Utvärdering av Rullstolsskolan Drivkraft en Klinisk Studie av Ett beprövat Koncept
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Drivkraft manouevering test
研究概览
简要总结
This project will evaluate the Wheelchair School with the Drivkraft Methodology in a clinical setting. Participants are adults with chronic neurological diagnoses. For a person requiring a wheelchair, a well-functioning, individually adapted wheelchair and good maneuvering skills are essential for an independent daily life. These factors are also crucial in reducing the risk of secondary complications and pain. The Wheelchair School was founded in the 1990s, is provided by referral and both peer mentors and physiotherapists collaborate. It includes wheelchair prescription and adjustments, individually adapted wheelchair skills training, and theoretical lessons in group during 16 half-day sessions.
The overarching aim is to evaluate the intervention Wheelchair school with the Drivkraft method, for wheelchair skills and patient safety for persons with chronic neurological diagnoses in a Swedish context. Also to evaluate the psychometric properties of the Drivkraft Manouevering Test (DWMT) for wheelchair skills.
详细描述
Evaluation of the Wheelchair School using the Drivkraft Methodology This study focuses on adults with permanent neurological diagnoses (e.g., multiple sclerosis -MS, spinal cord injury) who continuously use a wheelchair. Education in a group setting with peer mentors who have personal experience of using a wheelchair, alongside interaction with other participants in similar situations, can be highly beneficial. The training program includes individual wheelchair prescription and or adjustments, wheelchair technique instruction, theoretical lessons, and group training. The program consists of 16 half-day sessions with peer mentors and physiotherapists in a clinical setting.
Research questions:
Do the participants improve in the following aspects directly after, and two months after the intervention: Wheelchair skills (WST and DWMT), satisfaction during everyday activities (Wheelchair Outcome Measure [WhoM]), confidence during everyday activities (Wheelchair confidence measure [WCM]), shoulder pain (wheelchair user shoulder pain index [WUSPI],fear and concerns about falling (Falls Concern Scale[FCS]), and number of falls and fall-related injuries? Is improvement of wheelchair skills associated with higher satisfaction and confidence, as well as decreased concerns about falling during daily activities? Does DWMT have sound psychometric properties, validity and sensitivity to change compared to WST? Method Design: A prospective intervention study with a comparison group. Participants: Adults with permanent neurological diagnoses referred to the Wheelchair School at Aleris Rehab Station, Stockholm, Sweden. The active comparison group comprises individuals with similar diagnoses in the same age range participating in other programs of similar length and intensity at the same unit.
Procedure: All participants undergo a physiotherapy assessment, assessment of the wheelchair including settings and manouvering skills (DWMT, WST). Also, the participants answer patient reported outcome measures (WCM, WhOM, FCS), before, directly after the rehabilitation, and after two months. The active comparison group are assessed at the same time points with the same outcome measures. The program consists of 15 half-day training sessions, and a follow-up. Psychometric properties and validity of the DWMT will be assessed
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participant in the Drivkraft Wheelchair school at Aleris Rehab Station
- •Adult with neurological diagnosis using manual wheelchair
排除标准
- •Persons with Parkinsons Disease
- •Persons with too limited Swedish language skills to fill in study forms or make a signed consent
- •Persons with cognitive impairments affecting their ability to fill in study forms or make a signed consent
研究组 & 干预措施
Intervention group wheelchair school
Wheelchair school, 15 half days of wheelchair training
干预措施: Wheelchair school (Other)
Comparison group
conventional rehabilitation
干预措施: Comparison group, conventional rehabilitation (Other)
结局指标
主要结局
Drivkraft manouevering test
时间窗: baseline, post intervention and at 2 months follow-up
Test of wheelchair skills: curbs, slalom, ramps and wheelies
次要结局
- Wheelchair Skills Test (WST)(baseline, post intervention and at 2 months follow-up)
- Wheelchair outcome measure (WhOM)(baseline, post intervention and at 2 months follow-up)
- Spinal Cord Injury Falls Concern Scale (SCI-FCS)(baseline, post intervention and at 2 months follow-up)
研究者
Emelie Butler Forslund
Principal Investigator
Karolinska Institutet