Bigras Catherine, Owonuwa Dolapo D, Miller William C, Archambault Philippe S
Integrated Program in Neuroscience, McGill University, Montreal, Canada.
Interdisciplinary Research Center in Rehabilitation (CRIR), Jewish Rehabilitation Hospital, Montreal, Canada.
Disabil Rehabil Assist Technol. 2020 Jan;15(1):76-91. doi: 10.1080/17483107.2018.1527957. Epub 2019 Feb 7.
Wheelchairs and scooters promote participation and have positive effects on quality of life. However, powered wheelchairs (PW) use can be challenging and can pose safety concerns. Adequate PW assessment and training is important. There is a wide variety of tasks and PW driving assessment measures used for training and assessing PW driving ability in the literature and little consensus as to which tasks and outcomes are the most relevant. A scoping review of the literature was performed in order to characterize this extensive variety of tasks and performance-based outcomes used for training and assessing PW skills. A search of the literature was conducted in January 2017. Four databases were searched: CINAHL, Embase, PsycInfo and Medline. Articles were included if they contained at least one PW driving task. 827 articles were screened and 48 articles were retained. PW driving tasks from each article were identified and categorized in terms of the environment in which they were performed: Driving in a controlled environment, ecological driving tasks, 2D virtual environment (VE) tasks, 3D VE tasks. The assessment measures formed a separate category. Subjective and objective performance-based outcomes related to PW driving were also identified and grouped into outcomes assessing speed and outcomes assessing accuracy. This scoping review provides an overview of tasks and performance outcomes used in the literature when training and assessing PW skills. The results of this review could guide future research when choosing appropriate tasks and performance outcomes for PW driving ability.Implications for rehabilitationThere is wide variety of tasks and performance-based outcomes for PW driving.Results showed that available assessment measures are not commonly used in research and that tasks used often lacked consistency across studies.New methods to measure the interaction of speed and accuracy are needed.The contents of this review could be used by researchers as a starting point when designing a PW task and selecting appropriate performance-based outcomes.
轮椅和踏板车有助于促进参与，并对生活质量产生积极影响。然而，电动轮椅（PW）的使用可能具有挑战性，并且可能引发安全问题。充分的电动轮椅评估和培训很重要。在文献中，有各种各样的任务和电动轮椅驾驶评估措施用于培训和评估电动轮椅驾驶能力，但对于哪些任务和结果最为相关，几乎没有达成共识。为了描述用于培训和评估电动轮椅技能的这一广泛多样的任务和基于表现的结果，我们对文献进行了范围综述。2017年1月对文献进行了检索。检索了四个数据库：护理学与健康领域数据库（CINAHL）、荷兰医学文摘数据库（Embase）、心理学文摘数据库（PsycInfo）和医学文献数据库（Medline）。如果文章至少包含一项电动轮椅驾驶任务，则将其纳入。筛选了827篇文章，保留了48篇。确定了每篇文章中的电动轮椅驾驶任务，并根据其执行环境进行分类：在受控环境中驾驶、生态驾驶任务、二维虚拟环境（VE）任务、三维虚拟环境任务。评估措施构成一个单独的类别。还确定了与电动轮椅驾驶相关的基于主观和客观表现的结果，并将其分为评估速度的结果和评估准确性的结果。这一范围综述概述了文献中在培训和评估电动轮椅技能时使用的任务和表现结果。本综述的结果可为未来研究在选择电动轮椅驾驶能力的合适任务和表现结果时提供指导。对康复的启示电动轮椅驾驶有各种各样的任务和基于表现的结果。结果表明，现有的评估措施在研究中并不常用，而且各研究中使用的任务往往缺乏一致性。需要新的方法来衡量速度和准确性之间的相互作用。本综述的内容可供研究人员在设计电动轮椅任务和选择合适的基于表现的结果时作为起点。
