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  4. Community mobility and participation assessment of manual wheelchair users: a review of current techniques and challenges

Community mobility and participation assessment of manual wheelchair users: a review of current techniques and challenges

Front. Hum. Neurosci., 2024 · DOI: 10.3389/fnhum.2023.1331395 · Published: January 5, 2024

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

This review examines the methods used to measure how well manual wheelchair users (MWU) can move around and participate in their communities. It looks at factors that affect their community mobility and participation (CMP) and explores rehabilitation techniques to improve these aspects, ultimately aiming to enhance their quality of life. The review highlights the importance of considering community, personal, and environmental factors in rehabilitation efforts, and it identifies areas for future research to further support the well-being of MWU.

Study Duration
Not specified
Participants
Review of 105 articles
Evidence Level
Level 5: Review Article

Key Findings

  • 1
    Self-surveys, in-clinic measurements, and remote tracking are used to assess community mobility and participation in manual wheelchair users.
  • 2
    Wheelchair quality, community accessibility, personal factors (self-esteem, wheelchair skills), and environmental factors (weather) significantly impact community mobility and participation.
  • 3
    Rehabilitation techniques such as wheelchair training, brain-computer interface-triggered functional electrical stimulation therapy, and community-based programs can improve community mobility and participation.

Research Summary

This review examines methods for measuring community mobility and participation (CMP) of manual wheelchair users (MWU), factors impacting CMP, and rehabilitation techniques. Current best practices involve self-surveys, in-clinic assessments, and remote tracking, while rehabilitation methods like wheelchair training and brain-computer interfaces show promise. The review emphasizes the importance of considering community, personal, and environmental factors in rehabilitation and suggests avenues for future research to improve MWU quality of life.

Practical Implications

Improved Rehabilitation

Rehabilitation specialists can use the identified best practices for measuring CMP to track patients' progress accurately.

Targeted Interventions

Understanding the factors that impact CMP allows for the development of tailored interventions to address specific barriers faced by MWU.

Future Research

The recommendations made in the review can guide future research efforts to further enhance the community mobility and participation of MWU.

Study Limitations

  • 1
    Limited number of available sources on CMP of MWU.
  • 2
    Rapidly changing assessment technologies necessitate a shorter review window.
  • 3
    Lack of longitudinal studies examining the long-term effects of rehabilitation techniques.

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