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Virtual reality (VR) simulators can help train manual wheelchair skills. Transfer of skills from the virtual to the real world may depend on the sense of presence, or of being "in" the virtual environment. To compare 1) the usability (in terms of performance, overall experience, and satisfaction), as well as 2) the sense of presence, in a wheelchair simulator with two display conditions a head-mounted display (HMD) or a computer monitor. Sixteen healthy adults practiced in the wheelchair simulator, first with a computer monitor display a