title: Outcomes of wheelchair systems intervention with residents of long-term care facilities.
abstract: This pilot study was designed to measure the effects of individually prescribed wheelchair systems on posture and reach, mobility, quality of life, and satisfaction with technology for residents of long-term care facilities. Thirty persons 60 years of age or older who resided permanently in a long-term care facility and who used seating and mobility systems for 6 hours or more each day were recruited for this project. Outcomes included timed independent mobility, forward and lateral reach, quality of life, and satisfaction with assistive technology. The study used semicrossover design with participants measured three times. Measurements were first made in the existing seating and mobility system and a second time immediately after participants were provided with individually prescribed seating and mobility systems. The final measurement was 3 months after the delivery of the individually prescribed system. Results indicated that individually fitted wheelchair systems for elderly residents of long-term care facilities are beneficial. Participants had less difficulty independently propelling their systems and increased forward reach, quality of life for social function and physical role, and satisfaction with the new wheelchair technology. Persons residing in extended care facilities benefit from receiving individually prescribed wheelchair systems. The individual systems enhance elderly persons' independent mobility, functional reach, feeling of well-being, and satisfaction with their assistive technology.
authors.affiliation: University of Pittsburgh, SHRS, Department of Rehabilitation Science and Technology, USA.
authors.forename: Elaine
authors.initials: E
authors.lastname: Trefler
authors.forename: Shirley G
authors.initials: SG
authors.lastname: Fitzgerald
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Hobson
authors.forename: Thomas
authors.initials: T
authors.lastname: Bursick
authors.forename: Robert
authors.initials: R
authors.lastname: Joseph
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D018592:Cross-Over Studies; D005260:Female; D016330:Frail Elderly / Q000523:psychology; D006707:Homes for the Aged / Q000706:statistics & numerical data; D006801:Humans; D008124:Locomotion; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D010865:Pilot Projects; D011187:Posture; D011788:Quality of Life; D016896:Treatment Outcome; D014910:Wheelchairs / Q000523:psychology / Q000592:standards