Inclusion Criteria:

• eighteen (18) or older;
• use a manual wheelchair at least four (4) hours per day;
• in the rehabilitation process (including training in manual wheelchair use);
• have enough ability to develop skills included in the wheelchair skills training program;
• are willing to take part in the study;
• French-speaking individual capable of understanding enough of the English language to sign this form after carefully reading it
• competent to give informed consent or have a proxy with power of attorney;
• have the verbal endorsement of the clinical therapist (if any) to participate;
• have the permission of the attending physician or occupational therapist to participate;
• are alert and cooperative.

Exclusion Criteria:

• have an unstable medical condition (e.g. angina, seizures), as indicated by the attending physician, hospital or rehabilitation centre staff, enhanced registered nurse or self-report;
• have an emotional or psychiatric problem of a type or extent that might make participation unpleasant, as indicated by the attending physician, hospital or rehabilitation centre staff, enhanced registered nurse or self-report.