Subject- and injury-related factors influencing the course of manual wheelchair skill performance during initial inpatient rehabilitation of persons with spinal cord injury.
OBJECTIVE
To study changes in wheelchair skills in subjects with spinal cord injury (SCI) during rehabilitation; to determine whether changes in wheelchair skill performance are related to the subject, lesion characteristics, secondary complications, and upper extremity pain; and to investigate if wheelchair skill performance at discharge can be predicted from these features.


METHODS
Longitudinal. Subjects performed the Wheelchair Circuit 3 times during rehabilitation: at admission (t1), 3 months later (t2), and at discharge (t3).


METHODS
Eight rehabilitation centers in the Netherlands.


METHODS
One hundred twenty-one subjects with SCI.


METHODS
Not applicable.


METHODS
The Wheelchair Circuit consists of 8 wheelchair skills and results in 3 test scores: ability, performance time, and physical strain.


RESULTS
All the scores of the Wheelchair Circuit improved significantly between t1 and t2, and between t2 and t3. The scores were related to age and lesion level, whereas changes in scores were related to age, sex, lesion level, and secondary complications. The variables age, body mass index, sex, lesion level, motor completeness, and secondary complications contributed significantly to the prediction of the scores at t3.


CONCLUSIONS
Wheelchair skill performance improved during rehabilitation. Personal and lesion characteristics are most important for improving wheelchair skill performance and predicting wheelchair skill performance.
Kilkens
Olga J
OJ
Institute for Rehabilitation Research, Hoensbroek, The Netherlands.
Dallmeijer
Annet J
AJ
Angenot
Edmond
E
Twisk
Jos W
JW
Post
Marcel W
MW
van der Woude
Lucas H
LH
D000328:Adult; D000367:Age Factors; D000368:Aged; D001132:Arm; D005260:Female; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D010146:Pain / Q000209:etiology / Q000523:psychology; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000150:complications / Q000523:psychology* / Q000534:rehabilitation*; D014910:Wheelchairs