Are wheelchair-skills assessment and training relevant for long-standing wheelchair users? Two case reports

Disability and Rehabilitation. Assistive Technology
Anita D MountainR Lee Kirby

Abstract

We present two case reports that shed light on the question of whether routine periodic wheelchair-skills assessment and training are relevant for long-standing wheelchair users. CASE 1: A 60-year-old man with a 15-year history of T12 complete paraplegia sustained an intertrochanteric fracture of his femur due to a tip-over accident that occurred 2 days after a follow-up clinic visit at which no limitations in wheelchair-skill performance were identified. If a procedure had been in place to identify and correct his wheelchair-skill deficiencies, this injury might have been prevented. CASE 2: A 34-year-old woman with spina bifida, whose wheelchair use had gradually increased, came to our attention during the provision of a new wheelchair. She was able to significantly improve her wheelchair abilities through training. The newly learned skills enhanced her community participation. These cases suggest that, even in long-standing wheelchair users, wheelchair skills should be routinely assessed as part of the periodic functional assessment and, when the skill level is determined to be less than appropriate for that person, formal training should be offered.

References

Jan 5, 2002·American Journal of Public Health·Katherine BergSusan Allen
Jun 6, 2003·Clinical Rehabilitation·Olga J E KilkensLucas H V van der Woude
Feb 19, 2004·Archives of Physical Medicine and Rehabilitation·Angela H MacPheeDebbie J Dupuis
Mar 20, 2004·Archives of Physical Medicine and Rehabilitation·Anita D MountainCher Smith
May 7, 2004·Archives of Physical Medicine and Rehabilitation·R Lee KirbyJames P Bonaparte
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Citations

Mar 3, 2015·Journal of Physical Therapy Science·Wei Pin HuangYang-Hua Lin
Nov 4, 2010·Archives of Physical Medicine and Rehabilitation·Noelle J LindquistPatricia J Manns
Mar 14, 2014·The Journal of Spinal Cord Medicine·Titilola AkhigbeLaura Carbone
Mar 20, 2012·Disability and Rehabilitation. Assistive Technology·Camilla Blach RossenGitte Wind
Jan 24, 2017·Disability and Rehabilitation·Emma M SmithWilliam C Miller
Oct 26, 2011·Disability and Rehabilitation. Assistive Technology·Philippe S ArchambaultPatrick Boissy
Jun 21, 2019··Olivier SzymanezykKieran Hicks

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