Most Essential Wheeled Mobility Skills for Daily Life: An International Survey Among Paralympic Wheelchair Athletes With Spinal Cord Injury
Most Essential Wheeled Mobility Skills for Daily Life: An International Survey Among Paralympic Wheelchair Athletes With Spinal Cord Injury
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DOI：
10.1016/j.apmr.2011.11.017
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发表时间：
2012-04-01
影响因子：
4.3
通讯作者：
Van der Woude, Lucas H. V.
中科院分区：
文献类型：
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作者：
Fliess-Douer, Osnat;Vanlandewijck, Yves C.;Van der Woude, Lucas H. V.
fliess - power O, vanlanddewijck YC, Van Der Woude LHV。日常生活中最重要的轮式移动技能：脊髓损伤的残奥会轮椅运动员的国际调查。中华医学杂志（英文版）；2012;33(3):629- 635。目的：为脊髓损伤（SCI）轮椅使用者的日常生活创建一个最基本的轮式活动（WM）技能等级列表，并比较临床康复期间和之后对WM的认知。设计：采用调查问卷进行横断面研究。环境：北京残奥会，在奥运村国际区和不同的体育场馆。参与者：男性（N=49）和女性（N=30）脊髓损伤（截瘫，N= 64；四肢瘫痪，N= 15）的优秀手动轮椅使用者运动员样本。干预措施：不适用。主要结果测量：在北京残奥会期间分发了一份包含24项预定义技能的调查。受访者被要求对每项技能的重要性进行评级（1，不重要；5，非常重要）；说明他们在何时、何地和与谁一起学习了每项技能；并以3种不同的WM视觉模拟量表（评分1-10分）标记临床康复期间和之后获得的WM水平。结果：被评为最重要的技能是上车和下车（平均+/- SD， 4.7 +/- 0.7）。单手轮滑被评为最不重要的技能（平均标准差为1.9±1.3）。在受访者中，57%的人在临床康复中学习了最基本的技能，而40%的人声称后来在社区环境中学习了这些技能。3%的人从未学习过最基本的技能。在最基本的技能中，40%是自学的。康复中WM技能获得程度的平均得分+/- SD为5.4 +/- 2.5。结论：主要调查结果是对脊髓损伤手环轮椅使用者日常生活所需的WM技能进行排序。建议在住院康复和康复后WM讲习班中纳入被分级为非常必要和极其必要的技能。
Fliess-Douer O, Vanlandewijck YC, Van Der Woude LHV. Most essential wheeled mobility skills for daily life: an international survey among paralympic wheelchair athletes with spinal cord injury. Arch Phys Med Rehabil 2012;93:629-35.Objectives: To create a hierarchical list of the most essential wheeled mobility (WM) skills for everyday life of wheelchair users with a spinal cord injury (SCI), and to compare perceptions of WM gained during and after clinical rehabilitation.Design: Cross-sectional study using survey questionnaires.Setting: The Beijing Paralympic games, at the international zone of the Olympic village and in different sports venues.Participants: A sample of men (N=49) and women (N=30) elite manual wheelchair user athletes with SCI (paraplegia, n=64; tetraplegia, n=15).Interventions: Not applicable.Main Outcome Measure: A survey with 24 predefined skills was distributed during the Beijing Paralympic games. Respondents were asked to rate the essentiality of each skill (I, not essential; 5, extremely essential); to state where, when, and with whom they have learned to perform each skill; and to mark the level of WM, which they gained during and after clinical rehabilitation, on 3 different WM visual analog scales (scores 1-10).Results: Rated as the most essential skill was transfer into and out of a car (mean +/- SD, 4.7 +/- 0.7). Rated as the least essential skill was the 1-handed wheelie (mean SD, 1.9 +/- 1.3). Of the respondents, 57% have learned the most essential skills in clinical rehabilitation, while 40% claimed to have learned those skills afterward in a community setting. Three percent have never learned to perform the most essential skills. Of the very essential skills, 40% were self-taught. Mean score +/- SD for the extent to which WM skills were gained in rehabilitation was 5.4 +/- 2.5.Conclusions: The main survey outcome is a sorted list of WM skills according to their essentiality for daily life of hand-rim wheelchair users with SCI. It is recommended to incorporate the skills that were graded as very essential and extremely essential during inpatient rehabilitation and in postrehabilitalion WM workshops.