Passuni Diego, Dalzotto Elisa, F Gath Christian, Buffetti Eliana, Elizalde Milagros, Jarmoluk Verónica, Russo Maria J, Intruvini Silvia, Olmos Lisandro E, Freixes Orestes
Physical Therapy Unit, FLENI Rehabilitation Institute, Buenos Aires, Argentina.
Department of Neurology, FLENI Rehabilitation Institute, Buenos Aires, Argentina.
Disabil Rehabil Assist Technol. 2019 Nov;14(8):788-791. doi: 10.1080/17483107.2018.1463404. Epub 2018 May 3.
Cross-sectional. The majority of people with a spinal cord injury (SCI) are dependent on wheelchair for their mobility. Approximately, 36% of wheelchair users reported that obstacles such as curbs, uneven terrain, flooring surfaces and thresholds were barriers to mobility. Several studies have shown that assessment and training of wheelchair skills leads to improvements in those skills. The purpose of our study was to translate the Wheelchair Skill Test (4.2) and its report form into Spanish and then determine the inter-rater reliability of the WST 4.2 for manual wheelchairs operated by their users. Rehabilitation Unit, FLENI Institute, Buenos Aires, Argentina. The translation was performed by a physical therapist with advanced English language skills and specialized in the treatment of SCI subjects. We administrated and video-recorded the WST 4.2 manual Spanish version in 11 SCI subjects. Two physical therapists received specific training for administering the test and scoring the record. The reliability of the total percentage WST score were statistically quantified by intraclass correlation coefficient (ICC). ICC values for Interrater were 0.998 ( < .0001). 17 out of the 32 skills had a 100 percentage of agreement. Percentage of agreement in the three skills that presented less rating agreement was 73%, 81 % and 82 %, respectively. The results show that the Spanish version of WST 4.2 is a reliable assessment tool to evaluate the skills capacity of spinal cord manual wheelchair users.Implications for rehabilitationWheelchair users require a proficient management of various wheelchair skills to achieve maximum independence in daily life. Determining which wheelchair skills should be addressed during the rehabilitation process is of great importance for their correct training. The WST 4.2 is an appropriate assessment tool to determine the functional capacity of wheelchair users.Making available the WST 4.2 in the Spanish language and demonstrating its reliability in this language allows its use in the Spanish-speaking world. A reliable wheelchair skills test is needed in the Spanish language.
横断面研究。大多数脊髓损伤（SCI）患者行动依赖轮椅。约36%的轮椅使用者表示，路缘、地形不平、地面和门槛等障碍物是行动的障碍。多项研究表明，轮椅技能的评估和训练可使这些技能得到提高。我们研究的目的是将轮椅技能测试（4.2版）及其报告表翻译成西班牙语，然后确定由使用者操作的手动轮椅的WST 4.2版评分者间信度。阿根廷布宜诺斯艾利斯FLENI研究所康复科。翻译由一位具备高级英语技能且专门从事SCI患者治疗的物理治疗师完成。我们对11名SCI受试者进行了WST 4.2西班牙语版手册测试并录像。两名物理治疗师接受了进行测试和记录评分的专门培训。WST总分百分比的信度通过组内相关系数（ICC）进行统计学量化。评分者间的ICC值为0.998（<0.0001）。32项技能中有17项的一致性百分比为100%。评分一致性较低的三项技能的一致性百分比分别为73%、81%和82%。结果表明，WST 4.2西班牙语版是评估脊髓损伤手动轮椅使用者技能能力的可靠评估工具。
对康复的启示
轮椅使用者需要熟练掌握各种轮椅技能，以在日常生活中实现最大程度的独立。确定在康复过程中应解决哪些轮椅技能对于正确训练至关重要。WST 4.2是确定轮椅使用者功能能力的合适评估工具。
提供西班牙语版的WST 4.2并证明其在该语言中的可靠性，使其能够在讲西班牙语的地区使用。西班牙语需要一种可靠的轮椅技能测试。
