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Two approaches to manual wheelchair configuration and effects on function for individuals with acquired brain injury

REGIER AD; BERRYMAN A; HAYS K; SMITH C; STANISZEWSKI K; GERBER D
NEUROREHABILITATION , 2014, vol. 35, n° 3, p. 467-473
Doc n°: 172897
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-141138
Descripteurs : AF3 - TRAUMATISME CRANIEN, KF62 - FAUTEUIL MANUEL

OBJECTIVE: To determine whether manual wheelchair configuration impacts how well
a person who has acquired brain injury (ABI) related hemiparesis performs
functional tasks from his or her wheelchair. DESIGN: Multi-treatment cross-over
design. SETTING: Inpatient rehabilitation hospital. PARTICIPANTS: Nineteen
patients with ABI resulting in hemiparesis undergoing inpatient rehabilitation
(average of 75 days post-injury (+/- 29.2 days); age range, 21-64; 9 with
mechanical brain injury, 10 with cerebral vascular accident). INTERVENTIONS:
Participants in the study were placed in two different wheelchair configurations
(position one and position two) and were randomized as to which position they
were placed in first. All outcome measures were taken twice on each individual
within each wheelchair configuration during two consecutive days. MAIN OUTCOME
MEASURES: Timed Forward Wheeling (TFW), Modified Functional Reach test (MFR),
Visual Analogue Scale for Comfort (VAS), transfer score from the Functional
Independence Measure (FIM), measurement of popliteal fossa to front of cushion.
RESULTS: The position two seating group's TFW was significantly faster than the
position one seating group at both time points. There were no significant
differences in the MFR scores, VAS comfort scale scores, and FIM transfer score
between the two groups. CONCLUSION: A wheelchair configuration with no seat
slope, solid backrest mounted at 95 degree (+/- 3 degrees) seat to back angle,
and use of a solid seat insert with a flat foam cushion (position two) results in
greater efficiency in foot propulsion for individuals with ABI than a wheelchair
configuration with one inch of seat slope, solid backrest mounted at 105 degree
(+/- 3 degrees) seat to back angle, and no solid seat insert with a gel/foam
contoured cushion (position 1).

Langue : ANGLAIS

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