Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Kilkens, O.J.E.; Dallmeijer, Annet J.; Angenot, Edmond L.; Twisk, Jos W. R.; Post, Marcel W M; Woude, Lucas H V van der

doi:10.1016/j.apmr.2004.12.040

Cited by 21 publications

(19 citation statements)

References 34 publications

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“…These results are in line with other studies that identified personal characteristics (level of injury and age) as having an impact on the MWC skills of people with SCI. 9,19 Mean daily wheeled distance observed in the study participants is consistent with previous studies reported in the literature, 20,21 but with lower wheeled speed. Data were collected partly during the cold season (between October 2009 and June 2010), which could help explain this phenomenon.…”

Section: Discussionsupporting

confidence: 81%

Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury

et al. 2011

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Study design: Cross-sectional. Objectives: To describe the manual wheelchair (MWC) skill profiles of experienced MWC users with spinal cord injury and their wheeled mobility (distance and speed) while considering their level of injury and age. Setting: Rehabilitation centers, participant's home and the community. Methods: MWC skills were evaluated using the wheelchair skills test (WST) and wheeled mobility data were collected in the participants' own environment over a 7-day period, using a Cateye cycle computer (VELO 8). A total of 54 participants took part in the study. Results: The mean total performance score of the sample on the WST was 80.7 ± 11.8%, with a significant difference between participants with tetraplegia (C4-C8) and those with low-level paraplegia (T7-L2) (Po0.01). The average daily distance covered was 2.5±2.1 km at 1.7±0.9 km h À1 , with no significant difference between participants with paraplegia and those with tetraplegia (wheeled distance: P¼0.70; speed: P¼0.65). Significant relationships were found between MWC skills and daily wheeled distance (r¼À0.32, Po0.05), but the correlation between these variables did not remain significant when controlling for age (partial r¼0.26, P¼0.07). Conclusion: These results suggest that the level of injury is related to MWC skills but not wheeled mobility. MWC skills are related to greater wheeled distance, but to a lesser extent when controlling for age.

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Section: Discussionsupporting

confidence: 81%

Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury

et al. 2011

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“…According to Ronen et al, a prolonged stay in a specialized center may be positively associated with an improved rehabilitation outcome measured by the Spinal Cord Independence Measure [20]. Elsewhere, we reported improvement of wheelchair skills after the first 3 months of functional rehabilitation [30], a period that is longer than the mean total period of inpatient rehabilitation in several countries [4,[16][17]. However, discharge also may be delayed because people have to wait for completion of domestic adaptations or delivery of assistive devices.…”

Section: Length Of Stay and Outcomesupporting

confidence: 50%

Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Post¹,

Dallmeijer²,

Angenot³

et al. 2004

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Abstract-This study describes the length of stay (LOS) and functional outcome of spinal cord injury (SCI) in the Netherlands and its determinants. Data of 157 patients from eight rehabilitation centers were available. Mean age was 40.0 years and 76.4% were traumatic injuries, 39.8% had tetraplegia, and 69.9% had a motor complete SCI. Median LOS was 240 days (interquartile range 164-322). Median motor Functional Independence Measure (FIM) scores at discharge were 37.3 for persons with complete tetraplegia and 69.7 for persons with complete paraplegia. Level and completeness of injury, bed rest because of pressure sores, and LOS were predictors of motor FIM scores. Duration of SCI rehabilitation in the Netherlands is long compared with the literature. Functional outcome appears slightly better in persons with complete tetraplegia, but not in persons with complete paraplegia when compared with data from the United States. International studies are necessary to reveal strengths and weaknesses of SCI rehabilitation systems in different countries.

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“…Therefore, as the current study utilized field tests, it is probable that the skills required to perform these, such as turning and backward pulling, were more complex and required more time to learn [25,26].…”

Section: Discussionmentioning

confidence: 98%

Effect of glove type on wheelchair rugby sports performance

et al. 2009

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The aim of the present study was to determine the effects of a selection of gloves currently used by wheelchair rugby players upon aspects of skill performance. Eleven able-bodied male participants on two separate occasions performed three rugby-specific drills in four glove conditions: building (BLD), multipurpose (MLP) and US National Football League (NFL) gloves and no gloves (NO). A series of one-way ANOVA with repeated measures were performed to evaluate the different outcomes. No significant influence of glove condition was evident for ball handling accuracy. However, acceleration drills were completed significantly quicker for the NFL (15.970. . A trend was seen in the acceleration between the NFL gloves and NO compared with the NFL gloves (P 5 0.057). The peak velocities reached were significantly higher with the NFL gloves (3.570.3 m/s, Po0.05) compared with the MLP gloves (3.370.3 m/s). Subjectively, participants also favored the NFL gloves over MLP gloves. The NFL gloves were shown to perform the best, and the BLD gloves also performed favorably. However, issues still arose regarding the latter gloves' durability and protection. Gloves seem to make a difference in standardized wheelchair rugby skills. The development of a glove suitable for the specific demands of wheelchair rugby should be considered, and future testing is advised using wheelchair-dependent rugby players. r 2009 John

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Subject- and Injury-Related Factors Influencing the Course of Manual Wheelchair Skill Performance During Initial Inpatient Rehabilitation of Persons With Spinal Cord Injury

Cited by 21 publications

References 34 publications

Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury

Relationships between wheelchair skills, wheelchair mobility and level of injury in individuals with spinal cord injury

Duration and functional outcome of spinal cord injury rehabilitation in the Netherlands

Effect of glove type on wheelchair rugby sports performance

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