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  4. The associations of functional independence and quality of life with sitting balance and wheelchair skills among wheelchair users with spinal cord injury

The associations of functional independence and quality of life with sitting balance and wheelchair skills among wheelchair users with spinal cord injury

The Journal of Spinal Cord Medicine, 2024 · DOI: 10.1080/10790268.2022.2057721 · Published: January 1, 2024

Spinal Cord InjuryParticipationAssistive Technology

Simple Explanation

This study examines how well people with spinal cord injuries (SCI) who use wheelchairs can perform daily tasks and their overall quality of life in relation to their sitting balance and wheelchair skills. Researchers looked at data from 59 wheelchair users with SCI, focusing on their functional independence, quality of life, sitting balance, and wheelchair skills. The study found that lower functional independence and mobility were linked to poorer sitting balance and wheelchair skills. Better quality of life may be linked to better wheelchair skills.

Study Duration
Not specified
Participants
59 wheelchair users with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Functional independence, as measured by the SCIM III, significantly correlated with sitting balance, as measured by the FIST.
  • 2
    Mobility, a component of functional independence, correlated with wheelchair skills performance, capacity, and confidence.
  • 3
    Quality of life, specifically physical health and environment domains, significantly correlated with wheelchair skills capacity and confidence.

Research Summary

The study investigated the associations between functional independence, quality of life, sitting balance, and wheelchair skills in individuals with SCI who use wheelchairs full-time. Lower functional independence and mobility are associated with poor sitting balance and poor wheelchair skills, while higher QOL may be associated with higher wheelchair skills. The findings suggest that interventions targeting functional independence and QOL in this population should consider sitting balance and wheelchair skills training.

Practical Implications

Rehabilitation Strategies

Clinicians should develop strategies to enhance sitting stability to improve functional independence in wheelchair users with SCI.

Wheelchair Skills Training

Wheelchair skills and balance training should be included in interventions aiming to improve mobility in individuals with SCI.

Multidisciplinary Approach

Improving the QOL of wheelchair users with SCI requires a multidisciplinary approach involving physicians, therapists, psychologists, social workers, and policymakers.

Study Limitations

  • 1
    Cross-sectional study design limits the ability to determine cause-and-effect relationships.
  • 2
    The sub-analysis of sitting balance was performed with a small number of participants, potentially hindering the power of the analysis.
  • 3
    Upper limb function was not evaluated, which may limit the full interpretation of the results.

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