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Wheelchair positioning

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
Rebecca Sauvagnac-Quera, Charlotte Vabre, Viviane Azzi, Stéphane Tirolien, Nathalie Leiba, Frédéric Poisson, Lotfi Miladi, Robert Carlier, Christophe Glorion, Danielle Leclair, Brigitte Estournet, Susana Quijano-Roy
OBJECTIVE: To evaluate the effectiveness of use of Garches Brace (GB) on prevention and treatment of scoliosis and its impact on quality of life, in a group of patients with spinal muscular atrophy (SMA) type Ib. MATERIAL/PATIENTS AND METHODS: We identified 102 patients with SMA not acquiring sitting position, but acquiring head dress (type Ib SMA) followed at our center between 1975 and 2009. We reviewed the charts and identified 25 patients that were treated by GB and had a follow-up in our department of three years or more...
September 2016: Annals of Physical and Rehabilitation Medicine
Nadine Pellegrini
OBJECTIVE: To study seated postural control in neuromuscular disorder. MATERIALS/PATIENTS AND METHODS: We conducted a retrospective observational cohort study of 130 neuromuscular adult patients having a positioning wheelchair consultation in Foundation of Garches. The assessment is done with the seated postural control measure for adults. RESULTS: Most of the patients had severe intensity illness, only10% were walking and 29% were with tracheostomial ventilation...
September 2016: Annals of Physical and Rehabilitation Medicine
Philippe Archambault, Dany Gagnon, François Routhier, William Miller
OBJECTIVE: Use of a power wheelchair (PW) can improve quality of life and participation in individuals with mobility impairments. PW skills training is generally seen as insufficient by both clinicians and PW users. A virtual reality (VR) simulator may be helpful in improving PW driving skills, when used in addition to regular training. In previous work, challenging PW driving activities have been identified through interviews with expert clinicians and PW users and were then integrated in the McGill immersive wheelchair simulator (miWe)...
September 2016: Annals of Physical and Rehabilitation Medicine
Marie Belle, Caroline Terracol, Evelyne Castel-Lacanal, Gaelle Le Floch, Sylvie Hidalgo, Philippe Marque, Xavier de Boissezon
OBJECTIVE: The seating intervention for wheelchair users intends to achieve a comfortable and functional position and to limit the risk of complications due to long sitting period (pain and discomfort, skin disorders, orthopedic, respiratory, digestive diseases). Few scientific papers about seating intervention in adults are published. The objective of the present study is to assess the objective and subjective effects of wheelchair seating intervention for patients at Toulouse University Hospital's WSC...
September 2016: Annals of Physical and Rehabilitation Medicine
Christopher Newell, Barbara Ramage, Alberto Nettel-Aguirre, Ion Robu, Aneal Khan
Metabolic diseases that lead to neuromuscular, bone, and joint involvement can reduce ambulation and quality of life. Using jumping mechanography, we developed a novel assessment, peak jump power (PJP), and related this to ambulatory ability in patients either having a known or suspected underlying rare disease. From adults and children, we recruited 88 healthy controls and 115 patients (61 with mitochondrial disease and 54 with another diagnosis). Patients were categorized as having no complaints of weakness or ambulation (ambulatory competent; AC), weakness but able to ambulate without aids (ambulatory weakness; AW), or not able to ambulate without aids such as a walker, cane, or wheelchair (ambulatory assistance; AA)...
September 13, 2016: JIMD Reports
Shintaro Hayashi, Shun Nagamine, Kouki Makioka, Susumu Kusunoki, Koichi Okamoto
A 71-year-old woman with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) with IgA-λ monoclonal gammopathy of undetermined significance (MGUS) showed the acute development of tetraplegia, respiratory failure, and a marked fluctuation of the blood pressure. Intravenous (IV) high-dose steroid therapy (methylprednisolone: 1 g/day × 3 days), followed by oral prednisolone (PSL) (40 mg/day), and IV immunoglobulin (IVIg, 0.4 g/kg/day × 5 days) administrations resulted in the amelioration of these symptoms...
September 29, 2016: Rinshō Shinkeigaku, Clinical Neurology
Afnan M Alkhateeb, Bonnie J Forrester, Noha S Daher, Bradford D Martin, Asma A Alonazi
People in wheelchairs spend a long time in the sitting position and often incur alignment problems, resulting in neck and back pain. This study: 1) assessed the validity/reliability of Coach's Eye (CE) smart device application, 2) examined the effect of seat to back support angle adjustments on head, neck, and shoulder posture in the sitting position, and 3) compared changes in cervical rotation at each back support angle. Abled subjects sat in a wheelchair with back support angles positioned at 90°, 100°, and 110°...
August 19, 2016: Assistive Technology: the Official Journal of RESNA
O Şahap Atik, Fatih I Can, M Selçuk Şenol, Toygun K Eren
A 90-year-old female patient was admitted to our clinic complaining of pain in her left hip which occurred due to fall from a chair. Her medical history included memory loss and mental changes associated with Alzheimer's disease and depression. Patient's cooperation and orientation were weak. Range of motion of the left hip was restricted and painful. Radiographs of the left hip demonstrated subtrochanteric comminuted fracture of femur. Laboratory tests revealed anemia and liver insufficiency. Departments of internal medicine and anesthesiology reported high risk for surgery...
August 2016: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
Giuseppe Vita, Stefania La Foresta, Massimo Russo, Gian Luca Vita, Sonia Messina, Christian Lunetta, Anna Mazzeo
This study reports the positive physical, emotional and psychosocial changes induced by sport activity in a Paralympic swimmer with Charcot-Marie-Tooth (CMT) type 4A. When we compared evaluations before initiating sport activity with those after five years of competitive activity, we found: i) increased proximal muscles strength of upper limbs; ii) augmented ability to propel wheelchair independently; iii) improved quality of life; iv) reduced trait anxiety and striking improvement of depression; v) enhanced self-esteem...
September 2016: Neuromuscular Disorders: NMD
Thomas Paulson, Victoria Goosey-Tolfrey
Despite the growing interest in Paralympic sport, the evidence-base for supporting elite wheelchair sport performance remains in its infancy when compared to able-bodied (AB) sport. Subsequently, current practice is often based on theory adapted from AB guidelines, with a heavy reliance on anecdotal evidence and practitioner experience. Many principles in training prescription and performance monitoring with wheelchair athletes are directly transferable from AB practice, including the periodisation and tapering of athlete loads around competition...
August 24, 2016: International Journal of Sports Physiology and Performance
Michael John Dolan, Graham Iain Henderson
PURPOSE: To determine the prevalence of control devices for electrically powered wheelchairs (EPWs), related characteristic features and users' views on their utility. METHOD: Postal survey of users of a regional NHS wheelchair service using a purpose-designed questionnaire (n = 262, ≥18 years old). RESULTS: Mean age 54.4 years, female 56.8%, mean duration EPW use 10.1 years, mean usage 6.7 days per week and 9.2 h per day. Largest diagnostic groups: Multiple Sclerosis 28...
July 19, 2016: Disability and Rehabilitation. Assistive Technology
Aaron L Boster, Susan E Bennett, Gerald S Bilsky, Mark Gudesblatt, Stephen F Koelbel, Maura McManus, Michael Saulino
INTRODUCTION: Intrathecal baclofen (ITB) screening assesses response to a test dose of ITB on spasticity and function and identifies adverse reactions. METHOD: An expert panel consulted on best practices after conducting an extensive literature search and conducting an online survey. RESULTS: A successful trial may confirm predetermined goals, which may include improved mobility/positioning, decreased time/improved independence for activities, less home exercise, better wheelchair tolerance, decreased caregiver time, improved sleep, and reduced pain, or may modify goals and expectations...
August 2016: Neuromodulation: Journal of the International Neuromodulation Society
Amélie Fournier Belley, Dany H Gagnon, François Routhier, Jean-Sébastien Roy
OBJECTIVE: 1) To evaluate the reliability of ultrasonographic (US) measures of acromiohumeral distance (AHD) in shoulder positions linked to wheelchair propulsion in manual wheelchair users (MWU) with spinal cord injury (SCI) and able-bodies; 2) to compare US measures of AHD, supraspinatus tendon thickness and occupation ratio between MWU with SCI with and without shoulder pain (rotator cuff [RC] tendinopathy); and 3) to compare these US measures between MWU with SCI and able-bodies. DESIGN: Cross-sectional SETTING: Two rehabilitation centers (Quebec City and Montreal) PARTICIPANTS: Objective 1: 16 MWU with SCI and 16 able-bodies; Objectives 2 and 3: 37 MWU with SCI (17 with/20 without RC tendinopathy) and 26 able-bodies...
July 15, 2016: Archives of Physical Medicine and Rehabilitation
Theresa M Crytzer, Eun-Kyoung Hong, Brad E Dicianno, Jon Pearlman, Mark Schmeler, Rory A Cooper
Spinal deformities are common in people who require the use of a wheelchair for mobility as a result of spinal cord injuries and other disabilities. Sitting positions vary between individuals with disabilities who use wheelchairs and individuals without disabilities. In individuals with spinal cord injury, spinal deformities can result in the development of back contours that deviate from the shape of standard rigid back support shells. The purpose of this study was to distinguish and classify various back contours of wheelchair users by utilizing digital anatomic scanning technology in order to inform the future development of back supports that would enhance postural support for those with spinal deformities...
September 2016: Medical Engineering & Physics
Shenghong He, Rui Zhang, Qihong Wang, Yang Chen, Tingyan Yang, Zhenghui Feng, Yuandong Zhang, Ming Shao, Yuanqing Li
The key issue of electroencephalography (EEG)- based brain switches is to detect the control and idle states in an asynchronous manner. Most existing methods rely on a threshold. However, it is often time consuming to select a satisfactory threshold, and the chosen threshold might be inappropriate over a long period of time due to the variability of the EEG signals. This paper presents a new P300-based threshold-free brain switch. Specifically, one target button and three pseudo buttons, which are intensified in a random order to produce P300 potential, are set in the graphical user interface...
July 13, 2016: IEEE Transactions on Neural Systems and Rehabilitation Engineering
Lena Grams, Guadalupe Garrido, Jorge Villacieros, Amelia Ferro
Wheelchair basketball has evolved into a high-performance sport over several years, and small variations in player performance can determine the difference between winning and losing. Therefore, adequate micronutrient intake may influence this difference if performance-promoting macronutrient intake and physical fitness are equal between teams. Seventeen elite male wheelchair basketball players belonging to the Spanish National Team participated in this study. Macro- and micronutrient intake were determined using a food-weighing diary over three consecutive days during three training camps in two consecutive years...
2016: PloS One
Seonhong Hwang, Chung-Ying Tsai, Alicia M Koontz
The purpose of this study was to test the concurrent validity and test-retest reliability of the Kinect skeleton tracking algorithm for measurement of trunk, shoulder, and elbow joint angle measurement during a wheelchair transfer task. Eight wheelchair users were recruited for this study. Joint positions were recorded simultaneously by the Kinect and Vicon motion capture systems while subjects transferred from their wheelchairs to a level bench. Shoulder, elbow, and trunk angles recorded with the Kinect system followed a similar trajectory as the angles recorded with the Vicon system with correlation coefficients that are larger than 0...
June 22, 2016: Biomedizinische Technik. Biomedical Engineering
Sileno da Silva Santos, Chandramouli Krishnan, Angelica Castilho Alonso, Júlia Maria D'Andréa Greve
OBJECTIVE: The aims of this study were (1) to identify differences in trunk muscle strength and balance among various classes of wheelchair basketball (WCB) players and (2) to determine if trunk muscle strength and balance correlate with the current observation-based classification of WCB players. DESIGN: Isometric trunk strength and balance (limits of stability) were objectively quantified in 42 male WCB players. Principal component analysis was used to synthesize a battery of strength and balance measures into a single, composite score of trunk function...
June 17, 2016: American Journal of Physical Medicine & Rehabilitation
Yong Tai Wang, Zhanghua Li, Yi Yang, Yaping Zhong, Shih-Yu Lee, Shihui Chen, Yu-Ping Chen
A 12-week Wheelchair Tai Chi 10 Form (WTC10) intervention was conducted among elderly with disability to examine the effect of this WTC10 intervention on selected physical and mental health variables. Thirteen (age 87.23 ± 6.71) in the WTC10 intervention group and 15 (age 89.73 ± 6.31) in the control group completed the study. Independent t-tests and paired t-tests were employed to examine the differences between groups and within groups, respectively, at pretest and post-test. The WTC10 intervention group showed significant improvements in systolic and diastolic blood pressure, shoulder external rotation, left trunk rotation and total trunk rotation after the intervention...
July 2016: Research in Sports Medicine
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