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Titre : | Effectiveness of Group Wheelchair Maintenance Training for People with Spinal Cord Injury: A Randomized Controlled Trial (2022) |
Auteurs : | Lynn A. Worobey ; Gina McKernan ; Maria Toro ; Jonathan Pearlman ; Rachel E. Cowan ; Allen W. Heinemann ; Trevor A. Dyson-Hudson ; Jessica Presperin Pedersen ; Matthew Mesoros ; Michael L. Boninger |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 4, 2022) |
Article en page(s) : | p. 790-797 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.02.031 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enseignement ; Fauteuils roulants ; Maintenance ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To assess the effectiveness of group wheelchair maintenance training and investigate participant characteristics associated with responsiveness to training. Design Randomized controlled trial with an immediate group and a waitlist control group (WLCG) who received the intervention after a 6-month delay. Setting Four Spinal Cord Injury Model Systems Centers. Participants Manual (MWC; n=80) and power wheelchair (PWC; n=67) users with spinal cord injury (N=147). Interventions Two 90-minute structured wheelchair maintenance training program classes with 12-20 people per class and separate classes for MWC and PWC users. Each class included in-person hands-on demonstrations and practice of wheelchair maintenance. Main Outcome Measures Separate analysis was completed for MWC and PWC users using the Wheelchair Maintenance Training Questionnaire (WMT-Q) capacity (ability to complete), performance (frequency of completion) and knowledge at baseline, 1 month, 6 months, 6 months pretraining (WLCG only), and 1 year (immediate only). Results After the intervention, participants in both the immediate and WLCG improved in maintenance capacity (MWC and PWC, P<.001 and performance pwc p with training. only users improved knowledge of wheelchair maintenance for both wlcgs there was no difference between the pretraining time point baseline. mwc who responded to training had lower wmt-q scores all domains whereas this case users.> Conclusions Group wheelchair skills training is effective at improving capacity to complete maintenance and performance of maintenance activities for MWC and PWC users, even in a cohort of experienced wheelchair users. For MWC users, improvements were tied to lower WMT-Q scores at baseline, whereas PWC users improved in capacity and performance independent of baseline score. Delivering this training in a structured group format has a lower cost, which might improve adoption into clinical practice. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321004342#! |