Sol Marleen E, Verschuren Olaf, Horemans Henricus, Westers Paul, Visser-Meily Johanna M A, De Groot Janke F
Research Group Lifestyle and Health, HU University of Applied Sciences Utrecht, Utrecht, The Netherlands.
Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
Disabil Rehabil. 2022 Aug;44(16):4398-4407. doi: 10.1080/09638288.2021.1907456. Epub 2021 Apr 19.
To evaluate the effects of a combination of wheelchair mobility skills (WMS) training and exercise training on physical activity (PA), WMS, confidence in wheelchair mobility, and physical fitness.
outh using a manual wheelchair ( = 60) participated in this practice-based intervention, with a waiting list period (16 weeks), exercise training (8 weeks), WMS training (8 weeks), and follow-up (16 weeks). Repeated measures included: PA (Activ8), WMS (Utrecht Pediatric Wheelchair Mobility Skills Test), confidence in wheelchair mobility (Wheelchair Mobility Confidence Scale), and physical fitness (cardiorespiratory fitness, (an)aerobic performance) and were analysed per outcome parameter using a multilevel model analyses. Differences between the waiting list and training period were determined with an unpaired sample -test.
Multilevel model analysis showed significant positive effects for PA ( = 0.01), WMS ( < 0.001), confidence in wheelchair mobility ( < 0.001), aerobic ( < 0.001), and anaerobic performance ( < 0.001). Unpaired sample -tests underscored these effects for PA ( < 0.01) and WMS ( < 0.001). There were no effects on cardiorespiratory fitness. The order of training (exercise before WMS) had a significant effect on confidence in wheelchair mobility.
A combination of exercise and WMS training appears to have significant positive long-term effects on PA, WMS, confidence in wheelchair mobility, and (an)aerobic performance in youth using a manual wheelchair.Implications for rehabilitationExercise training and wheelchair mobility skills (WMS) training can lead to a sustained improvement in physical activity (PA) in youth using a manual wheelchair.These combined trainings can also lead to a sustained increase in WMS, confidence in wheelchair mobility, and (an)aerobic performance.More attention is needed in clinical practice and in research towards improving PA in youth using a manual wheelchair.
评估轮椅移动技能（WMS）训练与运动训练相结合对身体活动（PA）、WMS、轮椅移动信心和身体素质的影响。
使用手动轮椅的青少年（n = 60）参与了这项基于实践的干预，包括等待期（16周）、运动训练（8周）、WMS训练（8周）和随访（16周）。重复测量包括：PA（Activ8）、WMS（乌得勒支儿童轮椅移动技能测试）、轮椅移动信心（轮椅移动信心量表）和身体素质（心肺适能、有氧/无氧运动表现），并使用多层次模型分析对每个结果参数进行分析。通过非配对样本t检验确定等待期和训练期之间的差异。
多层次模型分析显示，PA（P = 0.01）、WMS（P < 0.001）、轮椅移动信心（P < 0.001）、有氧运动表现（P < 0.001）和无氧运动表现（P < 0.001）均有显著的积极影响。非配对样本t检验强调了PA（P < 0.01）和WMS（P < 0.001）的这些影响。对心肺适能没有影响。训练顺序（运动在WMS之前）对轮椅移动信心有显著影响。
运动和WMS训练相结合似乎对使用手动轮椅的青少年的PA、WMS、轮椅移动信心和有氧/无氧运动表现有显著的长期积极影响。康复意义运动训练和轮椅移动技能（WMS）训练可使使用手动轮椅的青少年的身体活动（PA）持续改善。这些联合训练还可使WMS、轮椅移动信心和有氧/无氧运动表现持续提高。在临床实践和研究中，需要更多关注提高使用手动轮椅的青少年的PA。
