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Occupational performance and the transition to powered mobility: a pilot study.

M E Buning¹, J A Angelo, M R Schmeler

¹Department of Rehabilitation Science and Technology, School of Health and Rehabilitation Sciences, 5044 Forbes Tower, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA. mbuning+@pitt.edu

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association

|November 29, 2001

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Transitioning to powered mobility devices (PMDs) significantly improves occupational performance and enhances feelings of competence, adaptability, and self-esteem in individuals with severe mobility impairments.

Area of Science:

Rehabilitation Science
Assistive Technology Research
Occupational Therapy

Background:

Manual wheelchairs present limitations for individuals with progressive mobility impairments.
The transition to powered mobility devices (PMDs) may offer enhanced independence and participation.
Understanding the impact of PMDs on daily functioning and psychosocial well-being is crucial.

Purpose of the Study:

To quantitatively describe the transition from manual to powered mobility.
To evaluate the influence of PMDs on occupational performance and psychosocial factors.
To assess changes in competence, adaptability, and self-esteem post-PMD adoption.

Main Methods:

Utilized the Occupational Performance History Interview (OPHI) to measure occupational performance changes.

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Employed the Psychosocial Impact of Assistive Device Scale (PIADS) for psychosocial impact assessment.

Convenience sample of 8 participants with static and progressive conditions using PMDs.

Main Results:

Significant improvement in occupational performance observed after PMD introduction (p = .001).
75% of participants reported a positive impact on 19 of 26 psychosocial items via PIADS.
PIADS scores were comparable to a database of individuals with similar conditions.

Conclusions:

Transitioning to a powered mobility device enhances occupational performance.
PMDs positively influence competence, adaptability, and self-esteem in users.
Findings support PMDs as beneficial for individuals with severe mobility impairments.