The use of standing powered wheelchairs from the perspective of individuals with spinal cord injury.

Purpose: The aim of this study was to investigate the experiences of standing powered wheelchair (SPWC) users with spinal cord injury (SCI). Materials and methods: This cross-sectional study included 20 participants with SCI. SPWC daily usage time (total, in sitting position and standing position) a...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 20; no. 1; pp. 184 - 189
Autores principales: Örücü Atar, Merve, Köroğlu, Özlem, Çetinkaya Gezer, İrem, Özcan, Fatma, Şamlı, Fatma, Yılmaz, Bilge
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2025
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      pub: Taylor & Francis Ltd
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        181985967
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        10.1080/17483107.2024.2359489
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        atl: The use of standing powered wheelchairs from the perspective of individuals with spinal cord injury.
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        au:
          Örücü Atar, Merve
          Köroğlu, Özlem
          Çetinkaya Gezer, İrem
          Özcan, Fatma
          Şamlı, Fatma
          Yılmaz, Bilge
        affil: Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation, Training and Research Hospital, Ankara, Turkey
      sug:
        subj:
          Standing
          Wheelchairs, Powered
          Spinal Cord Injuries Rehabilitation
          Patient Attitudes Evaluation
          Life Experiences Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Cross Sectional Studies
          Patient Satisfaction
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: The aim of this study was to investigate the experiences of standing powered wheelchair (SPWC) users with spinal cord injury (SCI). Materials and methods: This cross-sectional study included 20 participants with SCI. SPWC daily usage time (total, in sitting position and standing position) and the frequency of using the SPWC's standing feature were recorded. Participants' level of satisfaction and comfort associated with the SPWC were assessed on a five-point Likert scale. If there was a dissatisfaction reason with the SPWC, the issues related to it were recorded. Participants were asked about their positive and adverse experiences with the use of SPWC. Results: Mean age of the participants was 41.65 (± 9.35) years. Eighty percent were tetraplegic. Ninety percent of the participants stood for at least 30 minutes at least one day a week, and 55% stood for at least 30 minutes at least four days a week. The most commonly reported perceived benefits were improvement in activities of daily living, bowel movements, and blood pressure regulation, better perception of body image, and feeling better. The most frequently identified reasons for dissatisfaction with the SPWC were its big dimensions, heavy weight, and difficulty of use in indoor environment and on uneven surfaces. Conclusions: The findings show positive perceived experiences for SPWC users with SCI in terms of physical, social, and psychological aspects. Prospective controlled studies are needed to explore the benefits of SPWC use regarding secondary complications of SCI. IMPLICATIONS FOR REHABILITATION: This paper shows that participants with spinal cord injury (SCI) report numerous perceived physical, social, and psychological benefits of using standing powered wheelchair (SPWC). Individual adjustments must be made for SPWCs. Before prescribing SPWC, the physician and physical or occupational therapist who specialises in wheelchairs should make the necessary evaluations based on the individual's abilities and needs. The necessity for special SPWC equipment and orthoses during standing should be evaluated. In SPWC users with SCI, neck discomfort may occur due to the contraction of non-postural innervated muscles such as the neck due to inadequate trunk control. In addition to the adjustable chest support in SPWC, equipment that provides additional chest support can be used for better control of the trunk. Better control of the trunk can contribute to improved neck comfort.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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