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Related Experiment Videos

Activity restriction among wheelchair users.

Helen Hoenig1, Lawrence R Landerman, Kathy M Shipp

  • 1Physical Medicine and Rehabilitation Service, Durham Veterans Administration Medical Center, Durham, North Carolina 27705, USA. hoeni001@acpub.duke.edu

Journal of the American Geriatrics Society
|August 16, 2003
PubMed
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Mobility limitations and environmental barriers significantly restrict wheelchair users' participation in activities. Addressing these factors is key to improving community engagement and independence for individuals with mobility impairments.

Area of Science:

  • Rehabilitation Medicine
  • Disability Studies
  • Health Services Research

Background:

  • Activity restriction is a significant concern for wheelchair users, impacting their quality of life and community participation.
  • Understanding the factors contributing to restricted activity is crucial for developing effective interventions and support systems.

Purpose of the Study:

  • To identify sociodemographic, health, mobility, and environmental factors associated with activity restriction in wheelchair users.
  • To inform strategies aimed at reducing participation barriers for individuals using wheelchairs.

Main Methods:

  • A cohort study involving 153 community-dwelling wheelchair users recruited from two teaching hospitals.
  • Data collected included sociodemographic information, health status, mobility limitations, environmental barriers, and self-reported medical and nonmedical visits.

Related Experiment Videos

  • Multivariate analyses were employed to determine the associations between independent variables and activity restriction (measured by visit frequency).

    • Main Results:

    • Higher income was associated with more medical visits, while more comorbid conditions and amputation predicted fewer nonmedical and medical visits, respectively.
    • Increased mobility limitations correlated with fewer nonmedical visits, whereas more hours out of bed were linked to more nonmedical visits.
    • Significant findings indicated that greater environmental barriers were associated with fewer nonmedical and medical visits, suggesting restricted participation.

    Conclusions:

    • Mobility limitations and environmental barriers are key factors associated with restricted participation in activities outside the home for wheelchair users.
    • Interventions should focus on mitigating environmental barriers and addressing mobility challenges to enhance community engagement and reduce activity restriction.