Manual Wheelchair Skills Capacity Predicts Quality of Life and Community Integration in Persons With Spinal Cord Injury

Hosseini, Shahla; Oyster, Michelle; Kirby, R. Lee; Harrington, Amanda L.; Boninger, Michael L.

doi:10.1016/j.apmr.2012.05.021

Cited by 89 publications

(56 citation statements)

References 32 publications

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“…These were similar priorities as found by some 24,25 but not to others. 26,27 In particular, goals relating to employment, leisure activity and personal relationships were infrequent in our sample.…”

Section: Discussionsupporting

confidence: 68%

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

et al. 2015

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Study design: Cross-sectional study. Objectives: To establish whether inter-professional rehabilitation goals from people with non-traumatic spinal cord injury (SCI) can be classified against the International Classification of Functioning, Disability and Health (ICF) SCI Comprehensive and Brief Core Sets early postacute situation. Setting: Neurological rehabilitation unit. Methods: Rehabilitation goals of 119 patients with mainly incomplete and non-traumatic SCIs were classified against the ICF SCI Core Sets following established linking rules. Results: A total of 119 patients generated 1509 goals with a mean (and s.d.) of 10.5 (9.1) goals per patient during the course of their inpatient rehabilitation stay. Classifying the 1509 rehabilitation goals against the Comprehensive ICF Core Set generated 2909 ICF codes. Only 69 goals (4.6%) were classified as 'not definable (ND)'. Classifying the 1509 goals against the Brief ICF Core Set generated 2076 ICF codes. However, 751(49.8%) of these goals were classified as 'ND'. In the majority of goals (95.7%), the ICF code description was not comprehensive enough to fully express the goals set in rehabilitation. In particular, the notion of quality of movement or specificity and measurability aspects of a goal (usually described with the criteria and acronyms SMART) could not be expressed through the ICF codes. Conclusion: Inter-professional rehabilitation goals can be broadly described by the ICF Comprehensive Core Set for SCI but not the Brief Core Set. Spinal Cord (2016) 54, 324-328; doi:10.1038/sc.2015.155; published online 8 September 2015 INTRODUCTIONSpinal cord injuries may have profound effects on the physical functioning of an individual and cause activity limitations and participation restrictions. 1 The level of lesion and the degree of neurological completeness/incompleteness influence the physical ability following a spinal lesion, but quality of life in spinal cord injury (SCI) is largely determined by activity and participation issues, such as personal care, community transportation and stable relationships. 2 The ability to describe, classify and code information and measurements on such a broad range of health issues requires a common framework and language. The Word Health Organisation endorsed the International Classification of Functioning, Disability and Health (ICF) as a member of the family of international classifications and was designed to provide such a framework; it aimed to 'establish a common language for describing health-related states in order to improve communication ' (p3). 3 The ICF understands human functioning to be the result of complex interactions between health conditions and environmental and personal factors.

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Section: Discussionsupporting

confidence: 68%

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

et al. 2015

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“…wheelchair for transport outdoors, wheelchair for sport and recreation, wheelchair for indoor mobility, etc.). Another way to reduce the risk may be increasing education and training of wheelchair users [3,6,15,16].…”

Section: Discussionmentioning

confidence: 99%

Risk analysis for operating active wheelchairs in non-urban settings

Sydor¹,

Krauss²,

Krauss³

2017

Ann Agric Environ Med.

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Introduction. A wheelchair is a special vehicle designed specifically for people with walking limitations. One of the types is an active wheelchair. This is a manually propelled wheelchair, the design and structure of which maximise the mobility of its given user at the expense of accepted instability. Objective. The aim of this study was to identify and present a hierarchy of potential incidents causing a health hazard and reducing the mobility of individuals with ambulatory disability who use active wheelchairs in non-urban settings. Materials and methods. Information about incidents connected with wheelchair use was collected from interviews with disabled individuals, based on a questionnaire. Recorded data were analysed using the Preliminary Hazard Analysis (PHA). Results. The results comprise a list of hazards for wheelchair user with ascribed priority numbers metrising their significance.Conclusions. An ordered list of hazards connected with wheelchair operation situations is useful when designing active wheelchairs and when learning the technique of wheelchair riding.

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“…Contextual factors may also be personal, such as age and confidence (self-efficacy) with wheelchair use. At the activity level, wheelchair mobility skill and proficiency have also been identified as significant contributors to participation [9–12]. Wheelchair skills have been amenable to improvement through training, particularly when delivered in a structured format.…”

Section: Introductionmentioning

confidence: 99%

Development of a Wheelchair Skills Home Program for Older Adults Using a Participatory Action Design Approach

Giesbrecht

Miller

Mitchell

et al. 2014

BioMed Research International

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Restricted mobility is the most common impairment among older adults and a manual wheelchair is often prescribed to address these limitations. However, limited access to rehabilitation services results in older adults typically receiving little or no mobility training when they receive a wheelchair. As an alternative and novel approach, we developed a therapist-monitored wheelchair skills home training program delivered via a computer tablet. To optimize efficacy and adherence, principles of self-efficacy and adult learning theory were foundational in the program design. A participatory action design approach was used to engage older adult wheelchair users, care providers, and prescribing clinicians in an iterative design and development process. A series of prototypes were fabricated and revised, based on feedback from eight stakeholder focus groups, until a final version was ready for evaluation in a clinical trial. Stakeholder contributions affirmed and enhanced the foundational theoretical principles and provided validation of the final product for the target population.

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Manual Wheelchair Skills Capacity Predicts Quality of Life and Community Integration in Persons With Spinal Cord Injury

Cited by 89 publications

References 32 publications

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

Risk analysis for operating active wheelchairs in non-urban settings

Development of a Wheelchair Skills Home Program for Older Adults Using a Participatory Action Design Approach

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