Pressure Relief Education and Training for Wheelchair Users

Not Applicable

Completed

• Conditions: Pressure Area
• Interventions: Behavioral: education and training

• Registration Number: NCT06252597
• Lead Sponsor: Wake Forest University Health Sciences

Brief Summary

There can be barriers for clients with progressive disorders who are power wheelchair users and their caregivers that prohibit them from performing pressure relief. Clients may struggle with consistent performance of pressure relief and may not recall the importance, have methods to perform, or be able to perform due to weakness or other disease changes.

Detailed Description

Study the population of power wheelchair users with progressive disorders at the Neurology Specialty Care - Edgehill, Carolina Neuromuscular Amyotrophic Lateral Sclerosis (ALS)/ Muscular Dystrophy Association (MDA) Center to identify barriers, provide potential solutions, and provide education and training to both increase knowledge and understanding of pressure relief options and processes as well as to overcome these perceived barriers amongst the clinic population. Current adults of the Neurology Specialty Care practice who are complex power wheelchair users will be eligible for this project as an extension of usual care.

Study Timeline

• Study Start: 2024-02-01
• Study First Submitted: 2024-02-01
• Study First Submitted QC: 2024-02-01
• Study First Posted: 2024-02-09
• Primary Completion: 2024-04-12
• Status Verified: 2024-11
• Study Completion: 2024-11-15
• Last Update Submitted: 2024-12-30
• Last Update Posted: 2025-01-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 9

Inclusion Criteria

• Adult 18 years or older
• Diagnosis of a progressive disorder (amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), muscular dystrophy (MD), spinal muscular atrophy (SMA), Parkinson disease (PD)
• Current clinic client at the Neurology Specialty Care Edgehill clinic
• Currently using a complex (group 3) power wheelchair with power positioning of at least tilt/recline
• Currently sitting in the chair at least 2 consecutive hours/day

Exclusion Criteria

• Dementia as noted by Medical Doctor / speech-language pathologists (SLP) in medical records
• Inability/unwillingness to control wheelchair power features (client)
• Unwillingness to be monitored, educated, trained by study staff
• Uses other mobility devices indoors (scooter, basic power wheelchair) more than complex power wheelchair
• Further exclusions may be added in future protocol versions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
education and training	education and training	After implementation of the pre-interview and determination/performance of necessity, education and training at a regularly scheduled occupational therapy clinic visit will be performed with handouts, verbal education, hands-on training, and video training.

Primary Outcome Measures

Name	Time	Method
Standard Staging for any Pressure Injuries	Week 4	Stage 1 pressure injuries are not open wounds Stage 2 pressure injuries are open wounds Stage 3 pressure injuries extend through the skin into deeper tissue and fat but do not reach muscle, tendon, or bone Stage 4 pressure injuries extend to muscle, tendon, or bone Higher scores equaling worse condition
Likert Pain Scale Scores	Week 4	0: Relaxed and comfortable. 1 to 3: Mild discomfort. 4 to 6: Moderate pain. 7 to 10: Severe discomfort/pain - higher scores equaling more discomfort/pain

Trial Locations

Locations (1)

Carolinas Neuromuscular ALS/MDA Center; 🇺🇸 Charlotte, North Carolina, United States