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FORM-WST 5 3 1 Manual

This document contains a Wheelchair Skills Test (WST) form to assess the skills and capacity of a manual wheelchair user. The form lists 30 individual skills that are rated on a scale of 0 to 3. It also provides instructions for calculating a total percentage score. The tester and date are recorded at the top along with space for comments.

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Aliren Alejandra Flores
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132 views2 pages

FORM-WST 5 3 1 Manual

This document contains a Wheelchair Skills Test (WST) form to assess the skills and capacity of a manual wheelchair user. The form lists 30 individual skills that are rated on a scale of 0 to 3. It also provides instructions for calculating a total percentage score. The tester and date are recorded at the top along with space for comments.

Uploaded by

Aliren Alejandra Flores
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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Wheelchair Skills Test (WST) Version 5.

3 Form
Manual Wheelchairs
Name of wheelchair user: _______________________
Caregiver assisting (if any): _______________________
Tester: _________________ Date: __________________

# Individual Skill Capacity Comments


(0-3) *

1 Rolls forward
2 Rolls backward
3 Turns in place
4 Turns while moving forward
5 Turns while moving backward
6 Maneuvers sideways
7 Reaches objects
8 Operates body positioning options
9 Shifts weight
10 Performs level transfers
11 Folds and unfolds wheelchair
12 Performs ground transfers
13 Gets through hinged door
14 Ascends slight incline
15 Descends slight incline
16 Ascends steep incline
17 Descends steep incline
18 Rolls on soft surface
19 Gets over obstacle
20 Ascends low curb
21 Descends low curb
22 Ascends high curb
23 Descends high curb
24 Performs stationary wheelie
25 Turns in place in wheelie position
26 Rolls forward and backward in wheelie
position
27 Descends high curb in wheelie position
28 Descends steep incline in wheelie position
29 Ascends stairs
30 Descends stairs
Total score:** %
* See criteria on next page.
** See formula on next page.

1
WST 5.2 Form for Manual Wheelchairs
Originally approved for distribution and use: August 19, 2022
Current version: August 19, 2022
General Scale for Scoring Skill Capacity*
Advanced pass 3 The subject carries out the skill in a highly proficient or advanced manner.
Pass 2 The subject carries out the skill independently and safely, but with room for improvement.
Partial pass 1 The subject safely completes most of the evaluation criteria or can direct the actions of another
person.
Fail 0 The subject does not complete most of the evaluation criteria, is unsafe or unwilling.
No part NP The wheelchair does not have the parts to allow this skill.
Testing Error TE The tester cannot assess the skill for some reason.
* More details, including criteria specific to individual skills can be found in the WSP Manual.

Formula for calculating total percentage score:


Total WST Capacity Score = sum of individual skill scores/([number of possible skills – number of NP scores –
number of TE scores] x 3) X 100%

General comments including any suggestions for remediation:

Details about the WST can be found in the WSP Manual at http://www.wheelchairskillsprogram.ca/eng/manual.php/.

2
WST 5.2 Form for Manual Wheelchairs
Originally approved for distribution and use: August 19, 2022
Current version: August 19, 2022

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