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https://www.readbyqxmd.com/read/28210028/a-preliminary-study-of-the-measurement-of-overload-applied-to-the-foot-support-of-a-wheelchair-and-a-seated-postural-support-device
#1
Satoshi Shirogane, Takashi Handa, Yoshihiko Kozai, Yusuke Maeda
[Purpose] The mechanical strength of wheelchair and seating products is specified by standards to ensure user safety. However, some individual users are affected by severe spasticity resulting from cerebral palsy that occasionally breaks such devices. Until recently, reports of quantitative measurement of these mechanical overloads have been scarce, and the exact loads applied have been unknown. This study aimed to conduct a sampling survey prior to conducting a future full-scale study. [Subjects and Methods] Using two force plates, we measured the load on the foot support applied by three participants with cerebral palsy...
January 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28208682/new-approaches-to-exciting-exergame-experiences-for-people-with-motor-function-impairments
#2
Martina Eckert, Ignacio Gómez-Martinho, Juan Meneses, José-Fernán Martínez
The work presented here suggests new ways to tackle exergames for physical rehabilitation and to improve the players' immersion and involvement. The primary (but not exclusive) purpose is to increase the motivation of children and adolescents with severe physical impairments, for doing their required exercises while playing. The proposed gaming environment is based on the Kinect sensor and the Blender Game Engine. A middleware has been implemented that efficiently transmits the data from the sensor to the game...
February 12, 2017: Sensors
https://www.readbyqxmd.com/read/28202382/clinicians-and-researchers-perspectives-on-manual-wheelchair-data-loggers
#3
François Routhier, Josiane Lettre, William C Miller, Jaimie F Borisoff, Kate Keetch, Ian M Mitchell
Recent studies have employed data loggers to record a wide range of, sometimes differing, objective outcomes associated with the use of manual wheelchairs. To identify which outcomes are broadly perceived to be the most important to measure when objectively documenting manual wheelchair use, a cross-sectional survey was conducted with groups of researchers and clinicians in the field of wheeled mobility. We also surveyed the challenges these groups experienced when using data loggers. The survey was informed by a previous scoping review of the scientific and gray literature...
February 12, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28198602/the-profile-of-upper-extremity-muscular-strength-in-female-wheelchair-basketball-players-a-pilot-study
#4
Bahar Külünkoğlu, Yasemin Akkubak, Nevin Ergun
BACKGROUND: The purpose of this study was to analyze and compare the profile of upper extremity muscle strength in female wheelchair basketball players with that of sex-matched non-disabled controls. METHODS: Nineteen female subjects were enrolled in this study. These were divided into two groups. Group 1 (n=10) consisted of wheelchair basketball players and Group 2 (n=9) of non-disabled individuals. Muscular strength in the shoulder was measured using an isokinetic dynamometer...
February 14, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28193204/development-of-a-wheelchair-mobility-skills-test-for-children-and-adolescents-combining-evidence-with-clinical-expertise
#5
Marleen Elisabeth Sol, Olaf Verschuren, Laura de Groot, Janke Frederike de Groot
BACKGROUND: Wheelchair mobility skills (WMS) training is regarded by children using a manual wheelchair and their parents as an important factor to improve participation and daily physical activity. Currently, there is no outcome measure available for the evaluation of WMS in children. Several wheelchair mobility outcome measures have been developed for adults, but none of these have been validated in children. Therefore the objective of this study is to develop a WMS outcome measure for children using the current knowledge from literature in combination with the clinical expertise of health care professionals, children and their parents...
February 13, 2017: BMC Pediatrics
https://www.readbyqxmd.com/read/28192830/thermoregulatory-responses-during-competitive-wheelchair-rugby-match-play
#6
Katy E Griggs, George Havenith, Michael J Price, Barry S Mason, Victoria L Goosey-Tolfrey
The purpose of this study was to determine whether a player's physical impairment or activity profile was related to the amount of thermal strain experienced during wheelchair rugby match play. 17 elite wheelchair rugby players played a competitive match, whilst activity profiles, measures of core and skin temperature, heart rate and perceptual responses were taken. Players were divided into 2 groups depending on their physical impairment: players with a cervical spinal cord injury, (n=10) or non-spinal related physical impairment (n=7)...
February 13, 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28183502/a-27-year-old-man-with-acute-severe-low-back-pain-and-bilateral-leg-swelling-that-prompted-renting-a-wheelchair-for-mobility
#7
John G Williams, Huy Phan, Helena R Winston, Randolph V Fugit, Bridget Graney, Brant Jamroz, Benjamin English, Edward D Chan
A 27-year-old man with OSA, posttraumatic stress disorder, and chronic mechanical back pain presented with a 3-day history of acute atraumatic worsening of his low back pain as well as right groin numbness that was exacerbated by walking. He also complained of bilateral leg "heaviness," pain, and swelling, all becoming so severe that he rented a wheelchair for mobility.
February 2017: Chest
https://www.readbyqxmd.com/read/28183145/minimally-invasive-microscopic-posterior-cervical-decompression-simple-safe-and-effective
#8
Pierluigi Vergara
Background and Study Aims Cervical spondylotic myelopathy (CSM) is the most common cause of spinal cord dysfunction in the elderly population. Surgery is usually successful in preventing any deterioration, as well as improving functional status and quality of life. This study assesses the safety and efficacy of minimally invasive microscopic posterior cervical decompression for the treatment of CSM. Materials and Methods A retrospective review of patients with myelopathy from cervical stenosis treated with minimally invasive posterior cervical decompression was performed...
February 9, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28178772/training-effects-of-wheelchair-dance-on-aerobic-fitness-in-bedridden-individuals-with-severe-athetospastic-cerebral-palsy-rated-to-gmfcs-level-v
#9
Kyoko Terada, Ayako Satonaka, Yasuto Terada, Nobuharu Suzuki
BACKGROUND: There were few studies about training effects of wheelchair dance on aerobic fitness in the bedridden individuals with severe cerebral palsy for whom the traditional maximal or submaximal exercise tests were not applicable. As the oxygen pulse (O2P), the oxygen uptake divided by the heart rate, is regarded to be a relative measure of stroke volume and the O2P correlates to peak oxygen uptake, we would be able to assess the training effects of wheelchair dance on aerobic fitness in those individuals measuring O2P...
February 8, 2017: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28173619/hyperglycaemia-related-complications-at-the-time-of-diagnosis-can-cause-permanent-neurological-disability-in-children-with-neonatal-diabetes
#10
J O Day, S E Flanagan, M H Shepherd, A W Patrick, N Abid, L Torrens, A J Zeman, K A Patel, A T Hattersley
BACKGROUND: Children with neonatal diabetes often present with diabetic ketoacidosis and hence are at risk of cerebral oedema and subsequent long-term neurological deficits. These complications are difficult to identify because neurological features can also occur as a result of the specific genetic aetiology causing neonatal diabetes. CASE REPORTS: We report two cases of neonatal diabetes where ketoacidosis-related cerebral oedema was the major cause of their permanent neurological disability...
February 7, 2017: Diabetic Medicine: a Journal of the British Diabetic Association
https://www.readbyqxmd.com/read/28164718/measurement-properties-of-the-wheelchair-skills-test-for-scooters-among-experienced-users
#11
W Ben Mortenson, Laura Hurd Clarke, Charlie H Goldsmith, Sharon Jang, R Lee Kirby
PURPOSE: To investigate the score distribution, reliability, and validity of the objective Wheelchair Skills Test (WST) for scooter users. METHOD: A study using a test-retest design was conducted with 20 people who had mobility limitations that prevented them from ambulating more than one city block without a mobility aid, and who had owned a scooter for ≥3 months. Objective scooter skills, confidence, and physical accessibility were measured at both time points, while anxiety, depression, visual attention and task switching, functional independence, and visual acuity were measured only at baseline...
February 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28164055/proximal-tibial-epiphysis-injury-flexion-type-salter-harris-type-1
#12
Pratik Israni, Mangesh Panat
INTRODUCTION: Fractures of the proximal tibial epiphysis rare. It has been estimated that fractures of the upper tibial epiphysis account for 0.5-3.1% of all epiphyseal injuries. Who had no neurovascular deficit, with fixed extension deformity at the left knee was treated early with closed reduction techniques. CASE REPORT: We present a case of a 16-year-old boy who while playing cricket on the road was hit by a car. The patient presented in emergency room with extremely swollen knee and soft tissue swelling (hemarthrosis), he was unable to lift his leg actively due to severe pain because of hamstrings spasm, and he had no wound over his left knee and had no other associated injuries...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28161318/effects-of-daily-physical-activity-level-on-manual-wheelchair-propulsion-technique-in-full-time-manual-wheelchair-users-during-steady-state-treadmill-propulsion
#13
Jennifer Dysterheft, Ian Rice, Yvonne Learmonth, Dominque Kinnett-Hopkins, Robert Motl
OBJECTIVE: To examine whether differences in propulsion technique as a function of intra-individual variability occur as a result of shoulder pain and physical activity (PA) level in full time manual wheelchair users (MWU). DESIGN: Observational study. SETTING: Research laboratory. PARTICIPANTS: A sample of 14 MWU completed the study. Participants were 18-64 years old, used a wheelchair for > 80% ambulation, and free of any condition that could be worsened by PA...
February 1, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28156637/complications-of-intrathecal-pump-therapy-in-malignancy-related-pain
#14
Egidio Del Fabbro
: 102 Background: Intrathecal pumps (ITP) are used to manage severe malignancy related pain by delivering analgesics directly into the cerebrospinal fluid, in theory allowing for a reduced opioid dose and fewer complications. Although there is literature to support efficacy in patients with cancer, including improved survival, this mode of drug delivery also carries a risk of serious complications. Reports of complications in non-malignant pain suggest the risks and mortality related to ITP may be under-appreciated and that injury and liability occur with both ITP placement and ITP maintenance...
October 9, 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28152485/soft-conformal-bioelectronics-for-a-wireless-human-wheelchair-interface
#15
Saswat Mishra, James J S Norton, Yongkuk Lee, Dong Sup Lee, Nicolas Agee, Yanfei Chen, Youngjae Chun, Woon-Hong Yeo
There are more than 3 million people in the world whose mobility relies on wheelchairs. Recent advancement on engineering technology enables more intuitive, easy-to-use rehabilitation systems. A human-machine interface that uses non-invasive, electrophysiological signals can allow a systematic interaction between human and devices; for example, eye movement-based wheelchair control. However, the existing machine-interface platforms are obtrusive, uncomfortable, and often cause skin irritations as they require a metal electrode affixed to the skin with a gel and acrylic pad...
January 25, 2017: Biosensors & Bioelectronics
https://www.readbyqxmd.com/read/28152334/a-comparison-of-the-efficacy-of-weight-shift-vs-joystick-control-of-a-robotic-mobility-device-by-infants-ages-5-to-10-months
#16
Sharon Stansfield, Carole Dennis, Rachel Altman, Janelle Smith, Hélène Larin
The onset of crawling in infants contributes to cognitive, perceptual, social, and emotional development. Conversely, infants with motor impairment that delays or prevents autonomous mobility often have associated developmental delays. Evidence suggests that providing mobility may have positive developmental outcomes, however powered wheelchairs may not be recommended for very young children, due to safety concerns and the child's level of cognitive maturity. The WeeBot is a mobility device controlled by infant weight shifting while seated; infants as young as 5 months have learned to use it...
February 2, 2017: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/28150870/seated-limits-of-stability-of-athletes-with-disabilities-with-regard-to-competitive-levels-and-sport-classification
#17
Paula B R Santos, Patrícia S Vigário, Míriam R M Mainenti, Arthur S Ferreira, Thiago Lemos
We aimed to evaluate the influence of wheelchair rugby (WR) classification and competitive level on the seated limits of stability of athletes with disabilities. Twenty-eight athletes were recruited from international and national level WR teams. Athletes were distributed into three groups per their classification: low-point (0.5-1.5-point); mid-point (2.0-2.5-point); and high-point (3.0-3.5-point). Athletes were asked to sit on a force platform placed upon a wooden block and to lean the body as far as possible in eight pre-defined directions...
February 2, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28134824/a-new-adaptable-optical-high-resolution-3-axis-sensor
#18
Niels Buchhold, Christian Baumgartner
This article presents a new optical, multi-functional, high-resolution 3-axis sensor which serves to navigate and can, for example, replace standard joysticks in medical devices such as electric wheelchairs, surgical robots or medical diagnosis devices. A light source, e.g., a laser diode, is affixed to a movable axis and projects a random geometric shape on an image sensor (CMOS or CCD). The downstream microcontroller's software identifies the geometric shape's center, distortion and size, and then calculates x, y, and z coordinates, which can be processed in attached devices...
January 27, 2017: Sensors
https://www.readbyqxmd.com/read/28130083/how-are-race-cultural-and-psychosocial-factors-associated-with-outcomes-in-veterans-with-spinal-cord-injury
#19
Larissa Myaskovsky, Shasha Gao, Leslie Rm Hausmann, Kellee R Bornemann, Kelly H Burkitt, Galen E Switzer, Michael J Fine, Samuel L Phillips, David Gater, Ann M Spungen, Michael L Boninger
OBJECTIVE: To understand the role of cultural and psychosocial factors in the outcomes of Veteran wheelchair users with spinal cord injury (SCI) to help clinicians identify unique factors faced by their patients and help researchers identify target variables for interventions to reduce disparities in outcomes. DESIGN: Cross-sectional cohort study SETTING: Three urban VA Medical Centers affiliated with academic medical centers. PARTICIPANTS: Of the 516 patients who were eligible to participate, 482 completed the interview and 439 had SCI...
January 24, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28129705/development-of-a-wheelchair-maintenance-training-programme-and-questionnaire-for-clinicians-and-wheelchair-users
#20
Maria Luisa Toro, Emily Bird, Michelle Oyster, Lynn Worobey, Michael Lain, Samuel Bucior, Rory A Cooper, Jonathan Pearlman
: Purpose of state: The aims of this study were to develop a Wheelchair Maintenance Training Programme (WMTP) as a tool for clinicians to teach wheelchair users (and caregivers when applicable) in a group setting to perform basic maintenance at home in the USA and to develop a Wheelchair Maintenance Training Questionnaire (WMT-Q) to evaluate wheelchair maintenance knowledge in clinicians, manual and power wheelchair users. METHODS: The WMTP and WMT-Q were developed through an iterative process...
January 27, 2017: Disability and Rehabilitation. Assistive Technology
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