Pettersson Ingvor, Törnquist Kristina, Ahlström Gerd
Department of Health Sciences, Orebro University, Orebro, Sweden.
Disabil Rehabil Assist Technol. 2006 Sep;1(4):235-43. doi: 10.1080/17483100600757841.
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.
At baseline and follow-up two instruments were used: Individually Prioritized Problem Assessment (IPPA) and World Health Organization Disability Assessment Schedule II (WHODAS II).
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.
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.
中风后残疾人士常因行动不便而在活动和社会参与方面受到限制。户外电动轮椅可能是康复计划中的一种干预措施。本研究的目的是从自身角度描述和比较中风患者在使用户外电动轮椅前后的活动受限情况和参与限制情况。
在基线和随访时使用了两种工具：个人优先问题评估（IPPA）和世界卫生组织残疾评定量表第二版（WHODAS II）。
结果表明，电动轮椅对使用IPPA评估的活动和参与有很大的积极影响。结果还显示，根据《国际功能、残疾和健康分类》（ICF），大多数参与者的问题可归类为“社区、社会和公民生活”领域，参与者使用轮椅后该领域的效应量很大（2.4）。
对于中风后残疾人士克服日常生活中的活动受限和参与限制而言，户外电动轮椅是一种必不可少的设备。
