Based on the linked source; automatically prepared and checked against the original report.
Review Scope
The scoping review examined power assist systems (PAS) for manual wheelchairs (MWCs) using the International Classification of Functioning, Disability and Health framework. It was prompted partly by a Medicare policy described as preventing users from obtaining PAS during their first year of manual-wheelchair use. The authors note that people who struggle to propel at times may instead pursue a power wheelchair when PAS is unavailable.
Evidence Base
Researchers screened 790 titles and abstracts and included 26 articles. The evidence covered mobility, neuromuscular and movement functions, cardiovascular and respiratory functions, general tasks, pain, and mental functions. Most represented devices were power-assist push-rims, with smaller numbers of rear-drive and front-attached systems. Quantitative methods appeared in 23 studies, including 15 experimental designs.
Reported Findings
Across environments, the review reported overall positive support for PAS use, including reduced propulsion burden when users had proper training and support. It found no evidence that prior manual-wheelchair experience determined effective PAS use. The record summarizes an abstract, so these findings are not individual treatment recommendations.
