Category: Technology (e.g. robotics, assistive technology, mHealth); Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
To examine the influence of anterior tilt on Mobility Related Activities of Daily Living.
Mixed methods, repeated measures study. After completion of a baseline assessment, participants were provided a power wheelchair equipped with anterior tilt to use in the community for 14 days. After the intervention period, a follow up assessment was completed.
Participants (or Animals, Specimens, Cadavers) :
Ten full time power wheelchair users who currently use a seat elevator participated in this study.
Participants used the study power wheelchair in the community for a two-week trial period and were encouraged to perform a variety of activities of daily living.
Main Outcome Measure(s) :
Modified functional reach test, performance assessment of self-care skills (modified version), transfer assessment instrument. Participants also completed an interview on use of the technology.
Significant improvements were seen among vertical reach distance (p= 0.000) but not in the horizontal direction (p= 0.821). Among PASS scores, meal preparation safety scores significantly improved (p= 0.033). Trends toward significant improvement were also seen in level of assistance related to medication management (with child proof cap) (p= 0.068), adequacy of performance of upper body dressing (p= 0.084), adequacy of meal preparation (p= 0.058) and adequacy of grocery shopping retrieval (p= 0.074). Finally, a trend towards significant improvement was seen among TAI scores (p = 0.063). Subjectively, participants reported improved reaching distance and interactions with standing colleagues. However, safety equipment was restrictive.
Anterior tilt has potential to support performance of functional activities. Further testing is needed to examine the influence among a larger population.
Laura Rice– Assistant Professor, University of Illinois at Urbana-Champaign, Urbana, Illinois
Rebecca Yarnot– Graduate Research Assistant, University of Illinois at Urbana-Champaign, Champaign, Illinois
Sarah Mills– Undergraduate Research Assistant, The University of Illinois at Urbana-Champaign, Fairmount, Illinois