Purpose
The 4FTPSMW quantifies functional ability when manual wheelchair users employ different postural supports.
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The 4FTPSMW quantifies functional ability when manual wheelchair users employ different postural supports.
4
30 minutes
30 Minutes to Complete 2 Trials
Initially reviewed by Irene Ward, PT, DPT, NCS and the TBI EDGE task force of the Neurology Section of the APTA in 6/2012.
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit: ANPT Outcome Measures Recommendations (EDGE)
Abbreviations:
HR
Highly Recommend
R
Recommend
LS / UR
Reasonable to use, but limited study in target group / Unable to Recommend
NR
Not Recommended
Recommendations for use based on acuity level of the patient:
Acute
(CVA < 2 months post)
(SCI < 1 month post)
(Vestibular < 6 weeks post)
Subacute
(CVA 2 to 6 months)
(SCI 3 to 6 months)
Chronic
(> 6 months)
SCI EDGE
NR
NR
NR
Recommendations based on level of care in which the assessment is taken:
Acute Care
Inpatient Rehabilitation
Skilled Nursing Facility
Outpatient
Rehabilitation
Home Health
TBI EDGE
NR
NR
NR
NR
NR
Recommendations based on SCI AIS Classification:
AIS A/B
AIS C/D
SCI EDGE
NR
NR
Recommendations for use based on ambulatory status after brain injury:
Completely Independent
Mildly dependant
Moderately Dependant
Severely Dependant
TBI EDGE
N/A
N/A
N/A
N/A
Recommendations for entry-level physical therapy education and use in research:
Students should learn to administer this tool? (Y/N)
Students should be exposed to tool? (Y/N)
Appropriate for use in intervention research studies? (Y/N)
Is additional research warranted for this tool (Y/N)
SCI EDGE
No
No
No
Not reported
TBI EDGE
No
No
No
Not reported
Do you see an error or have a suggestion for this instrument summary? Please e-mail us!
Manual wheelchair users: (May et al, 2003, n=9 for reliability testing, average age=33.1 years, range 23-70 years, male, all had a neurological condition affecting the spinal cord, all but 2 had been wheelchair dependent for less than 2 years)
Manual wheelchair users: (May et al, 2003, n=9 for reliability testing, average age=33.1 years, range 23-70 years, male, all had a neurological condition affecting the spinal cord, all but 2 had been wheelchair dependent for less than 2 years)
Manual wheelchair users: (May et al, 2003, n=9 for reliability testing, average age=33.1years, range 23-70 years, male, all had a neurological condition affecting the spinal cord, all but 2 had been wheelchair dependent for less than 2 years)
The four functional skills were chosen by a panel of clinicians with more then 5 years of experience, a clinical researcher, and clients.
May, L. A., Butt, C., et al. (2004). "Wheelchair back-support options: functional outcomes for persons with recent spinal cord injury." Arch Phys Med Rehabil 85(7): 1146-1150. Find it on PubMed
May, L. A., Butt, C., et al. (2003). "Measurement reliability of functional tasks for persons who self-propel a manual wheelchair." Arch Phys Med Rehabil 84(4): 578-583. Find it on PubMed
We have reviewed more than 500 instruments for use with a number of diagnoses including stroke, spinal cord injury and traumatic brain injury among several others.