Relationship between manual wheelchair skill performance and participation of persons with spinal cord injuries 1 year after discharge from inpatient rehabilitation

This cross-sectional study describes the level of manual wheelchair skill performance and participation of persons with spinal cord injuries (SCIs) 1 year after discharge from inpatient rehabilitation and tests the hypothesis that wheelchair skill performance is positively related to participation....

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Bibliographic Details
Published in:Journal of rehabilitation research and development 2005-05, Vol.42 (3 Suppl 1), p.65-73
Main Authors: Kilkens, Olga J E, Post, Marcel W M, Dallmeijer, Annet J, van Asbeck, Floris W A, van der Woude, Lucas H V
Format: Article
Language:English
Subjects:
Adult
Aged
Female
Humans
Male
Middle Aged
Motor ability
Patient Discharge
Rehabilitation
Spinal cord injuries
Spinal Cord Injuries - rehabilitation
Surveys and Questionnaires
Task Performance and Analysis
Time Factors
Wheelchairs
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Summary:This cross-sectional study describes the level of manual wheelchair skill performance and participation of persons with spinal cord injuries (SCIs) 1 year after discharge from inpatient rehabilitation and tests the hypothesis that wheelchair skill performance is positively related to participation. Participants included 81 persons with SCI from eight rehabilitation centers in the Netherlands. The Wheelchair Circuit consists of eight wheelchair skills and results in three test scores: ability, performance time, and physical strain. Participation was assessed with the sum of the subscales Mobility Range and Social Behavior of the 68-Item Sickness Impact Profile (SIPSOC). SIPSOC was moderately related to the ability score (the Spearman rank correlation [rS] = -0.49), the performance time score (rS = 0.54), and the physical strain score (rS = 0.38). The regression analyses showed that, after controlling for lesion and personal characteristics, manual wheelchair skill performance is positively related to participation, with the strongest association for the performance time score. In persons with SCI who are manual wheelchair users, wheelchair skill performance is moderately associated to participation. Training of wheelchair skills has to be an important goal of rehabilitation, and persons should be stimulated to maintain their wheelchair skills after discharge from rehabilitation.
ISSN:0748-7711
1938-1352
DOI:10.1682/JRRD.2004.08.0093