Tsai I H, Graves D E, Lai C H
1] School of Public Health, the University of Texas Health Science Center at Houston, Houston, TX, USA [2] School of Public Health, the National Defense Medical Center, Taipei, Taiwan.
1] School of Public Health, the University of Texas Health Science Center at Houston, Houston, TX, USA [2] Department of Neurological Surgery/Division of Physical Medicine and Rehabilitation, University of Louisville School of Medicine, Louisville, KY, USA.
Spinal Cord. 2014 Mar;52(3):209-15. doi: 10.1038/sc.2013.178. Epub 2014 Jan 28.
We assumed that assistive technology in mobility devices (that is, wheelchairs with external power and driving modified vehicle (MV) with or without driving on wheelchair) may facilitate social participation for wheelchairs users who have spinal cord injuries (SCIs). This study examined the relationship between mobility devices and social participation in this population.
We included 2986 individuals who had received initial rehabilitation at one of 18 regional centers of the Model Spinal Cord Injury System in the United States, had been interviewed between 2004 and 2010, and were wheelchair users (use a wheelchair > or = 40 h per week and cannot ambulate 150 feet at home). We performed secondary panel-data analysis using a mixed-effect model on data from 3498 follow-up interviews. Participation (measured by the Craig Handicap Assessment and Reporting Technique-Short Form (CHART-SF) and employment status) and the use of wheelchair and MV were recorded.
Among the participants, 33% drove an MV, and 44% used an external-powered wheelchair. The use of an MV was positively related to employment and CHART-SF score, regardless of driving directly or driving with a wheelchair. People who drove an MV were found to have approximately two more business associates to contact to once a month and ∼2 additional days out of home per week compared with those without an MV. No significant association was shown between the type of wheelchair used and participation.
The use of an MV was found to be positively associated with social participation in an SCI population.
我们假设移动设备中的辅助技术（即带外部动力的轮椅以及驾驶经过改装的车辆（MV），无论是否在轮椅上驾驶）可能会促进脊髓损伤（SCI）轮椅使用者的社会参与。本研究调查了该人群中移动设备与社会参与之间的关系。
我们纳入了2986名个体，他们在美国脊髓损伤示范系统的18个区域中心之一接受了初始康复治疗，在2004年至2010年期间接受了访谈，并且是轮椅使用者（每周使用轮椅≥40小时且在家中无法行走150英尺）。我们使用混合效应模型对3498次随访访谈的数据进行了二次面板数据分析。记录了参与情况（通过克雷格残疾评估和报告技术简表（CHART-SF）和就业状况衡量）以及轮椅和MV的使用情况。
在参与者中，33%驾驶MV，44%使用外部动力轮椅。无论直接驾驶还是乘坐轮椅驾驶，MV的使用与就业和CHART-SF评分呈正相关。与没有MV的人相比，驾驶MV的人每月大约多有两个商业伙伴可以联系，每周多有大约两天外出。所使用的轮椅类型与参与情况之间未显示出显著关联。
研究发现，MV的使用与SCI人群的社会参与呈正相关。
