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Spotlight Best Practice Organization Spinal Cord Rehabilitation Program – Nova Scotia Rehabilitation Centre, Queen Elizabeth II Health Sciences Centre, Capital Health and Dalhousie University Wheelchair Research Team The Nova Scotia Rehabilitation Centre (NSRC), in Halifax, provides inpatient and outpatient rehabilitative services to adults through videoconferencing and outreach. The Spinal Cord Rehabilitation Program services include physiatry, occupational and physical therapy, orthotics, recreation, speech language, vocational counselling, social work, and spiritual and medical care. With a strong commitment to evidence-informed approaches to health and wellness, throughout the continuum of care, there is a significant focus on mobility. The NSRC’s Mobility Centre, used by walkers and wheelers, incorporates indoor obstacles, a GAITRite System and the Wheelchair Skills Program (WSP). The WSP - a free resource to users - uses a set of assessment and training protocols, and includes the Wheelchair Skills Test (WST), the Wheelchair Skills Training Program (WSTP), as well as related materials developed by a team of clinicians and researchers. Described as a “low tech, high impact” intervention by Nenad Kostanjsek of the World Health Organization, the WSP was started in 1996, by the Wheelchair Research Team, at Dalhousie University and Capital District Health Authority. The WSP is fully integrated within the service delivery associated with the NSRC Spinal Cord Rehabilitation Program, and is currently being used, or considered for use, at several other SCI rehabilitation programs, across Canada and other parts of the world. Differences in the WSP, in comparison with other measurement tools and training approaches, include a focus on both the wheelchair user and the caregiver, the inclusion of manual and powered wheelchairs, a foundation in motor skills, biomechanics and ergonomics literature, the process and sequencing of the training; and ongoing, scientific evaluation of the program. http://www.wheelchairskillsprogram.ca. 146 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


N - Wheeled Mobility
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