Koontz Alicia, Toro Maria, Kankipati Padmaja, Naber Megan, Cooper Rory
Human Engineering Research Laboratories, Department of Veterans Affairs, Pittsburgh, USA.
Disabil Rehabil Assist Technol. 2012;7(1):20-9. doi: 10.3109/17483107.2011.553983. Epub 2011 May 18.
The purpose of this study was to perform a literature review and seek expert opinion on the relevance and strength of the evidence concerning setup and transfer performance.
Scientific literature databases were searched until June 2009 using 43 keywords resulting in 339 articles. These were internally reviewed and narrowed to 41 articles which were formally assessed by 13 external experts. Articles that 80% or more of the reviewers scored as moderately or highly relevant were included in the final results.
Nineteen articles met the relevancy criteria. The aspects of setup that experts felt were addressed to some degree included vertical transfer distance, transferring across a gap and position of the mobility device relative to target destination. None of the 19 articles were scored as having strong to very strong resulting evidence.
There is a consensus among studies that transferring to a higher surface implies greater exertion of the upper limb. However, there is no evidence concerning how high or low, how close, and how much space is needed next to the target surface so it can be accessible by a majority of wheelchair users.
本研究旨在进行文献综述，并就有关准备工作和转移操作的证据的相关性和力度征求专家意见。
截至2009年6月，使用43个关键词检索科学文献数据库，共得到339篇文章。这些文章经过内部评审，筛选出41篇由13位外部专家进行正式评估。最终结果纳入了80%或更多评审者评为中度或高度相关的文章。
19篇文章符合相关性标准。专家认为在一定程度上涉及到的准备工作方面包括垂直转移距离、跨越间隙转移以及移动设备相对于目标目的地的位置。这19篇文章中没有一篇被评为具有强有力到非常强有力的证据。
各项研究达成的共识是，转移到较高平面意味着上肢需要更大的用力。然而，对于目标平面需要多高或多低、多近以及旁边需要多少空间才能让大多数轮椅使用者能够到达，尚无证据。
