Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia
Kirby RL, Adams CD, MacPhee AH, Coolen AL, Harrison ER, Eskes GA, Smith C, MacLeod DA, Dupuis DJ. Wheelchair-skill performance: controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia. To test the hypothesis that able-bodied people simulating hemiplegia (usi...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2005-03, Vol.86 (3), p.387-393 |
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| creator | Kirby, R. Lee Adams, Corey D. MacPhee, Angela H. Coolen, Anna L. Harrison, Edmund R. Eskes, Gail A. Smith, Cher MacLeod, Donald A. Dupuis, Debbie J. |
| description | Kirby RL, Adams CD, MacPhee AH, Coolen AL, Harrison ER, Eskes GA, Smith C, MacLeod DA, Dupuis DJ. Wheelchair-skill performance: controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia.
To test the hypothesis that able-bodied people simulating hemiplegia (using the hemiplegic-propulsion pattern [1 arm and 1 leg]) have as much difficulty performing wheelchair skills as people with hemiplegia.
Single-blind, controlled comparison of 2 groups.
Kinesiologic laboratory in a rehabilitation center.
Twenty wheelchair users with hemiplegia (HP group) (median age, 68y; 80% men) and 20 able-bodied participants (AB group) (median age, 67y; 75% men).
The participants in the AB group simulated hemiplegia and received a brief period of wheelchair skills training. Participants in both groups were asked to attempt the 50 skills of the Wheelchair Skills Test, version 2.4 (WST 2.4).
Total and subtotal percentage scores on the WST 2.4 and success rates for the 50 individual skills.
The mean percentage WST scores for the AB group were significantly greater than those for the HP group for the total WST scores (P |
| doi_str_mv | 10.1016/j.apmr.2004.05.020 |
| format | Article |
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To test the hypothesis that able-bodied people simulating hemiplegia (using the hemiplegic-propulsion pattern [1 arm and 1 leg]) have as much difficulty performing wheelchair skills as people with hemiplegia.
Single-blind, controlled comparison of 2 groups.
Kinesiologic laboratory in a rehabilitation center.
Twenty wheelchair users with hemiplegia (HP group) (median age, 68y; 80% men) and 20 able-bodied participants (AB group) (median age, 67y; 75% men).
The participants in the AB group simulated hemiplegia and received a brief period of wheelchair skills training. Participants in both groups were asked to attempt the 50 skills of the Wheelchair Skills Test, version 2.4 (WST 2.4).
Total and subtotal percentage scores on the WST 2.4 and success rates for the 50 individual skills.
The mean percentage WST scores for the AB group were significantly greater than those for the HP group for the total WST scores (P<.001), the indoor skill level (P<.001), and the community skill level (P<.001), but the advanced skill level scores were 0% for both groups. On the individual skills, the AB group had success rates at least 25% higher than the HP group for 13 (26%) of the skills. Both groups were generally successful (≥75% success rate) on 21 skills (42%). Both groups experienced difficulties (≤50% success rate) on 13 skills (26%), notably those in which there was high rolling resistance (eg, incline ascent) or high balance demands (the wheelie skills).
Both people with hemiplegia and able-bodied people who are simulating hemiplegia experience similar difficulties when performing some wheelchair skills. This suggests that there are difficulties inherent in these tasks, a finding that holds promise for solutions based on new techniques and technologies.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2004.05.020</identifier><identifier>PMID: 15759216</identifier><identifier>CODEN: APMHAI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Female ; Hemiplegia ; Hemiplegia - etiology ; Hemiplegia - rehabilitation ; Humans ; Male ; Medical sciences ; Miscellaneous ; Motor Skills ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rehabilitation ; Rehabilitation Centers ; Role Playing ; Single-Blind Method ; Stroke ; Vascular diseases and vascular malformations of the nervous system ; Wheelchairs</subject><ispartof>Archives of physical medicine and rehabilitation, 2005-03, Vol.86 (3), p.387-393</ispartof><rights>2005 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c384t-f2118ff5f5fba74100c0ae7c9be4c6120ecd64bd96d67f972968dcb46ca6ac493</citedby><cites>FETCH-LOGICAL-c384t-f2118ff5f5fba74100c0ae7c9be4c6120ecd64bd96d67f972968dcb46ca6ac493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2004.05.020$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16607562$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15759216$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirby, R. Lee</creatorcontrib><creatorcontrib>Adams, Corey D.</creatorcontrib><creatorcontrib>MacPhee, Angela H.</creatorcontrib><creatorcontrib>Coolen, Anna L.</creatorcontrib><creatorcontrib>Harrison, Edmund R.</creatorcontrib><creatorcontrib>Eskes, Gail A.</creatorcontrib><creatorcontrib>Smith, Cher</creatorcontrib><creatorcontrib>MacLeod, Donald A.</creatorcontrib><creatorcontrib>Dupuis, Debbie J.</creatorcontrib><title>Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Kirby RL, Adams CD, MacPhee AH, Coolen AL, Harrison ER, Eskes GA, Smith C, MacLeod DA, Dupuis DJ. Wheelchair-skill performance: controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia.
To test the hypothesis that able-bodied people simulating hemiplegia (using the hemiplegic-propulsion pattern [1 arm and 1 leg]) have as much difficulty performing wheelchair skills as people with hemiplegia.
Single-blind, controlled comparison of 2 groups.
Kinesiologic laboratory in a rehabilitation center.
Twenty wheelchair users with hemiplegia (HP group) (median age, 68y; 80% men) and 20 able-bodied participants (AB group) (median age, 67y; 75% men).
The participants in the AB group simulated hemiplegia and received a brief period of wheelchair skills training. Participants in both groups were asked to attempt the 50 skills of the Wheelchair Skills Test, version 2.4 (WST 2.4).
Total and subtotal percentage scores on the WST 2.4 and success rates for the 50 individual skills.
The mean percentage WST scores for the AB group were significantly greater than those for the HP group for the total WST scores (P<.001), the indoor skill level (P<.001), and the community skill level (P<.001), but the advanced skill level scores were 0% for both groups. On the individual skills, the AB group had success rates at least 25% higher than the HP group for 13 (26%) of the skills. Both groups were generally successful (≥75% success rate) on 21 skills (42%). Both groups experienced difficulties (≤50% success rate) on 13 skills (26%), notably those in which there was high rolling resistance (eg, incline ascent) or high balance demands (the wheelie skills).
Both people with hemiplegia and able-bodied people who are simulating hemiplegia experience similar difficulties when performing some wheelchair skills. This suggests that there are difficulties inherent in these tasks, a finding that holds promise for solutions based on new techniques and technologies.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Hemiplegia</subject><subject>Hemiplegia - etiology</subject><subject>Hemiplegia - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Motor Skills</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rehabilitation</subject><subject>Rehabilitation Centers</subject><subject>Role Playing</subject><subject>Single-Blind Method</subject><subject>Stroke</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Wheelchairs</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFq3DAQhkVpaDZpX6CH4kt7szOSLXlVeglL0hYCuaS0NyFL46y2suVK3oac8urRsob0VOYwDHz_MHxDyHsKFQUqLnaVnoZYMYCmAl4Bg1dkRXnNyjWjv16TFQDUpZSyPiVnKe3yKHhN35BTylsuGRUr8vRzi-jNVrtYpt_O-2LC2Ic46NHg52ITxjkG79EWJgyTji6FsehwfkAcMxomj8WDm7fFFgeXh3unCz3aQnceyy5Yl5MLltyw93p24_0_8Fty0muf8N3Sz8mP66u7zbfy5vbr983lTWnqdTOXPaN03fc8V6fbhgIY0Nga2WFjBGWAxoqms1JY0fayZVKsrekaYbTQppH1Ofl03DvF8GePaVaDSwa91yOGfVKi5VAz2WSQHUETQ0oRezVFN-j4qCiog3a1Uwft6qBdAVdZew59WLbvuwHtS2TxnIGPC6CT0b6PWa9LL5wQ0HLBMvflyGF28ddhVMk4zK-wLqKZlQ3uf3c8A6eipHQ</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Kirby, R. Lee</creator><creator>Adams, Corey D.</creator><creator>MacPhee, Angela H.</creator><creator>Coolen, Anna L.</creator><creator>Harrison, Edmund R.</creator><creator>Eskes, Gail A.</creator><creator>Smith, Cher</creator><creator>MacLeod, Donald A.</creator><creator>Dupuis, Debbie J.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia</title><author>Kirby, R. Lee ; Adams, Corey D. ; MacPhee, Angela H. ; Coolen, Anna L. ; Harrison, Edmund R. ; Eskes, Gail A. ; Smith, Cher ; MacLeod, Donald A. ; Dupuis, Debbie J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-f2118ff5f5fba74100c0ae7c9be4c6120ecd64bd96d67f972968dcb46ca6ac493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Hemiplegia</topic><topic>Hemiplegia - etiology</topic><topic>Hemiplegia - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Motor Skills</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rehabilitation</topic><topic>Rehabilitation Centers</topic><topic>Role Playing</topic><topic>Single-Blind Method</topic><topic>Stroke</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Wheelchairs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirby, R. Lee</creatorcontrib><creatorcontrib>Adams, Corey D.</creatorcontrib><creatorcontrib>MacPhee, Angela H.</creatorcontrib><creatorcontrib>Coolen, Anna L.</creatorcontrib><creatorcontrib>Harrison, Edmund R.</creatorcontrib><creatorcontrib>Eskes, Gail A.</creatorcontrib><creatorcontrib>Smith, Cher</creatorcontrib><creatorcontrib>MacLeod, Donald A.</creatorcontrib><creatorcontrib>Dupuis, Debbie J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirby, R. Lee</au><au>Adams, Corey D.</au><au>MacPhee, Angela H.</au><au>Coolen, Anna L.</au><au>Harrison, Edmund R.</au><au>Eskes, Gail A.</au><au>Smith, Cher</au><au>MacLeod, Donald A.</au><au>Dupuis, Debbie J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>86</volume><issue>3</issue><spage>387</spage><epage>393</epage><pages>387-393</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><coden>APMHAI</coden><abstract>Kirby RL, Adams CD, MacPhee AH, Coolen AL, Harrison ER, Eskes GA, Smith C, MacLeod DA, Dupuis DJ. Wheelchair-skill performance: controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia.
To test the hypothesis that able-bodied people simulating hemiplegia (using the hemiplegic-propulsion pattern [1 arm and 1 leg]) have as much difficulty performing wheelchair skills as people with hemiplegia.
Single-blind, controlled comparison of 2 groups.
Kinesiologic laboratory in a rehabilitation center.
Twenty wheelchair users with hemiplegia (HP group) (median age, 68y; 80% men) and 20 able-bodied participants (AB group) (median age, 67y; 75% men).
The participants in the AB group simulated hemiplegia and received a brief period of wheelchair skills training. Participants in both groups were asked to attempt the 50 skills of the Wheelchair Skills Test, version 2.4 (WST 2.4).
Total and subtotal percentage scores on the WST 2.4 and success rates for the 50 individual skills.
The mean percentage WST scores for the AB group were significantly greater than those for the HP group for the total WST scores (P<.001), the indoor skill level (P<.001), and the community skill level (P<.001), but the advanced skill level scores were 0% for both groups. On the individual skills, the AB group had success rates at least 25% higher than the HP group for 13 (26%) of the skills. Both groups were generally successful (≥75% success rate) on 21 skills (42%). Both groups experienced difficulties (≤50% success rate) on 13 skills (26%), notably those in which there was high rolling resistance (eg, incline ascent) or high balance demands (the wheelie skills).
Both people with hemiplegia and able-bodied people who are simulating hemiplegia experience similar difficulties when performing some wheelchair skills. This suggests that there are difficulties inherent in these tasks, a finding that holds promise for solutions based on new techniques and technologies.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15759216</pmid><doi>10.1016/j.apmr.2004.05.020</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Biological and medical sciences Female Hemiplegia Hemiplegia - etiology Hemiplegia - rehabilitation Humans Male Medical sciences Miscellaneous Motor Skills Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rehabilitation Rehabilitation Centers Role Playing Single-Blind Method Stroke Vascular diseases and vascular malformations of the nervous system Wheelchairs |
| title | Wheelchair-skill performance: Controlled comparison between people with hemiplegia and able-bodied people simulating hemiplegia |
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