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The differences in self-esteem, function, and participation between adults with
low cervical motor tetraplegia who use power or manual wheelchairs

HASTINGS J; ROBINS H; GRIFFITHS Y; HAMILTON A
ARCH PHYS MED REHABIL , 2011, vol. 92, n° 11, p. 1785-1788
Doc n°: 155313
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2011.03.023
Descripteurs : KF6 - FAUTEUIL ROULANT
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To explore the differences between manual and power wheelchair users
in terms of self-esteem, function, and participation in persons with a similar
motor level of spinal cord injury (SCI). DESIGN: Descriptive cross-sectional
study with a single data collection. SETTING: General community. PARTICIPANTS:
Participants (N=30) were a convenience sample of adults with self-reported C6 and
C7 tetraplegia caused by SCI who are 1 or more years postinjury. Eighteen were
manual chair users, and 12 were power chair users. INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Rosenberg Self-Esteem Scale, Spinal Cord Independence
Measure III (SCIM III) as a measure of function, and the Craig Handicap
Assessment and Reporting Technique (CHART) as a measure of participation.
RESULTS: There were no significant differences between manual and power chair
users regarding age, time since injury, or length of initial rehabilitation stay.
A significant difference was seen between wheelchair groups (F=2.677, P=.038).
Multivariate analysis showed the differences to be in the SCIM III (F=11.088,
P=.003) and the CHART subcategories Physical (F=7.402, P=.011), Mobility
(F=12.894, P=.001), and Occupation (F=5.174, P=.031). CONCLUSIONS: Manual
wheelchair users demonstrated better physical function, mobility, and had a
higher employment rate than power wheelchair users based on the SCIM III and
CHART in this sample of adults with C6 or C7 motor level tetraplegia.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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