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Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury

Hunt, PC and Boninger, ML and Cooper, RA and Zafonte, RD and Fitzgerald, SG and Schmeler, MR (2004) Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury. Archives of Physical Medicine and Rehabilitation, 85 (11). 1859 - 1864. ISSN 0003-9993

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Abstract

Hunt PC, Boninger ML, Cooper RA, Zafonte RD, Fitzgerald SG, Schmeler MR. Demographic and socioeconomic factors associated with disparity in wheelchair customizability among people with traumatic spinal cord injury. Arch Phys Med Rehabil 2004;85:1859-64. To determine if a standard of care for wheelchair provision exists within the participating centers and if there is disparity in wheelchair customizability among the study sample. Convenience sample survey. Thirteen Model Spinal Cord Injury Systems that provide comprehensive rehabilitation for people with traumatic spinal cord injury (SCI) and that are part of the national database funded through the US Department of Education. A total of 412 people with SCI who use wheelchairs over 40 hours a week. Survey information was obtained from subjects via telephone and in-person interviews and from the national database. Collected information included age, race, education, level of injury, and wheelchair funding source. Number and type (manual or power) of wheelchairs. Wheelchair customizability as defined by design features (eg, adjustable axle position, programmable controls). Ninety-seven percent of manual wheelchair users and 54% of power wheelchair users had customizable wheelchairs. No power wheelchair user received a wheelchair without programmable controls. Minorities with low socioeconomic backgrounds (low income, Medicaid/Medicare recipients, less educated) were more likely to have standard manual and standard programmable power wheelchairs. Older subjects were also more likely to have standard programmable power wheelchairs. The standard of care for manual wheelchair users with SCI is a lightweight and customizable wheelchair. The standard of care for power wheelchairs users has programmable controls. Unfortunately, socioeconomically disadvantaged people were less likely to receive customizable wheelchairs. © 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
Hunt, PC
Boninger, MLboninger@pitt.eduBONINGER
Cooper, RARCOOPER@pitt.eduRCOOPER
Zafonte, RD
Fitzgerald, SG
Schmeler, MRschmeler@pitt.eduSCHMELER0000-0001-8173-5452
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 January 2004
Date Type: Publication
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Volume: 85
Number: 11
Page Range: 1859 - 1864
DOI or Unique Handle: 10.1016/j.apmr.2004.07.347
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; Age Factors; Attitude to Health; Biomechanics; Electric Power Supplies; Equipment Design; Female; Guideline Adherence--standards; Human Engineering; Humans; Male; Middle Aged; Patient Care Planning--economics; Patient Care Planning--standards; Physician's Practice Patterns--economics; Physician's Practice Patterns--standards; Practice Guidelines as Topic; Prescriptions--economics; Prescriptions--standards; Questionnaires; Socioeconomic Factors; Spinal Cord Injuries--psychology; Spinal Cord Injuries--rehabilitation; Trauma Severity Indices; United States; Wheelchairs--economics; Wheelchairs--standards
PubMed ID: 15520982
Date Deposited: 18 Oct 2012 16:22
Last Modified: 05 Feb 2019 03:55
URI: http://d-scholarship.pitt.edu/id/eprint/15785

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