Manual Wheelchair Speed, Maneuverability, and Endurance and Community Access
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/22/2018 |
| Start Date: | March 31, 2018 |
| End Date: | December 31, 2018 |
| Contact: | Nancy Flinn, PhD, OTR/L |
| Email: | Nancy.Flinn@allina.com |
| Phone: | 612-863-1418 |
This is a cross-section correlational study that will examine the relationships between
wheelchair speed, maneuverability, and endurance with community integration. By identifying
which of these has the biggest contribution to community participation, the information will
be used to justify continues therapy, to alter the focus of therapy, and to justify purchase
of power or power assist wheelchairs when needed. Currently, therapists make the
recommendation for a power or power assist chair based on their clinical judgement and the
patient's experience, but there has been limited justification from the literature for these
decisions. Finally, because the CHART measure is the gold standard in rehabilitation research
for community integration, but has psychometric problems, we will use this opportunity to
validate a new more psychometrically solid measure, the PART-O, against the CHART.
wheelchair speed, maneuverability, and endurance with community integration. By identifying
which of these has the biggest contribution to community participation, the information will
be used to justify continues therapy, to alter the focus of therapy, and to justify purchase
of power or power assist wheelchairs when needed. Currently, therapists make the
recommendation for a power or power assist chair based on their clinical judgement and the
patient's experience, but there has been limited justification from the literature for these
decisions. Finally, because the CHART measure is the gold standard in rehabilitation research
for community integration, but has psychometric problems, we will use this opportunity to
validate a new more psychometrically solid measure, the PART-O, against the CHART.
Inclusion criteria include:
- 18 years or older
- presence of a physical disability
- use of a manual wheelchair for primary mobility
- living in the community.
Exclusion criteria would include:
- individuals who have significant expressive or receptive language deficits (i.e.
aphasia, verbal apraxia, etc.)
- limb orthopedic conditions that would contraindicate speed and endurance testing, such
as recent fractures or joint instability
- cardiopulmonary resting heart rate of less than 50 or over 100, resting vitals of
systolic blood pressure of > 200 or < 90, diastolic blood pressure of >110, resting O2
levels of less than 90 (ACSM, 205; Fletcher, et al., 1993).
- any other cardiac symptoms
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