Timed motor test for wheelchair users: initial development and application in children with spinal cord injury.

Ross Chafetz, Craig M McDonald, M. J. Mulcahey, Randal Betz, Caroline Anderson, Lawrence Vogel, John P. Gaughan, Susan Martin, Mary Ann O'Dell, Ann Flanagan

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

OBJECTIVE: The objective of this study was to describe the development and preliminary results of reliability testing of the timed motor test (TMT), a performance-based measure of functional status for children with a spinal cord injury (SCI) who use a manual wheelchair. This study will also provide pilot data using the TMT to examine the impact of thoracolumbosacral orthoses (TLSO) on function in children with a SCI. STUDY DESIGN: Cross-sectional observational study. METHODS/PARTICIPANTS: This study enrolled 11 subjects with SCI. The TMT consisted of donning a shirt, donning pants, even transfers, uneven transfers, and propelling a wheelchair 80 feet and up a ramp of 45 feet. Nine subjects completed the TMT with and without a TLSO, and 6 subjects (4 of whom also completed the TMT with and without a TLSO) completed the reliability testing. RESULTS: Except for donning pants, the intertester and intratester reliability of the TMT was fair-to-good with intraclass correlation coefficients (ICCs) of 0.60 or greater. When wearing a TLSO, participants were slower at donning a shirt, donning pants, performing even and uneven transfers, and hallway propulsion (P < 0.05). There was a preference for not wearing a TLSO for dressing and transfer skills. CONCLUSION: In general, the TMT for wheelchair users had fair-to-good intertester and intratester reliability. Based on these pilot data, there was an increase in time to complete several functional tasks because of the use of a TLSO as measured by the TMT in children with a SCI.

Original languageEnglish (US)
JournalThe journal of spinal cord medicine
Volume27 Suppl 1
StatePublished - 2004
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology

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    Chafetz, R., McDonald, C. M., Mulcahey, M. J., Betz, R., Anderson, C., Vogel, L., Gaughan, J. P., Martin, S., O'Dell, M. A., & Flanagan, A. (2004). Timed motor test for wheelchair users: initial development and application in children with spinal cord injury. The journal of spinal cord medicine, 27 Suppl 1.