Effect of technique and transfer board use on the performance of wheelchair transfers.
Effect of technique and transfer board use on the performance of wheelchair transfers.
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DOI：
10.1049/htl.2017.0075
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发表时间：
2018-04
影响因子：
2.1
通讯作者：
Holloway C
中科院分区：
文献类型：
--
作者：
Barbareschi G;Cheng TJ;Holloway C
对于许多希望在日常生活中独立的轮椅使用者来说，进出轮椅座位是一项必要的技能。轮椅转移的表现与跌倒和发展上肢损伤的风险有关。两者都对个人的独立性构成威胁。以前关于轮椅转移的研究主要集中在分析脊髓损伤患者的坐姿转移，这只占轮椅使用者的一小部分。本研究的目的是探讨不同的传递技术（坐、站）和传递板的使用对传递过程中手下地面反力的影响，并使用传递评估仪（TAI）测量传递质量。与其他技术相比，坐姿转移在前手和后手下方显示出更高的峰值和平均反作用力，但仅在坐姿和站立转移之间存在显著差异。与坐着转移相比，站立转移的TAI得分明显较低，这可能表明与他们的表现相关的安全水平降低。转移板在减轻上肢承受的重量方面仅部分有效，与坐着转移相比，它们只导致总体TAI分数的轻微降低。
Transferring to and from the wheelchair seat is a necessary skill for many wheelchair users who wish to be independent of their everyday life. The performance of wheelchair transfers has been associated with the risk of falling and developing upper limb injuries. Both present a risk to the independence of the individual. Previous studies on wheelchair transfers have focused mainly on the analysis of sitting transfers performed by individuals with spinal cord injury, which only represent a small portion of the wider wheelchair users’ population. The purpose of this study is to investigate the effect of different transferring techniques (sitting, standing) and transfer board use on the ground reaction forces under the hands during transfer performance and transfer quality measured using the transfer assessment instrument (TAI). Sitting transfers displayed generally higher peak and mean reaction forces underneath both leading and trailing hands compared with the other techniques, but the difference was only significant between sitting and standing transfers. Standing transfers had significantly lower TAI scores compared with sitting transfer, potentially indicating a decreased level of safety associated with their performance. Transfer boards were only partially effective in reducing the weight born by the upper limbs and they caused only a minor reduction in the overall TAI score in comparison to sitting transfers.