Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.
Department of Human Performance and Sport Studies, College of Education, Idaho State University, Pocatello, Idaho, USA.
J Spinal Cord Med. 2022 May;45(3):364-372. doi: 10.1080/10790268.2021.1971922. Epub 2022 Jan 10.
Level and non-level transfers are essential tasks of daily living for wheelchair users. Minimal research has examined the role of shoulder pain and fear of falling on transfer quality. The purpose of this study is to (1) examine the association between shoulder pain, fear of falling (FoF) and transfer quality and (2) explore the feasibility of assessing non-level transfers to-and-from the floor.
Cross-sectional design was used to explore shoulder pain, FoF, and transfer quality in 30 manual wheelchair users (aged 18-42; 15 males). Participant demographic information (age, sex, race, disability, and years using wheelchair), Spinal Cord Injury-Fall Concern Scale (SCI-FCS), and Wheelchair User Shoulder Pain Index (WUSPI) was collected. Three types of transfers: (1) level, (2) uphill, and (3) floor-to-table were graded by a trained researcher using the Transfer Assessment Instrument (TAI) 3.0. Kruskal-Wallis test was used to determine differences in transfer quality based on condition. Spearman correlation was used to determine associations between demographic data, WUSPI, SCI-FCS, and transfer quality scores.
All participants safely completed the uphill non-level transfer; 27 safely completed the floor-to-table non-level transfer. Statistical analysis revealed no difference in TAI score across transfer conditions. Spearman correlation revealed a significant correlation between WUSPI and SCI-FCS scores (= .68, P= .01) and WUSPI and uphill TAI scores (= -.45, P= .01).
Increases in shoulder pain are related to decreased uphill transfer quality and increased FoF. Non-level transfers to-and-from the floor are feasible within clinical or laboratory settings.
对于轮椅使用者而言，上下台阶和平地转移是日常生活的基本任务。很少有研究关注肩部疼痛和跌倒恐惧对转移质量的影响。本研究的目的是：（1）研究肩部疼痛、跌倒恐惧与转移质量之间的关系；（2）探索评估平地至地面和地面至平面的非水平转移的可行性。
采用横断面设计，对 30 名手动轮椅使用者（年龄 18-42 岁；男性 15 名）的肩部疼痛、跌倒恐惧和转移质量进行了研究。收集了参与者的人口统计学信息（年龄、性别、种族、残疾状况和使用轮椅的年限）、脊髓损伤跌倒顾虑量表（SCI-FCS）和轮椅使用者肩部疼痛指数（WUSPI）。由经过培训的研究人员使用转移评估工具（TAI）3.0 对 3 种转移类型（1）水平、（2）上坡和（3）地面至桌子进行了分级。采用 Kruskal-Wallis 检验来确定不同条件下转移质量的差异。采用 Spearman 相关分析来确定人口统计学数据、WUSPI、SCI-FCS 和转移质量评分之间的相关性。
所有参与者均安全完成了上坡非水平转移；27 名参与者安全完成了地面至桌子的非水平转移。统计分析显示，转移条件之间的 TAI 评分无差异。Spearman 相关分析显示，WUSPI 和 SCI-FCS 评分之间存在显著相关性（=0.68，P=0.01），WUSPI 和上坡 TAI 评分之间存在显著相关性（=0.45，P=0.01）。
肩部疼痛的增加与上坡转移质量的降低和跌倒恐惧的增加有关。在临床或实验室环境中，进行地面至地面和地面至平面的非水平转移是可行的。
