The Differences In Self-esteem, Function, And Participation Between Adults With Low Cervical Motor Tetraplegia Who Use Power Or Manual Wheelchairs
Archives Of Physical Medicine And Rehabilitation
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.
Hastings, Jennifer D., Hillary Robins, Yvette Griffiths, and Christina Hamilton. 2011. "The differences in self-esteem, function, and participation between adults with low cervical motor tetraplegia who use power or manual wheelchairs." Archives Of Physical Medicine And Rehabilitation 92(11): 1785-1788.