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Are wheelchair-skills assessment and training relevant for long-standing wheelchair users? Two case reports.

机译:轮椅技能评估和培训是否与长期轮椅使用者有关?两个病例报告。

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PURPOSE: We present two case reports that shed light on the question of whether routine periodic wheelchair-skills assessment and training are relevant for long-standing wheelchair users. CASE 1: A 60-year-old man with a 15-year history of T12 complete paraplegia sustained an intertrochanteric fracture of his femur due to a tip-over accident that occurred 2 days after a follow-up clinic visit at which no limitations in wheelchair-skill performance were identified. If a procedure had been in place to identify and correct his wheelchair-skill deficiencies, this injury might have been prevented. CASE 2: A 34-year-old woman with spina bifida, whose wheelchair use had gradually increased, came to our attention during the provision of a new wheelchair. She was able to significantly improve her wheelchair abilities through training. The newly learned skills enhanced her community participation. CONCLUSIONS: These cases suggest that, even in long-standing wheelchair users, wheelchair skills should be routinely assessed as part of the periodic functional assessment and, when the skill level is determined to be less than appropriate for that person, formal training should be offered.
机译:目的:我们提供了两个案例报告,阐明了常规的定期轮椅技能评估和培训是否与长期使用轮椅的人有关。病例1:一名60岁男性,有12年T12完全截瘫的病史,由于在随访诊所就诊后两天发生翻倒事故,导致股骨转子间骨折。确定了轮椅技能表现。如果已经采取了识别和纠正其轮椅技能缺陷的程序,则可以避免这种伤害。案例2:一名34岁的脊柱裂患者,其轮椅使用量逐渐增加,在提供新轮椅时引起了我们的注意。通过培训,她能够显着提高轮椅的能力。新近学习的技能增强了她的社区参与度。结论:这些案例表明,即使在长期使用轮椅的人中,也应定期评估轮椅技能,这是定期功能评估的一部分,当确定技能水平不适合该人时,应提供正规培训。

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