Title

The differences in self-esteem, function, and participation between adults with low motor tetraplegia who use power or manual wheelchairs

Document Type

Presentation or Lecture

Publication Date

2011

Conference or Event

Combined Meeting International Spinal Cord Society and American Spinal Injury Association; Washington, DC

Department

Physical Therapy

Abstract

Hastings J, Robins H, Griffiths Y, Hamilton C. The differences in self-esteem, function, and participation between adults with low cervical motor tetraplegia who use power or manual wheelchairs.

Objective

To explore the differences between manual and power wheelchair users in terms of self-esteem, function, and participation in persons with a similar motor level of spinal cord injury (SCI).

Design

Descriptive cross-sectional study with a single data collection.

Setting

General community.

Participants

Participants (N=30) were a convenience sample of adults with self-reported C6 and C7 tetraplegia caused by SCI who are 1 or more years postinjury. Eighteen were manual chair users, and 12 were power chair users.

Interventions

Not applicable.

Main Outcome Measures

Rosenberg Self-Esteem Scale, Spinal Cord Independence Measure III (SCIM III) as a measure of function, and the Craig Handicap Assessment and Reporting Technique (CHART) as a measure of participation.

Results

There were no significant differences between manual and power chair users regarding age, time since injury, or length of initial rehabilitation stay. A significant difference was seen between wheelchair groups (F=2.677, P=.038). Multivariate analysis showed the differences to be in the SCIM III (F=11.088, P=.003) and the CHART subcategories Physical (F=7.402, P=.011), Mobility (F=12.894, P=.001), and Occupation (F=5.174, P=.031).

Conclusions

Manual wheelchair users demonstrated better physical function, mobility, and had a higher employment rate than power wheelchair users based on the SCIM III and CHART in this sample of adults with C6 or C7 motor level tetraplegia.

ISSN

0003-9993