Short-term influence of transfer training among full time pediatric wheelchair users: A randomized trial
Short-term influence of transfer training among full time pediatric wheelchair users: A randomized trial
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DOI：
10.1080/10790268.2016.1149292
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发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Rice, Ian M.
中科院分区：
文献类型：
--
作者：
Rice, Laura A.;Dysterheft, Jennifer L.;Rice, Ian M.
目的/背景：描述全日制儿童轮椅使用者的结构化、短期转移训练干预，调查培训对转移技能的影响，并检查与成人轮椅使用者相比，培训反应的异同。设计：随机临床试验。方法：参与者首先随机分为干预组（IG）和对照组（CG）。在完成调查和人口统计表格后，所有参与者在三个时间点进行了两组水平转换（从轮椅到长凳，再回到轮椅=一组）。使用转移评估工具（TAI）对由两个转移集组成的每个时间点进行评分，并取平均值以产生每个时间点的最终转移分数。在时间点1和2之前，没有给参与者反馈或培训，但IG在转移评估# 3之前接受了结构化培训。在转移评估#3中使用曼-惠特尼测试比较TAI得分。结果测量：转移评估工具（TAI）和儿童自我知觉量表（SPPC）。结果：干预组患者TAI得分（9.06 +/- 1.01）较对照组（7.15 +/- 1.67）有显著改善，P = 0.030, d = 1.385。SPPC评分差异无统计学意义。结论：儿童轮椅使用者的转移技能在训练后立即得到改善，其TAI评分变化与成人轮椅使用者训练后的变化相似。这种改善可能是上肢长期保存的一个因素。需要进一步的测试来检查提高转移技能的长期影响。
Objective/Background: To describe a structured, short-term, transfer training intervention for full-time pediatric wheelchair users, investigate the impact of training on transfer skills, and to examine similarities and differences in response to training compared to those seen in adult wheelchair users.Design: Randomized clinical trial.Methods: Participants were first randomized into an intervention (IG) or control group (CG). After completing surveys and demographic intake forms, all participants performed two sets of level transfers (from wheelchair to bench and back to wheelchair = one set) at three time points. Each time point composed of two transfer sets were scored using the Transfer Assessment Instrument (TAI) and averaged to produce a final transfer score per time point. No feedback or training were given to participants prior to time points one and two however the IG received structured training prior to transfer assessment # 3. TAI scores were compared at transfer assessment #3 using a Mann-Whitney test.Outcome measures: Transfer Assessment Instrument (TAI) and Self-Perception Profile for Children (SPPC).Results: Intervention group participants demonstrated significant improvements among TAI scores (9.06 +/- 1.01) compared to the control group (7.15 +/- 1.67), P = 0.030, d = 1.385. No significant differences were found among SPPC scores.Conclusion: Pediatric wheelchair users transfer skills were found to improve immediately after training with TAI score changes similar to those seen in adult wheelchair users after training. Such improvements may be a factor in long-term upper extremity preservation. Further testing is needed to examine the long-term impact of improved transfer skills.