Rieti Local Health Unit, Rieti, Italy.
Eur J Phys Rehabil Med. 2012 Jun;48(2):217-22. Epub 2011 Jun 7.
Wheelchair prescription is relevant in the prevention of muscular joint pathology, and to facilitate autonomy and the patient's social life. However, in order to reach this goal, respecting the standards with a client-centred approach is essential. Congruence between user ability and wheelchair characteristics by making wheelchairs more "user friendly" can improve patient independence, facilitate integration into society and improve the patient's quality of life. The purpose of this study was to analyse congruence of wheelchair use by our patients, through the consideration of specific recommendations related to each subject's individual clinical situation. The second aim of the paper was to improve wheelchair prescriptions, by identifying the most frequent mistakes in the prescription and construction of wheelchairs.
Observational study, outpatient.
One hundred-fifty wheelchair users (average age 46.7±17.3) were analysed and described at 16.2±8.5 years from the onset of their disability. The subjects were 80 males and 70 females.
Sixty-eight percent of the wheelchairs were not suitable for the patients, while 32% were suitable. We reported the incidence of non-congruence with respect to each wheelchair part.
After finding a correlation between the prescription sources and suitability, the authors suggested that wheelchair prescriptions should be carried out in specialized departments, or that physician competences, and collaboration between physicians and technicians must be improved. Our data indicates the necessity to pay more attention to wheelchair prescription while considering ergonomic fitting to the individual.
Identifying the most frequent mistakes in the prescription and construction of wheelchairs in this paper could help to make more appropriate prescriptions.
轮椅处方与预防肌肉关节病理有关，有助于实现自主性和患者的社会生活。然而，为了达到这个目标，尊重以客户为中心的标准是至关重要的。通过使轮椅更“用户友好”，实现用户能力与轮椅特性的一致性，可以提高患者的独立性，促进其融入社会并改善患者的生活质量。本研究旨在通过考虑与每位患者个体临床情况相关的具体建议，分析我们的患者使用轮椅的一致性。本文的第二个目的是通过识别轮椅处方和构建中最常见的错误，来改进轮椅处方。
观察性研究，门诊。
分析了 150 名轮椅使用者（平均年龄 46.7±17.3 岁，残疾发生后 16.2±8.5 年），并对他们进行了描述。受试者包括 80 名男性和 70 名女性。
68%的轮椅不适合患者，而 32%的轮椅适合。我们报告了与每个轮椅部件不匹配的发生率。
在发现处方来源与适用性之间存在相关性后，作者建议轮椅处方应由专门部门进行，或者提高医生的能力，并加强医生与技术人员之间的合作。我们的数据表明，在考虑个人的人体工程学适配时，有必要更加关注轮椅处方。
本文中确定轮椅处方和构建中最常见的错误有助于制定更合适的处方。
