The Effect of Wheelchair Use on the Quality of Life of Persons with Multiple Sclerosis

Devitt, Rachel; Chau, B. Nelson; Jutai, Jeffrey W.

doi:10.1300/j003v17n03_05

Cited by 17 publications

(22 citation statements)

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“…The mean age and range of our MS EPIOC users is similar to that reported by Dewey et al [29], Devitt et al [30], to the subgroup using TIS reported by Chan and Heck [31] and to the severely disabled PwMS of DSS 46.5 reported by Arpaia et al [18]. Our MS participants were older by approximately 10 years than the MS users of manual pushrim wheelchairs described by Fay et al [8], who are likely to have greater upper limb and upper trunk function than those reliant on powered mobility.…”

Section: Ms Participantssupporting

confidence: 89%

Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis

Souza

Frank

2014

Disability and Rehabilitation

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Purpose: The aim of this study is to describe the clinical features of powered wheelchair users with severely disabling multiple sclerosis (MS) and explore the problematic clinical features influencing prescription. Method: Retrospective review of electronic and case note records of recipients of electric-powered indoor/outdoor powered wheelchairs (EPIOCs) attending a specialist wheelchair service between June 2007 and September 2008. Records were reviewed by a consultant in rehabilitation medicine, data systematically extracted and entered into a computer database. Further data were entered from clinical records. Data were extracted under three themes; demographic, diagnostic, clinical and wheelchair factors. Results: Records of 28 men mean age 57 (range 37-78, SD 12) years and 63 women mean age 57 (range 35-81, SD 11) years with MS were reviewed a mean of 64 (range 0-131) months after receiving their wheelchair. Twenty two comorbidities, 11 features of MS and 8 features of disability were thought to influence wheelchair prescription. Fifteen users were provided with specialised seating and 46 with tilt-in-space seats. Conclusions: Our findings suggest that people with severe MS requiring an EPIOC benefit from a holistic assessment to identify problematic clinical features that influence the prescription of the EPIOC and further medical and therapeutic interventions. ä Implications for RehabilitationPeople with multiple sclerosis (MS), referred for an EPIOC, require a full clinical assessment to identify problematic clinical features that are potentially treatable and/or can be accommodated through specialised seating and tilt. The beneficial effects of TIS should be considered for all EPIOC users with MS and particularly for those with comorbidity Poorly controlled spasticity, when identified in people with MS, should be managed through positioning in the chair, pressure-relieving cushion and referral for medical management.

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Section: Ms Participantssupporting

confidence: 89%

Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis

Souza

Frank

2014

Disability and Rehabilitation

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“…In addition, the authors also reported that a combination of tilt and backrest recline achieved greater pressure reduction than tilt alone. Therefore, power-seat functions positively affect users' QOL because they allow users to remain in their chairs longer, decrease the risk of pressure sores, conserve energy, access a variety of environments, and participate in more activities during the day [38]. In addition, tilt-in-space decreases the user's risk of pressure sores, especially in advanced cases of MS in which the person has decreased pressure-relief ability [35][36].…”

Section: Mobility Assistive Technologymentioning

confidence: 99%

Multiple sclerosis and mobility-related assistive technology: Systematic review of literature

Souza

Kelleher

Cooper

et al. 2010

JRRD

119

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Abstract-Multiple sclerosis (MS) causes a wide variety of neurological deficits, with ambulatory impairment the most obvious cause of disability. Within 10 to 15 years of disease onset, 80% of persons with MS experience gait problems due to muscle weakness or spasticity, fatigue, and loss of balance. To facilitate mobility, persons with MS frequently use mobility assistive technology (MAT), such as canes, crutches, walkers, wheelchairs, and scooters. We systematically reviewed the published literature on MAT use among persons with MS. We used electronic reference lists such as Ovid MEDLINE and PubMed to search the literature. We located 50 articles that met the initial criteria of providing good evidence of the types of MAT devices and their benefits for individuals with MS. A limited number of articles with higher levels of evidence was found regarding benefits of MAT use specifically for persons with MS. Evidence-based literature provides the basis for the strongest method of measurable clinical performance; therefore, having a strong research study design is vital to the justification of MAT prescription and reimbursement decisions. However, a paucity of studies with higher levels of evidencebased practice exists.

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“…The PIADS was designed to be used either before a user received the device to assess his or her expectation of the device or after a user received the device [37]. The instrument has been used with older adult wheelchair users [53] and power wheelchair users [54].…”

Section: Psychosocial Impact Of Assistive Devices Scale 30mentioning

confidence: 99%

Usability testing of multimodal feedback interface and simulated collision-avoidance power wheelchair for long-term-care home residents with cognitive impairments

Wang¹,

Mihailidis²,

Dutta³

et al. 2011

JRRD

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Abstract-Many older adults in long-term-care homes have complex physical and cognitive impairments and have difficulty propelling manual wheelchairs. Power wheelchair use is restricted owing to safety concerns. Power wheelchairs with collisionavoidance features are being developed to enable safe and independent mobility; however, a paucity of information exists on interface features to help users navigate away from obstacles. We developed a system combining an interface with auditory, visual, and haptic feedback and a simulated collision-avoidance power wheelchair. This device allowed the investigator to stop movement of the power wheelchair when users approached obstacles and to deliver feedback to help them navigate. Five long-termcare home residents with mild or moderate cognitive impairments evaluated device usability, which included effectiveness, efficiency, and user satisfaction. Each resident used the device for six 1 h sessions. Observations, feedback interviews, and outcome questionnaires were completed during and after the sessions. We found the device effective in enabling residents to achieve basic driving tasks and self-identified indoor mobility goals. Furthermore, residents perceived workload to be low and were satisfied with the device. Residents also felt that the feedback was useful to help them navigate away from obstacles.

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The Effect of Wheelchair Use on the Quality of Life of Persons with Multiple Sclerosis

Cited by 17 publications

References 0 publications

Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis

Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis

Multiple sclerosis and mobility-related assistive technology: Systematic review of literature

Usability testing of multimodal feedback interface and simulated collision-avoidance power wheelchair for long-term-care home residents with cognitive impairments

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