Effectiveness of Group Wheelchair Skills Training for People With Spinal Cord Injury: A Randomized Controlled Trial
Effectiveness of Group Wheelchair Skills Training for People With Spinal Cord Injury: A Randomized Controlled Trial
复制标题
DOI：
10.1016/j.apmr.2016.04.006
复制
发表时间：
2016-10-01
影响因子：
4.3
通讯作者：
Boninger, Michael. L.
中科院分区：
文献类型：
--
作者：
Worobey, Lynn A.;Kirby, R. Lee;Boninger, Michael. L.
目的：为了评估轮椅技能培训的有效性，以提高轮椅技能。设计：随机双盲对照试验。设置：四个脊髓损伤模型系统中心。参与者：脊髓损伤手动轮椅使用者（N = 114）。干预：6个90分钟的轮椅技能培训课程（WSTP）或2个1小时的主动控制课程，每组6 - 10人。主要结果测量：基线（t1）和1个月随访（t2）轮椅技能测试问卷（WST-Q）（版本4.2）的能力和性能和目标达成量表（GAS）score.Results：随访完成了79名参与者（WSTP：n = 36，积极控制：n = 43）。未发现缺失病例和完整病例之间存在差异。许多用户在基线时具有很高的技能，WST-Q容量四分位数范围为77%至97%。基线时两组之间的WST-Q测量或人口统计学无差异。与活性对照组相比，WSTP组在WST-Q容量高级评分方面有所改善（P =.02），但在WST-Q容量或WST-Q性能总分方面没有改善（分别为P =.068和P =.873）。WSTP组在t2时的平均GAS评分（t1时为0%）为65.6%+/-34.8%。较高的GAS分数和WST-Q能力分数被发现那些谁参加更多的类，并有较低的基线skills.Conclusions：团体训练可以提高先进的轮椅技能能力，促进实现个人设定的目标。基线时较低的技能水平和较高的出勤率与较大的改善相关。(C)2016年美国康复医学大会
Objective: To assess the effectiveness of group wheelchair skills training to elicit improvements in wheelchair skills.Design: Randomized double-blinded controlled trial.Setting: Four Spinal Cord Injury Model Systems Centers.Participants: Manual wheelchair users with spinal cord injury (N=114).Intervention: Six 90-minute group Wheelchair Skills Training Program (WSTP) classes or two 1-hour active control sessions with 6 to 10 people per group.Main Outcome Measures: Baseline (t1) and 1-month follow-up (t2) Wheelchair Skills Test Questionnaire (WST-Q) (Version 4.2) for capacity and performance and Goal Attainment Scale (GAS) score.Results: Follow-up was completed by 79 participants (WSTP: n=36, active control: n=43). No differences were found between missing and complete cases. Many users were highly skilled at baseline with a WST-Q capacity interquartile range of 77% to 97%. There were no differences between groups at baseline in WST-Q measures or demographics. Compared with the active control group, the WSTP group improved in WST-Q capacity advanced score (P=.02) but not in WST-Q capacity or WST-Q performance total scores (P=.068 and P=.873, respectively). The average GAS score (0% at t1) for the WSTP group at t2 was 65.6%+/- 34.8%. Higher GAS scores and WST-Q capacity scores were found for those who attended more classes and had lower baseline skills.Conclusions: Group training can improve advanced wheelchair skills capacity and facilitate achievement of individually set goals. Lower skill levels at baseline and increased attendance were correlated with greater improvement. (C) 2016 by the American Congress of Rehabilitation Medicine