A Wheelchair Propulsion Training Program

Inclusion Criteria: * 18-65 years of age * have a mobility limitation requiring the use of a manual wheelchair (MWC) * be able to self-propel a MWC bilaterally with their upper extremities * plan to use a MWC for at least 75% of their activities throughout the day * live in the community * understand English at a sixth-grade level or higher * can follow multi-step instructions * able to provide informed consent independently * able to tolerate propelling their wheelchair independently for 10m * be willing to participate in three assessments and six training sessions at the Enabling Mobility in the Community Laboratory (EMC Lab). Exclusion Criteria: * maneuver their MWC with their lower extremities or with only one upper extremity * display the proper wheelchair propulsion techniques during the screening process * MWC position inhibits them from following the CPGs * bilateral incoordination * upper extremity strength inequalities resulting in a 12-inch deviation from a marked pathway * surgeries compromising the integrity of the upper extremities * cardiovascular complications within the past year * upper extremity or overall bodily pain is rated 8/10 or higher per the Wong-Baker FACES Numeric Pain Scale (FACES) * currently receiving medical treatment for an acute upper extremity injury * have a Stage IV pressure injury or are currently hospitalized