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Assessing the influence of wheelchair technology on perception of participation in spinal cord injury

Chaves, ES and Boninger, ML and Cooper, R and Fitzgerald, SG and Gray, DB and Cooper, RA (2004) Assessing the influence of wheelchair technology on perception of participation in spinal cord injury. Archives of Physical Medicine and Rehabilitation, 85 (11). 1854 - 1858. ISSN 0003-9993

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Abstract

Chaves ES, Boninger ML, Cooper R, Fitzgerald SG, Gray DB, Cooper RA. Assessing the influence of wheelchair technology on perception of participation in spinal cord injury. Arch Phys Med Rehabil 2004;85:1854-8. Objective To investigate factors related to the wheelchair, impairment, and environment that affect perception of participation of persons with spinal cord injury (SCI) in activities performed in 3 settings: in the home, in the community, and during transportation. Design Cross-sectional study. Setting Research centers and a specialized assistive technology (AT) clinic in Pittsburgh (Pitt). Research centers and community-based rehabilitation technology suppliers in Saint Louis (SL). Participants Seventy wheelchair users with SCI. Interventions Subjects from Pitt and SL completed a written survey of AT usage in daily activities. Main outcome measures Subjects were asked 5 questions within each setting (home, community, transportation) related to their perceived reason for functional limitations. Results The wheelchair was the most commonly cited factor limiting participation, followed by physical impairment and physical environment. Twenty-one percent of subjects with paraplegia reported pain as a limiting factor for their transportation use, significantly more (P=.047) than subjects with tetraplegia (3%). A trend (P=.099) was seen toward a higher percentage of subjects with tetraplegia (tetraplegia, 7%; paraplegia, 3%) reporting lack of equipment as a limiting factor for use of transportation. Differences were also seen across sites. Conclusions The wheelchair was the most commonly cited limiting factor, followed by physical impairment and physical environment. The wheelchair is the most important mobility device used by persons with SCI and the one that users most associate with barriers. © 2004 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Chaves, ES
Boninger, MLboninger@pitt.eduBONINGER
Cooper, Rcooperrm@pitt.eduCOOPERRM
Fitzgerald, SG
Gray, DB
Cooper, RARCOOPER@pitt.eduRCOOPER
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 November 2004
Date Type: Publication
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Volume: 85
Number: 11
Page Range: 1854 - 1858
DOI or Unique Handle: 10.1016/j.apmr.2004.03.033
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0003-9993
MeSH Headings: Activities of Daily Living; Adult; Architectural Accessibility; Attitude of Health Personnel; Cross-Sectional Studies; Disabled Persons--psychology; Disabled Persons--rehabilitation; Environment Design; Equipment Design; Female; Human Engineering; Humans; Male; Middle Aged; Missouri; Needs Assessment; Outcome Assessment (Health Care); Pain--etiology; Pennsylvania; Quality of Life; Questionnaires; Spinal Cord Injuries--classification; Spinal Cord Injuries--complications; Spinal Cord Injuries--psychology; Spinal Cord Injuries--rehabilitation; Transportation; Trauma Severity Indices; Wheelchairs--standards
PubMed ID: 15520981
Date Deposited: 03 Oct 2012 20:02
Last Modified: 05 Feb 2019 03:55
URI: http://d-scholarship.pitt.edu/id/eprint/14467

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