Article

OBJECTIVE: To quantify and compare the responsiveness and concurrent validity of
3 performance-based manual wheelchair propulsion tests among manual wheelchair
users with subacute spinal cord injury (SCI) undergoing inpatient rehabilitation.
DESIGN: Quasi-experimental repeated-measures design. SETTING: Publicly funded
comprehensive inpatient SCI rehabilitation program. PARTICIPANTS: Consenting
adult manual wheelchair users with a subacute SCI admitted and discharged from
inpatient rehabilitation (N=14). INTERVENTION: Participants performed 20-m
propulsion at both self-selected natural and maximal speeds, the slalom, and the
6-minute propulsion tests at rehabilitation admission and discharge. MAIN OUTCOME
MEASURES: Time required to complete the performance-based wheelchair propulsion
tests. Standardized response means (SRMs) were computed for each performance test
and Pearson correlation coefficients (r) were calculated to explore the
associations between performance tests. RESULTS: The slalom (SRM=1.24), 20-m
propulsion at maximum speed (SRM=.99), and 6-minute propulsion tests (SRM=.84)
were the most responsive. The slalom and 20-m propulsion at maximum speed were
strongly correlated at both admission (r=.93) and discharge (r=.92). CONCLUSIONS:
The slalom and 6-minute propulsion tests best document wheelchair propulsion
performance change over the course of inpatient rehabilitation. Adding the 20-m
propulsion test performed at maximal speed provides a complementary description
of performance change.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS