measures (WCM, WhOM, FCS), before, directly after the rehabilitation, and after two months. The active comparison group are assessed at the same time points with the same outcome measures. The program consists of 15 half-day training sessions, and a follow-up. Psychometric properties and validity of the DWMT will be assessed
- Conditions
- Neurological Disorders, Wheelchair Mobility, Rehabilitation
- Being tested
- Wheelchair school, Comparison group, conventional rehabilitation
- Keywords
- wheelchair skills, spinal cord injury, multiple sclerosis, wheelchair user
- Medical subject headings
- Nervous System Diseases, Spinal Cord Injuries, Multiple Sclerosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Wheelchair schoolOther
Wheelchair skills training with pysiotherapist and peer mentor
Comparison group, conventional rehabilitationOther
Also called Conventional rehabilitation
Conventional rehabilitation at the same unit of similiar length and intensity
| Study group | Role | What they receive |
|---|---|---|
| Intervention group wheelchair school | Experimental | Wheelchair school, 15 half days of wheelchair training Receives: Other: Wheelchair school |
| Comparison group | Active comparator | conventional rehabilitation Receives: Other: Comparison group, conventional rehabilitation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Drivkraft manouevering test
Test of wheelchair skills: curbs, slalom, ramps and wheelies
Measured: baseline, post intervention and at 2 months follow-up
Secondary outcomes (3)
Wheelchair outcome measure (WhOM)
A patient-reported outcome measure. Assesses how satisfied a person is when performing three self- selected everyday activity in which they use their wheelchair. They rate importance of the activity 0 (not important)-10 (most importance) and satisfaction with the activity 0 (not satisfied at all) -10 (extremely satisfied). Importance x satisfaction are compared before and after intervention
Measured: baseline, post intervention and at 2 months follow-up
Wheelchair Skills Test (WST)
Assesses wheelchair skills: manouvering obstacles, ramps, wheelies etc
Measured: baseline, post intervention and at 2 months follow-up
Spinal Cord Injury Falls Concern Scale (SCI-FCS)
A patient-reported outcome measure. Concerns about falling are assessed during 16 everyday activities. The person assess concerns about falling from 1 (no concern about falling) to 4 very concerned. Max 64 points
Measured: baseline, post intervention and at 2 months follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Aug 2025
- Study start1 Oct 2025 (estimated)
- Primary completion1 Feb 2027 (estimated)
- Study completionDec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neurological DisordersStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Collaborators
- Aleris Rehab Station, Stockholm
- Responsible party
- Principal investigator, Emelie Butler Forslund, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07131553
- Sponsor's protocol ID
- Dnr 2023-06358-01
- Status last verified
- Aug 2025
- First submitted
- 27 Jun 2025
- Last updated
- 20 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Due to Swedish law, some data might be shared upon reasonable request
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Utvärdering av Rullstolsskolan Drivkraft en Klinisk Studie av Ett beprövat Koncept
- ClinicalTrials.gov ID
- NCT07131553
- Acronym / sponsor ID
- Dnr 2023-06358-01
- Conditions
- Neurological Disorders, Wheelchair Mobility, Rehabilitation
- Keywords
- wheelchair skills, spinal cord injury, multiple sclerosis, wheelchair user
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Karolinska InstitutetUniversity, hospital or other
- Collaborators
- Aleris Rehab Station, Stockholm
- Study start
- 1 Oct 2025 (estimated)
- Primary completion
- 1 Feb 2027 (estimated)
- Study completion
- Dec 2027 (estimated)
- First posted
- 20 Aug 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This project will evaluate the Wheelchair School with the Drivkraft Methodology in a clinical setting. Participants are adults with chronic neurological diagnoses. For a person requiring a wheelchair, a well-functioning, individually adapted wheelchair and good maneuvering skills are essential for an independent daily life. These factors are also crucial in reducing the risk of secondary complications and pain. The Wheelchair School was founded in the 1990s, is provided by referral and both peer mentors and physiotherapists collaborate. It includes wheelchair prescription and adjustments, individually adapted wheelchair skills training, and theoretical lessons in group during 16 half-day sessions.
The overarching aim is to evaluate the intervention Wheelchair school with the Drivkraft method, for wheelchair skills and patient safety for persons with chronic neurological diagnoses in a Swedish context. Also to evaluate the psychometric properties of the Drivkraft Manouevering Test (DWMT) for wheelchair skills.
Detailed description
Evaluation of the Wheelchair School using the Drivkraft Methodology This study focuses on adults with permanent neurological diagnoses (e.g., multiple sclerosis -MS, spinal cord injury) who continuously use a wheelchair. Education in a group setting with peer mentors who have personal experience of using a wheelchair, alongside interaction with other participants in similar situations, can be highly beneficial. The training program includes individual wheelchair prescription and or adjustments, wheelchair technique instruction, theoretical lessons, and group training. The program consists of 16 half-day sessions with peer mentors and physiotherapists in a clinical setting.
Research questions:
Do the participants improve in the following aspects directly after, and two months after the intervention: Wheelchair skills (WST and DWMT), satisfaction during everyday activities (Wheelchair Outcome Measure [WhoM]), confidence during everyday activities (Wheelchair confidence measure [WCM]), shoulder pain (wheelchair user shoulder pain index [WUSPI],fear and concerns about falling (Falls Concern Scale[FCS]), and number of falls and fall-related injuries? Is improvement of wheelchair skills associated with higher satisfaction and confidence, as well as decreased concerns about falling during daily activities? Does DWMT have sound psychometric properties, validity and sensitivity to change compared to WST? Method Design: A prospective intervention study with a comparison group. Participants: Adults with permanent neurological diagnoses referred to the Wheelchair School at Aleris Rehab Station, Stockholm, Sweden. The active comparison group comprises individuals with similar diagnoses in the same age range participating in other programs of similar length and intensity at the same unit.
Procedure: All participants undergo a physiotherapy assessment, assessment of the wheelchair including settings and manouvering skills (DWMT, WST). Also, the participants answer patient reported outcome measures (WCM, WhOM, FCS), before, directly after the rehabilitation, and after two months. The active comparison group are assessed at the same time points with the same outcome measures. The program consists of 15 half-day training sessions, and a follow-up. Psychometric properties and validity of the DWMT will be assessed
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group wheelchair school | Experimental | Other: Wheelchair schoolWheelchair school, 15 half days of wheelchair training |
| Comparison group | Active comparator | Other: Comparison group, conventional rehabilitationconventional rehabilitation |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Participant in the Drivkraft Wheelchair school at Aleris Rehab Station
- Adult with neurological diagnosis using manual wheelchair
Key exclusion criteria (3 listed)
- Persons with Parkinsons Disease
- Persons with too limited Swedish language skills to fill in study forms or make a signed consent
- Persons with cognitive impairments affecting their ability to fill in study forms or make a signed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Wheelchair schoolWheelchair skills training with pysiotherapist and peer mentor | Other | Intervention group wheelchair school |
| Comparison group, conventional rehabilitationAlso: Conventional rehabilitationConventional rehabilitation at the same unit of similiar length and intensity | Other | Comparison group |
Primary outcome
Drivkraft manouevering test
Time frame: baseline, post intervention and at 2 months follow-up
Test of wheelchair skills: curbs, slalom, ramps and wheelies
3 secondary outcomes
Wheelchair outcome measure (WhOM)
Time frame: baseline, post intervention and at 2 months follow-up
Wheelchair Skills Test (WST)
Time frame: baseline, post intervention and at 2 months follow-up
Spinal Cord Injury Falls Concern Scale (SCI-FCS)
Time frame: baseline, post intervention and at 2 months follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2025.
- Individual participant dataSharing planned: No. Due to Swedish law, some data might be shared upon reasonable request
Related trials for Neurological Disorders
Not yet recruiting
Virtual Reality to Advance Dementia Care and Quality of Life
Dementia, Agitation
Not yet recruiting
Miniature In-line Respirator
Brain Death, Respiration, Artificial
Recruiting
Delay AvoIding Primary Evaluation for ThRombectomy of Acute StrokE Patients With Large Vessel OCclusion in the Angiography SuiTe
Stroke, Acute
Not yet recruiting
Effects of Adding Vagal Neuromodulation to Manual Therapy in Women With Fibromyalgia
Fibromyalgia (FM) OR Fibromyalgia Syndrome, Manuel Therapy
Active, not recruitingObservational study
A Study of the Safety of Nusinersen (Spinraza®) and Its Effects on Motor Function in Koreans Living With SMA Treated During Their Usual Medical Care
Muscular Atrophy, Spinal
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Wheelchair school and Comparison group, conventional rehabilitation in people with Neurological Disorders and Wheelchair Mobility, run by Karolinska Institutet at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 20 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Drivkraft manouevering test (time frame: baseline, post intervention and at 2 months follow-up). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Aug 2025.