首页 | 本学科首页   官方微博 | 高级检索  
     


Optimization of power wheelchair control for patients with severe Duchenne muscular dystrophy
Authors:Pellegrini Nadine  Guillon Bruno  Prigent Hélène  Pellegrini Michel  Orlikovski David  Raphael Jean-Claude  Lofaso Frédéric
Affiliation:Medical ICU and Physiology-Functional Testing Unit, Garches Institute and Technological Innovation Center, Raymond Poincaré Teaching Hospital, AP-HP, 92380 Garches, France.
Abstract:The extended survival of patients with Duchenne muscular dystrophy (DMD) achieved by the introduction of mechanical ventilation is raising new quality-of-life issues. We evaluated passive range of wrist extension, key pinch strength, and power wheelchair driving in 84 patients. The 47 drivers with restricted driving abilities were older than the 37 unrestricted drivers (27.2+/-5.0 y vs. 22.8+/-3.8 y) and had worse upper limb performance. By multiple logistic regression, only key pinch was significant ( R(2) = 0.224, P = 0.02. Eighteen restricted drivers were reassessed after having swapped a conventional joystick for another control system (mini-joystick, isometric mini-joystick, finger joystick, or pad) and having moved the position of the tested control system so that the patient could use it with different fingers, his chin or his mouth. All of them regained the ability to drive unrestricted. Adults with DMD gradually lose their ability to drive with a conventional joystick but can regain unrestricted driving with alternative control systems.
Keywords:
本文献已被 PubMed 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号