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A preliminary study on the impact of pushrim-activated power-assist wheelchairs among individuals with tetraplegia

Ding, D and Souza, A and Cooper, RA and Fitzgerald, SG and Cooper, R and Kelleher, A and Boninger, ML (2008) A preliminary study on the impact of pushrim-activated power-assist wheelchairs among individuals with tetraplegia. American Journal of Physical Medicine and Rehabilitation, 87 (10). 821 - 829. ISSN 0894-9115

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Objectives: This preliminary study was to evaluate the impact of pushrim-activated power-assist wheelchairs (PAPAWs) on mobility, community participation, satisfaction, and psychosocial impact among individuals with tetraplegia. Design: Frfteen manual wheelchair users with tetraplegia completed a 4-wk protocol including a 2-wk trial where they used their personal wheelchairs for mobility and a 2-wk trial where they were provided with a PAPAW and could choose either wheelchair for mobility. The mobility levels with both wheelchairs were recorded by a datalogger. Participants completed dairy questionnaires regarding community participation and their satisfaction with the wheelchair used. The Psychosocial Impact of Assistive Devices Scale was used to compare the psychosocial impact of PAPAWs with their personal wheelchairs. Results: Participants chose to use PAPAWs and their personal wheelchairs at a similar frequency in the PAPAW trial. The distances traveled with both wheelchairs were not statistically different (P = 0.09). Participants traveled significantly faster with PAPAWs (P = 0.03). PAPAWs did not result in significantly greater community participation, satisfaction, and psychosocial impacts than the personal wheelchairs. Conclusions: PAPAWs could be a viable mobility option for individuals with tetraplegia, which can provide independent mobility especially for outdoor activities. A user's preference, life style, physical conditions, transportation issues, and environmental factors should be considered in prescribing such a device. Copyright © 2008 by Lippincott Williams & Wilkins.


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Item Type: Article
Status: Published
CreatorsEmailPitt UsernameORCID
Ding, Ddad5@pitt.eduDAD5
Souza, A
Fitzgerald, SG
Cooper, Rcooperrm@pitt.eduCOOPERRM
Kelleher, Aakellehe@pitt.eduAKELLEHE
Boninger, MLboninger@pitt.eduBONINGER
Centers: Other Centers, Institutes, Offices, or Units > Human Engineering Research Laboratories
Date: 1 October 2008
Date Type: Publication
Journal or Publication Title: American Journal of Physical Medicine and Rehabilitation
Volume: 87
Number: 10
Page Range: 821 - 829
DOI or Unique Handle: 10.1097/phm.0b013e318186bd1a
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0894-9115
MeSH Headings: Adult; Consumer Participation; Cross-Over Studies; Equipment Design; Female; Humans; Male; Mobility Limitation; Patient Satisfaction; Quadriplegia--psychology; Quadriplegia--rehabilitation; Test Anxiety Scale; Transportation--instrumentation; Wheelchairs
PubMed ID: 18806509
Date Deposited: 12 Oct 2012 18:58
Last Modified: 05 Feb 2019 03:55


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