The effect of an outdoor powered wheelchair on activity and participation in users with stroke

Purpose.Persons with disabilities after stroke are often restricted in activity and participation in society because of mobility limitations. An outdoor powered wheelchair may be one among other interventions in a rehabilitation programme. The aim of this study was to describe and compare activity limitations and participation restrictions in persons with stroke from their own perspective, before and after using an outdoor powered wheelchair. Method. At baseline and follow-up two instruments were used: Individually Prioritized Problem Assessment (IPPA) and World Health Organization Disability Assessment Schedule II (WHODAS II). Results. The results indicated that the powered wheelchair has a great positive effect on activity and participation assessed with IPPA. The results also showed that most of the participants' problems could be categorised as belonging to the domain of ‘Community, social and civic life’ according to the International Classification of Functioning, Disability and Health (ICF), and the effect size in this domain was large (2.4) after the participants had used the wheelchair. Conclusion. An outdoor powered wheelchair is an essential device for persons with disability after stroke with regard to overcoming activity limitations and participation restrictions in everyday life.

[1]  L. D. de Witte,et al.  Effectiveness of provision of outdoor mobility services and devices in the Netherlands , 2004, Clinical rehabilitation.

[2]  P. Gallagher,et al.  Levels of ability and functioning: using the WHODAS II in an Irish context , 2004, Disability and rehabilitation.

[3]  Thomas Ewert,et al.  Linking health-status measurements to the international classification of functioning, disability and health. , 2002, Journal of rehabilitation medicine.

[4]  T Ewert,et al.  Value and application of the ICF in rehabilitation medicine , 2002, Disability and rehabilitation.

[5]  R. Evans,et al.  The Effect of Electrically Powered Indoor/Outdoor Wheelchairs on Occupation: A Study of Users' Views , 2000 .

[6]  P. Hardy,et al.  Powered wheelchair mobility: An occupational performance evaluation perspective , 2004 .

[7]  H. Hinterhuber,et al.  Quality of life of HIV-infected patients: Psychometric properties and validation of the German version of the MQOL-HIV , 2003, Quality of Life Research.

[8]  Alan E. Kazdin,et al.  Research Design in Clinical Psychology , 2021 .

[9]  Anne Forster,et al.  Review of longer-term problems after disabling stroke , 2007 .

[10]  Denise Reid,et al.  Acceptance and meanings of wheelchair use in senior stroke survivors. , 2004, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[11]  A. Chorus,et al.  Measuring participation according to the International Classification of Functioning, Disability and Health (ICF) , 2003, Disability and rehabilitation.

[12]  L. May,et al.  Evaluation of Powered Mobility Use in Home and Community Environments , 2003, Physical & occupational therapy in pediatrics.

[13]  P. Fayers,et al.  Quality of Life: Assessment, Analysis, and Interpretation , 2000 .

[14]  L. D. de Witte,et al.  A user-centred approach to assess the effectiveness of outdoor mobility devices and services , 2002, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[15]  M. T. J. Buñuales,et al.  La clasificación internacional del funcionamiento de la discapacidad y de la salud (CIF) 2001 , 2002 .

[16]  Renzo Andrich,et al.  IPPA, a user-centred approach to assess effectiveness of assistive technology provision , 2001 .

[17]  H. Herrman,et al.  The assessment of patients with long-term psychotic disorders: application of the WHO Disability Assessment Schedule II. , 2004, The Australian and New Zealand journal of psychiatry.

[18]  L. Gunnarsson,et al.  A comprehensive rehabilitation programme tailored to the needs of adults with muscular dystrophy , 2006, Clinical rehabilitation.

[19]  T. B. Üstün,et al.  The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health , 2003, Disability and rehabilitation.

[20]  N. Dedeoğlu,et al.  Disability and its effects on quality of life among older people living in Antalya city center, Turkey. , 2005, Archives of gerontology and geriatrics.

[21]  R O Smith,et al.  Measuring the outcomes of assistive technology: challenge and innovation. , 1996, Assistive technology : the official journal of RESNA.

[22]  M. Von Korff,et al.  Disability in depression and back pain: evaluation of the World Health Organization Disability Assessment Schedule (WHO DAS II) in a primary care setting. , 2003, Journal of clinical epidemiology.

[23]  T. Patterson,et al.  Assessing Disability in Older Patients With Schizophrenia: Results From the WHODAS-II , 2004, The Journal of nervous and mental disease.

[24]  Renzo Andrich,et al.  IPPA: Individually Prioritised Problem Assessment , 2002 .

[25]  J. Gladman,et al.  Using an interview study of transport use by people who have had a stroke to inform rehabilitation , 2004, Clinical rehabilitation.

[26]  W. Miller,et al.  Perceptions of Power Mobility Use and Safety within Residential Facilities , 2005, Canadian journal of occupational therapy. Revue canadienne d'ergotherapie.

[27]  Alarcos Cieza,et al.  Classification of Functioning , Disability and Health ( ICF ) in health outcome evaluation-review and outlook of the use of the ICF in clinical practice , 2006 .

[28]  Gerd Ahlström,et al.  Living with a chronic deteriorating disease: the trajectory with muscular dystrophy over ten years , 2004, Disability and rehabilitation.

[29]  Agneta Ståhl,et al.  Theoretical understanding and methodological challenges in accessibility assessments, focusing the environmental component: an example from travel chains in urban public bus transport. , 2002, Disability and rehabilitation.

[30]  N. Walsh.  Global initiatives in rehabilitation medicine , 2004 .

[31]  Shirley G Fitzgerald,et al.  Assessing the influence of wheelchair technology on perception of participation in spinal cord injury. , 2004, Archives of physical medicine and rehabilitation.

[32]  S. van der Linden,et al.  Assessment of disability with the World Health Organisation Disability Assessment Schedule II in patients with ankylosing spondylitis , 2003, Annals of the rheumatic diseases.

[33]  Olga V. Demler,et al.  The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). , 2003, JAMA.

[34]  Kirsten Schultz-Larsen,et al.  Stroke Rehabilitation: Assistive Technology Devices and Environmental Modifications Following Primary Rehabilitation in Hospital—A Therapeutic Perspective , 2003, Assistive technology : the official journal of RESNA.

[35]  K. Samuelsson,et al.  User Satisfaction with Mobility Assistive Devices , 2004 .

[36]  J. Persson,et al.  Balancing societal costs and users' quality of life—priority setting of interventions for the hard-of-hearing , 2003, International journal of audiology.

[37]  L. Gitlin,et al.  Emerging concerns of older stroke patients about assistive device use. , 1998, The Gerontologist.

[38]  M E Buning,et al.  Occupational performance and the transition to powered mobility: a pilot study. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[39]  A. Cieza,et al.  Content comparison of health-related quality of life (HRQOL) instruments based on the international classification of functioning, disability and health (ICF) , 2005, Quality of Life Research.

[40]  Å. Brandt,et al.  Older people's use of powered wheelchairs for activity and participation. , 2004, Journal of rehabilitation medicine.

[41]  A. Beelen,et al.  Beyond disability: perceived participation in people with a chronic disabling condition , 2002, Clinical rehabilitation.

[42]  M J Fuhrer,et al.  Assistive Technology Outcomes Research: Challenges Met and Yet Unmet , 2001, American journal of physical medicine & rehabilitation.

[43]  Lisbeth Claesson,et al.  Assistive Devices in Elderly People After Stroke: A Longitudinal, Randomized Study - The Göteborg 70+ Stroke Study , 2002 .

[44]  James A Lenker,et al.  A Review of Conceptual Models for Assistive Technology Outcomes Research and Practice , 2003, Assistive technology : the official journal of RESNA.