Considering Propulsion Pattern in Therapeutic Outcomes for Children Who Use Manual Wheelchairs. Pediatr Phys Ther 2019 Oct;31(4):360-368
Date
10/01/2019Pubmed ID
31568384DOI
10.1097/PEP.0000000000000649Scopus ID
2-s2.0-85072761461 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
PURPOSE: Children who use manual wheelchairs encounter pain and injury risks to the upper body. Current literature does not describe how propulsion pattern and physiotherapeutic training methodologies impact response to treatment.
METHODS: This study assesses the effect of community-based intensive physical and occupational therapy on functional outcomes over a 7-week period in pediatric manual wheelchair users.
RESULTS: Key results include significant joint and musculotendon kinematic differences at the shoulder, improved speed and propulsion effectiveness, and changed propulsion pattern.
CONCLUSIONS: Statistics also revealed that propulsion pattern was a predictor of response to therapy, as was weekly therapeutic duration, wheelchair-specific focus by the therapists, and stretching.
Author List
Rammer JR, Krzak JJ, Slavens BA, Winters JM, Riedel SA, Harris GFAuthors
Gerald Harris PhD Director in the Orthopaedic Research Engineering Center (OREC) department at Marquette UniversityBrooke Slavens BS,MS,PhD Professor in the Mechanical Engineering department at University of Wisconsin - Milwaukee
MESH terms used to index this publication - Major topics in bold
AdolescentBiomechanical Phenomena
Child
Disabled Children
Female
Humans
Male
Occupational Therapy
Physical Therapy Modalities
Spinal Dysraphism
Treatment Outcome
Wheelchairs
