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Wheelchair users' satisfaction after provision using the WHO 8-step guidelines: A pilot study.

Ivett Quiñones-Uriostegui1, Aldo Alessi-Montero1, Virginia Bueyes-Roiz1

  • 1Rehabilitation Engineering and Human Motion Analysis Laboratory, National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

The Journal of Spinal Cord Medicine
|April 10, 2023
PubMed
Summary
This summary is machine-generated.

The World Health Organization (WHO) 8-step guidelines significantly improved wheelchair user satisfaction and functional capacity in Mexican users. Following these guidelines enhances wheelchair provision and mobility outcomes.

Keywords:
QUESTQuality of lifeUser satisfactionWHO 8-step guidelines for wheelchair provisionWheelchair prescription

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Area of Science:

  • Rehabilitation Medicine
  • Assistive Technology
  • Global Health

Background:

  • Millions with mobility disabilities lack adequate wheelchairs, leading to poor outcomes.
  • Improperly configured wheelchairs cause health issues and reduce quality of life.
  • The World Health Organization (WHO) developed guidelines for wheelchair provision in resource-limited settings.

Purpose of the Study:

  • To evaluate the impact of the WHO 8-step manual wheelchair provision guidelines.
  • To assess effects on user satisfaction, wheelchair skills, and quality of life.
  • Focus on Mexican manual wheelchair users.

Main Methods:

  • Recruited 12 spinal cord injury patients undergoing rehabilitation.
  • Provided wheelchairs and cushions adhering to WHO 8-step guidelines.
  • Assessed outcomes using QUEST, WHOQOL-Bref, and WST-Q at baseline and 12 months.

Main Results:

  • Significant improvements in user satisfaction (QUEST) with wheelchairs and cushions.
  • No significant changes in quality of life (WHOQOL-Bref).
  • Significant gains in functional capacity and performance (WST-Q) by 10.9%.

Conclusions:

  • WHO 8-step guidelines enhance user satisfaction with wheelchairs and the prescription process.
  • Adherence to guidelines improves functional capacity and mobility.
  • These guidelines are beneficial for wheelchair provision in less-resourced settings.