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Assistive Technology
The Official Journal of RESNA
Volume 35, 2023 - Issue 6
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Research Article

Functional mobility, employment and safety benefits of seat elevating devices

, BSORCID Icon, , PhD, MPHORCID Icon, , PhDORCID Icon, , MS, ATP, , PhD, OTR/L, ATPORCID Icon & , MDORCID Icon
Pages 471-476 | Accepted 08 Sep 2022, Published online: 05 Oct 2022
 

ABSTRACT

Seat-elevating devices (SEDs) allow vertical movement of the seat of a power wheelchair (PWC), so users can perform activities of daily living including transferring and reaching. RESNA’s position papers on SEDs and the wheelchair provision process highlight the benefits of SEDs and the need for outcome measurement. The Functional Mobility Assessment (FMA) is a satisfaction measure to carry out specific tasks including transferring and reaching. The purpose of this retrospective study was to evaluate the relationship between the use of SEDs on the FMA and uniform dataset (UDS) with a sample of 1,733 PWC users. Independent-samples t-tests and Mann–Whitney U tests were used to compare total FMA and individual FMA item scores between those with and without an SED. A univariate linear regression model was used to control for confounding variables and determine if SEDs were a predictor of variance in FMA. Those with SEDs had significantly higher total FMA percentage score (mean = 76.7 ± 20.9) than those without SEDs (mean = 59.6 ± 24.7; t = 11.9, p < 0.001). Those with SEDs had significantly higher reach (U =  99849.0, p < 0.001) and transfer (U =  140587.0, p < 0.001) scores. The functional, vocational, and safety benefits of SEDs should be considered when determining coverage for SEDs.

Status of Research Process

Study completed.

Involvement of Assistive Technology Users

Participants were power wheelchair users.

Disclosure statement

The authors alone are responsible for the content and writing of this article. Mark R. Schmeler receives a royalty for the license of the Functional Mobility Assessment (FMA) through the University of Pittsburgh Office of Innovation. The other authors have nothing to disclose.

Additional information

Funding

The work was supported by National Institute on Disability, Independent Living, and Rehabilitation Research (Grant ID: 90DPGE0014-01-00)

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