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Comparison of activities of daily living (ADLs) in two different one arm drive wheelchairs : a study of individuals / participants with hemiplegia

This pilot study measured activities of daily living performance in
individuals/participants with hemiplegia propelling both a standard dual handrim
Action 3 wheelchair and a standard Action 3 wheelchair with a Neater
Uni-Wheelchair kit attachment. The kit consists of a steerable front. QUESTIONS: Does the use of the NUW affect the performance quality of activities
of daily living in individuals/participants with hemiplegia. Is there a
difference in the motor and process skills during activities of daily living
performance, and in the time taken to complete the activities. METHODS: Four
individuals/participants with hemiplegia were used in a cross over, repeated
measures trial. Assessment of Motor and Process Skills of users undertaking
making a bed and laying a table "Swedish style", tasks were measured and time
taken to complete each task were recorded. RESULTS: Bed making completion time
was quicker in the Neater Uni-wheelchair (p < 0.03). Motor skills were
significantly higher than the process ability skills (p < 0.05). CONCLUSION:
Activities of daily living tasks in the Neater Uni-wheelchair were completed more
efficiently with no loss in quality of motor and process skills performance. This
suggests that the Neater Uni-wheelchair is a viable alternative to current one
arm drive provision. Implications for Rehabilitation Inappropriate wheelchair
provision can result in capacity limitation and poorer quality of ADL motor skill
as well-lowered process performance skill. AMPS can help to explain motor and
process skill differences in complex activities.

Langue : ANGLAIS

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