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Timed motor test for wheelchair users : Initial development and application in children with spinal cord injury
CHAFETZ R; MCDONALD C; MULCAHEY MJ
J SPINAL CORD MED , 2004, vol. 27, n° SUPPL. 1, p. S38-S43 Doc n°: 116374 Localisation : Documentation IRR Descripteurs : KF6 - FAUTEUIL ROULANT, AE21 - ORIGINE TRAUMATIQUE The objective of this study was to describe the development and preliminary results of reliability testing of the timed motor test (TMT), a performance-based measure of functional status for children with a spinal cord injury (SCI) who use a manual wheelchair. This study will also provide pilot data using the TMT to examine the impact of thoracolumbosacral orthoses (TLSO) on function in children with a SCI. Study Design: Cross-sectional observational study. Methods/Participants: This study enrolled 11 subjects with SCI. The TMT consisted of donning a shirt, donning pants, even transfers, uneven transfers, and propelling a wheelchair 80 feet and up a ramp of 45 feet. Nine subjects completed the TMT with and without a TLSO, and 6 subjects (4 of whom also completed the TMT with and without a TLSO) completed the reliability testing. Results: Except for donning pants, the intertester and intratester reliability of the TMT was fair-to-good with intraclass correlation coefficients (ICCs) of 0.60 or greater. When wearing a TLSO, participants were slower at donning a shirt, donning pants, performing even and uneven transfers, and hallway propulsion (P < 0.05). There was a preference for not wearing a TLSO for dressing and transfer skills. Conclusion : In general, the TMT for wheelchair users had fair-to-good intertester and intratester reliability. Based on these pilot data, there was an increase in time to complete several functional tasks because of the use of a TLSO as measured by the TMT in children with a SCI. Langue : ANGLAIS Tiré à part : OUI |
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