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Pain, fatigue, function and participation among long-term manual wheelchair users partnered with a mobility service dog.

Purpose: To assess the effects of a mobility service dog (MSD) on pain, fatigue, wheelchair-related functional tasks, participation and satisfaction among manual wheelchair users over a nine-month period. Method: A longitudinal study with repeated assessment times before and three, six and nine mont...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 14; no. 2; pp. 99 - 109
Autores principales: Vincent, Claude, Gagnon, Dany H, Dumont, Frédéric
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 14
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        136379187
        136379187
        136379187
        10.1080/17483107.2017.1401127
        136379187
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        atl: Pain, fatigue, function and participation among long-term manual wheelchair users partnered with a mobility service dog.
      aug:
        au:
          Vincent, Claude
          Gagnon, Dany H
          Dumont, Frédéric
        affil: Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), CIUSS de la Capitale Nationale de l' Institut de réadaptation en déficience physique de Québec, Quebec City, Canada
      sug:
        subj:
          Spinal Cord Injuries Complications
          Wheelchairs Utilization
          Functional Status
          Pain
          Fatigue
          Social Participation
          Service Animals
          Dogs
          Human
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Quebec
          Prospective Studies
          Repeated Measures
          Convenience Sample
          Descriptive Statistics
          Mann-Whitney U Test
          Fisher's Exact Test
          Friedman Test
          Wilcoxon Rank Sum Test
          McNemar's Test
          Post Hoc Analysis
          Data Analysis Software
          Patient Satisfaction Evaluation
          Exertion Evaluation
          Grip Strength Evaluation
          Dynamometry
          Short Form-36 Health Survey (SF-36)
          Clinical Assessment Tools
          Questionnaires
          Scales
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: To assess the effects of a mobility service dog (MSD) on pain, fatigue, wheelchair-related functional tasks, participation and satisfaction among manual wheelchair users over a nine-month period. Method: A longitudinal study with repeated assessment times before and three, six and nine months after intervention was achieved. Intervention consisted in partnering each participant with a MSD. The setting is a well-established provincial service dog training school and participants homes. A convenience sample of 24 long-term manual wheelchair users with a spinal cord injury was involved. Outcome measures were: Wheelchair User's Shoulder Pain Index (WUSPI), Rate of Perceived Exertion (RPE), vitality scale from the SF-36, grip strength, Wheelchair Skills Test (WST), Canadian Occupational Performance Measure (COPM), Reintegration to Normal Living Index (RNLI), Life Space Assessment, Psychosocial Impact of Assistive Devices Scale (PIADS) and Quebec User Evaluation of Satisfaction with assistive Technology (QUEST 2.0). Results: Shoulder and wrist pain as well as fatigue decreased significantly over time with the use of a MSD as evidenced by scores from WUSPI, RPE and SF-36 (feeling less worn out). Manual wheelchair propulsion skills (steep slopes, soft surfaces and thresholds) improved significantly over time as confirmed by the WST. Participation increased significantly over time as revealed by the COPM (for five occupations) and the RNLI (for five items). Satisfaction with the MSD was high over time (QUEST: nine items) and with a high positive psychosocial impact (PIADS: 10 items). Conclusion: MSD represents a valuable mobility assistive technology option for manual wheelchair users. For manual wheelchair users partenered with mobility service dog • Shoulder pain and fatigue significantly decreased and continued to decrease between the third and sixth month and the ninth month. • Performance with propelling the wheelchair up steep slopes increased from 41 to 88% and on soft surfaces increased from 53 to 100% after 3 months, respectively. • Occupational performance satisfaction was significantly increased for mobility in relation with the transfers, navigating in a natural environment and picking up objects. • High satisfaction towards psychosocial competency, psychosocial adequacy and self-esteem were reported at months three, six and nine.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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