| Manual wheelchair propulsion pattern use by people with multiple sclerosis. | |
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MedLine Citation:
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PMID: 20131974 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To determine the most commonly used manual wheelchair propulsion pattern by people with multiple sclerosis (MS) and to assess which factors influence the preference. METHOD: Sixty manual wheelchair users with MS from an MS outpatient rehabilitation centre in Northern Italy were assessed on upper limb range of motion and trunk stability to determine if these factors or demographic, disease or wheelchair use history, influenced the choice of wheelchair propulsion pattern. RESULTS: Fifty-four (90%) subjects used the arcing propulsion pattern, the least efficient pattern as reported in the literature. Sixteen (26.7%) subjects had impaired trunk stability and 38 (63.3%) subjects demonstrated some deficit on either extremity for active range flexion-extension. Twenty (33%) subjects had no deficits on active range flexion-extension and had normal trunk control. Upper limb range of motion and trunk stability were not significant in determining the preference for propulsion pattern (p = 1.05 and 0.38, respectively). Demographic and disease factors and wheelchair use history were also not significant in determining propulsion pattern. CONCLUSIONS: The person with MS uses the least efficient pattern overall, requiring frequent repetition, although a smaller range of movement. This may be an energy conservation technique that helps in managing fatigue. |
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Authors:
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Riccardo Verza; Mario Alberto Battaglia; Michele Messmer Uccelli |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Disability and rehabilitation. Assistive technology Volume: 5 ISSN: 1748-3115 ISO Abbreviation: Disabil Rehabil Assist Technol Publication Date: 2010 |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101255937 Medline TA: Disabil Rehabil Assist Technol Country: England |
Other Details:
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Languages: eng Pagination: 314-7 Citation Subset: IM |
Affiliation:
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Department of Occupational Therapy, Italian MS Society Rehabilitation Centre, Padua, Italy. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Disability Evaluation Energy Metabolism* Female Humans Italy Male Multiple Sclerosis* Posture* Range of Motion, Articular Statistics, Nonparametric Upper Extremity Wheelchairs / statistics & numerical data*, utilization |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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