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https://www.readbyqxmd.com/read/28431799/an-mri-investigation-of-the-effects-of-user-anatomy-and-wheelchair-cushion-type-on-tissue-deformation
#1
David Brienza, Jaxon Vallely, Patricia Karg, Jonathan Akins, Amit Gefen
AIM OF THE STUDY: Tissue deformation is recognized as an important risk factor for pressure injuries. This study investigated the effects of anatomy and wheelchair cushion type on tissue deformation. MATERIALS AND METHODS: Direct 3-dimensional tissue deformation response was measured for six participants sitting on six different wheelchair cushions using MR imaging. Two participants had a traumatic spinal cord injury (SCI) within one year of the assessment, two sustained traumatic SCI at least 13 years prior, and two were without SCI...
April 11, 2017: Journal of Tissue Viability
https://www.readbyqxmd.com/read/28422583/game-simulation-drill-design-alters-the-speed-profiles-of-wheelchair-rugby-players
#2
James M Rhodes, Barry S Mason, Thomas A W Paulson, Victoria L Goosey-Tolfrey
PURPOSE: This study examined the speed profiles of elite wheelchair rugby (WCR) players during game-simulation training drills of differing player number and shot-clock regulations. A secondary aim was to determine whether the profiles were further influenced by players classification. METHODS: Eight elite WCR players (low-point n = 3; high-point n = 5) were monitored using a radio-frequency based, indoor tracking system during training sessions over a 5-month period...
April 19, 2017: International Journal of Sports Physiology and Performance
https://www.readbyqxmd.com/read/28420175/a-new-input-device-for-spastics-based-on-strain-gauge
#3
Niels Buchhold, Christian Baumgartner
This article presents a new sensor for use by people with spastic disorders and similar conditions and enables them to steer and control medical devices such as electric powered wheelchairs. As spastic patients often suffer from cramping of their extremities, which can then no longer be controlled, using a standard joystick while operating a powered wheelchair can lead to dangerous situations. To prevent this, we designed a sensor based on strain gauges, which is shaped like a flat disc that can be operated using any body part...
April 17, 2017: Sensors
https://www.readbyqxmd.com/read/28418396/essential-gains-and-health-after-upper-limb-tetraplegia-surgery-identified-by-the-international-classification-of-functioning-disability-and-health-icf
#4
L Bunketorp-Käll, C Reinholdt, J Fridén, J Wangdell
STUDY DESIGN: A questionnaire-based survey. OBJECTIVES: To describe functional gains and health following upper-limb tetraplegia surgery using the International Classification of Functioning, Disability and Health (ICF) as a reference and to explore interconnections across different dimensions of functioning and health. SETTING: A specialized center for advanced reconstruction of extremities at Sahlgrenska University Hospital, Gothenburg, Sweden...
April 18, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28416348/respiratory-function-in-facioscapulohumeral-muscular-dystrophy-1
#5
M Wohlgemuth, C G C Horlings, E L van der Kooi, H J Gilhuis, J C M Hendriks, S M van der Maarel, B G M van Engelen, Y F Heijdra, G W Padberg
To test the hypothesis that wheelchair dependency and (kypho-)scoliosis are risk factors for developing respiratory insufficiency in facioscapulohumeral muscular dystrophy, we examined 81 patients with facioscapulohumeral muscular dystrophy 1 of varying degrees of severity ranging from ambulatory patients to wheelchair-bound patients. We examined the patients neurologically and by conducting pulmonary function tests: Forced Vital Capacity, Forced Expiratory Volume in 1 second, and static maximal inspiratory and expiratory mouth pressures...
March 22, 2017: Neuromuscular Disorders: NMD
https://www.readbyqxmd.com/read/28411744/effects-of-transit-bus-interior-configuration-on-performance-of-wheeled-mobility-users-during-simulated-boarding-and-disembarking
#6
Clive D'Souza, Victor Paquet, James A Lenker, Edward Steinfeld
The emergence of low-floor bus designs and related regulatory standards in the U.S. have resulted in substantial improvements in public transit accessibility. However, passengers using wheeled mobility devices still experience safety concerns and inefficiencies in boarding, disembarking, and interior circulation on low-floor buses. This study investigates effects of low-floor bus interior configuration and passenger crowding on boarding and disembarking efficiency and safety. Users of manual wheelchairs (n = 18), powered wheelchairs (n = 21) and electric scooters (n = 9) simulated boarding and disembarking in three interior layout configurations at low and high passenger crowding conditions on a full-scale laboratory mock-up of a low-floor bus...
July 2017: Applied Ergonomics
https://www.readbyqxmd.com/read/28410868/quantifying-cardiorespiratory-responses-resulting-from-speed-and-slope-increments-during-motorized-treadmill-propulsion-among-manual-wheelchair-users
#7
Cindy Gauthier, Murielle Grangeon, Ludivine Ananos, Rachel Brosseau, Dany H Gagnon
BACKGROUND: Cardiorespiratory fitness assessment and training among manual wheelchair (MW) users are predominantly done with an arm-crank ergometer. However, arm-crank ergometer biomechanics differ substantially from MW propulsion biomechanics. This study aimed to quantify cardiorespiratory responses resulting from speed and slope increments during MW propulsion on a motorized treadmill and to calculate a predictive equation based on speed and slope for estimating peak oxygen uptake (VO2peak) in MW users...
April 11, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28406042/attributes-of-nuclear-imaging-centers-impacting-physician-referrals-for-single-photon-emission-computed-tomography-myocardial-perfusion-imaging-tests
#8
Junlong Li, Christy R Houle, James R Spalding, Hongbo Yang, Cheryl Q Xiang, Therese M Kitt, Rita M Kristy, Eric Q Wu
AIM: To evaluate nuclear imaging center attributes that cardiologists and primary care physicians (PCPs) consider when referring patients for single-photon emission computed tomography myocardial perfusion imaging (SPECT-MPI) tests, and how these attributes impact physician referral decisions in the United States. METHODS: A targeted literature review and seven one-to-one interviews with physicians and imaging center directors were conducted to identify attributes that could impact physicians' referral decisions...
April 13, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/28397956/a-project-course-sequence-in-innovation-and-commercialization-of-medical-devices
#9
Alan W Eberhardt, Shea Tillman, Brandon Kirkland, Brandon Sherrod
There exists a need for educational processes in which students gain experience with design and commercialization of medical devices. This manuscript describes the implementation of, and assessment results from, the first year offering of a "project course" sequence in a Master of Engineering (MEng) in Design and Commercialization at our institution. The three-semester course sequence focused on developing and applying hands-on skills that contribute to product development to address medical device needs found within our university hospital and local community...
April 11, 2017: Journal of Biomechanical Engineering
https://www.readbyqxmd.com/read/28396457/clinical-reasoning-reversible-gait-ataxia-from-wheelchair-to-independent-mobility
#10
Tarig Mohammed Abkur, Peter Bede
No abstract text is available yet for this article.
April 11, 2017: Neurology
https://www.readbyqxmd.com/read/28389216/effects-of-cooling-before-and-during-simulated-match-play-on-thermoregulatory-responses-of-athletes-with-tetraplegia
#11
Katy E Griggs, George Havenith, Thomas A W Paulson, Michael J Price, Victoria L Goosey-Tolfrey
OBJECTIVES: Athletes with high level spinal cord injuries (tetraplegia) are under greater thermal strain during exercise than the able-bodied. The purpose of this study was to investigate the effectiveness of pre-cooling using an ice vest and the combination of pre-cooling and cooling during play using water sprays in athletes with tetraplegia. DESIGN: Counter-balanced, cross-over design. METHODS: Eight wheelchair rugby players with tetraplegia completed a 60min intermittent sprint protocol (ISP) on a wheelchair ergometer in 20...
March 21, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28387656/wheelchair-appropriateness-in-children-with-cerebral-palsy-a-single-center-experience
#12
Timur Ekiz, Sibel Özbudak Demir, Hatice Gözde Sümer, Neşe Özgirgin
BACKGROUND: Although wheelchair appropriateness has been studied in general wheelchair users and spinal cord injury patients, it has not been studied in children with cerebral palsy yet. OBJECTIVE: To describe the wheelchair appropriateness in children with cerebral palsy. MATERIALS AND METHODS: Thirty children with cerebral palsy were included. Demographical and clinical features of the children were noted. All wheelchair parts were evaluated by the same rehabilitation physician who has attended a wheelchair-training course...
March 31, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/28384558/temporary-total-hip-arthroplasty-like-spacer-for-treating-an-infected-periprosthetic-femoral-fracture-using-a-long-stem-a-case-report
#13
Youngwoo Kim, Yoshiaki Katsura, Nina Kasahara, Takashi Kasahara, Masashi Kanamura, Keiichi Kawanabe
INTRODUCTION: Infected periprosthetic femoral fractures are among the most complex and significant complications of total hip arthroplasty (THA). We report the novel use of a temporary THA-like spacer for treating an infected periprosthetic femoral fracture after revision surgery using a long stem. CASE PRESENTATION: We present a 72-year-old woman sustained a left infected periprosthetic femoral fracture after revi - streptococci in the culture sample. On suspicion of a periprosthetic joint infection, we planned a two-stage procedure...
March 22, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28380698/myoclonus-epilepsy-and-ataxia-due-to-kcnc1-mutation-analysis-of-20-cases-and-k-channel-properties
#14
Karen L Oliver, Silvana Franceschetti, Carol J Milligan, Mikko Muona, Simone A Mandelstam, Laura Canafoglia, Anna M Boguszewska-Chachulska, Amos Korczyn, Francesca Bisulli, Carlo Di Bonaventura, Francesca Ragona, Roberto Michelucci, Bruria Ben-Zeev, Rachel Straussberg, Ferruccio Panzica, João Massano, Daniel Friedman, Arielle Crespel, Bernt A Engelsen, Frederick Andermann, Eva Andermann, Krystyna Spodar, Anetta Lasek-Bal, Patrizia Riguzzi, Elena Pasini, Paolo Tinuper, Laura Licchetta, Elena Gardella, Matthias Lindenau, Annette Wulf, Rikke S Møller, Felix Benninger, Zaid Afawi, Guido Rubboli, Christopher A Reid, Snezana Maljevic, Holger Lerche, Anna-Elina Lehesjoki, Steven Petrou, Samuel F Berkovic
OBJECTIVE: To comprehensively describe the new syndrome of myoclonus epilepsy and ataxia due to potassium (K(+) ) channel mutation (MEAK), including cellular electrophysiological characterization of observed clinical improvement with fever. METHODS: We analysed clinical, electroclinical and neuroimaging data for twenty patients with MEAK due to recurrent KCNC1 p.R320H mutation. In vitro electrophysiological studies were conducted using whole cell patch clamp to explore biophysical properties of wild-type and mutant KV 3...
April 5, 2017: Annals of Neurology
https://www.readbyqxmd.com/read/28379744/the-meaning-ascribed-to-wheeled-mobility-devices-by-individuals-who-use-wheelchairs-and-scooters-a-metasynthesis
#15
Jacquie Ripat, Michele Verdonck, Roger Jaffrey Carter
PURPOSE: To synthesize qualitative study findings on the meaning ascribed to wheelchairs and wheeled mobility devices (WMD) by WMD users. METHOD: Bibliographic databases were systematically searched up to January 2015 to identify relevant papers. Reviewers selected studies, assessed methodological quality and thematically synthesized findings using a metasynthesis process described by Thomas and Harden (2008). RESULTS: Twenty articles were included...
April 5, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28379165/performance-assessment-of-a-humidity-measurement-system-and-its-use-to-evaluate-moisture-characteristics-of-wheelchair-cushions-at-the-user-seat-interface
#16
Zhuofu Liu, Haifeng Cheng, Zhongming Luo, Vincenzo Cascioli, Andrew I Heusch, Nadia R Nair, Peter W McCarthy
Little is known about the changes in moisture that occur at the body-seat interface during sitting. However, as increased moisture can add to the risk of skin damage, we have developed an array of MEMS (Micro-Electro-Mechanical System) humidity sensors to measure at this interface. Sensors were first evaluated against traceable standards, followed by use in a cross-over field test (n = 11; 20 min duration) using different wheelchair cushions (foam and gel). Relative humidity (RH) was measured at the left mid-thigh, right mid-thigh and coccyx...
April 5, 2017: Sensors
https://www.readbyqxmd.com/read/28369185/lower-likelihood-of-falling-at-age-90-is-associated-with-daily-exercise-a-quarter-of-a-century-earlier-the-90-study
#17
Annlia Paganini-Hill, Dana E Greenia, Shawna Perry, Seyed Ahmad Sajjadi, Claudia H Kawas, Maria M Corrada
Objective: to explore the relationship between risk of falling at age 90+ and prior physical activity at age 60-70s. Design: population-based cohort study (The 90+ Study). Setting: California retirement community. Participants: of 1596 cohort members, 1536 had both falls and prior activity data. Mean age = 94 years; 78% female; 99% Caucasian. Methods: time spent in active physical activity was self-reported in 1980s; medical history, medication, assistive devices, residence type, and falls (outcome) was collected in 2000s...
March 21, 2017: Age and Ageing
https://www.readbyqxmd.com/read/28366027/detecting-destabilizing-wheelchair-conditions-for-maintaining-seated-posture
#18
Anna Crawford, Kiley Armstrong, Kenneth Loparo, Musa Audu, Ronald Triolo
PURPOSE: The purpose of this study was to detect and classify potentially destabilizing conditions encountered by manual wheelchair users with spinal cord injuries (SCI) to dynamically increase stability and prevent falls. METHODS: A volunteer with motor complete T11 paraplegia repeatedly propelled his manual wheelchair over level ground and simulated destabilizing conditions including sudden stops, bumps and rough terrain. Wireless inertial measurement units attached to the wheelchair frame and his sternum recorded associated accelerations and angular velocities...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28359190/availability-and-need-of-home-adaptations-for-personal-mobility-among-individuals-with-spinal-cord-injury
#19
Anneke Hertig-Godeschalk, Armin Gemperli, Ursina Arnet, Timo Hinrichs
OBJECTIVE: To identify the availability and unmet need of home adaptations (HAs) among the Swiss population with spinal cord injury (SCI). DESIGN: Cross-sectional study. SETTING: Swiss Spinal Cord Injury Community Survey 2012. PARTICIPANTS: Individuals aged 16 or older with chronic SCI living in Switzerland. INTERVENTIONS: Not applicable. OUTCOME MEASURES: The availability of ten HAs (self-report) was analyzed by sex, age, living situation, indoor mobility, SCI severity, SCI etiology and time since SCI...
March 30, 2017: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/28357897/mindfulness-training-attenuates-the-increase-in-salivary-cortisol-concentration-associated-with-competition-in-highly-trained-wheelchair-basketball-players
#20
Luke A MacDonald, Clare L Minahan
This study determined the effect of 8 wk of mindfulness training (MT) on salivary cortisol (sCort) and rate of salivary Immunoglobulin-A (sIgA) secretion in wheelchair-basketball players during a competition period. The mindful group completed 8 weeks of MT in addition to training and competition. sCort and rate of sIgA secretion were measured at baseline, at 2-week intervals, the end and 2 weeks following the intervention. A significant time and group interaction was observed for sCort (F = 3.297, P = 0...
March 30, 2017: Journal of Sports Sciences
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