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Problematic clinical features of powered wheelchair users with severely disabling multiple sclerosis
Lorraine H De Souza1, Andrew O Frank
1Centre for Research in Rehabilitation, School of Health Science and Social Care, Brunel University , Uxbridge, Middlesex , UK and.
Disability and Rehabilitation
|August 12, 2014
Summary
This study highlights the need for comprehensive assessments for individuals with severe multiple sclerosis (MS) requiring electric-powered indoor/outdoor wheelchairs (EPIOCs). Identifying specific clinical features aids in optimizing wheelchair prescription and rehabilitation interventions.
Area of Science:
- Rehabilitation Medicine
- Clinical Neurology
- Assistive Technology
Background:
- Multiple sclerosis (MS) is a disabling neurological condition.
- Severely affected individuals often require powered wheelchairs for mobility.
- Electric-powered indoor/outdoor wheelchairs (EPIOCs) are crucial assistive devices.
Purpose of the Study:
- To characterize the clinical profiles of MS patients using EPIOCs.
- To identify clinical factors that influence the prescription of EPIOCs.
- To inform better assistive technology provision for MS.
Main Methods:
- Retrospective review of electronic and case notes for EPIOC users with MS.
- Data collected from a specialist wheelchair service (June 2007-September 2008).
- Analysis of demographic, diagnostic, clinical, and wheelchair-related factors.
Main Results:
- Reviewed 91 users (28 men, 63 women) with MS using EPIOCs.
- Identified 22 comorbidities, 11 MS features, and 8 disability features influencing prescription.
- 15 users received specialized seating, and 46 received tilt-in-space seats.
Conclusions:
- Holistic assessment is vital for EPIOC prescription in severe MS.
- Addressing treatable clinical features and utilizing specialized seating can improve outcomes.
- Tilt-in-space seating and spasticity management are key considerations.
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