Neuropsychological predictors of powered wheelchair use: a prospective follow-up study

Clinical Rehabilitation
Breda CullenJonathan J Evans

Abstract

To investigate (1) rates of powered wheelchair use and level of user-rated functional performance at one-month follow-up, and (2) whether psychological variables were prospectively predictive of outcome. Prospective follow-up study. UK hospital-based regional rehabilitation and mobility centre. Volunteer adults with impaired mobility. Of 155 approached, 103 had baseline assessments. Of these, 81 (79%) provided outcome data. Mean age was 65.6 years (SD = 13.5); 55% were male. Rate of day-to-day powerchair use, and users' perceptions of how well the powerchair allowed them to perform functional tasks. Among those with indoor-only chairs, 48% were 'less frequent' users; this rose to 72% among those with indoor/outdoor chairs. Excluding environmental reasons, rate of indoor use was predicted by baseline measures of verbal recall (P<0.001), figure copying (P=0.003) and global cognition (P=0.021). Among those with indoor/outdoor chairs, total rate of use was predicted by verbal recall (P= 0.001). Participants reported that the powerchair was effective in meeting their functional needs. Powered wheelchair use was predicted by cognitive measures. Rates of use were relatively low, despite users' reports that the powerchair facilitated t...Continue Reading

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Citations

Apr 13, 2010·Archives of Physical Medicine and Rehabilitation·Anita D MountainKara Thompson
Aug 2, 2015·Archives of Physical Medicine and Rehabilitation·R Lee KirbyBonita Sawatzky
Feb 17, 2009·Clinical Rehabilitation·Anita D MountainCher Smith
Aug 21, 2020·Disability and Rehabilitation. Assistive Technology·Emma M SmithWilliam C Miller
Mar 27, 2020·JMIR Research Protocols·Alice PellicheroFrançois Routhier
Jun 15, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Emma M SmithAlex Mihailidis
Oct 5, 2012·Assistive Technology : the Official Journal of RESNA·Amol M KarmarkarRory A Cooper
Nov 21, 2020·Disability and Rehabilitation. Assistive Technology·Emma M SmithAlex Mihailidis

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