Please use this identifier to cite or link to this item:
http://bura.brunel.ac.uk/handle/2438/8979
Title: | Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis |
Authors: | De Souza, LH Frank, AO |
Keywords: | Assistive technology;Comorbidity;Mobility;Multiple sclerosis;Safety;Seating;Wheelchairs |
Issue Date: | 2014 |
Publisher: | Informa Healthcare |
Citation: | Disability and Rehabilitation, Early online, 2014 |
Abstract: | Purpose: The aim of this study is to describe the clinical features of powered wheelchair users with severely disabling multiple sclerosis (MS) and explore the problematic clinical features influencing prescription. Method: Retrospective review of electronic and case note records of recipients of electric-powered indoor/outdoor powered wheelchairs (EPIOCs) attending a specialist wheelchair service between June 2007 and September 2008. Records were reviewed by a consultant in rehabilitation medicine, data systematically extracted and entered into a computer database. Further data were entered from clinical records. Data were extracted under three themes; demographic, diagnostic, clinical and wheelchair factors. Results: Records of 28 men mean age 57 (range 37–78, SD 12) years and 63 women mean age 57 (range 35–81, SD 11) years with MS were reviewed a mean of 64 (range 0–131) months after receiving their wheelchair. Twenty two comorbidities, 11 features of MS and 8 features of disability were thought to influence wheelchair prescription. Fifteen users were provided with specialised seating and 46 with tilt-in-space seats. Conclusions: Our findings suggest that people with severe MS requiring an EPIOC benefit from a holistic assessment to identify problematic clinical features that influence the prescription of the EPIOC and further medical and therapeutic interventions. |
Description: | This article is made available through the Brunel Open Access Publishing Fund. Copyright @ 2014 Informa UK Ltd. |
URI: | http://informahealthcare.com/doi/abs/10.3109/09638288.2014.949356 http://bura.brunel.ac.uk/handle/2438/8979 |
DOI: | http://dx.doi.org/10.3109/09638288.2014.949356 |
ISSN: | 1464-5165 |
Appears in Collections: | Physiotherapy Brunel OA Publishing Fund Dept of Health Sciences Research Papers |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Fulltext.pdf | 153.64 kB | Adobe PDF | View/Open |
Items in BURA are protected by copyright, with all rights reserved, unless otherwise indicated.