Lynn Worobey1, Michelle Oyster2, Jonathan Pearlman3, Benjamin Gebrosky4, Michael L Boninger5. 1. Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA. 2. Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, PA; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA. 3. Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, PA; Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA. 4. Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, PA. 5. Human Engineering Research Laboratories, Rehabilitation Research and Development Service, Department of Veterans Affairs, Pittsburgh, PA; Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA; Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA. Electronic address: boninger@pitt.edu.
Abstract
OBJECTIVE: To compare the frequency of power wheelchair (PWC) repairs and consequences experienced over a 6-month period by individuals with spinal cord injury (SCI) who use a PWC ≥40h/wk, based on manufacturer, seating functions, Healthcare Common Procedure Coding System (HCPCS) group, and model, and over time. DESIGN: Convenience observational sample survey. SETTING: Spinal Cord Injury Model System centers. PARTICIPANTS: Individuals with SCI (N=945) who use a PWC ≥40h/wk. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Number of required wheelchair repairs and resulting consequences (ie, being stranded, missing work/school, or missing a medical appointment). RESULTS: Rates of required repairs (47.6%-63.3%) and consequences (26.7%-40.7%) were high across manufacturers. Differences between manufacturers were found among PWCs without seating functions (P<.001-.008) and among group 2 wheelchairs (P=.007). Across the 10 most prescribed wheelchairs in this study, 54.5% to 73.9% of users required 1 or more repairs over a 6-month period. Increases in the number of repairs were also found for several PWC manufacturers with time. Differences were found in participant age, working status, years since injury, and presence of seating functions between manufacturers. CONCLUSIONS: The differences found in the number of repairs reported by survey respondents based on PWC manufacturer and the increases in repairs over time require further evaluation.
OBJECTIVE: To compare the frequency of power wheelchair (PWC) repairs and consequences experienced over a 6-month period by individuals with spinal cord injury (SCI) who use a PWC ≥40h/wk, based on manufacturer, seating functions, Healthcare Common Procedure Coding System (HCPCS) group, and model, and over time. DESIGN: Convenience observational sample survey. SETTING:Spinal Cord Injury Model System centers. PARTICIPANTS: Individuals with SCI (N=945) who use a PWC ≥40h/wk. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Number of required wheelchair repairs and resulting consequences (ie, being stranded, missing work/school, or missing a medical appointment). RESULTS: Rates of required repairs (47.6%-63.3%) and consequences (26.7%-40.7%) were high across manufacturers. Differences between manufacturers were found among PWCs without seating functions (P<.001-.008) and among group 2 wheelchairs (P=.007). Across the 10 most prescribed wheelchairs in this study, 54.5% to 73.9% of users required 1 or more repairs over a 6-month period. Increases in the number of repairs were also found for several PWC manufacturers with time. Differences were found in participant age, working status, years since injury, and presence of seating functions between manufacturers. CONCLUSIONS: The differences found in the number of repairs reported by survey respondents based on PWC manufacturer and the increases in repairs over time require further evaluation.
Authors: Lynn A Worobey; Allen W Heinemann; Kim D Anderson; Denise Fyffe; Trevor A Dyson-Hudson; Theresa Berner; Michael L Boninger Journal: Arch Phys Med Rehabil Date: 2021-04-09 Impact factor: 3.966
Authors: Rosemary Joan Gowran; Nathan Bray; Mary Goldberg; Paula Rushton; Marie Barhouche Abou Saab; David Constantine; Ritu Ghosh; Jonathan Pearlman Journal: Int J Environ Res Public Health Date: 2021-03-24 Impact factor: 3.390
Authors: Lynn A Worobey; Gina McKernan; Maria Toro; Jonathan Pearlman; Rachel E Cowan; Allen W Heinemann; Trevor A Dyson-Hudson; Jessica Presperin Pedersen; Matthew Mesoros; Michael L Boninger Journal: Arch Phys Med Rehabil Date: 2021-06-24 Impact factor: 3.966