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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
PubMed
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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.