Sawatzky Bonita, Rushton Paula W, Denison Ian, McDonald Rachael
Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
Aust Occup Ther J. 2012 Feb;59(1):2-9. doi: 10.1111/j.1440-1630.2011.00964.x. Epub 2011 Dec 5.
Wheelchair skills are not typically provided when a child gets a new wheelchair. The purpose of this prospective pilot study was to determine the effectiveness of a two-day modified Wheelchair Skills Programme 3.2 for children.
Six children (ages 6-19 years) with spinal cord injuries or spina bifida were invited to participate in a two-day wheelchair skills programme provided on subsequent Saturdays. Children were tested before and after training using a modified Wheelchair Skills Test 3.2. To assess for the effect of the programme on participation, the Activity Skills for Kids was used before and one month after training. For a more qualitative reflection, an Impact Questionnaire was given at four months post-training.
There was a significant (14%) increase in skills based on the Wheelchair Skills Test 3.2. No change in participation was measured with the Activity Skills for Kids. The Impact Questionnaire suggests the skill training allowed participants to do more, with less pain and fatigue post-training.
A two-day wheelchair skills programme can potentially improve skill level in children with spinal cord injuries or spina bifida.
儿童获得新轮椅时通常不会接受轮椅技能培训。这项前瞻性试点研究的目的是确定为期两天的改良版3.2轮椅技能计划对儿童的有效性。
邀请六名患有脊髓损伤或脊柱裂的儿童（年龄在6至19岁之间）参加在随后的周六提供的为期两天的轮椅技能计划。在训练前后，使用改良版3.2轮椅技能测试对儿童进行测试。为了评估该计划对参与度的影响，在训练前和训练后一个月使用儿童活动技能测试。为了进行更定性的反馈，在训练后四个月发放了一份影响调查问卷。
基于3.2轮椅技能测试，技能水平有显著提高（14%）。儿童活动技能测试未测出参与度有变化。影响调查问卷表明，技能培训使参与者在训练后能够做更多事情，疼痛和疲劳减轻。
为期两天的轮椅技能计划可能会提高脊髓损伤或脊柱裂儿童的技能水平。
