Ding Dan, Souza Ana, Cooper Rory A, Fitzgerald Shirley G, Cooper Rosemarie, Kelleher Annmarie, Boninger Michael L
Department of Rehabilitation Science, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Am J Phys Med Rehabil. 2008 Oct;87(10):821-9. doi: 10.1097/PHM.0b013e318186bd1a.
This preliminary study was to evaluate the impact of pushrim- activated power-assist wheelchairs (PAPAWs) on mobility, community participation, satisfaction, and psychosocial impact among individuals with tetraplegia.
Fifteen manual wheelchair users with tetraplegia completed a 4-wk protocol including a 2-wk trial where they used their personal wheelchairs for mobility and a 2-wk trial where they were provided with a PAPAW and could choose either wheelchair for mobility. The mobility levels with both wheelchairs were recorded by a datalogger. Participants completed daily questionnaires regarding community participation and their satisfaction with the wheelchair used. The Psychosocial Impact of Assistive Devices Scale was used to compare the psychosocial impact of PAPAWs with their personal wheelchairs.
Participants chose to use PAPAWs and their personal wheelchairs at a similar frequency in the PAPAW trial. The distances traveled with both wheelchairs were not statistically different (P = 0.09). Participants traveled significantly faster with PAPAWs (P = 0.03). PAPAWs did not result in significantly greater community participation, satisfaction, and psychosocial impacts than the personal wheelchairs.
PAPAWs could be a viable mobility option for individuals with tetraplegia, which can provide independent mobility especially for outdoor activities. A user's preference, life style, physical conditions, transportation issues, and environmental factors should be considered in prescribing such a device.
本初步研究旨在评估推 rim 激活动力辅助轮椅（PAPAWs）对四肢瘫痪者的移动性、社区参与度、满意度以及心理社会影响。
15 名四肢瘫痪的手动轮椅使用者完成了一项为期 4 周的方案，包括为期 2 周的试验，期间他们使用自己的个人轮椅进行移动，以及为期 2 周的试验，在此期间他们获得了一台 PAPAW，并且可以选择任意一种轮椅进行移动。两种轮椅的移动水平由数据记录器记录。参与者每天完成关于社区参与度以及他们对所使用轮椅满意度的问卷。使用辅助设备心理社会影响量表来比较 PAPAWs 与其个人轮椅的心理社会影响。
在 PAPAW 试验中，参与者选择使用 PAPAWs 和他们的个人轮椅的频率相似。两种轮椅行驶的距离在统计学上没有差异（P = 0.09）。使用 PAPAWs 时参与者行驶速度明显更快（P = 0.03）。PAPAWs 与个人轮椅相比，在社区参与度、满意度和心理社会影响方面并没有显著更大的效果。
PAPAWs 对于四肢瘫痪者可能是一种可行的移动选择，它可以提供独立移动能力，特别是对于户外活动。在开处方使用这种设备时，应考虑用户的偏好、生活方式、身体状况、交通问题和环境因素。
