Timed Motor Test For Wheelchair Users: Initial Development and Application in Chiloren With Spinal Cord Injury

Chafetz, Ross S.; McDonald, Craig; Mulcahey, M. J.; Betz, Randal R.; Anderson, Caroline; Gaughan, John; Martin, Susan E.; O'Dell, Mary Ann; Flanagan, Ann

doi:10.1080/10790268.2004.11753783

Cited by 7 publications

(10 citation statements)

References 18 publications

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“…Three additional patients (6,11,13) have curves greater than 50°and may be candidates for fusion in the future; however, there is no published tidemark for the degree of coronal curve for which fusion is necessary in patients with paralytic scoliosis. The decision by a mature patient to undergo fusion is very personal and must be made individually.…”

Section: Discussionmentioning

confidence: 96%

“…In a study by Maruyama et al, 8 multiple vertebral wedge osteotomy of the thoracic spine was performed on 20 patients (17 girls and 3 boys), including 19 with idiopathic and 1 with syringomyelia scoliosis, who underwent surgery at an average age of 16.4 years and were followed for an average of 8.9 years (range, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17]. There were no neurologic complications.…”

Section: Discussionmentioning

confidence: 99%

“…Spinal motion is required for many activities of daily living, including perineal care, hand-to-mouth activities, body transfers in and out of the wheelchair, wheelchair propulsion, and dressing. 6 In patients with SCI, especially for children and adolescents with cervical injuries, spine mobility may aid the caregiver in dependent transfers, dressing, and bowel programs. In addition, spinal motion is necessary for full participation in wheelchair and adaptive sports, which is often desirable for these patients.…”

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confidence: 99%

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Clinical Efficacy of the Vertebral Wedge Osteotomy for the Fusionless Treatment of Paralytic Scoliosis

Mccarthy¹,

Chafetz²,

Mulcahey³

et al. 2010

Spine

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Vertebral wedge osteotomy is potentially an effective treatment option for paralytic scoliosis. At 2-year follow-up, there was no loss of function as measured by the PODCI and FIM, and there was improvement in the COPM. Cobb angle measurements were either improved or maintained in 12 of 13 patients. Although 2 patients required fusion, they had an average of 2.5 years of subsequent growth before surgery.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Clinical Efficacy of the Vertebral Wedge Osteotomy for the Fusionless Treatment of Paralytic Scoliosis

Mccarthy¹,

Chafetz²,

Mulcahey³

et al. 2010

Spine

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“…Comparisons within the TLSO condition also reported that lateral reach was significantly greater for the dominant arm compared with the nondominant arm. The differences in ranges of reach could be due to limited trunk flexion caused by the bottom edge of the TLSO (17). Significant increases in forward reach with dominant arms could also be attributed to better posture and trunk control (23) by the subject who may primarily use the dominant arm for reaching forward.…”

Section: Discussionmentioning

confidence: 99%

Effect of Thoracolumbosacral Orthoses on Reachable Workspace Volumes in Children With Spinal Cord Injury

Sison-Williamson

Bagley

Hongo

et al. 2007

The Journal of Spinal Cord Medicine

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Background/Objective: Wheelchair users often use trunk motion to facilitate or augment their upper extremity reach. Children with spinal cord injury (SCI) are often prescribed thoracic lumbar sacral orthoses (TLSO) to delay or prevent spinal curve progression. The impact of wearing a TLSO while reaching has not been studied. Therefore, the purpose of this study was to see the quantitative effect of the TLSO on reachable workspace volumes and reach of children with SCI.Methods: Twenty children with SCI aged 5 to 18 years participated in the present study. Three-dimensional upper extremity motion analysis was used to assess the reachable workspace patterns of children reaching for targets at varying heights. Volumes in and out of TLSO and kinematic ranges of reach were statistically analyzed using paired Student's t tests with a P value set at 0.05.Results: Reachable workspace volumes were significantly greater for the non-TLSO condition compared with the TLSO condition (112,836 vs 80,711 cm 3 ; P ¼ 0.0002; a decrement of 28%). Anterior posterior and medial lateral ranges of reach were statistically greater in the non-TLSO condition (P ¼ 0.002, P ¼ 0.01). Nondominant hand medial lateral reaches were statistically greater in the non-TLSO condition (P ¼ 0.003). Dominant hand anterior posterior reaches were greater in the non-TLSO condition (P ¼ 0.009). Conclusions:Results suggest the reachable workspace of children with SCI is lessened with the use of a TLSO. This may be an important negative factor for brace compliance in children with SCI. The TLSO interferes with their ability to reach; therefore, children may prefer not to wear the orthosis.J Spinal Cord Med. 2007;30:S184-S191

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“…Chafetz et al 38 To avoid device abandonment, clinicians need to carefully consider the environment in which the assistive device will be used and consider the user's opinion about the device. By simulating the tasks which will need to be performed with device, the user and the clinician both gain insight into the efficacy of the device.…”

Section: Walker Maneuverabilitymentioning

confidence: 99%

Comparison of Older Adults Walking with An Anterior, Posterior and without A Wheeled Walker

Tuzson¹

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Timed Motor Test For Wheelchair Users: Initial Development and Application in Chiloren With Spinal Cord Injury

Cited by 7 publications

References 18 publications

Clinical Efficacy of the Vertebral Wedge Osteotomy for the Fusionless Treatment of Paralytic Scoliosis

Clinical Efficacy of the Vertebral Wedge Osteotomy for the Fusionless Treatment of Paralytic Scoliosis

Effect of Thoracolumbosacral Orthoses on Reachable Workspace Volumes in Children With Spinal Cord Injury

Comparison of Older Adults Walking with An Anterior, Posterior and without A Wheeled Walker

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