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Luiz Carlos Boaventura, Heloise Cazangi Borges, Armando Hitoshi Ozaki
The scope of this study was to evaluate factors that influence the burden of adult wheelchair-bound patients with neurological alterations on informal caregivers. Sixteen informal caregivers of adult wheelchair-bound patients with neurological alterations were evaluated, using the Zarit Burden Interview (ZBI) scale to evaluate the burden on caregivers, as well as gather data on the care and socio-demographic profile of the caregivers, on the socio-economic data and the degree of functional independence of adult wheelchair-bound patients with neurological alterations...
October 2016: Ciência & Saúde Coletiva
Kaisy Pereira Martins, Tatiana Ferreira da Costa, Thayris Mariano de Medeiros, Maria das Graças Melo Fernandes, Inácia Sátiro Xavier de França, Kátia Nêyla de Freitas Macêdo Costa
This study aimed at evaluating the internal structure of Family Health Units in relation to the access of people with physical and/or sensory disabilities. It is a descriptive, exploratory, population-based research, held in Family Health Units of the municipality of João Pessoa, Paraíba, Brazil. For the collection of data, a checklist based on Technical Standard 9050 was used. For the analysis, the descriptive and exploratory analysis of the data and the Chi-square test were applied. As a result, of the 90 buildings evaluated, only 47...
October 2016: Ciência & Saúde Coletiva
Monica Chahal-Kummen, Trond-Eirik Strand, Jan Ove Owe, Eigil Gulliksen, Anthony S Wagstaff
BACKGROUND: A candidate with paraplegia contacted the Institute of Aviation Medicine, Oslo, requesting a medical examination and medical certification for flying back seat on an F-16 Fighting Falcon. Thorough aeromedical examinations, including specialist evaluations, were initiated for the final decision to be made. CASE REPORT: Almost 13 yr earlier the candidate had acquired spinal cord damage at neurological level L1 after falling 4 m (13 ft) from out of a window...
2016: Aerospace Medicine and Human Performance
Rahib H Abiyev, Nurullah Akkaya, Ersin Aytac, Irfan Günsel, Ahmet Çağman
The design of brain-computer interface for the wheelchair for physically disabled people is presented. The design of the proposed system is based on receiving, processing, and classification of the electroencephalographic (EEG) signals and then performing the control of the wheelchair. The number of experimental measurements of brain activity has been done using human control commands of the wheelchair. Based on the mental activity of the user and the control commands of the wheelchair, the design of classification system based on fuzzy neural networks (FNN) is considered...
2016: BioMed Research International
Andreas Herweg, Julian Gutzeit, Sonja Kleih, Andrea Kübler
Tactile event-related potential (ERP) controlled brain-computer-interfaces (BCI) are rarely used as input signal due to their low accuracy and speed (information transfer rate, ITR). Age-related loss of tactile sensibility might further decrease their viability for the target population of BCI. In this study we investigated whether training improves tactile ERP-BCI performance within a virtual wheelchair navigation task. Elderly subjects participated in 5 sessions and tactors were placed at legs, abdomen and back...
October 20, 2016: Biological Psychology
Amy J Wint, Diane L Smith, Lisa I Iezzoni
OBJECTIVE: This study describes how women with physical disability experience caregiving for a new infant and how they adapt their home environment and care tasks. METHOD: In 2013, we conducted 2-hr telephone interviews with 22 women with significant physical disability who had delivered babies within the previous 10 yr. The semistructured, open-ended interview protocol addressed wide-ranging pregnancy-related topics. NVivo was used to sort the texts for content analysis...
November 2016: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Elias Abou Zeid, Alborz Rezazadeh Sereshkeh, Tom Chau
OBJECTIVE: In recent years, the readiness potential (RP), a type of pre-movement neural activity, has been investigated for asynchronous electroencephalogram (EEG)-based brain-computer interfaces (BCIs). Since the RP is attenuated for involuntary movements, a BCI driven by RP alone could facilitate intentional control amid a plethora of unintentional movements. Previous studies have attempted single trial classification of RP via spatial and temporal filtering methods, or by combining the RP with event-related desynchronization...
October 20, 2016: Journal of Neural Engineering
Cheng-Shiu Chung, Hongwu Wang, Matthew J Hannan, Dan Ding, Annmarie R Kelleher, Rory A Cooper
OBJECTIVE: The objectives of this study were to evaluate the performance of commercially available assistive robotic manipulators (ARMs) user interfaces and to investigate the concurrent validity and sensitivity to change with task-oriented performance evaluation tools (TO-PETs) for ARMs. DESIGN: This was a nonblinded randomized controlled study with power-wheelchair users with upper-extremity impairments (N = 10). Participants were trained to use 2 ARMs with their respective original user interfaces (keypad and joystick) and evaluated the performance using TO-PET and the adapted Wolf Motor Function Test (WMFT-ARM)...
October 6, 2016: American Journal of Physical Medicine & Rehabilitation
Zena Eh Moore, Menno T van Etten, Jo C Dumville
BACKGROUND: Pressure ulcers, which are localised injury to the skin or underlying tissue, or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful, and impact negatively on the individual's quality of life. International guidelines suggest bed rest as a component of the treatment strategy to manage pressure ulcers among wheelchair users. The potential benefits and risks need to be considered when assessing the effectiveness of bed rest as an intervention for treating pressure ulcers in this population...
October 17, 2016: Cochrane Database of Systematic Reviews
Á Fernández-Rodríguez, F Velasco-Álvarez, R Ron-Angevin
This paper presents a review of the state of the art regarding wheelchairs driven by a brain-computer interface. Using a brain-controlled wheelchair (BCW), disabled users could handle a wheelchair through their brain activity, granting autonomy to move through an experimental environment. A classification is established, based on the characteristics of the BCW, such as the type of electroencephalographic signal used, the navigation system employed by the wheelchair, the task for the participants, or the metrics used to evaluate the performance...
October 14, 2016: Journal of Neural Engineering
Jamilah Abdur-Rahim, Yoichi Morales, Pankaj Gupta, Ichiro Umata, Atsushi Watanabe, Jani Even, Takayuki Suyama, Shin Ishii
This paper presents a study on multi-modal human emotional state detection while riding a powered wheelchair (PMV; Personal Mobility Vehicle) in an indoor labyrinth-like environment. The study reports findings on the habituation of human stress response during self-driving. In addition, the effects of "loss of controllability", change in the role of the driver to a passenger, are investigated via an autonomous driving modality. The multi-modal emotional state detector sensing framework consists of four sensing devices: electroencephalograph (EEG), heart inter-beat interval (IBI), galvanic skin response (GSR) and stressor level lever (in the case of autonomous riding)...
2016: PloS One
Marc Possover
We report on unexpected findings in 18 spinal cord injured peoples who underwent a laparoscopic bilateral implantation of neuroprosthesis (LION procedure) to the sciatic/femoral nerves pelvic somatic nerves for functional electrical stimulation (FES)-assisted locomotor training and continuous low-frequency electrical stimulation. Fifteen patients were paraplegics, three low tetraplegics, all of them fully dependent on a wheelchair. After a training period of at least one year, all patients not only started with electrical-assisted standing/stepping using a walker or crutches, but also developed some progressive caudalward recovery of lumbosacral sensoric functions and of supraspinal control of voluntary movements below the lesions...
October 6, 2016: Surgical Technology International
Elisabet Rodby-Bousquet, Ginny Paleg, Jackie Casey, Alicja Wizert, Roslyn Livingstone
BACKGROUND: There is a lack of understanding of the factors that influence independent mobility and participation in meaningful activities. The purpose of this study was to analyse physical factors influencing independent use of manual and power wheelchairs in a total population of children with cerebral palsy (CP). METHODS: A cross-sectional study based on the most recent examination of all children with CP, born 2002-2013, reported into the Swedish cerebral palsy registry (CPUP), from January 2012 to June 2014...
October 10, 2016: BMC Pediatrics
Michal Elboim-Gabyzon, Osnat Atun-Einy, Insaf Khoury-Assaf
PURPOSE: To review the literature on the existent evidence considering the use of power wheel chair (PWC) for children with DMD who can still walk independently. METHODS: A systematic literature search was conducted through nine databases by the three authors independently. Both quantitative and qualitative research designs were considered for inclusion. Studies were included only if the study population consisted of ambulatory children diagnosed with DMD. Data extraction was on participant characteristics, level of walking and on outcomes in term of impairment, function and participation domains (ICF, World Health Organization, 2001) in accordance to a structured diagram by the three authors independently...
October 9, 2016: Disability and Rehabilitation
Andrew O Frank, Lorraine H De Souza
This article aims to describe the clinical features of electric powered indoor/outdoor wheelchair (EPIOC) users with cerebral palsy (CP) that are problematic to optimal prescription and to explore comorbidities, features of CP, and conditions secondary to disability impacting on equipment provision for children and adults. The method is a cross-sectional study of EPIOC users (n = 102) with a primary diagnosis of CP. This is a retrospective review of electronic and case note records of EPIOC recipients attending a specialist wheelchair service in 2007-2008...
October 7, 2016: Assistive Technology: the Official Journal of RESNA
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, Lynn Worobey, Michael L Boninger
OBJECTIVE: In this study of Veterans with spinal cord injury (SCI) or amputated limb (AL), our objectives were to (a) compare patient demographics, medical factors, cultural and psychosocial characteristic by race; (b) compare wheelchair quality by race; and, (c) assess the independent associations of patient race and the other factors with wheelchair quality. DESIGN: Cross sectional cohort study SETTING: Three VA Medical Centers affiliated with academic medical centers...
October 3, 2016: Archives of Physical Medicine and Rehabilitation
Haruo Fujino, Yuko Iwata, Toshio Saito, Tsuyoshi Matsumura, Harutoshi Fujimura, Osamu Imura
Patients experience extreme difficulty when facing an intractable genetic disease. Herein, we examine the experiences of patients with Duchenne muscular dystrophy in facing and learning about their disease. A total of seven patients with Duchenne muscular dystrophy (age range: 20-48) participated. We conducted in-depth interviews with them about how they learned of their disease and how their feelings regarding the disease changed over time. Transcribed data were analysed using thematic analysis. The following themes emerged from this analysis: "experiences before receiving the diagnosis," "experiences when they learned of their condition and progression of the disease," "supports," and "desired explanations...
2016: International Journal of Qualitative Studies on Health and Well-being
Laurie A Malone, Jennifer L Rowland, Rebecca Rogers, Tapan Mehta, Sangeetha Padalabalanarayanan, Mohanraj Thirumalai, James H Rimmer
OBJECTIVE: For active videogaming (AVG) to be a meaningful, health-enhancing physical activity option for youth with physical disability, factors related to game performance and enjoyment must be understood. The objective was to explore associations between quality of gameplay, controller usage, heart rate (HR), physical function, and enjoyment during AVG play in youth with physical disability. METHODS: Participants (5 girls, 11 boys, mean age 13.8 ± 2.7 years) played four AVGs on three platforms (Nintendo(®) Wii™, Sony PlayStation3 Move, and Microsoft Xbox(®) Kinect), across three sessions...
October 3, 2016: Games for Health
V C Altmann, B E Groen, A L Hart, Y C Vanlandewijck, J van Limbeek, N L W Keijsers
In Paralympic sport, classification of impairment is needed to prevent a one-sided and predictable outcome of competition, in which the least impaired athlete has the best chance to win. To develop evidence-based classification in wheelchair rugby, the impact of trunk impairment, measured by the Trunk Impairment Classification (TIC), on performance-determining activities was assessed. Arm impairment was analyzed as a covariant. Fifty-five athletes, 21 with TIC score 0, 13 with TIC score 0.5, 11 with TIC score 1...
October 2, 2016: Scandinavian Journal of Medicine & Science in Sports
Tzu-Wen Hsu, Shu-Yu Yang, Jung-Tai Liu, Cheng-Tang Pan, Yu-Sheng Yang
The purpose of this study is to explore the effects of various cushions on skin temperature and moisture at the body-seat interface during a 2-hour period of continuous sitting. Seventy-eight participants were randomly assigned to sit on one of the three types of wheelchair cushions for unrelieved sitting for over 2 hours. Skin temperature and relative humidity (RH) were measured under the subjects' ischial tuberosities and thighs bilaterally with digital temperature and humidity sensors. Data were collected before sitting and at 15-minute intervals thereafter...
September 29, 2016: Assistive Technology: the Official Journal of RESNA
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