CPD for OTs - Wheelchair power seat elevation

The Your OT Tutor Journal Club - The Journal Club you've been waiting for!

The details you need to know...

1. What article did we discuss? We reviewed and discussed a review paper based on a literature review, lab goniometer measurements, and client case reports, exploring the benefits for power seat elevation for wheelchair users. The findings were presented using the ICF framework and primarily focused on benefits experienced by adults with neurological diagnoses. The paper was published in 2022 and drew on research evidence from 2008-2021.

2. What ‘Research Fundamentals’ tip was covered in this session? We covered the importance of doing a ‘dirty search’ (e.g. YouTube, Google) before completing a database search of peer reviewed journal articles, to enhance your understanding of unfamiliar topics.

3. What were the key points from the article critique? The YOTT Key Appraisal Questions checklist was used. Overall, it was written by authors with highly relevant expertise, and it provided recent evidence. Any OTs working with adults within a community caseload were likely to find the content highly relevant to their caseloads, but readers were reminded there may be an element of bias towards reporting favourable outcomes, as the paper was written by a wheelchair manufacturer; further research to explore other literature is therefore recommended.

4. What were some of the key take home messages from the discussion? It was emphasised that the majority of clients are likely to benefit from power seat elevation, even those with a high level of functional impairment, so it should be considered for all trials. It is important to explore the benefits both in the home and community, and to consider less obvious benefits (e.g. for communication, line of sight). OTs discussed how the ability to do even small tasks independently can significantly benefit a person’s quality of life. OTs should use photos, videos and outcome measures to capture these benefits in a way that can be understood by funding bodies.

5. How are OTs going to use what they learnt in this session? OTs were planning to explore outcome measures such as the WhOM and COPM as a way of capturing evidence during trials, as well as remembering to consider the less obvious benefits that seat elevation can have for clients.

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