Do Performance-Based Wheelchair Propulsion Tests Detect Changes Among Manual Wheelchair Users With Spinal Cord Injury During Inpatient Rehabilitation in Quebec?

Autor: Molly C. Verrier, B. Cathy Craven, Sylvie Nadeau, Audrey Roy, Cyril Duclos, Dany H. Gagnon
Rok vydání: 2015
Předmět:
Zdroj: Archives of physical medicine and rehabilitation. 97(7)
ISSN: 1532-821X
Popis: Objective To quantify and compare the responsiveness and concurrent validity of 3 performance-based manual wheelchair propulsion tests among manual wheelchair users with subacute spinal cord injury (SCI) undergoing inpatient rehabilitation. Design Quasi-experimental repeated-measures design. Setting Publicly funded comprehensive inpatient SCI rehabilitation program. Participants Consenting adult manual wheelchair users with a subacute SCI admitted and discharged from inpatient rehabilitation (N=14). Intervention Participants performed 20-m propulsion at both self-selected natural and maximal speeds, the slalom, and the 6-minute propulsion tests at rehabilitation admission and discharge. Main Outcome Measures Time required to complete the performance-based wheelchair propulsion tests. Standardized response means (SRMs) were computed for each performance test and Pearson correlation coefficients ( r ) were calculated to explore the associations between performance tests. Results The slalom (SRM=1.24), 20-m propulsion at maximum speed (SRM=.99), and 6-minute propulsion tests (SRM=.84) were the most responsive. The slalom and 20-m propulsion at maximum speed were strongly correlated at both admission ( r =.93) and discharge ( r =.92). Conclusions The slalom and 6-minute propulsion tests best document wheelchair propulsion performance change over the course of inpatient rehabilitation. Adding the 20-m propulsion test performed at maximal speed provides a complementary description of performance change.
Databáze: OpenAIRE