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Titre : | Most Essential Wheeled Mobility Skills for Daily Life: An International Survey Among Paralympic Wheelchair Athletes With Spinal Cord Injury (2012) |
Auteurs : | Osnat Fliess-douer ; Yves C. Vanlandewijck ; Lucas H. van der Woude |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2012/4, 2012) |
Article en page(s) : | pp 629-635 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Collecte de données ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
Mots-clés: | Data collection ; Spinal cord injuries ; Wheelchairs ; Fauteuils roulants |
Résumé : |
Objectives To create a hierarchical list of the most essential wheeled mobility (WM) skills for everyday life of wheelchair users with a spinal cord injury (SCI), and to compare perceptions of WM gained during and after clinical rehabilitation. Design Cross-sectional study using survey questionnaires. Setting The Beijing Paralympic games, at the international zone of the Olympic village and in different sports venues. Participants A sample of men (N=49) and women (N=30) elite manual wheelchair user athletes with SCI (paraplegia, n=64; tetraplegia, n=15). Interventions Not applicable. Main Outcome Measure A survey with 24 predefined skills was distributed during the Beijing Paralympic games. Respondents were asked to rate the essentiality of each skill (1, not essential; 5, extremely essential); to state where, when, and with whom they have learned to perform each skill; and to mark the level of WM, which they gained during and after clinical rehabilitation, on 3 different WM visual analog scales (scores 110). Results Rated as the most essential skill was transfer into and out of a car (mean + SD, 4.7+0.7). Rated as the least essential skill was the 1-handed wheelie (mean + SD, 1.9+1.3). Of the respondents, 57% have learned the most essential skills in clinical rehabilitation, while 40% claimed to have learned those skills afterward in a community setting. Three percent have never learned to perform the most essential skills. Of the very essential skills, 40% were self-taught. Mean score + SD for the extent to which WM skills were gained in rehabilitation was 5.4+2.5. Conclusions The main survey outcome is a sorted list of WM skills according to their essentiality for daily life of hand-rim wheelchair users with SCI. It is recommended to incorporate the skills that were graded as very essential and extremely essential during inpatient rehabilitation and in postrehabilitation WM workshops. |
Disponible en ligne : | Oui |
En ligne : | http://www.archives-pmr.org/article/S0003-9993%2811%2900990-7/abstract |