Anita D Mountain1, R Lee Kirby, Cher Smith, Gail Eskes, Kara Thompson. 1. From the Division of Physical Medicine and Rehabilitation (ADM, RLK), Department of Medicine (KT), Research Methods Unit (KT), and Department of Psychiatry (GE), Dalhousie University; and Department of Occupational Therapy, Capital District Health Authority (CS), Halifax, Nova Scotia, Canada.
Abstract
OBJECTIVE: The aims of this study were to test the hypothesis that people with stroke who receiveformal powered wheelchair skills training improve their wheelchair skills to a significantly greater extent than participants in a control group who do not and to explore the influence of spatial neglect. DESIGN:Seventeen participants with stroke (including nine with spatial neglect) were randomly allocated to intervention (n = 9) or control (n = 8) groups. Those in the intervention group received up to five 30-min training sessions based on the Wheelchair Skills Training Program 4.1. The powered Wheelchair Skills Test version 4.1 was administered at baseline (T1) and after training (T2). RESULTS: A rank order analysis of covariance on the T2 Wheelchair Skills Test score, having adjusted for the T1 score, showed a significant effect caused by group (P = 0.0001). A secondary analysis showed no significant effect caused by spatial neglect (P = 0.923). CONCLUSIONS:People with stroke who receiveformal powered wheelchair skills training improve their powered wheelchair skills to a significantly greater extent (30%) than participants who do not (0%). The extent of change was not affected by the presence of spatial neglect. These findings have significance for the wheelchair provision process and the rehabilitation of people with stroke.
RCT Entities:
OBJECTIVE: The aims of this study were to test the hypothesis that people with stroke who receive formal powered wheelchair skills training improve their wheelchair skills to a significantly greater extent than participants in a control group who do not and to explore the influence of spatial neglect. DESIGN: Seventeen participants with stroke (including nine with spatial neglect) were randomly allocated to intervention (n = 9) or control (n = 8) groups. Those in the intervention group received up to five 30-min training sessions based on the Wheelchair Skills Training Program 4.1. The powered Wheelchair Skills Test version 4.1 was administered at baseline (T1) and after training (T2). RESULTS: A rank order analysis of covariance on the T2 Wheelchair Skills Test score, having adjusted for the T1 score, showed a significant effect caused by group (P = 0.0001). A secondary analysis showed no significant effect caused by spatial neglect (P = 0.923). CONCLUSIONS:People with stroke who receive formal powered wheelchair skills training improve their powered wheelchair skills to a significantly greater extent (30%) than participants who do not (0%). The extent of change was not affected by the presence of spatial neglect. These findings have significance for the wheelchair provision process and the rehabilitation of people with stroke.
Authors: R Lee Kirby; William C Miller; Francois Routhier; Louise Demers; Alex Mihailidis; Jan Miller Polgar; Paula W Rushton; Laura Titus; Cher Smith; Mike McAllister; Chris Theriault; Kara Thompson; Bonita Sawatzky Journal: Arch Phys Med Rehabil Date: 2015-07-30 Impact factor: 3.966
Authors: W Ben Mortenson; Louise Demers; Paula W Rushton; Claudine Auger; Francois Routhier; William C Miller Journal: Arch Phys Med Rehabil Date: 2015-09-25 Impact factor: 3.966
Authors: Alice Pellichero; Lisa K Kenyon; Krista L Best; Marie-Eve Lamontagne; Marie Denise Lavoie; Éric Sorita; François Routhier Journal: Int J Environ Res Public Health Date: 2021-11-26 Impact factor: 3.390
Authors: William D Kearns; Adam J Becker; John P Condon; Victor Molinari; Ardis Hanson; William Conover; James L Fozard Journal: Assist Technol Date: 2019-11-21