Rehabilitation Engineering and Human Motion Analysis Laboratory, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.
Neurologic Rehabilitation Division, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.
J Spinal Cord Med. 2024 Sep;47(5):640-648. doi: 10.1080/10790268.2023.2171627. Epub 2023 Apr 10.
Wheelchairs are vital for the successful rehabilitation and inclusion of people with mobility disabilities; 10% of the population with disabilities needs a wheelchair, but only 15% have access to an adequate one. Not user-configured wheelchairs may lead to postural deformities and pressure ulcers, thus negatively impact user satisfaction, wheelchair skills, and quality of life.
To assess the impact of the 8-step "Guidelines on the provision of manual wheelchairs in less-resourced settings" from the World Health Organization (WHO) on user satisfaction, wheelchair skills, and quality of life of Mexican manual wheelchair users.
12 wheelchair users with spinal cord injury that received rehabilitation were recruited. Volunteers were provided a wheelchair and cushion following the WHO 8-step guidelines. Assessment of QUEST, WHOQOL-Bref, and WST-Q was performed at the beginning of the study and 12 months later.
Significant improvement was observed in terms of satisfaction (QUEST; P = 0.009) after receiving the wheelchair and the foam cushion (QUEST; P = 0.004). WHOQol-Bref did not denote significant differences. For the dimensions assessed by the WST-Q scores, a significant 10.9% improvement was observed in both, capacity (P = 0.022) and performance (P = 0.009).
The application of the WHO 8-step guidelines for wheelchair provision may contribute to increase user satisfaction regarding the wheelchair and cushion devices as well as the prescription process as determined by the QUEST. According to the WST-Q, functional capacity and mobility may also be improved by following the 8-step guidelines.
轮椅对于行动障碍人士的康复和融入社会至关重要；10%的残疾人士需要轮椅，但只有 15%能够获得合适的轮椅。不合适的轮椅可能导致姿势畸形和压疮，从而降低用户满意度、轮椅技能和生活质量。
评估世界卫生组织（WHO）的 8 步“资源有限环境下提供手动轮椅指南”对墨西哥手动轮椅使用者的用户满意度、轮椅技能和生活质量的影响。
招募了 12 名接受康复治疗的脊髓损伤轮椅使用者。志愿者根据 WHO 8 步指南接受了轮椅和坐垫。在研究开始和 12 个月后，分别进行 QUEST、WHOQOL-Bref 和 WST-Q 评估。
在接受轮椅和泡沫坐垫后，满意度（QUEST；P=0.009）显著提高。WHOQOL-Bref 没有显示出显著差异。对于 WST-Q 评分评估的维度，在能力（P=0.022）和表现（P=0.009）方面均观察到显著的 10.9%改善。
应用 WHO 8 步轮椅提供指南可能有助于提高用户对轮椅和坐垫设备以及 QUEST 确定的处方过程的满意度。根据 WST-Q，遵循 8 步指南也可能改善功能能力和移动能力。
