| Titre : | One Size Does Not Fit All—Mobility Device Type Affects Speed, Collisions, Fatigue, and Pain (2015) |
| Auteurs : | Helen Hoenig ; Michelle Morgan ; Christy Montgomery |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/3, 2015) |
| Article en page(s) : | p. 489-497 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Mobilité réduite ; Rééducation et réadaptation |
| Mots-clés: | Mobility limitation ; Outcome and Process Assessment (Health Care) ; Évaluation des résultats et des processus en soins de santé ; Self-help devices ; Dispositifs d'assistance au mouvement |
| Résumé : |
Objective To determine whether differences could be detected in mobility outcomes during community mobility and home mobility tasks according to type of mobility assistive device. Design Randomized, repeated measures. Setting Community mobility task: traversing 341.4m between the rehabilitation clinic and hospital entrance; home mobility task: traversing 39m into and out of a patient training bathroom and bedroom. Participants Community-dwelling, cognitively intact ambulatory veterans (N=59) who used a mobility device within the 14 days prior to the study. Interventions Participants tested 3 types of mobility assistive devices with wheels: 4-wheeled walker (WW), manual wheelchair (MWC), and powered wheelchair (PWC). The first and last devices used by each participant were randomly assigned as either MWC or WW. The PWC was always the second device. Main Outcomes Measures Speed (m/s), collisions (total), fatigue (0–10 Likert scale), and pain (0–10 Likert scale, diagram). Results The community mobility task was performed with all 3 devices by 52 (88%) veterans, and the home mobility task was performed with all 3 devices by 53 (90%) participants. In each task, 28 participants used the WW and 28 participants used the MWC as the final device. In the community mobility task, statistically significant differences (P<.05 were seen with device comparison for all studied outcomes standardized mean difference the mwc compared pwc showed fewer collisions in home mobility task speed and fatigue statistically significant device-related differences ww> Conclusions We found statistically significant and substantively different effects from 3 commonly used mobility assistive devices with wheels on diverse mobility outcomes when used in typical community mobility and home mobility tasks, providing proof of concept support for a research methodology applicable to comparative outcome studies of diverse mobility aids. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314010326 |
Bibliothèques HE Vinci
