Predictors of mobility among wheelchair using residents in long-term care

Mortenson, W. Ben, Miller, William C., Backman, Catherine L. and Oliffe, John L. (2011) Predictors of mobility among wheelchair using residents in long-term care. Archives of Physical Medicine and Rehabilitation, 92 10: 1587-1593. doi:10.1016/j.apmr.2011.03.032

Author Mortenson, W. Ben
Miller, William C.
Backman, Catherine L.
Oliffe, John L.
Title Predictors of mobility among wheelchair using residents in long-term care
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
Publication date 2011-10
Sub-type Article (original research)
DOI 10.1016/j.apmr.2011.03.032
Open Access Status
Volume 92
Issue 10
Start page 1587
End page 1593
Total pages 7
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Language eng
Formatted abstract
Objective: To identify predictors of mobility among long-term care residents who use wheelchairs as their main means of mobility. Based on the Matching Person to Technology Model, we hypothesized that wheelchair-related, personal, and environmental factors would be independent predictors of mobility.

Design: Cross-sectional study.

Setting: Eleven long-term residential care facilities in the lower mainland of British Columbia, Canada.

Participants: Residents (N=268): self-responding residents (n=149) and residents who required proxy respondents (n=119).

Interventions: Not applicable.

Main Outcome Measures: Mobility was measured using the Nursing Home Life-Space Diameter. Standardized measures of personal, wheelchair-related, and environmental factors were administered and sociodemographic data were collected as independent variables.

Results: Independent mobility decreased as the distance from the resident's room increased: 63% of participants were independently mobile on their units, 40% were independently mobile off their units within the facilities, and 20% were independently mobile outdoors. For the total sample, the significant predictors of mobility, in descending order of importance, were: wheelchair skills (including the capacity to engage brakes and maneuver), functional independence in activities of daily living, having 4 or more visits per week from friends or family, and use of a power wheelchair. This regression model accounted for 48% of variance in mobility scores.

Conclusions: Limited independent mobility is a common problem among facility residents. Residents may benefit from interventions such as wheelchair skills training or provision of powered mobility, but the effectiveness of these interventions needs to be evaluated.
Keyword Nursing homes
Self-help devices
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 0 times in Thomson Reuters Web of Science Article
Scopus Citation Count Cited 8 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 12 Aug 2014, 12:39:37 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work