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KMID : 0603920210290030025
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Journal of Korean Academy of Occupational Therapy
2021 Volume.29 No. 3 p.25 ~ p.38
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Effects of Wheelchair Skills Training Program in Acute Stroke Patients: Randomized Controlled Pilot Study
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Jung Yu-Jin
Kim Ji-Hee
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Abstract
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Objective: This study investigated the effects of wheelchair skills training on the wheelchair skill test (WST) score,wheelchair propulsion velocity (WPV), and activities of daily living in patients after an acute stroke.
Methods: Eighteen inpatients were randomly allocated to either the experimental group, who underwent wheelchairskills training, or the control group, who underwent static standing training (n = 8 each). Each interventioncomprised 30-min daily sessions, three times a week, for three weeks. To measure the wheelchair skills ability,WPV, and performance capacity in activities of daily living, the WST, WPV, and Korean modified Barthel Index(K-MBI) were implemented before and after the intervention.
Results: After the intervention, both groups exhibited significant increases in the WST score, WPV, and K-MBIscore (p < .05). Upon comparing the change in values, the experimental group showed a greater increase in theWST score and WPV (p < .05).
Conclusion: Wheelchair technology training is effective in improving wheelchair skills and wheelchair propulsionspeeds in patients who are unable to move independently after an acute stroke. Therefore, wheelchair skillstraining programs may be administered as an early intervention to provide safe and effective locomotioncapabilities for patients after a stroke who cannot move independently.
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KEYWORD
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Stroke, Locomotion, Activities of daily living, Rehabilitation, Wheelchairs
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