Manual wheelchair propulsion pattern use by people with multiple sclerosis

Disability and Rehabilitation. Assistive Technology
Riccardo VerzaMichele Messmer Uccelli

Abstract

To determine the most commonly used manual wheelchair propulsion pattern by people with multiple sclerosis (MS) and to assess which factors influence the preference. Sixty manual wheelchair users with MS from an MS outpatient rehabilitation centre in Northern Italy were assessed on upper limb range of motion and trunk stability to determine if these factors or demographic, disease or wheelchair use history, influenced the choice of wheelchair propulsion pattern. Fifty-four (90%) subjects used the arcing propulsion pattern, the least efficient pattern as reported in the literature. Sixteen (26.7%) subjects had impaired trunk stability and 38 (63.3%) subjects demonstrated some deficit on either extremity for active range flexion-extension. Twenty (33%) subjects had no deficits on active range flexion-extension and had normal trunk control. Upper limb range of motion and trunk stability were not significant in determining the preference for propulsion pattern (p = 1.05 and 0.38, respectively). Demographic and disease factors and wheelchair use history were also not significant in determining propulsion pattern. The person with MS uses the least efficient pattern overall, requiring frequent repetition, although a smaller range of m...Continue Reading

References

May 8, 2002·Archives of Physical Medicine and Rehabilitation·Michael L BoningerBrian T Fay
Feb 18, 2004·Archives of Physical Medicine and Rehabilitation·Daniela LanzettaRoldano Cardini
Jun 5, 2004·Archives of Physical Medicine and Rehabilitation·Brian T FayAlicia M Koontz
Sep 19, 2006·Clinical Biomechanics·Yu-Sheng YangMichael L Boninger
Feb 3, 2009·Multiple Sclerosis : Clinical and Laboratory Research·M DebouverieUNKNOWN LORSEP Group

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Citations

Mar 19, 2014·Archives of Physical Medicine and Rehabilitation·Ilse LamersPeter Feys
Jul 8, 2015·Archives of Physical Medicine and Rehabilitation·Ian M RiceRobert W Motl
Oct 10, 2014·American Journal of Physical Medicine & Rehabilitation·Bonita SawatzkyLyndall Katte
Sep 23, 2021·Journal of Neuroengineering and Rehabilitation·Hui Yan, Philippe S Archambault

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