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Wheelchair prescription

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
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
Sharon Eve Sonenblum, Stephen Sprigle
PURPOSE: The goal of this study was to describe how ultra-lightweight wheelchair users use their wheelchairs during everyday mobility. METHOD: We instrumented a convenience sample of 69 ultra-lightweight wheelchair users with a seat switch to measure their occupancy, and an accelerometer on their wheel to measure distance wheeled, time spent wheeling and daily bouts of mobility. RESULTS: On the median day, subjects wheeled 83 bouts and 1.4 km over 45 min...
July 19, 2016: Disability and Rehabilitation. Assistive Technology
Hitomi Teramachi
Gifu Pharmaceutical University Pharmacy was established in front of Gifu University Hospital (GUH) as a pharmacy attached to the university, the first in Japan in 1998. When GUH moved in 2004, Gifu Pharmaceutical University Pharmacy was built in its current location. One of the priorities of the design of the new facility was easy access to those with disabilities. For example, ramps, wheelchair accessible restrooms, and handicap-friendly waiting-room chairs were installed. In cooperation with GUH, we introduced a two-dimensional bar code system for prescriptions...
2016: Yakugaku Zasshi: Journal of the Pharmaceutical Society of Japan
Maziah Mat Rosly, Hadi Mat Rosly, Glen M Davis Oam, Ruby Husain, Nazirah Hasnan
INTRODUCTION: Exergames have the potential to enable persons with disabilities to take part in physical activities that are of appropriate "dose-potency" and enjoyable within a relatively safe home environment. It overcomes some of the challenges regarding transportation difficulties in getting to commercial gymnasium facilities, reducing physical activities perceived as "boring" or getting access into the built environment that may be "wheelchair unfriendly". OBJECTIVE: This systematic review assessed available evidence whether "exergaming" could be a feasible modality for contributing to a recommended exercise prescription according to current ACSM™ or WHO guidelines for physical activity...
April 25, 2016: Disability and Rehabilitation
Maria L Toro, Chika Eke, Jonathan Pearlman
BACKGROUND: For people who have a mobility impairment, access to an appropriate wheelchair is an important step towards social inclusion and participation. The World Health Organization Guidelines for the Provision of Manual Wheelchairs in Less Resourced Settings emphasize the eight critical steps for appropriate wheelchair services, which include: referral, assessment, prescription, funding and ordering, product preparation,fitting and adjusting, user training, and follow-up and maintenance/repairs...
2016: BMC Health Services Research
Lorraine H De Souza, Andrew O Frank
PURPOSE: To describe the clinical features of electric powered indoor/outdoor wheelchair (EPIOC) users with rare diseases (RD) impacting on EPIOC provision and seating. METHOD: Retrospective review by a consultant in rehabilitation medicine of electronic and case note records of EPIOC recipients with RDs attending a specialist wheelchair service between June 2007 and September 2008. Data were systematically extracted, entered into a database and analysed under three themes; demographic, diagnostic/clinical (including comorbidity and associated clinical features (ACFs) of the illness/disability) and wheelchair factors...
August 2016: Disability and Rehabilitation
Claudia Salatino, Renzo Andrich, R M Converti, M Saruggia
Powered wheelchairs are complex and expensive assistive devices that must be selected and configured on the basis of individual user needs, lifestyle, motivation, driving ability, and environment. Providing agencies often require evidence that their financial investment will lead to a successful outcome. The authors surveyed a sample of 79 users who had obtained powered wheelchairs from a Regional Health Service in Italy in the period 2008-2013. Follow-up interviews were conducted at the users' homes in order to collect information about wheelchair use, and its effectiveness, usefulness, and economic impact...
2016: Assistive Technology: the Official Journal of RESNA
Brooke A Slavens, Alyssa J Schnorenberg, Christine M Aurit, Sergey Tarima, Lawrence C Vogel, Gerald F Harris
Currently, there is limited research of the biomechanics of pediatric manual wheelchair mobility. Specifically, the biomechanics of functional tasks and their relationship to joint pain and health is not well understood. To contribute to this knowledge gap, a quantitative rehabilitation approach was applied for characterizing upper extremity biomechanics of manual wheelchair mobility in children and adolescents during propulsion, starting, and stopping tasks. A Vicon motion analysis system captured movement, while a SmartWheel simultaneously collected three-dimensional forces and moments occurring at the handrim...
2015: Frontiers in Bioengineering and Biotechnology
Lee L Saunders, James S Krause
BACKGROUND: Limited research suggests that additional "subsequent" injuries occur frequently among persons with an existing spinal cord injury (SCI), which may result in further significant complications and added disability. OBJECTIVE: The purpose of this study was to (a) report the 12-month incidence of injuries by age in an aging SCI cohort, (b) report the 12-month incidence of falls, (c) assess the impact of injuries on participation by age, and (d) assess the relationship of age with injuries and falls while controlling for potential confounding factors...
2015: Topics in Spinal Cord Injury Rehabilitation
Ricard Barberà-Guillem, Álvaro Page, José Laparra, Juan V Durà
This article highlights the potential of the application of the cause-effect model for the ergonomic evaluation in the field of cushions. User involvement in the prescription and development of assistive devices have been identified a key aspect for positive interventions, although the reality is that we lack of systematic approaches and examples of best practices. The potential benefits are identified for the development of new products and in the prescription process. Additional research would be necessary to better link the characteristics of the cushions and users with the biomechanical and physiological performance of the interface cushion-user and the consequences measured in health, user perception and activity performance...
2015: Studies in Health Technology and Informatics
Renzo Andrich, Claudia Salatino, Rosa Maria Converti, Maurizio Saruggia
This study surveyed a sample of 79 wheelchair users who had obtained powered wheelchairs from the National Health Service in an Italian Region in the period 2008-2013. The wheelchair prescriptions had been done on the basis of an assessment protocol agreed with the Local Health Authority. Follow-up interviews were carried out at the users' homes, in order to collect information about the wheelchair use and its effectiveness, usefulness and economic impact. The instruments used in the interviews included an introductory questionnaire (describing the wheelchair use), the QUEST (measuring the user's satisfaction), the PIADS (measuring the psychosocial impact, in terms of perceived changes in ability, adaptability and self-esteem), the FABS/M (detecting environmental facilitators and barriers) and the SCAI (estimating the economic impact)...
2015: Studies in Health Technology and Informatics
Thais Pousada García, Betania Groba González, Laura Nieto Rivero, Javier Pereira Loureiro, Emiliano Díez Villoria, Alejandro Pazos Sierra
Neuromuscular disorders (NMDs) are a group of heterogeneous diseases that show differences in incidence, hereditary, etiology, prognosis, or functional impairments. Wheelchair use (manual or powered) is influenced by several factors, including personal and contextual factors, and comprehensive evaluation of their impact is required in order to optimize prescription and provision of wheelchairs. The authors therefore assessed the influence of wheelchair use on the quality of life (QoL) of 60 participants with NMD using the Psychosocial Impact of Assistive Devices Scale (PIADS)...
2015: Assistive Technology: the Official Journal of RESNA
Louise Moody, Jill Evans, Simon Fielden, Mike Heelis, Paul Dryer, Nigel Shapcott, Paul Magee, Dimitar Stefanov
PURPOSE: The WheelSense project aims to develop a system for assessing the stability and performance of wheelchairs through a user-centred design process. This study sought to capture user needs and define the specification for the system. METHOD: A mixed methods approach was adopted. An online survey was completed by 98 participants working in wheelchair provision. The results were built upon through 10 semi-structured interviews and one focus group (n = 5) with professionals working in wheelchair provision in three NHS Trusts in the UK...
July 3, 2015: Disability and Rehabilitation. Assistive Technology
Sally Taylor, Julie Gassaway, Lauren A Heisler-Varriale, Allan Kozlowski, Laura Teeter, Jacqueline Labarbera, Carolyn Vargas, Audrey Natale, Alison Swirsky
Patients with traumatic spinal cord injury (SCI) participate in manual and power wheelchair (WC) skills training during inpatient rehabilitation; wheeled mobility evaluations aim to optimize use, fit, and function of equipment following discharge. Occupational and physical therapists documented treatment sessions during inpatient rehabilitation to describe types and quantity of WC skills training and adaptive equipment (AE) provided by neurological level of injury. Most patients participated in WC skills training; variation in type and frequency exists...
2015: Assistive Technology: the Official Journal of RESNA
Brooke A Slavens, Alyssa J Schnorenberg, Christine M Aurit, Adam Graf, Joseph J Krzak, Kathryn Reiners, Lawrence C Vogel, Gerald F Harris
There is minimal research of upper extremity joint dynamics during pediatric wheelchair mobility despite the large number of children using manual wheelchairs. Special concern arises with the pediatric population, particularly in regard to the longer duration of wheelchair use, joint integrity, participation and community integration, and transitional care into adulthood. This study seeks to provide evaluation methods for characterizing the biomechanics of wheelchair use by children with spinal cord injury (SCI)...
2015: BioMed Research International
Makoto Sasaki, Yuki Ota, Kazunori Hase, Dimitar Stefanov, Masaki Yamaguchi
Wheelchair efficiency depends significantly on the individual adjustment of the wheelchair propulsion interface. Wheelchair prescription involves reconfiguring the wheelchair to optimize it for specific user characteristics. Wheelchair tuning procedure is a complicated task that is performed usually by experienced rehabilitation engineers. In this study, we report initial results from the development of a musculoskeletal model of the wheelchair lever propulsion. Such a model could be used for the development of new advanced wheelchair approaches that allow wheelchair designers and practitioners to explore virtually, on a computer, the effects of the intended settings of the lever-propulsion interface...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Alyssa J Schnorenberg, Brooke A Slavens, Adam Graf, Joseph Krzak, Lawrence Vogel, Gerald F Harris
While much work is being done evaluating the upper extremity joint dynamics of adult manual wheelchair propulsion, limited work has examined the pediatric population of manual wheelchair users. Our group used a custom pediatric biomechanical model to characterize the upper extremity joint dynamics of 12 children and adolescents with spinal cord injury (SCI) during wheelchair propulsion. Results show that loading appears to agree with that of adult manual wheelchair users, with the highest loading primarily seen at the glenohumeral joint...
2014: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Gunilla Stenberg, Catharina Henje, Richard Levi, Maria Lindström
PURPOSE: To explore the experiences of using an electric wheelchair in daily living. METHODS: Fifteen participants, eight women and seven men, living in different parts of a Nordic country were interviewed. The interviews were conducted in the home or at the workplace. Open-ended questions were used. The data were collected and analyzed according to the grounded theory. RESULTS: Analysis resulted in one core category: "Integrating the electric wheelchair - a manifold process", describing a process commencing from initial resistance against use of an electric wheelchair, to acceptance with various extent of integration...
2016: Disability and Rehabilitation. Assistive Technology
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