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https://www.readbyqxmd.com/read/28795657/body-system-effects-of-a-multi-modal-training-program-targeting-chronic-motor-complete-thoracic-spinal-cord-injury
#1
Katie Gant, Kathleen Nagle, Rachel Cowan, Edelle Field-Fote, Mark Nash, Jochen Kressler, Christine K Thomas, Mabelin Castellanos, Eva Widerstrom-Noga, Kimberly D Anderson
The safety and efficacy of pharmacologic and cellular transplantation strategies are currently being evaluated in people with spinal cord injury. In studies of people with chronic spinal cord injuries, it is thought that functional recovery will be best achieved when drug or cell therapies are combined with rehabilitation protocols. However, any functional recovery due to the therapy may be confounded by the conditioned state of the body and by training-induced effects on neuroplasticity. For this reason, we sought to investigate the effects of a multi-modal training program on several body systems...
August 10, 2017: Journal of Neurotrauma
https://www.readbyqxmd.com/read/28758516/measurement-properties-of-the-wheelcon-for-powered-wheelchair-users
#2
Paula W Rushton, François Routhier, William C Miller
PURPOSE: To evaluate the measurement properties of the Wheelchair Use Confidence Scale for power wheelchair users (WheelCon-P). DESIGN: One-month test-retest design, using data from a longitudinal study of power wheelchair use. PARTICIPANTS: Volunteer sample of 73 community dwelling, older adult experienced power wheelchair users who had a mean age of 60.5 ± 7.1 years. METHODS: Participants completed the WheelCon-P twice to assess retest reliability...
July 29, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28714323/goal-satisfaction-improves-with-individualized-powered-wheelchair-skills-training
#3
Megan K MacGillivray, Bonita J Sawatzky, William C Miller, Francois Routhier, R Lee Kirby
PURPOSE: To determine improvements in goal satisfaction following individualized mobility-related powered wheelchair skills training and whether changes in satisfaction are maintained 3 months post-training. MATERIALS AND METHODS: Seventeen powered wheelchair users, from two centres, who were randomized to the training intervention from a larger multicentre study, were included in this secondary analysis. The intervention consisted of five 30-min individualized Wheelchair Skills Training Program sessions...
July 16, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28688787/retrospective-analysis-of-predictors-of-proficient-power-mobility-in-young-children-with-severe-motor-impairments
#4
Shelley R H Mockler, Irene R McEwen, Maria A Jones
OBJECTIVE: The primary objective was to determine if (a) child characteristics, (b) maternal education, (c) intervention parameters, (d) type of wheelchair control mechanism, or a combination of these variables, were associated with proficient power mobility skills in children with severe motor impairments aged 14 to 30 months. The secondary purpose was to determine if performance on the Wheelchair Skills Checklist (WSC) was associated with performance on the Powered Mobility Program (PMP)...
July 5, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28580801/effectiveness-and-safety-of-wheelchair-skills-training-program-in-improving-the-wheelchair-skills-capacity-a-systematic-review
#5
Chun-Jing Tu, Lin Liu, Wei Wang, He-Ping Du, Yu-Ming Wang, Yan-Bing Xu, Ping Li
OBJECTIVE: To comprehensively assess the effectiveness and safety of wheelchair skills training program in improving wheelchair skills capacity. DATA SOURCES: PubMed, OVID, EBSCO, ScienceDirect, Web of Science, CINAHL, Cochrane Library, Google Scholar, and China Knowledge Resource Integrated Database were searched up to March 2017. METHODS: Controlled clinical trials that compared a wheelchair skills training program with a control group that received other interventions and used the wheelchair skills test scores to evaluate wheelchair skills capacity were included...
June 1, 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28579369/getting-a-manual-wheelchair-over-a-threshold-using-the-momentum-method-a-descriptive-study-of-common-errors
#6
Zainab Al Lawati, R Lee Kirby, Cher Smith, Diane MacKenzie, Chris Theriault, Kara Matheson
OBJECTIVES: To document the success of learners' attempts to overcome a threshold in a manual wheelchair while using the momentum method, to describe the frequency and nature of any errors observed and to compare the characteristics of participants who were or were not successful on their first attempts. DESIGN: Cross-sectional, observational study following STROBE guidelines. PARTICIPANTS: 214 able-bodied students learning the threshold skill...
June 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28545498/feasibility-of-a-systematic-comprehensive-one-to-one-training-scoot-program-for-new-scooter-users-study-protocol-for-a-randomized-control-trial
#7
W Ben Mortenson, Sharon Jang, Charlie H Goldsmith, Laura Hurd Clarke, Sandra Hobson, Richelle Emery
BACKGROUND: Mobility scooters can facilitate community participation among individuals with mobility limitations. However, accidents are a serious concern with scooter use. Scooter training has been recommended to improve safety, but there are currently few validated programs available. Therefore, we developed a Systematic, Comprehensive, One-to-One Training (SCOOT) program for scooter users. We will conduct a study to evaluate the outcomes produced by the provision SCOOT. METHODS: This feasibility study will use a mixed-methods, rater-blinded, randomized control trial, with a two-step wedge design...
May 25, 2017: Trials
https://www.readbyqxmd.com/read/28491917/understanding-the-burden-experienced-by-caregivers-of-older-adults-who-use-a-powered-wheelchair-a-cross-sectional-study
#8
Paula W Rushton, Delphine Labbé, Louise Demers, William C Miller, William B Mortenson, R Lee Kirby
Objective: In this study, we aimed to describe the burden of family caregivers providing powered wheelchair-related and overall assistance and test the hypotheses that caregiver burden correlates with participation, wheelchair skills capacity, anxiety, depression, and social support. Methods: Cross-sectional study. Participants included 35 family caregivers of powered wheelchair users. Caregivers were assessed using the Power Mobility Caregiver Assistive Technology Outcome Measure, Late Life Disability Instrument, Wheelchair Skills Test Questionnaire for caregivers, Hospital Anxiety and Depression Scale, and Interpersonal Support Evaluation List-12...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/28446419/the-smartphone-peer-physical-activity-counseling-sppac-program-for-manual-wheelchair-users-protocol-of-a-pilot-randomized-controlled-trial
#9
Krista L Best, François Routhier, Shane N Sweet, Kelly P Arbour-Nicitopoulos, Jaimie F Borisoff, Luc Noreau, Kathleen A Martin Ginis
BACKGROUND: Physical activity (PA) must be performed regularly to accrue health benefits. However, the majority of manual wheelchair users do not meet PA recommendations. Existing community-based PA programs for manual wheelchair users appear to work, but effect sizes are small and retention is low. Existing PA programs may not fully implement some psychosocial factors that are strongly linked with PA (eg, autonomy). The use of peers and mobile phone technology in the Smartphone Peer PA Counseling (SPPAC) program represents a novel approach to cultivating a PA-supportive environment for manual wheelchair users...
April 26, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28320217/patient-centered-mobility-outcome-preferences-according-to-individuals-with-stroke-and-caregivers-a-qualitative-analysis
#10
Shilpa Krishnan, Monique R Pappadis, Susan C Weller, Steve R Fisher, Catherine C Hay, Timothy A Reistetter
PURPOSE: To explore the mobility-related preferences among stroke survivors and caregivers following post-acute rehabilitation at inpatient or skilled nursing facilities. METHODS: In this cross-sectional study; semi-structured, qualitative interviews of stroke survivors (n = 24) and informal caregivers (n = 15) were conducted. The participants were recruited from the community. RESULTS: Comparative content analysis was used to identify themes by two independent coders...
March 21, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28164718/measurement-properties-of-the-wheelchair-skills-test-for-scooters-among-experienced-users
#11
W Ben Mortenson, Laura Hurd Clarke, Charlie H Goldsmith, Sharon Jang, R Lee Kirby
PURPOSE: To investigate the score distribution, reliability, and validity of the objective Wheelchair Skills Test (WST) for scooter users. METHOD: A study using a test-retest design was conducted with 20 people who had mobility limitations that prevented them from ambulating more than one city block without a mobility aid, and who had owned a scooter for ≥3 months. Objective scooter skills, confidence, and physical accessibility were measured at both time points, while anxiety, depression, visual attention and task switching, functional independence, and visual acuity were measured only at baseline...
February 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28110553/interrater-and-intrarater-reliability-of-the-wheelchair-skills-test-version-4-2-for-power-wheelchair-users
#12
Emma M Smith, Kimberly Low, William C Miller
PURPOSE: The purpose of this study is to estimate the interrater and intrarater reliability of the Wheelchair Skills Test (WST) Version 4.2 for powered wheelchairs operated by adult users. MATERIALS AND METHODS: Cohort study with a convenience sample of occupational therapists (n = 10). For the main outcome measure, participants viewed and scored eight videos of adult power wheelchair users completing the 30 skills of the WST Version 4.2 on two occasions, a minimum of two weeks apart...
January 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28008362/sensewheel-an-adjunct-to-wheelchair-skills-training
#13
Andrew Symonds, Stephen J G Taylor, Catherine Holloway
The purpose of this Letter was to investigate the influence of real-time verbal feedback to optimise push arc during over ground manual wheelchair propulsion. Ten healthy non-wheelchair users pushed a manual wheelchair for a distance of 25 m on level paving, initially with no feedback and then with real-time verbal feedback aimed at controlling push arc within a range of 85°-100°. The real-time feedback was provided by a physiotherapist walking behind the wheelchair, viewing real-time data on a tablet personal computer received from the Sensewheel, a lightweight instrumented wheelchair wheel...
December 2016: Healthcare Technology Letters
https://www.readbyqxmd.com/read/28002472/manual-wheelchair-skills-training-for-community-dwelling-veterans-with-spinal-cord-injury-a-randomized-controlled-trial
#14
RANDOMIZED CONTROLLED TRIAL
R Lee Kirby, Doug Mitchell, Sunil Sabharwal, Mark McCranie, Audrey L Nelson
OBJECTIVES: To test the hypotheses that community-dwelling veterans with spinal cord injury (SCI) who receive the Wheelchair Skills Training Program (WSTP) in their own environments significantly improve their manual wheelchair-skills capacity, retain those improvements at one year and improve participation in comparison with an Educational Control (EC) group. METHODS: We carried out a randomized controlled trial, studying 106 veterans with SCI from three Veterans Affairs rehabilitation centers...
2016: PloS One
https://www.readbyqxmd.com/read/27881124/effects-of-variable-practice-on-the-motor-learning-outcomes-in-manual-wheelchair-propulsion
#15
Marika T Leving, Riemer J K Vegter, Sonja de Groot, Lucas H V van der Woude
BACKGROUND: Handrim wheelchair propulsion is a cyclic skill that needs to be learned during rehabilitation. It has been suggested that more variability in propulsion technique benefits the motor learning process of wheelchair propulsion. The purpose of this study was to determine the influence of variable practice on the motor learning outcomes of wheelchair propulsion in able-bodied participants. Variable practice was introduced in the form of wheelchair basketball practice and wheelchair-skill practice...
November 23, 2016: Journal of Neuroengineering and Rehabilitation
https://www.readbyqxmd.com/read/27676909/effectiveness-of-power-wheelchair-simulator-training-delivered-at-home-on-wheelchair-driving-skills
#16
Philippe Archambault, Dany Gagnon, François Routhier, William Miller
OBJECTIVE: Use of a power wheelchair (PW) can improve quality of life and participation in individuals with mobility impairments. PW skills training is generally seen as insufficient by both clinicians and PW users. A virtual reality (VR) simulator may be helpful in improving PW driving skills, when used in addition to regular training. In previous work, challenging PW driving activities have been identified through interviews with expert clinicians and PW users and were then integrated in the McGill immersive wheelchair simulator (miWe)...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27632865/the-role-of-trunk-stabilization-in-functional-classification-levels
#17
Asuman Saltan, Handan Ankarali
OBJECTIVE: To compare classification levels and trunk stabilization of wheelchair basketball players and to identify the norm values of trunk balance for wheelchair basketball players. PARTICIPANTS: One hundred and thirteen wheelchair basketball players in the super and first Turkish league volunteered for this study. INTERVENTIONS: A modified Wheelchair Skills Test (WST) (Version 4.1) was used for the evaluation of the trunk stabilization...
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27443546/the-role-of-trunk-stabilization-in-functional-classification-levels
#18
Asuman Saltan, Handan Ankarali
OBJECTIVE: To compare classification levels and trunk stabilization of wheelchair basketball players and to identify the norm values of trunk balance for wheelchair basketball players. PARTICIPANTS: One hundred and thirteen wheelchair basketball players in the super and first Turkish league volunteered for this study. INTERVENTIONS: A modified Wheelchair Skills Test (WST) (Version 4.1) was used for the evaluation of the trunk stabilization...
July 21, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27317867/wheelchair-skills-capacity-and-performance-of-manual-wheelchair-users-with-spinal-cord-injury
#19
MULTICENTER STUDY
R Lee Kirby, Lynn A Worobey, Rachel Cowan, Jessica Presperin Pedersen, Allen W Heinemann, Trevor A Dyson-Hudson, Mary Shea, Cher Smith, Paula W Rushton, Michael L Boninger
OBJECTIVES: To describe the wheelchair skills capacity and performance of experienced manual wheelchair users with spinal cord injury (SCI) and to assess measurement properties of the Wheelchair Skills Test (WST) and Wheelchair Skills Test Questionnaire (WST-Q). DESIGN: Cross-sectional descriptive study involving within-subject comparisons. SETTING: Four Spinal Cord Injury Model Systems centers. PARTICIPANTS: Manual wheelchair users with SCI (N=117)...
October 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27291563/wheeled-mobility-skills-of-wheelchair-basketball-players-a-randomized-controlled-study
#20
Asuman Saltan, Yeşim Bakar, Handan Ankarali
PURPOSE: The aim of this study was to assess the influence of wheelchair basketball sport on the functional abilities of wheelchair users. METHOD: This is a randomized controlled study. Wheelchair basketball players (n = 111) and non-player (n = 85) were included in this study. We administered the questionnaire version of the wheelchair skills test questionnaire (WST_Q), recording the participants' capacity and performance scores on each of 32 skills. RESULTS: Player group have the baseline values of WST_Q higher than control group...
May 2017: Disability and Rehabilitation. Assistive Technology
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