Ferretti Eliana Chaves, Curi Haidar Tafner, Andrade Luana Foroni, Cooper Rory A, Soárez Patrícia Coelho de
Departamento de Ciências do Movimento Humano, Universidade Federal de São Paulo, Santos, SP, Brazil.
Departamento de Medicina Preventiva, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Disabil Rehabil Assist Technol. 2024 Apr;19(3):814-830. doi: 10.1080/17483107.2022.2126904. Epub 2022 Oct 19.
To identify and synthesise the available evidence on the effect of mobility on social participation and quality of life (QoL) of wheelchairs (WC) on adults who use WC as their primary means of mobility.
Systematic review undertaken in accordance with the Centre for Reviews and Dissemination Guidelines and registered in the PROSPERO International Prospective Register of Systematic reviews. Nine electronic databases (MEDLINE via PubMed, EMBASE, Cochrane Library, LILACS, CINAHL, PEDro, SCOPUS, Web of Science, and BVS ECOS) were searched with the following PICO eligibility criteria: (P) Population was individuals with mobility limitations that live in their community, aged 18 or older; (I) Intervention was mobility devices, such as manual and powered wheelchairs; (C) Comparators, not applied; (O) Outcome was factors that can be influenced by wheelchair use, such as: social participation, health-related quality of life and QOL. Critical appraisal of methodological quality of studies were undertaken.
A total of 18 studies were included. The proportion of studies evaluating the effects of mobility on participation was higher than to mobility on QoL. WC quality, device benefit (ease of repairs and maintenance), confidence using a WC and WC skills were key factors determining participation. The provision of WC according to the eight steps service proposed by the Word Health Organisation contributed to higher levels of physical health, WC satisfaction, hours using the WC and QoL enhancement.
Attention should be given to enhance WC service provision (with continuous service support) as well as professional continuing education.IMPLICATIONS FOR REHABILITATIONWheelchair technology is a key element in rehabilitation. Significant effort should be made to provide and maintain the wheelchair as a facilitator to participation. A great attention should be done to enhance wheelchair services as well as professional continuous education.Wheelchair skills are associated with participation and may be targeted in clinical intervention.
识别并综合现有证据，以探讨移动性对使用轮椅作为主要移动方式的成年人的社会参与和生活质量（QoL）的影响。
根据循证医学中心指南进行系统评价，并在国际前瞻性系统评价注册库PROSPERO中注册。使用以下PICO纳入标准检索九个电子数据库（通过PubMed检索MEDLINE、EMBASE、Cochrane图书馆、LILACS、CINAHL、PEDro、SCOPUS、科学引文索引和BVS ECOS）：（P）研究对象为居住在社区、年龄18岁及以上且有行动能力限制的个体；（I）干预措施为移动设备，如手动和电动轮椅；（C）未设置对照；（O）结局指标为可能受轮椅使用影响的因素，如社会参与、健康相关生活质量和生活质量。对研究的方法学质量进行严格评价。
共纳入18项研究。评估移动性对参与影响的研究比例高于对生活质量影响的研究。轮椅质量、设备优势（易于维修和保养）、使用轮椅的信心和轮椅技能是决定参与度的关键因素。按照世界卫生组织提出的八步服务提供轮椅有助于提高身体健康水平、轮椅满意度、轮椅使用时长和改善生活质量。
应注重加强轮椅服务提供（并持续提供服务支持）以及专业继续教育。
轮椅技术是康复的关键要素。应大力努力提供和维护轮椅，以促进参与。应高度重视加强轮椅服务以及专业继续教育。轮椅技能与参与度相关，可作为临床干预的目标。
