Titus Laura C, Miller Polgar Janice
a Faculty of Health Sciences , Western University , London , ON , Canada.
b Parkwood Adult Wheelchair and Seating Program , Parkwood Institute , London , ON , Canada.
Disabil Rehabil Assist Technol. 2018 Feb;13(2):132-139. doi: 10.1080/17483107.2017.1299803. Epub 2017 Mar 27.
A power tilt wheelchair allows independence in changing body position to address a variety of needs throughout the day; however, literature and clinical practice suggest that actual use varies greatly. This grounded theory study examined how power tilt was used in daily life from the perspectives of adults who used power tilt and therapists who prescribed this technology.
A constant comparative approach was used to collect and analyze interview data from five people who use power tilt and six therapists who prescribe this technology.
This paper presents the findings specific to understanding the reasons why power tilt was used, focusing on the relationships between tilt use and (1) the reasons for use, (2) the reasons for prescribing power tilt and (3) the associated amplitudes of tilt.
This study advances knowledge related to how power tilt is used in daily life by elucidating that how the reasons for use are conceptualized is complex. The three relationships related to the reason for power tilt use identified in this paper have the potential to influence the quality of communication about power tilt use in clinical practice between therapist and client and in research between researcher and participant. Implications for Rehabilitation: Understanding the inconsistencies and variations in how power tilt is used in daily life is dependent on exploring the reasons beyond the words or terms expressed to describe use. Reasons for tilt use are context dependent, particularly the activity occurring at the time of tilt use, the associated amplitude of tilt and the influence of other reasons occurring at the same time.
电动倾斜轮椅可让使用者独立改变身体姿势，以满足一天中的各种需求；然而，文献和临床实践表明，其实际使用情况差异很大。这项扎根理论研究从使用电动倾斜功能的成年人以及开具此项技术处方的治疗师的角度，考察了电动倾斜功能在日常生活中的使用方式。
采用持续比较法，收集并分析了来自五名使用电动倾斜功能的人和六名开具此项技术处方的治疗师的访谈数据。
本文呈现了在理解使用电动倾斜功能的原因方面的具体研究结果，重点关注倾斜功能使用与以下方面的关系：（1）使用原因；（2）开具电动倾斜功能处方的原因；（3）相关的倾斜幅度。
本研究通过阐明使用原因的概念化方式很复杂，推进了有关电动倾斜功能在日常生活中使用方式的知识。本文确定的与电动倾斜功能使用原因相关的三种关系，有可能影响治疗师与患者在临床实践中以及研究者与参与者在研究中关于电动倾斜功能使用的沟通质量。对康复的启示：理解电动倾斜功能在日常生活中的使用方式的不一致性和差异，取决于探索描述使用情况时所表达的言语或术语之外的原因。倾斜功能的使用原因取决于具体情境，特别是倾斜功能使用时正在进行的活动、相关的倾斜幅度以及同时出现的其他原因的影响。
