| Titre : | Manual Wheelchair Propulsion by People With Hemiplegia: Within-Participant Comparisons of Forward Versus Backward Techniques (2013) |
| Auteurs : | Rebecca Charbonneau ; Lee R. Kirby ; Kara Thompson |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2013/9, 2013) |
| Article en page(s) : | pp. 1707-1713 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Hémiplégie ; Rééducation et réadaptation |
| Mots-clés: | Hemiplegia ; Wheelchairs ; Fauteuils roulants |
| Résumé : |
Objective To test the hypotheses that people with hemiplegia using arms and legs to propel their wheelchairs perform better backward than forward and prefer the backward direction. Design Within-participant cross-sectional design. Participants Manual wheelchair users (N=18) with hemiplegia caused by stroke, a sample of convenience. Setting Rehabilitation center. Intervention Participants each performed 9 skills from the Wheelchair Skills Test (WST 4.1)—4 low-rolling-resistance skills (rolls 10m, turns 90° while moving, rolls 2m across 5° side slope, descends 5cm level change) and 5 high-rolling-resistance skills (ascends 5° incline, rolls 2m on soft surface, gets over 15-cm pothole, gets over 2-cm threshold, ascends 5cm level change)—in both the forward and backward directions, in random order. Main Outcome Measures Total percentage capacity scores from the modified WST 4.1, success rates for individual skills, and responses from an orally administered questionnaire regarding direction preferences. Results The mean + SD total WST 4.1 capacity scores were 53%+26% in the forward direction and 76%+30% in the backward direction (P<.001 for the low-rolling-resistance skills there were no clinically significant differences between forward and backward success rates. high-rolling-resistance rates to higher in direction. participants preferred direction skills.> Conclusions Wheelchair skills that involve high rolling resistance are performed more successfully in the backward than the forward direction, and participants prefer the backward direction for such skills. These findings have implications for wheelchair selection and skills training. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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