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Arch Phys Med Rehabil. 2004 Jul;85(7):1146-50.

Wheelchair back-support options: functional outcomes for persons with recent spinal cord injury.

Author information

1
Department of Physical Therapy, Faculty of Rehabilitation Medicine, 2-50 Corbett Hall, University of Alberta, Edmonton, Alberta, Canada T6G 2G4. laura.may@ualberta.ca

Abstract

OBJECTIVE:

To evaluate the functional outcomes for people with a recent spinal cord injury (SCI) when using 3 different back-support options.

DESIGN:

Repeated-measures within-subject comparison.

SETTING:

Rehabilitation center.

PARTICIPANTS:

Twenty-seven manual wheelchair users with recent SCI.

INTERVENTIONS:

Three types of wheelchair back supports--a standard sling upholstery, a Jay J2 back, and a Pindot PaxBac--were used by each participant to evaluate performance of 4 functional tasks.

MAIN OUTCOME MEASURES:

Functional tasks included timed forward wheeling, ramp ascent, distance for forward vertical reach, and 1-stroke push. Product satisfaction was also rated.

RESULTS:

For most participants, best performance for each task varied with back support used. Significant differences in functional performance were found for the reaching activity (P=.01), with greater reach when the J2 was used. Satisfaction ratings also differed significantly (P=.017), with participants indicating greater satisfaction with the J2. Participants' choice of back support varied and did not consistently correspond with best performance.

CONCLUSIONS:

Except for reaching, performance of functional activities did not differ depending on back support used. Objective evaluation of reaching ability may assist in product decision making. Inclusion of a consistent battery of functional tasks could provide a standardized reference point for clients' subjective evaluations.

PMID:
15241766
[Indexed for MEDLINE]

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