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Mobility, assistive technology use, and social integration among adults with spina bifida

Dicianno, BE and Gaines, A and Collins, DM and Lee, S (2009) Mobility, assistive technology use, and social integration among adults with spina bifida. American Journal of Physical Medicine and Rehabilitation, 88 (7). 533 - 541. ISSN 0894-9115

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OBJECTIVE: Many individuals with spina bifida have impairments that limit mobility and functional independence. Sedentary lifestyles and social isolation are very prevalent. This study evaluated the association between the use of mobility devices and degree of socialization. DESIGN: A retrospective chart review was performed on 208 adults with spina bifida attending a university-based clinic. Data collected included the Craig Handicap Assessment Reporting Technique-Short Form, Beck Depression Inventory, and data on wheelchair and other assistive technology use. We hypothesized that community and home mobility and social integration, as measured by the Craig Handicap Assessment Reporting Technique-Short Form, would be lower for manual and power wheelchair users than for ambulators, regardless of depression scores or shunt history. RESULTS: We found that individuals with spina bifida who used both manual and power wheelchairs do have lower daily home and community activity levels compared with ambulators, but that most individuals with spina bifida have low social integration and economic self-sufficiency scores, regardless of whether they can ambulate or use wheelchairs. These findings were not explained by wheelchair quality because most were prescribed high-quality devices. A high prevalence of depression was also found. CONCLUSIONS: Special considerations for wheelchair provision are discussed. Additional research is needed to identify other barriers to social integration. © 2009 Lippincott Williams & Wilkins, Inc.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Dicianno, BEdicianno@pitt.eduDICIANNO0000-0003-0738-0192
Gaines, A
Collins, DM
Lee, S
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 July 2009
Date Type: Publication
Journal or Publication Title: American Journal of Physical Medicine and Rehabilitation
Volume: 88
Number: 7
Page Range: 533 - 541
DOI or Unique Handle: 10.1097/phm.0b013e3181aa41d4
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0894-9115
MeSH Headings: Adaptation, Psychological; Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Analysis of Variance; Depression--etiology; Depression--prevention & control; Disability Evaluation; Female; Health Status Indicators; Humans; Interpersonal Relations; Male; Middle Aged; Mobility Limitation; Retrospective Studies; Self-Help Devices; Spinal Dysraphism--rehabilitation; Walking; Wheelchairs; Young Adult
PubMed ID: 19542778
Date Deposited: 10 Oct 2012 21:45
Last Modified: 05 Feb 2019 05:55


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