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Sample records for hand rim wheelchair

  1. Effect of power-assisted hand-rim wheelchair propulsion on shoulder load in experienced wheelchair users: A pilot study with an instrumented wheelchair.

    PubMed

    Kloosterman, Marieke G M; Buurke, Jaap H; de Vries, Wiebe; Van der Woude, Lucas H V; Rietman, Johan S

    2015-10-01

    This study aims to compare hand-rim and power-assisted hand-rim propulsion on potential risk factors for shoulder overuse injuries: intensity and repetition of shoulder loading and force generation in the extremes of shoulder motion. Eleven experienced hand-rim wheelchair users propelled an instrumented wheelchair on a treadmill while upper-extremity kinematic, kinetic and surface electromyographical data was collected during propulsion with and without power-assist. As a result during power-assisted propulsion the peak resultant force exerted at the hand-rim decreased and was performed with significantly less abduction and internal rotation at the shoulder. At shoulder level the anterior directed force and internal rotation and flexion moments decreased significantly. In addition, posterior and the minimal inferior directed forces and the external rotation moment significantly increased. The stroke angle decreased significantly, as did maximum shoulder flexion, extension, abduction and internal rotation. Stroke-frequency significantly increased. Muscle activation in the anterior deltoid and pectoralis major also decreased significantly. In conclusion, compared to hand-rim propulsion power-assisted propulsion seems effective in reducing potential risk factors of overuse injuries with the highest gain on decreased range of motion of the shoulder joint, lower peak propulsion force on the rim and reduced muscle activity.

  2. Predicting energy expenditure through hand rim propulsion power output in individuals who use wheelchairs.

    PubMed

    Conger, Scott A; Scott, Stacy N; Bassett, David R

    2014-07-01

    To examine the relationship between hand rim propulsion power and energy expenditure (EE) during wheelchair wheeling and to investigate whether adding other variables to the model could improve on the prediction of EE. Individuals who use manual wheelchairs (n=14) performed five different wheeling activities in a wheelchair with a PowerTap power meter hub built into the right rear wheel. Activities included wheeling on a smooth, level surface at three different speeds (4.5, 5.5 and 6.5 km/h), wheeling on a rubberised track at one speed (5.5 km/h) and wheeling on a sidewalk course that included uphill and downhill segments at a self-selected speed. EE was measured using a portable indirect calorimetry system. Stepwise linear regression was performed to predict EE from power output variables. A repeated-measures analysis of variance was used to compare the measured EE to the estimates from the power models. Bland-Altman plots were used to assess the agreement between the criterion values and the predicted values. EE and power were significantly correlated (r=0.694, p<0.001). Regression analysis yielded three significant prediction models utilising measured power; measured power and speed; and measured power, speed and heart rate. No significant differences were found between measured EE and any of the prediction models. EE can be accurately and precisely estimated based on hand rim propulsion power. These results indicate that power could be used as a method to assess EE in individuals who use wheelchairs. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  3. Effects of wheel and hand-rim size on submaximal propulsion in wheelchair athletes.

    PubMed

    Mason, Barry S; Van Der Woude, Lucas H V; Tolfrey, Keith; Lenton, John P; Goosey-Tolfrey, Victoria L

    2012-01-01

    This study aimed to investigate the effects of fixed gear ratio wheel sizes on the physiological and biomechanical responses to submaximal wheelchair propulsion. Highly trained wheelchair basketball players (N = 13) propelled an adjustable sports wheelchair in three different wheel sizes (24, 25, and 26 inches) on a motor-driven treadmill. Each wheel was equipped with force-sensing hand-rims (SMARTWheel), which collected kinetic and temporal data. Oxygen uptake (V˙O2) and HR responses were measured with high-speed video footage collected to determine three-dimensional upper body joint kinematics. Mean power output and work per cycle decreased progressively with increasing wheel size (P < 0.0005). Increasing wheel size also reduced the physiological demand with reductions in VO2 for 25-inch (0.90 ± 0.20 L · min(-1), P = 0.01) and 26-inch wheels (0.87 ± 0.16 L · min(-1), P = 0.001) compared with 24-inch wheels (0.98 ± 0.20 L · min(-1)). In addition, reductions in HR were observed for 26-inch wheels (99 ± 6 beats · min(-1)) compared with 25-inch (103 ± 8 beats · min(-1), P = 0.018) and 24-inch wheels (105 ± 9 beats · min(-1), P = 0.004). Mean resultant forces also decreased progressively with increasing wheel size (P < 0.0005). However, no changes in temporal or upper body joint kinematics existed between wheel sizes. A greater power requirement owing to a greater rolling resistance in 24-inch wheels increased the physiological demand and magnitude of force application during submaximal wheelchair propulsion.

  4. Hand-rim forces and gross mechanical efficiency in asynchronous and synchronous wheelchair propulsion: a comparison.

    PubMed

    Lenton, J P; van der Woude, L; Fowler, N; Nicholson, G; Tolfrey, K; Goosey-Tolfrey, V

    2014-03-01

    To compare the force application characteristics at various push frequencies of asynchronous (ASY) and synchronous (SYN) hand-rim propulsion, 8 able-bodied participants performed a separate sub-maximal exercise test on a wheelchair roller ergometer for each propulsion mode. Each test consisted of a series of 5, 4-min exercise blocks at 1.8 m · s-1 - initially at their freely chosen frequency (FCF), followed by four counter-balanced trials at 60, 80, 120 and 140% FCF. Kinetic data was obtained using a SMARTWheel, measuring forces and moments. The gross efficiency (GE) was determined as the ratio of external work done and the total energy expended. The ASY propulsion produced higher force measures for FRES, FTAN, rate of force development & FEF (P<0.05), while there was no difference in GE values (P=0.518). In pair-matched push frequencies (ASY80:SYN60, ASY100:SYN80, ASY120:SYN100 and ASY140:SYN120), ASY propulsion forces remained significantly higher (FRES, FTAN, rate of force development & FEF P<0.05), and there was no significant effect on GE (P=0.456). Both ASY and SYN propulsion demonstrate similar trends: changes in push frequency are accompanied by changes in absolute force even without changes in the gross pattern/trend of force application, FEF or GE. Matched push frequencies continue to produce significant differences in force measures but not GE. This suggests ASY propulsion is the predominant factor in force application differences. The ASY would appear to offer a kinetic disadvantage to SYN propulsion and no physiological advantage under current testing conditions.

  5. Exploration of shoulder load during hand-rim wheelchair start-up with and without power-assisted propulsion in experienced wheelchair users.

    PubMed

    Kloosterman, Marieke G M; Buurke, Jaap H; Schaake, Leendert; Van der Woude, Lucas H V; Rietman, Johan S

    2016-05-01

    Frequent start movements occurred during the day, yielding high upper-extremity stress. The high incidence and impact of shoulder injury on daily life wheelchair use made it clinically relevant to investigate whether power-assisted propulsion is beneficial during the start. Eleven hand-rim wheelchair users performed a start-movement in an instrumented wheelchair on a flat surface. Test order was randomly assigned to propulsion with and without power-assist. For each subject, parameters were averaged over 3 repeated starts. For statistical analysis Wilcoxon Signed Rank test was used. Intensity of mechanical shoulder loading decreased during power-assisted propulsion for anterior (147.0 (44.8) versus 121.9 (27.4) N; effect size (r)=-.75), posterior (4.8 (14.1) versus 2.7 (11.6) N; r=-.64) and inferior directed forces (82.6 (27.9) versus 68.9 (22.6) N; r=-.78) and abduction (20.2 (14.6) versus 12.9 (7.8) Nm; r=-.88) and extension moments (20.3 (10.7) versus 13.7 (9.1 Nm; r=-.88). Peak resultant force at the rim significantly decreased from 133.5 (38.4) N to 112.2 (25.4) N (r=-.64) and was accompanied by significant decreased shoulder abduction (35.3 (6.7) versus 33.3 (6.8); r=-.67) and significant increased shoulder extension (13.6 (16.3) versus 20.3 (19.1); r=-.78) during power-assisted start-up. Power-assist hand-rim wheelchairs are effective in reducing external shoulder load and partly effective in reducing force generation in extremes of shoulder motion during start-up. The use of power-assist wheels might reduce the risk of developing shoulder overuse injuries. NTR2661. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Exercise training programs to improve hand rim wheelchair propulsion capacity: a systematic review.

    PubMed

    Zwinkels, Maremka; Verschuren, Olaf; Janssen, Thomas Wj; Ketelaar, Marjolijn; Takken, Tim

    2014-09-01

    An adequate wheelchair propulsion capacity is required to perform daily life activities. Exercise training may be effective to gain or improve wheelchair propulsion capacity. This review investigates whether different types of exercise training programs are effective in improving wheelchair propulsion capacity. PubMed and EMBASE databases were searched from their respective inceptions in October 2013. Exercise training studies with at least one outcome measure regarding wheelchair propulsion capacity were included. In this study wheelchair propulsion capacity includes four parameters to reflect functional wheelchair propulsion: cardio-respiratory fitness (aerobic capacity), anaerobic capacity, muscular fitness and mechanical efficiency. Articles were not selected on diagnosis, training type or mode. Studies were divided into four training types: interval, endurance, strength, and mixed training. Methodological quality was rated with the PEDro scale, and the level of evidence was determined. The 21 included studies represented 249 individuals with spinal-cord injury (50%), various diagnoses like spina bifida (4%), cerebral palsy (2%), traumatic injury, (3%) and able-bodied participants (38%). All interval training studies found a significant improvement of 18-64% in wheelchair propulsion capacity. Three out of five endurance training studies reported significant effectiveness. Methodological quality was generally poor and there were only two randomised controlled trials. Exercise training programs seem to be effective in improving wheelchair propulsion capacity. However, there is remarkably little research, particularly for individuals who do not have spinal-cord injury. © The Author(s) 2014.

  7. Hand Rim Wheelchair Propulsion Training Using Biomechanical Real-Time Visual Feedback Based on Motor Learning Theory Principles

    PubMed Central

    Rice, Ian; Gagnon, Dany; Gallagher, Jere; Boninger, Michael

    2010-01-01

    Background/Objective: As considerable progress has been made in laboratory-based assessment of manual wheelchair propulsion biomechanics, the necessity to translate this knowledge into new clinical tools and treatment programs becomes imperative. The objective of this study was to describe the development of a manual wheelchair propulsion training program aimed to promote the development of an efficient propulsion technique among long-term manual wheelchair users. Methods: Motor learning theory principles were applied to the design of biomechanical feedback-based learning software, which allows for random discontinuous real-time visual presentation of key spatio-temporal and kinetic parameters. This software was used to train a long-term wheelchair user on a dynamometer during 3 low-intensity wheelchair propulsion training sessions over a 3-week period. Biomechanical measures were recorded with a SmartWheel during over ground propulsion on a 50-m level tile surface at baseline and 3 months after baseline. Results: Training software was refined and administered to a participant who was able to improve his propulsion technique by increasing contact angle while simultaneously reducing stroke cadence, mean resultant force, peak and mean moment out of plane, and peak rate of rise of force applied to the pushrim after training. Conclusions: The proposed propulsion training protocol may lead to favorable changes in manual wheelchair propulsion technique. These changes could limit or prevent upper limb injuries among manual wheelchair users. In addition, many of the motor learning theory–based techniques examined in this study could be applied to training individuals in various stages of rehabilitation to optimize propulsion early on. PMID:20397442

  8. Wheelchair

    NASA Technical Reports Server (NTRS)

    1998-01-01

    NASA-developed aerospace computerized structural-analysis techniques and aerospace composite materials have resulted in an advanced wheelchair that weighs only 25 pounds. With only half the weight of a normal wheelchair, this advanced wheelchair is as strong and durable as a 50-pound stainless steel wheelchair yet can be easily collapsed forauto stowage. Its features include a seat, wheelguards, dynamic brakes, shaped hand rims, and a footrest with smooth contours to aid in opening doors.

  9. The Influence of Speed and Grade on Wheelchair Propulsion Hand Pattern

    PubMed Central

    Slowik, Jonathan S.; Requejo, Philip S.; Mulroy, Sara J.; Neptune, Richard R.

    2015-01-01

    Background The hand pattern used during manual wheelchair propulsion (i.e., full-cycle hand path) can provide insight into an individual's propulsion technique. However, previous analyses of hand patterns have been limited by their focus on a single propulsion condition and reliance on subjective qualitative characterization methods. The purpose of this study was to develop a set of objective quantitative parameters to characterize hand patterns and determine the influence of propulsion speed and grade of incline on the patterns preferred by manual wheelchair users. Methods Kinematic and kinetic data were collected from 170 experienced manual wheelchair users on an ergometer during three conditions: level propulsion at their self-selected speed, level propulsion at their fastest comfortable speed, and graded propulsion (8%) at their level self-selected speed. Hand patterns were quantified using a set of objective parameters and differences across conditions were identified. Findings Increased propulsion speed resulted in a shift away from under-rim hand patterns. Increased grade of incline resulted in the hand remaining near the handrim throughout the cycle. Interpretation Manual wheelchair users change their hand pattern based on task-specific constraints and goals. Further work is needed to investigate how differences between hand patterns influence upper extremity demand and potentially lead to the development of overuse injuries and pain. PMID:26228706

  10. The influence of speed and grade on wheelchair propulsion hand pattern.

    PubMed

    Slowik, Jonathan S; Requejo, Philip S; Mulroy, Sara J; Neptune, Richard R

    2015-11-01

    The hand pattern used during manual wheelchair propulsion (i.e., full-cycle hand path) can provide insight into an individual's propulsion technique. However, previous analyses of hand patterns have been limited by their focus on a single propulsion condition and reliance on subjective qualitative characterization methods. The purpose of this study was to develop a set of objective quantitative parameters to characterize hand patterns and determine the influence of propulsion speed and grade of incline on the patterns preferred by manual wheelchair users. Kinematic and kinetic data were collected from 170 experienced manual wheelchair users on an ergometer during three conditions: level propulsion at their self-selected speed, level propulsion at their fastest comfortable speed and graded propulsion (8%) at their level self-selected speed. Hand patterns were quantified using a set of objective parameters, and differences across conditions were identified. Increased propulsion speed resulted in a shift away from under-rim hand patterns. Increased grade of incline resulted in the hand remaining near the handrim throughout the cycle. Manual wheelchair users change their hand pattern based on task-specific constraints and goals. Further work is needed to investigate how differences between hand patterns influence upper extremity demand and potentially lead to the development of overuse injuries and pain. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Wheelchair propulsion biomechanics: implications for wheelchair sports.

    PubMed

    Vanlandewijck, Y; Theisen, D; Daly, D

    2001-01-01

    The aim of this article is to provide the reader with a state-of-the-art review on biomechanics in hand rim wheelchair propulsion, with special attention to sport-specific implications. Biomechanical studies in wheelchair sports mainly aim at optimising sport performance or preventing sport injuries. The sports performance optimisation question has been approached from an ergonomic, as well as a skill proficiency perspective. Sports medical issues have been addressed in wheelchair sports mainly because of the extremely high prevalence of repetitive strain injuries such as shoulder impingement and carpal tunnel syndrome. Sports performance as well as sports medical reflections are made throughout the review. Insight in the underlying musculoskeletal mechanisms of hand rim wheelchair propulsion has been achieved through a combination of experimental data collection under realistic conditions, with a more fundamental mathematical modelling approach. Through a synchronised analysis of the movement pattern, force generation pattern and muscular activity pattern, insight has been gained in the hand rim wheelchair propulsion dynamics of people with a disability, varying in level of physical activity and functional potential. The limiting environment of a laboratory, however, has hampered the drawing of sound conclusions. Through mathematical modelling, simulation and optimisation (minimising injury and maximising performance), insight in the underlying musculoskeletal mechanisms during wheelchair propulsion is sought. The surplus value of inverse and forward dynamic simulation of hand rim stroke dynamics is addressed. Implications for hand rim wheelchair sports are discussed. Wheelchair racing, basketball and rugby were chosen because of the significance and differences in sport-specific movement dynamics. Conclusions can easily be transferred to other wheelchair sports where movement dynamics are fundamental.

  12. Physiological response to the ambulatory performance of hand-rim and arm-crank propulsion systems.

    PubMed

    Mukherjee, G; Samanta, A

    2001-01-01

    Two types of propulsion systems-the hand rim (HR) and the arm crank (AC)-are commonly used in wheelchair ambulation. The purpose of this study was to investigate the physiological response of the two propulsion systems under actual locomotive condition by the actual users. The energetics of locomotion manual wheelchair (HR propulsion) and arm-propelled three-wheeled chairs (AC-propelled) at their free chosen speed (FCS) were studied and compared. Thirty-four male subjects with dysfunctioning lower limbs; 17 manual wheelchair users and 17 arm-propelled three-wheeled chairs regular users volunteered to participate in the study. Speed (m.min-1), oxygen uptake (1 x min(-1)) and heart rate (b x min(-1)) were monitored during steady-state ambulation at FCS for 5 min. Oxygen consumption (VO2, ml x kg(-1) min(-1)), oxygen cost (VO2, ml x kg(-1) m(-1)), net locomotive energy cost (kcal kg(-1) km(-1)) and physiological cost index (b x m(-1)) were derived. The FCS of the AC propelled device is remarkably higher than the HR system, and the magnitude of the physiological variables of the AC propulsion system was significantly lower (p<0.001) in relation to the HR propulsion system, as revealed from the results of t test for two sample means at a significance level p=0.001. It can be inferred from the result that the AC propulsion system could be used for long distance rides with a higher speed required for outdoor ambulation and that the HR propulsion system is suitable only for indoor use, because of its excellent maneuverability where short-duration low-velocity ambulation is required.

  13. Development and evaluation of one-hand drivable manual wheelchair device for hemiplegic patients.

    PubMed

    Jung, Hwa S; Park, Gemus; Kim, Young-Shim; Jung, Hyung-Shik

    2015-05-01

    This study was conducted for one-hand users including hemiplegic clients currently using standard manual wheelchairs, so as to analyze their specific problems and recommend solutions regarding usage. Thirty hemiplegic clients who were admitted to rehabilitation and convalescent hospitals participated as subjects. The research tools were standard manual wheelchairs commonly used by people with impaired gait and a "one-hand drivable manual wheelchair," which was developed for this study. The Wheelchair Skills Test (WST) was adopted for the objective assessment tool, while drivability, convenience, difference, and acceptability were developed for the subjective evaluation tools. The assessment procedures comprise two phases of pre-assessment and post-assessment. In the pre-assessment phase, the WST and subjective evaluation (drivability, convenience) were conducted using the existing standard manual wheelchair and with/without use of a foot to control the wheelchair. In the post-assessment phase, the WST and subjective evaluation (drivability, convenience, difference, acceptability) were also carried out using the developed one-hand drivable manual wheelchair. The results showed that the highest pass rate recorded for the WST items was 3.3% when the participants drove standard manual wheelchairs without the use of either foot and 96.7% when using the manual wheelchairs equipped with developed device. As compared to the existing wheelchair, statistical results showed significant effects on the WST, drivability, convenience, difference and acceptability when the participants drove wheelchairs equipped with the developed device. These findings imply that the one-hand drivable wheelchair equipped with the developed device can be an active and effective solution for hemiplegic clients using existing manual wheelchairs to increase their mobility and occupational performance. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  14. Wheelchairs

    MedlinePlus

    ... select and maintain your wheelchair. > Picking the right wheelchair Selecting the right chair can be confusing. You need to consider style, ... many options to consider to find the right chair for you. > Webcast: Wheelchair selection Helpful tips to consider when reviewing your ...

  15. Wheelchairs

    MedlinePlus

    ... rolled into his new classroom and met his teacher. She asked if it would be OK to talk to the class about his wheelchair and Daniel agreed. Whew! He felt so relieved when she did. Mrs. Boyle told everyone that wheelchairs are just a good way of getting around if a person has ...

  16. Technological and physiological characteristics of a newly developed hand-lever drive system for wheelchairs.

    PubMed

    Engel, P; Seeliger, K

    1986-10-01

    It may be concluded that, by use of the newly developed Swing-Turn-gear system, mobility of the disabled person using wheelchairs outdoors can be improved. The qualities of the drive gear in push and pull action, the free wheel, the full selection of frequency, and the range of moving the hand levers represent important progress in wheelchair engineering research. The handrim drive is an alternative, especially for indoor use. But, for the first time, an indoor wheelchair can be offered as a combination vehicle for both indoor and outdoor use. The acceptance of the new wheelchair integrated Swing-Turn-gear is much better than the conspicuous hand-lever drive in standard outdoor wheelchairs. At present, the German wheelchair manufacturer, MEYRA Vlotho, is preparing the new hand-lever drive system for production. Initially, the drive system will be adapted to a standard indoor wheelchair made by this company. Development of a lever drive system is also in progress in the United States, which employs force transmission characteristics in one direction.

  17. Wheelchairs

    MedlinePlus

    ... Others have disabilities due to muscular dystrophy or cerebral palsy . In some cases, kids have wheelchairs but don' ... Therapist In the Band: Jens' Story Spina Bifida Cerebral Palsy Contact Us Print Resources Send to a Friend ...

  18. Measurement of Hand/Handrim Grip Forces in Two Different One Arm Drive Wheelchairs

    PubMed Central

    2014-01-01

    Purpose. The aim of this study was to explore the total and regional grip forces in the hand when propelling two different manual one arm drive wheelchairs: the Neater Uni-wheelchair (NUW) and a foot steered Action3 wheelchair. Methods. 17 nondisabled users were randomly assigned to each wheelchair to drive around an indoor obstacle course. The Grip, a multiple sensor system taking continuous measurement of handgrip force, was attached to the propelling hand. Total grip force in each region of the hand and total grip force across the whole hand were calculated per user per wheelchair. Results. The Action3 with foot steering only generated significantly greater total grip force in straight running compared to the NUW and also in the fingers and thumb in straight running. Conclusions. The results suggest that the Action3 with foot steering generated greater grip forces which may infer a greater potential for repetitive strain injury in the upper limb. Further work is required to explore whether the difference in grip force is of clinical significance in a disabled population. PMID:25045684

  19. A kinetic analysis of trained wheelchair racers during two speeds of propulsion.

    PubMed

    Goosey-Tolfrey, V L; Fowler, N E; Campbell, I G; Iwnicki, S D

    2001-05-01

    The purpose of the study was to investigate the propulsion kinetics of wheelchair racers at racing speeds and to assess how these change with an increase in speed. It was hypothesised that propulsive force would increase in proportion to speed, to accommodate the additional work required. Six wheelchair racers volunteered to participate in this study which required each athlete to push a racing wheelchair at 4.70 and 5.64 m s(-1) on a wheelchair ergometer (WERG). Eight pairs (16 in total) of strain gauges, mounted on four bars attached to the hand-rim of a racing wheelchair wheel, measured the medio-lateral and tangential forces applied to the hand-rim. Kinetic data were sampled at 200 Hz while a single on-line (ELITE) infrared camera operating at 100 Hz was positioned perpendicular to the WERG to record the location of the hand with respect to the hand-rim. In general, peak tangential force occurred when the hand was positioned on the hand-rim between 140 and 180 degrees. With the increase in speed, the peak hand-rim forces applied tangentially increased from 132 to 158 N and those applied medio-laterally increased from 90 to 104 N. The ratio of tangential to total measured force was similar at both speeds (80 and 82%, respectively). In conclusion, these data indicate that wheelchair racers adopt a different propulsion strategy than that employed in everyday chairs and that the forces increase in proportion to propulsion speed.

  20. The influence of wheelchair propulsion hand pattern on upper extremity muscle power and stress.

    PubMed

    Slowik, Jonathan S; Requejo, Philip S; Mulroy, Sara J; Neptune, Richard R

    2016-06-14

    The hand pattern (i.e., full-cycle hand path) used during manual wheelchair propulsion is frequently classified as one of four distinct hand pattern types: arc, single loop, double loop or semicircular. Current clinical guidelines recommend the use of the semicircular pattern, which is based on advantageous levels of broad biomechanical metrics implicitly related to the demand placed on the upper extremity (e.g., lower cadence). However, an understanding of the influence of hand pattern on specific measures of upper extremity muscle demand (e.g., muscle power and stress) is needed to help make such recommendations, but these quantities are difficult and impractical to measure experimentally. The purpose of this study was to use musculoskeletal modeling and forward dynamics simulations to investigate the influence of the hand pattern used on specific measures of upper extremity muscle demand. The simulation results suggest that the double loop and semicircular patterns produce the most favorable levels of overall muscle stress and total muscle power. The double loop pattern had the lowest full-cycle and recovery-phase upper extremity demand but required high levels of muscle power during the relatively short contact phase. The semicircular pattern had the second-lowest full-cycle levels of overall muscle stress and total muscle power, and demand was more evenly distributed between the contact and recovery phases. These results suggest that in order to decrease upper extremity demand, manual wheelchair users should consider using either the double loop or semicircular pattern when propelling their wheelchairs at a self-selected speed on level ground. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. The Influence of Wheelchair Propulsion Hand Pattern on Upper Extremity Muscle Power and Stress

    PubMed Central

    Slowik, Jonathan S.; Requejo, Philip S.; Mulroy, Sara J.; Neptune, Richard R.

    2016-01-01

    The hand pattern (i.e., full-cycle hand path) used during manual wheelchair propulsion is frequently classified as one of four distinct hand pattern types: arc, single loop, double loop and semicircular. Current clinical guidelines recommend the use of the semicircular pattern, which is based on advantageous levels of broad biomechanical metrics implicitly related to the demand placed on the upper extremity (e.g., lower cadence). However, an understanding of the influence of hand pattern on specific measures of upper extremity muscle demand (e.g., muscle power and stress) is needed to help make such recommendations, but these quantities are difficult and impractical to measure experimentally. The purpose of this study was to use musculoskeletal modeling and forward dynamics simulations to investigate the influence of the hand pattern used on specific measures of upper extremity muscle demand. The simulation results suggest that the double loop and semicircular patterns produce the most favorable levels of overall muscle stress and total muscle power. The double loop pattern had the lowest full-cycle and recovery-phase upper extremity demand but required high levels of muscle power during the relatively short contact phase. The semicircular pattern had the second-lowest full-cycle levels of overall muscle stress and total muscle power, and demand was more evenly distributed between the contact and recovery phases. These results suggest that in order to decrease upper extremity demand, manual wheelchair users should use either the double loop or semicircular pattern when propelling their wheelchairs at a self-selected speed on level ground. PMID:27062591

  2. The ergonomics of wheelchair configuration for optimal performance in the wheelchair court sports.

    PubMed

    Mason, Barry S; van der Woude, Lucas H V; Goosey-Tolfrey, Victoria L

    2013-01-01

    Optimizing mobility performance in wheelchair court sports (basketball, rugby and tennis) is dependent on a combination of factors associated with the user, the wheelchair and the interfacing between the two. Substantial research has been attributed to the wheelchair athlete yet very little has focused on the role of the wheelchair and the wheelchair-user combination. This article aims to review relevant scientific literature that has investigated the effects of wheelchair configuration on aspects of mobility performance from an ergonomics perspective. Optimizing performance from an ergonomics perspective requires a multidisciplinary approach. This has resulted in laboratory-based investigations incorporating a combination of physiological and biomechanical analyses to assess the efficiency, health/safety and comfort of various wheelchair configurations. To a lesser extent, field-based testing has also been incorporated to determine the effects of wheelchair configuration on aspects of mobility performance specific to the wheelchair court sports. The available literature has demonstrated that areas of seat positioning, rear wheel camber, wheel size and hand-rim configurations can all influence the ergonomics of wheelchair performance. Certain configurations have been found to elevate the physiological demand of wheelchair propulsion, others have been associated with an increased risk of injury and some have demonstrated favourable performance on court. A consideration of all these factors is required to identify optimal wheelchair configurations. Unfortunately, a wide variety of different methodologies have immerged between studies, many of which are accompanied by limitations, thus making the identification of optimal configurations problematic. When investigating an area of wheelchair configuration, many studies have failed to adequately standardize other areas, which has prevented reliable cause and effect relationships being established. In addition, a large

  3. Wheelchair ergonomic hand drive mechanism use improves wrist mechanics associated with carpal tunnel syndrome.

    PubMed

    Zukowski, Lisa A; Roper, Jaimie A; Shechtman, Orit; Otzel, Dana M; Hovis, Patty W; Tillman, Mark D

    2014-01-01

    Among conventional manual wheelchair (CMW) users, 49% to 63% experience carpal tunnel syndrome (CTS) that is likely induced by large forces transmitted through the wrist and extreme wrist orientations. The ergonomic hand drive mechanism (EHDM) tested in this study has been shown to utilize a more neutral wrist orientation. This study evaluates the use of an EHDM in terms of wrist orientations that may predispose individuals to CTS. Eleven adult full-time CMW users with spinal cord injury participated. Motion data were captured as participants propelled across a flat surface, completing five trials in a CMW and five trials in the same CMW fitted with the EHDM. Average angular wrist orientations were compared between the two propulsion styles. Use of the EHDM resulted in reduced wrist extension and ulnar deviation. The shift to more neutral wrist orientations observed with EHDM use may reduce median nerve compression.

  4. Wheelchair ergonomic hand drive mechanism use improves wrist mechanics associated with carpal tunnel syndrome

    PubMed Central

    Zukowski, Lisa A.; Roper, Jaimie A.; Shechtman, Orit; Otzel, Dana M.; Hovis, Patty W.; Tillman, Mark D.

    2015-01-01

    Among conventional manual wheelchair (CMW) users, 49% to 63% experience carpal tunnel syndrome (CTS) that is likely induced by large forces transmitted through the wrist and extreme wrist orientations. The ergonomic hand drive mechanism (EHDM) tested in this study has been shown to utilize a more neutral wrist orientation. This study evaluates the use of an EHDM in terms of wrist orientations that may predispose individuals to CTS. Eleven adult full-time CMW users with spinal cord injury participated. Motion data were captured as participants propelled across a flat surface, completing five trials in a CMW and five trials in the same CMW fitted with the EHDM. Average angular wrist orientations were compared between the two propulsion styles. Use of the EHDM resulted in reduced wrist extension and ulnar deviation. The shift to more neutral wrist orientations observed with EHDM use may reduce median nerve compression. PMID:25856042

  5. Relationship Between Hand Contact Angle and Shoulder Loading During Manual Wheelchair Propulsion by Individuals with Paraplegia

    PubMed Central

    Mulroy, Sara J.; Ruparel, Puja; Hatchett, Patricia E.; Haubert, Lisa Lighthall; Eberly, Valerie J.; Gronley, JoAnne K.

    2015-01-01

    Background: Shoulder loading during manual wheelchair propulsion (WCP) contributes to the development of shoulder pain in individuals with spinal cord injury (SCI). Objective: To use regression analysis to investigate the relationships between the hand contact angle (location of the hand on the pushrim at initial contact and release during the push phase of the WCP cycle) with propulsion characteristics, pushrim forces, and shoulder kinetics during WCP in individuals with paraplegia. Methods: Biomechanical data were collected from 222 individuals (198 men and 24 women) with paraplegia from SCI during WCP on a stationary ergometer at a self-selected speed. The average age of participants was 34.7 years (±9.3), mean time since SCI was 9.3 years (±6.1), and average body weight was 74.4 kg (±15.9). The majority (n = 127; 56%) of participants had lower level paraplegia (T8 to L5) and 95 (42%) had high paraplegia (T2 to T7). Results: Increased push arc (mean = 75.3°) was associated with greater velocity (R = 0.384, P < .001) and cycle distance (R = 0.658, P < .001) and reduced cadence (R = -0.419, P < .001). Initial contact angle and hand release angles were equally associated with cycle distance and cadence, whereas a more anterior release angle was associated with greater velocity (R = 0.372, P < .001). When controlling for body weight, a more posterior initial contact angle was associated with greater posterior shoulder net joint force (R = 0.229, P = .001) and greater flexor net joint moment (R = 0.204, P = .002), whereas a more anterior hand release angle was significantly associated with increased vertical (R = 0.270, P < .001) and greater lateral (R = .293, P < .001) pushrim forces; greater shoulder net joint forces in all 3 planes — posterior (R = 0.164, P = .015), superior (R = 0.176, P = .009), and medial (R = 0.284, P < .001); and greater external rotator (R = 0.176, P = .009) and adductor (R = 0.259, P = .001) net joint moments. Conclusions: Current

  6. Relationship Between Hand Contact Angle and Shoulder Loading During Manual Wheelchair Propulsion by Individuals with Paraplegia.

    PubMed

    Requejo, Philip Santos; Mulroy, Sara J; Ruparel, Puja; Hatchett, Patricia E; Haubert, Lisa Lighthall; Eberly, Valerie J; Gronley, JoAnne K

    2015-01-01

    Shoulder loading during manual wheelchair propulsion (WCP) contributes to the development of shoulder pain in individuals with spinal cord injury (SCI). To use regression analysis to investigate the relationships between the hand contact angle (location of the hand on the pushrim at initial contact and release during the push phase of the WCP cycle) with propulsion characteristics, pushrim forces, and shoulder kinetics during WCP in individuals with paraplegia. Biomechanical data were collected from 222 individuals (198 men and 24 women) with paraplegia from SCI during WCP on a stationary ergometer at a self-selected speed. The average age of participants was 34.7 years (±9.3), mean time since SCI was 9.3 years (±6.1), and average body weight was 74.4 kg (±15.9). The majority (n = 127; 56%) of participants had lower level paraplegia (T8 to L5) and 95 (42%) had high paraplegia (T2 to T7). Increased push arc (mean = 75.3°) was associated with greater velocity (R = 0.384, P < .001) and cycle distance (R = 0.658, P < .001) and reduced cadence (R = -0.419, P <.001). Initial contact angle and hand release angles were equally associated with cycle distance and cadence, whereas a more anterior release angle was associated with greater velocity (R = 0.372, P < .001). When controlling for body weight, a more posterior initial contact angle was associated with greater posterior shoulder net joint force (R = 0.229, P = .001) and greater flexor net joint moment (R = 0.204, P = .002), whereas a more anterior hand release angle was significantly associated with increased vertical (R = 0.270, P < .001) and greater lateral (R = .293, P < .001) pushrim forces; greater shoulder net joint forces in all 3 planes - posterior (R = 0.164, P = .015), superior (R = 0.176, P = .009), and medial (R = 0.284, P < .001); and greater external rotator (R = 0.176, P = .009) and adductor (R = 0.259, P = .001) net joint moments. Current clinical practice guidelines recommend using long, smooth

  7. Constraints influencing sports wheelchair propulsion performance and injury risk

    PubMed Central

    2013-01-01

    The Paralympic Games are the pinnacle of sport for many athletes with a disability. A potential issue for many wheelchair athletes is how to train hard to maximise performance while also reducing the risk of injuries, particularly to the shoulder due to the accumulation of stress placed on this joint during activities of daily living, training and competition. The overall purpose of this narrative review was to use the constraints-led approach of dynamical systems theory to examine how various constraints acting upon the wheelchair-user interface may alter hand rim wheelchair performance during sporting activities, and to a lesser extent, their injury risk. As we found no studies involving Paralympic athletes that have directly utilised the dynamical systems approach to interpret their data, we have used this approach to select some potential constraints and discussed how they may alter wheelchair performance and/or injury risk. Organism constraints examined included player classifications, wheelchair setup, training and intrinsic injury risk factors. Task constraints examined the influence of velocity and types of locomotion (court sports vs racing) in wheelchair propulsion, while environmental constraints focused on forces that tend to oppose motion such as friction and surface inclination. Finally, the ecological validity of the research studies assessing wheelchair propulsion was critiqued prior to recommendations for practice and future research being given. PMID:23557065

  8. The Natural-Fit Handrim: Factors Related to Improvement in Symptoms and Function in Wheelchair Users

    PubMed Central

    Dieruf, Kathy; Ewer, Lynette; Boninger, David

    2008-01-01

    Background/Objective: People with spinal cord injury (SCI) may spend several decades using a wheelchair as their primary means of mobility. Secondary injury and a decline in independence over time are common with manual wheelchair users who, in turn, may require increased assistance as time passes. The Natural-Fit contoured handrim has been shown to improve symptoms and function in people with SCI who use manual wheelchairs and who have experienced upper extremity pain. The objective of this study was to determine the factors associated with improved symptoms and functions. Participants: 87 people who purchased the ergonomic wheelchair handrims. Participants were predominately men, with a median age of 51 to 55 years, median level of injury T10 to T12, median time in a wheelchair of 15 years, and they had used the contoured rims for 1 to 2 years. Methods: This was a mail survey of 217 people who purchased the rims. The survey was mailed out from the manufacturer and was anonymously returned to the physical therapy department of a university. A $10 incentive was offered for returning the survey. Results: The majority of participants reported improvements in upper extremity symptoms, ease of wheelchair propulsion, and functional status. Longer use of the rims was associated with reported improvement in ease of wheelchair propulsion and reduction in pain in hands and wrists. Conclusion: If a simple modification of the wheelchair can help bring about significant changes in the users' symptoms and function, this modification should be incorporated by people who use manual wheelchairs before decline in function begins. Proactive intervention may alleviate symptoms, help the person maintain maximal independence, and prolong the length of time the individual remains independent. PMID:19086716

  9. Vision based interface system for hands free control of an intelligent wheelchair

    PubMed Central

    Ju, Jin Sun; Shin, Yunhee; Kim, Eun Yi

    2009-01-01

    Background Due to the shift of the age structure in today's populations, the necessities for developing the devices or technologies to support them have been increasing. Traditionally, the wheelchair, including powered and manual ones, is the most popular and important rehabilitation/assistive device for the disabled and the elderly. However, it is still highly restricted especially for severely disabled. As a solution to this, the Intelligent Wheelchairs (IWs) have received considerable attention as mobility aids. The purpose of this work is to develop the IW interface for providing more convenient and efficient interface to the people the disability in their limbs. Methods This paper proposes an intelligent wheelchair (IW) control system for the people with various disabilities. To facilitate a wide variety of user abilities, the proposed system involves the use of face-inclination and mouth-shape information, where the direction of an IW is determined by the inclination of the user's face, while proceeding and stopping are determined by the shapes of the user's mouth. Our system is composed of electric powered wheelchair, data acquisition board, ultrasonic/infra-red sensors, a PC camera, and vision system. Then the vision system to analyze user's gestures is performed by three stages: detector, recognizer, and converter. In the detector, the facial region of the intended user is first obtained using Adaboost, thereafter the mouth region is detected based on edge information. The extracted features are sent to the recognizer, which recognizes the face inclination and mouth shape using statistical analysis and K-means clustering, respectively. These recognition results are then delivered to the converter to control the wheelchair. Result & conclusion The advantages of the proposed system include 1) accurate recognition of user's intention with minimal user motion and 2) robustness to a cluttered background and the time-varying illumination. To prove these

  10. Vision based interface system for hands free control of an Intelligent Wheelchair.

    PubMed

    Ju, Jin Sun; Shin, Yunhee; Kim, Eun Yi

    2009-08-06

    Due to the shift of the age structure in today's populations, the necessities for developing the devices or technologies to support them have been increasing. Traditionally, the wheelchair, including powered and manual ones, is the most popular and important rehabilitation/assistive device for the disabled and the elderly. However, it is still highly restricted especially for severely disabled. As a solution to this, the Intelligent Wheelchairs (IWs) have received considerable attention as mobility aids. The purpose of this work is to develop the IW interface for providing more convenient and efficient interface to the people the disability in their limbs. This paper proposes an intelligent wheelchair (IW) control system for the people with various disabilities. To facilitate a wide variety of user abilities, the proposed system involves the use of face-inclination and mouth-shape information, where the direction of an IW is determined by the inclination of the user's face, while proceeding and stopping are determined by the shapes of the user's mouth. Our system is composed of electric powered wheelchair, data acquisition board, ultrasonic/infra-red sensors, a PC camera, and vision system. Then the vision system to analyze user's gestures is performed by three stages: detector, recognizer, and converter. In the detector, the facial region of the intended user is first obtained using Adaboost, thereafter the mouth region is detected based on edge information. The extracted features are sent to the recognizer, which recognizes the face inclination and mouth shape using statistical analysis and K-means clustering, respectively. These recognition results are then delivered to the converter to control the wheelchair. The advantages of the proposed system include 1) accurate recognition of user's intention with minimal user motion and 2) robustness to a cluttered background and the time-varying illumination. To prove these advantages, the proposed system was tested with

  11. Comparison of Metabolic Cost, Performance, and Efficiency of Propulsion Using an Ergonomic Hand Drive Mechanism and a Conventional Manual Wheelchair

    PubMed Central

    Zukowski, Lisa A.; Roper, Jaimie A.; Shechtman, Orit; Otzel, Dana M.; Bouwkamp, Jason; Tillman, Mark D.

    2014-01-01

    Objectives To compare the metabolic cost (VO2 consumption, HR, and number of pushes), performance (velocity and distance travelled), and efficiency (VO2 efficiency) of propulsion using a novel ergonomic hand drive mechanism (EHDM) and a conventional manual wheelchair (CMW). Design Repeated measures crossover design Setting Semi-circular track Participants Twelve adult full-time manual wheelchair users with spinal cord injuries (38.8±12.4 yrs, 73.7±13.3 kg, 173.6±11.1 cm) who were medically and functionally stable and at least six months post injury. Interventions Participants propelled themselves for three and a half minutes at a self-selected pace in a CMW and in the same chair fitted with the EHDM. Main Outcome Measures Velocity, distance traveled, number of pushes, VO2 consumption, VO2 efficiency, and heart rate were compared by wheelchair condition for the last 30 seconds of each trial using paired t-tests (α=0.01). Results The CMW condition resulted in more distance traveled (33.6±10.8 m vs. 22.4±7.8 m, p=0.001), greater velocity (1.12±0.4 m/s vs. 0.75±0.3 m/s, p=0.001), and better VO2 efficiency (0.10±0.03ml/kg/m vs. 0.15±0.03ml/kg/m, p<0.001) than the EHDM condition. No significant differences were found between the two conditions for number of pushes (27.5±5.7 vs. 25.7±5.4, p=0.366), VO2 consumption (6.43±1.9 ml/kg/min vs. 6.19±1.7 ml/kg/min, p=0.573), or HR (100.5±14.5 bpm vs. 97.4±20.2 bpm, p=0.420). Conclusions The results demonstrate that metabolic costs did not differ significantly although performance and efficiency were sacrificed with the EHDM. Modifications to the EHDM (e.g. addition of gearing) could rectify the performance and efficiency decrements while maintaining similar metabolic costs. Although not an ideal technology, the EHDM can be considered as an alternative mode of mobility by wheelchair users and rehabilitation specialists. PMID:24016403

  12. Design and Fabrication of an Instrumented Handrim to Measure the Kinetic and Kinematic Information by the Hand of User for 3D Analysis of Manual Wheelchair Propulsion Dynamics

    PubMed Central

    Mallakzadeh, Mohammadreza; Akbari, Hossein

    2014-01-01

    The repetitious nature of propelling a wheelchair has been associated with the high incidence of injury among manual wheelchair users (MWUs), mainly in the shoulder, elbow and wrist. Recent literature has found a link between handrim biomechanics and risk of injury to the upper extremity. The valid measurement of three-dimensional net joint forces and torques, however, can lead to a better understanding of the mechanisms of injury, the development of prevention techniques, and the reduction of serious injuries to the joints. In this project, an instrumented wheel system was developed to measure the applied loads dynamically by the hand of the user and the angular position of the wheelchair user's hand on the handrim during the propulsion phase. The system is composed of an experimental six-axis load cell, and a wireless eight channel data logger mounted on a wheel hub. The angular position of the wheel is measured by an absolute magnetic encoder. The angular position of the wheelchair user's hand on the handrim during the propulsion phase (ɸ) or point of force application (PFA) is calculated by means of a new-experimental method using 36 pairs of infrared emitter/receiver diodes mounted around the handrim. In this regard, the observed data extracted from an inexperienced able-bodied subject pushed a wheelchair with the instrumented handrim are presented to show the output behavior of the instrumented handrim. The recorded forces and torques were in agreement with previously reported magnitudes. However, this paper can provide readers with some technical insights into possible solutions for measuring the manual wheelchair propulsion biomechanical data. PMID:25426429

  13. Design and Fabrication of an Instrumented Handrim to Measure the Kinetic and Kinematic Information by the Hand of User for 3D Analysis of Manual Wheelchair Propulsion Dynamics.

    PubMed

    Mallakzadeh, Mohammadreza; Akbari, Hossein

    2014-10-01

    The repetitious nature of propelling a wheelchair has been associated with the high incidence of injury among manual wheelchair users (MWUs), mainly in the shoulder, elbow and wrist. Recent literature has found a link between handrim biomechanics and risk of injury to the upper extremity. The valid measurement of three-dimensional net joint forces and torques, however, can lead to a better understanding of the mechanisms of injury, the development of prevention techniques, and the reduction of serious injuries to the joints. In this project, an instrumented wheel system was developed to measure the applied loads dynamically by the hand of the user and the angular position of the wheelchair user's hand on the handrim during the propulsion phase. The system is composed of an experimental six-axis load cell, and a wireless eight channel data logger mounted on a wheel hub. The angular position of the wheel is measured by an absolute magnetic encoder. The angular position of the wheelchair user's hand on the handrim during the propulsion phase (ɸ) or point of force application (PFA) is calculated by means of a new-experimental method using 36 pairs of infrared emitter/receiver diodes mounted around the handrim. In this regard, the observed data extracted from an inexperienced able-bodied subject pushed a wheelchair with the instrumented handrim are presented to show the output behavior of the instrumented handrim. The recorded forces and torques were in agreement with previously reported magnitudes. However, this paper can provide readers with some technical insights into possible solutions for measuring the manual wheelchair propulsion biomechanical data.

  14. Mechanical efficiency of two commercial lever-propulsion mechanisms for manual wheelchair locomotion.

    PubMed

    Lui, Jordon; MacGillivray, Megan K; Sheel, A William; Jeyasurya, Jeswin; Sadeghi, Mahsa; Sawatzky, Bonita Jean

    2013-01-01

    The purpose of this study was to (1) evaluate the mechanical efficiency (ME) of two commercially available lever-propulsion mechanisms for wheelchairs and (2) compare the ME of lever propulsion with hand rim propulsion within the same wheelchair. Of the two mechanisms, one contained a torsion spring while the other used a roller clutch design. We hypothesized that the torsion spring mechanism would increase the ME of propulsion due to a passive recovery stroke enabled by the mechanism. Ten nondisabled male participants with no prior manual wheeling experience performed submaximal exercise tests using both lever-propulsion mechanisms and hand rim propulsion on two different wheelchairs. Cardiopulmonary parameters including oxygen uptake (VO2), heart rate (HR), and energy expenditure (En) were determined. Total external power (Pext) was measured using a drag test protocol. ME was determined by the ratio of Pext to En. Results indicated no significant effect of lever-propulsion mechanism for all physiological measures tested. This suggests that the torsion spring did not result in a physiological benefit compared with the roller clutch mechanism. However, both lever-propulsion mechanisms showed decreased VO2 and HR and increased ME (as a function of slope) compared with hand rim propulsion (p < 0.001). This indicates that both lever-propulsion mechanisms tested are more mechanically efficient than conventional hand rim propulsion, especially when slopes are encountered.

  15. Evaluation of a wheelchair prototype with non-conventional, manual propulsion.

    PubMed

    Rifai Sarraj, A; Massarelli, R; Rigal, F; Moussa, E; Jacob, C; Fazah, A; Kabbara, M

    2010-03-01

    To evaluate the results of a user satisfaction questionnaire on a new type of lever-propelled wheelchair designed to avoid the discomfort and potential repetitive strain injuries related to conventional hand-rim propulsion. Seventeen participants filled out a questionnaire to rate their conventional wheelchair and the prototype (after 2 days' use) in terms of comfort, adjustability, steering/ride, manoeuvrability, stability when crossing obstacles, safety, weight, size, portability and appearance. Overall satisfaction was also scored. According to the user questionnaire results, the lever-propelled prototype chair was rated as significantly superior than conventional wheelchairs in terms of comfort, safety and overall satisfaction. The prototype was rated significantly inferior in terms of size, adaptability, appearance and crossing obstacles. We conclude that the prototype wheelchair is highly acceptable and comfortable and can be recommended to disabled sportspersons. The prototype's weak points are mainly related to ergonomic aspects, which could be improved in future models. 2009 Elsevier Masson SAS. All rights reserved.

  16. Real-time performance of a hands-free semi-autonomous wheelchair system using a combination of stereoscopic and spherical vision.

    PubMed

    Nguyen, Jordan S; Nguyen, Tuan Nghia; Tran, Yvonne; Su, Steven W; Craig, Ashley; Nguyen, Hung T

    2012-01-01

    This paper is concerned with the operational performance of a semi-autonomous wheelchair system named TIM (Thought-controlled Intelligent Machine), which uses cameras in a system configuration modeled on the vision system of a horse. This new camera configuration utilizes stereoscopic vision for 3-Dimensional (3D) depth perception and mapping ahead of the wheelchair, combined with a spherical camera system for 360-degrees of monocular vision. The unique combination allows for static components of an unknown environment to be mapped and any surrounding dynamic obstacles to be detected, during real-time autonomous navigation, minimizing blind-spots and preventing accidental collisions with people or obstacles. Combining this vision system with a shared control strategy provides intelligent assistive guidance during wheelchair navigation, and can accompany any hands-free wheelchair control technology for people with severe physical disability. Testing of this system in crowded dynamic environments has displayed the feasibility and real-time performance of this system when assisting hands-free control technologies, in this case being a proof-of-concept brain-computer interface (BCI).

  17. Powered wheelchair simulator development: implementing combined navigation-reaching tasks with a 3D hand motion controller.

    PubMed

    Tao, Gordon; Archambault, Philippe S

    2016-01-19

    Powered wheelchair (PW) training involving combined navigation and reaching is often limited or unfeasible. Virtual reality (VR) simulators offer a feasible alternative for rehabilitation training either at home or in a clinical setting. This study evaluated a low-cost magnetic-based hand motion controller as an interface for reaching tasks within the McGill Immersive Wheelchair (miWe) simulator. Twelve experienced PW users performed three navigation-reaching tasks in the real world (RW) and in VR: working at a desk, using an elevator, and opening a door. The sense of presence in VR was assessed using the iGroup Presence Questionnaire (IPQ). We determined concordance of task performance in VR with that in the RW. A video task analysis was performed to analyse task behaviours. Compared to previous miWe data, IPQ scores were greater in the involvement domain (p < 0.05). Task analysis showed most of navigation and reaching behaviours as having moderate to excellent (K > 0.4, Cohen's Kappa) agreement between the two environments, but greater (p < 0.05) risk of collisions and reaching errors in VR. VR performance demonstrated longer (p < 0.05) task times and more discreet movements for the elevator and desk tasks but not the door task. Task performance showed poorer kinematic performance in VR than RW but similar strategies. Therefore, the reaching component represents a promising addition to the miWe training simulator, though some limitations must be addressed in future development.

  18. Initial Skill Acquisition of Handrim Wheelchair Propulsion: A New Perspective.

    PubMed

    Vegter, Riemer J K; de Groot, Sonja; Lamoth, Claudine J; Veeger, Dirkjan Hej; van der Woude, Lucas H V

    2014-01-01

    To gain insight into cyclic motor learning processes, hand rim wheelchair propulsion is a suitable cyclic task, to be learned during early rehabilitation and novel to almost every individual. To propel in an energy efficient manner, wheelchair users must learn to control bimanually applied forces onto the rims, preserving both speed and direction of locomotion. The purpose of this study was to evaluate mechanical efficiency and propulsion technique during the initial stage of motor learning. Therefore, 70 naive able-bodied men received 12-min uninstructed wheelchair practice, consisting of three 4-min blocks separated by 2 min rest. Practice was performed on a motor-driven treadmill at a fixed belt speed and constant power output relative to body mass. Energy consumption and the kinetics of propulsion technique were continuously measured. Participants significantly increased their mechanical efficiency and changed their propulsion technique from a high frequency mode with a lot of negative work to a longer-slower movement pattern with less power losses. Furthermore a multi-level model showed propulsion technique to relate to mechanical efficiency. Finally improvers and non-improvers were identified. The non-improving group was already more efficient and had a better propulsion technique in the first block of practice (i.e., the fourth minute). These findings link propulsion technique to mechanical efficiency, support the importance of a correct propulsion technique for wheelchair users and show motor learning differences.

  19. Effect of choice of recovery patterns on handrim kinetics in manual wheelchair users with paraplegia and tetraplegia

    PubMed Central

    Raina, Shashank; McNitt-Gray, Jill; Mulroy, Sara; Requejo, Philip

    2012-01-01

    Background Impact forces experienced by the upper limb at the beginning of each wheelchair propulsion (WCP) cycle are among the highest forces experienced by wheelchair users. Objective To determine whether the magnitude of hand/forearm velocity prior to impact and effectiveness of rim impact force are dependent on the type of hand trajectory pattern chosen by the user during WCP. Avoiding patterns that inherently cause higher impact force and have lower effectiveness can be another step towards preserving upper limb function in wheelchair users. Methods Kinematic (50 Hz) and kinetic (2500 Hz) data were collected on 34 wheelchair users (16 with paraplegia and 18 with tetraplegia); all participants had motor complete spinal cord injuries ASIA A or B. The four-hand trajectory patterns were analyzed based on velocity prior to contact, peak impact force and the effectiveness of force at impact. Results A high correlation was found between the impact force and the relative velocity of the hand with respect to the wheel (P < 0.05). The wheelchair users with paraplegia were found to have higher effectiveness of force at impact as compared to the users with tetraplegia (P < 0.05). No significant differences in the impact force magnitudes were found between the four observed hand trajectory patterns. Conclusion The overall force effectiveness tended to be associated with the injury level of the user and was found to be independent of the hand trajectory patterns. PMID:22507024

  20. A drive system to add standing mobility to a manual standing wheelchair.

    PubMed

    Nickel, Eric; Hansen, Andrew; Pearlman, Jonathan; Goldish, Gary

    2016-05-16

    Current manual standing wheelchairs are not mobile in the standing position. The addition of standing mobility may lead to improved health and function for the user and may increase utilization of standing wheelchairs. In this project, a chain drive system was fitted to a manual standing wheelchair, adding mobility in the standing position. The hand rims are accessible from both seated and standing positions. The prototype uses 16-inch drive wheels in front with casters in the rear. Additional anterior casters are elevated when seated for navigating obstacles and then descend when standing to create a six-wheeled base with extended anterior support. Stability testing shows the center of pressure remains within the base of support when leaning to the sides or front in both seated and standing positions. Four veterans with spinal cord injury provided feedback on the design and reported that mobility during standing was very important or extremely important to them. The veterans liked the perceived stability and mobility of the prototype and provided feedback for future refinements. For example, reducing the overall width (width from hand rim to hand rim) and weight could make this system more functional for users.

  1. Variability in bimanual wheelchair propulsion: consistency of two instrumented wheels during handrim wheelchair propulsion on a motor driven treadmill

    PubMed Central

    2013-01-01

    Background Handrim wheelchair propulsion is a complex bimanual motor task. The bimanually applied forces on the rims determine the speed and direction of locomotion. Measurements of forces and torques on the handrim are important to study status and change of propulsion technique (and consequently mechanical strain) due to processes of learning, training or the wheelchair configuration. The purpose of this study was to compare the simultaneous outcomes of two different measurement-wheels attached to the different sides of the wheelchair, to determine measurement consistency within and between these wheels given the expected inter- and intra-limb variability as a consequence of motor control. Methods Nine able-bodied subjects received a three-week low-intensity handrim wheelchair practice intervention. They then performed three four-minute trials of wheelchair propulsion in an instrumented hand rim wheelchair on a motor-driven treadmill at a fixed belt speed. The two measurement-wheels on each side of the wheelchair measured forces and torques of one of the two upper limbs, which simultaneously perform the push action over time. The resulting data were compared as direct output using cross-correlation on the torque around the wheel-axle. Calculated push characteristics such as power production and speed were compared using an intra-class correlation. Results Measured torque around the wheel axle of the two measurement-wheels had a high average cross-correlation of 0.98 (std=0.01). Unilateral mean power output over a minute was found to have an intra-class correlation of 0.89 between the wheels. Although the difference over the pushes between left and right power output had a high variability, the mean difference between the measurement-wheels was low at 0.03 W (std=1.60). Other push characteristics showed even higher ICC’s (>0.9). Conclusions A good agreement between both measurement-wheels was found at the level of the power output. This indicates a high

  2. Variability in bimanual wheelchair propulsion: consistency of two instrumented wheels during handrim wheelchair propulsion on a motor driven treadmill.

    PubMed

    Vegter, Riemer J K; Lamoth, Claudine J; de Groot, Sonja; Veeger, Dirkjan H E J; van der Woude, Lucas H V

    2013-01-29

    Handrim wheelchair propulsion is a complex bimanual motor task. The bimanually applied forces on the rims determine the speed and direction of locomotion. Measurements of forces and torques on the handrim are important to study status and change of propulsion technique (and consequently mechanical strain) due to processes of learning, training or the wheelchair configuration. The purpose of this study was to compare the simultaneous outcomes of two different measurement-wheels attached to the different sides of the wheelchair, to determine measurement consistency within and between these wheels given the expected inter- and intra-limb variability as a consequence of motor control. Nine able-bodied subjects received a three-week low-intensity handrim wheelchair practice intervention. They then performed three four-minute trials of wheelchair propulsion in an instrumented hand rim wheelchair on a motor-driven treadmill at a fixed belt speed. The two measurement-wheels on each side of the wheelchair measured forces and torques of one of the two upper limbs, which simultaneously perform the push action over time. The resulting data were compared as direct output using cross-correlation on the torque around the wheel-axle. Calculated push characteristics such as power production and speed were compared using an intra-class correlation. Measured torque around the wheel axle of the two measurement-wheels had a high average cross-correlation of 0.98 (std=0.01). Unilateral mean power output over a minute was found to have an intra-class correlation of 0.89 between the wheels. Although the difference over the pushes between left and right power output had a high variability, the mean difference between the measurement-wheels was low at 0.03 W (std=1.60). Other push characteristics showed even higher ICC's (>0.9). A good agreement between both measurement-wheels was found at the level of the power output. This indicates a high comparability of the measurement-wheels for the

  3. Relationship Between Shoulder Pain and Kinetic and Temporal-Spatial Variability In Wheelchair Users

    PubMed Central

    Rice, Ian M; Jayaraman, Chandrasekaran; Hsiao-Wecksler, Elizabeth T.; Sosnoff, Jacob J.

    2014-01-01

    Objective To examine intra-individual variability of kinetic and temporal-spatial parameters of wheelchair propulsion as a function of shoulder pain in manual wheelchair users (MWU). Design Cohort Setting University Research Laboratory Participants 26 adults with physical disabilities who use a manual wheelchair for mobility full time (>80% ambulation) Interventions Participants propelled their own wheelchairs with force sensing wheels at a steady state pace on a dynamometer at 3 speeds (self-selected, 0.7m/s, 1.1m/s) for 3 minutes. Temporal-spatial and kinetic data were recorded unilaterally at the hand rim. Main Outcome Measures Shoulder pain was quantified with the wheelchair users shoulder pain index (WUSPI). Intra-individual mean, standard deviation (SD), and coefficient of variation of (CV = mean/SD) with kinetic and temporal spatial metrics were determined at the handrim. Results There were no differences in mean kinetic and temporal spatial metrics as a function of pain group (p's > 0.016). However, individuals with pain displayed less relative variability (CV) in peak resultant force and push time then pain free individuals (p<0.016). Conclusions Shoulder pain had no influence on mean kinetic and temporal-spatial propulsion variables at the handrim however group differences were found in relative variability. These results suggest that intra-individual variability analysis is sensitive to pain. It is proposed that variability analysis may offer an approach of earlier identification of manual wheelchair users at risk for developing shoulder pain. PMID:24291595

  4. Effect of holding a racket on propulsion technique of wheelchair tennis players.

    PubMed

    de Groot, S; Bos, F; Koopman, J; Hoekstra, A E; Vegter, R J K

    2017-09-01

    The purpose of this study was to determine possible differences in propulsion technique between propelling the wheelchair with and without a racket in the hand. Eight experienced wheelchair tennis players performed three submaximal exercise tests and six sprint tests on a wheelchair ergometer. Torque and velocity were measured during the tests and power output and timing variables were calculated. Differences between the conditions with and without racket were analyzed. When propelling with the racket, the racket side showed a significantly lower push time (P = 0.03), lower percentage push time (P = 0.001), shorter contact angle (P < 0.001), more power loss before (P = 0.006) and after (P = 0.001) the push, a higher peak (P = 0.009) and mean (P = 0.005) power output during the push, and a lower mean overall velocity (P = 0.03). When the same hand is compared when propelling with and without racket or when the sprint data were analyzed, similar significant differences were found. Propelling the wheelchair while holding a racket has negative effects on the propulsion technique and may lead to injuries of the upper extremity. The longer time needed to couple the hand with the racket to the rim leads to higher power losses and subsequently higher power output generation during the shorter push phase. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  5. A robotic wheelchair

    NASA Technical Reports Server (NTRS)

    Miller, David P.; Grant, Edward

    1994-01-01

    Many people who are mobility impaired are incapable, for a variety of reasons, of using an ordinary wheelchair. These people must rely on either a power wheelchair, which they control, or another person to push and guide them while they are in an ordinary or power wheelchair. Power wheelchairs can be difficult to operate. If a person has additional disabilities, either in perception or fine motor control of their hands, a power chair can be difficult or impossible for them to use safely. Having one person push and guide a person who is mobility impaired is very expensive, and if the disabled person is otherwise independent, very inefficient and frustrating. This paper describes a low-cost robotic addition to a power wheelchair that assists the rider of the chair in avoiding obstacles, going to pre-designated places, and maneuvering through doorways and other narrow or crowded areas. This system can be interfaced to a variety of input devices, and can give the operator as much or as little moment by moment control of the chair as they wish.

  6. Effects of synchronous versus asynchronous mode of propulsion on wheelchair basketball sprinting.

    PubMed

    Faupin, Arnaud; Borel, Benoit; Meyer, Christophe; Gorce, Philippe; Watelain, Eric

    2013-11-01

    This study aimed to first investigate synchronous (SYN) versus asynchronous (ASY) mode of propulsion and, second, investigate the wheel camber effects on sprinting performance as well as temporal parameters. Seven wheelchair basketball players performed four maximal eight-second sprints on a wheelchair ergometer. They repeated the test according to two modes of propulsion (SYN and ASY) and two wheel cambers (9° and 15°). The mean maximal velocity and push power output was greater in the synchronous mode compared to the asynchronous mode for both camber angles. However, the fluctuation in the velocity profile is inferior for ASY versus SYN mode for both camber angles. Greater push time/cycle time (Pt/Ct) and arm frequency (AF) for synchronous mode versus asynchronous mode and inversely, lesser Ct and rest time (Rt) values for the synchronous mode, for which greater velocity were observed. SYN mode leads to better performance than ASY mode in terms of maximal propulsion velocity. However, ASY propulsion allows greater continuity of the hand-rim force application, reducing fluctuations in the velocity profile. The camber angle had no effect on ASY and SYN mean maximal velocity and push power output. The study of wheelchair propulsion strategies is important for better understanding physiological and biomechanical impacts of wheelchair propulsion for individuals with disabilities. From a kinematical point of view, this study highlights synchronous mode of propulsion to be more efficient, with regards to mean maximal velocity reaching during maximal sprinting exercises. Even if this study focuses on well-trained wheelchair athletes, results from this study could complement the knowledge on the physiological and biomechanical adaptations to wheelchair propulsion and therefore, might be interesting for wheelchair modifications for purposes of rehabilitation.

  7. Advanced Wheelchair

    NASA Technical Reports Server (NTRS)

    1985-01-01

    A prototype lightweight wheelchair based on aerospace technology resulted from a Langley Research Center/University of VA project. The chair weighs 25 pounds and is collapsable. Commercial applications are under consideration.

  8. Rim Complexities

    NASA Image and Video Library

    2016-01-11

    Today's VIS image from NASA's 2001 Mars Odyssey is of an unnamed crater in Chryse Planitia. There are several concentric ridges visible on the right side of this image. These features formed at the time of impact and are part of the rim structure of this crater. Numerous gullies dissect the rim and a small dune field is located on the floor of the crater. Orbit Number: 61676 Latitude: 36.5047 Longitude: 329.655 Instrument: VIS Captured: 2015-11-09 04:07 http://photojournal.jpl.nasa.gov/catalog/PIA20233

  9. Training Visual Control in Wheelchair Basketball Shooting

    ERIC Educational Resources Information Center

    Oudejans, Raoul R. D.; Heubers, Sjoerd; Ruitenbeek, Jean-Rene J. A. C.; Janssen, Thomas W. J.

    2012-01-01

    We examined the effects of visual control training on expert wheelchair basketball shooting, a skill more difficult than in regular basketball, as players shoot from a seated position to the same rim height. The training consisted of shooting with a visual constraint that forced participants to use target information as late as possible.…

  10. Training Visual Control in Wheelchair Basketball Shooting

    ERIC Educational Resources Information Center

    Oudejans, Raoul R. D.; Heubers, Sjoerd; Ruitenbeek, Jean-Rene J. A. C.; Janssen, Thomas W. J.

    2012-01-01

    We examined the effects of visual control training on expert wheelchair basketball shooting, a skill more difficult than in regular basketball, as players shoot from a seated position to the same rim height. The training consisted of shooting with a visual constraint that forced participants to use target information as late as possible.…

  11. Concentric Rims

    NASA Image and Video Library

    2016-01-19

    This image captured by NASA 2001 Mars Odyssey spacecraft shows an unnamed crater near Acheron Fossae. The structure of this crater includes a central pit and several concentric rims. Radial grooves can be seen on the ejecta blanket surrounding the crater. Orbit Number: 61879 Latitude: 36.8829 Longitude: 232.325 Instrument: VIS Captured: 2015-11-25 21:21 http://photojournal.jpl.nasa.gov/catalog/PIA20240

  12. Toward gesture controlled wheelchair: a proof of concept study.

    PubMed

    Kawarazaki, Noriyuki; Stefanov, Dimitar; Diaz, Alejandro Israel Barragan

    2013-06-01

    This study focuses on the early stages of developing and testing an interactive approach for gesture-based wheelchair control that could facilitate the user in various tasks such as cooking and food serving. The proposed method allows a user to hold an object (tray, saucepan, etc) with both hands and to control at the same time the wheelchair direction via changing the position of his/her arms. The wheelchair control system contains an image sensor directed to the user's arms. Sensor signals are processed via an image-recognition algorithm and the calculations for the arm positions are used for the computation of the wheelchair steering signals. Thus, the wheelchair direction depends on the arm positions and the user can control the wheelchair by moving his/her arms. An initial wheelchair prototype, operated by the intentional motions of one hand, was built and was tested by several initial experiments.

  13. Wheelchair users are not necessarily wheelchair bound.

    PubMed

    Hoenig, Helen; Pieper, Carl; Zolkewitz, Mike; Schenkman, Margaret; Branch, Laurence G

    2002-04-01

    To determine the patterns of wheelchair use in terms of locations of use, whether wheelchair use in one location was related to wheelchair use in other locations, and factors associated with wheelchair use in different locations. Longitudinal cohort study. Patients prescribed wheelchairs by clinicians at one of two teaching hospitals (one Veterans Affairs hospital and one private hospital). One hundred fifty-three consecutive persons who were prescribed a new wheelchair, resided in the community, had a Short Portable Mental Status Questionnaire score of greater than six out of 10, and who could be interviewed within 7 to 21 days of receiving the wheelchair. Patient, wheelchair, and environmental characteristics and self-reported wheelchair use in life spaces. Wheelchair use in the 24 hours before the interview was inconsistent across life spaces. The correlation between wheelchair use in the bath and in the kitchen was 0.66, between locations near and far from home was -0.08, and between locations in the home and outside the home was 0.08. Predictors of wheelchair use in the home were using help from another person to propel the wheelchair (odds ratio (OR) = 0.14, 95% confidence interval (CI) = 0.04-0.45), the number of impairments (OR = 0.80, 95% CI = 0.67-0.96), a report that the wheelchair did not meet the subject's needs (OR = 3.71, 95% CI = 1.27-10.81), and having adapted the home to accommodate the wheelchair (OR = 3.75, 95% CI = 1.47-8.18). Having adapted the home was also positively associated with use of the wheelchair in areas near the home (OR = 4.77, 95% CI = 1.94-11.71). The only factor associated with wheelchair use in distant locations was older age (OR = 0.62, 95% CI = 0.46-0.83 per 10-year increment). Personal factors (e.g., using help to propel the wheelchair) and environmental factors (e.g., home adaptations to accommodate the wheelchair) influenced wheelchair use. In addition, wheelchair use, and the factors influencing wheelchair use, differed

  14. Talking Wheelchair

    NASA Technical Reports Server (NTRS)

    1981-01-01

    Communication is made possible for disabled individuals by means of an electronic system, developed at Stanford University's School of Medicine, which produces highly intelligible synthesized speech. Familiarly known as the "talking wheelchair" and formally as the Versatile Portable Speech Prosthesis (VPSP). Wheelchair mounted system consists of a word processor, a video screen, a voice synthesizer and a computer program which instructs the synthesizer how to produce intelligible sounds in response to user commands. Computer's memory contains 925 words plus a number of common phrases and questions. Memory can also store several thousand other words of the user's choice. Message units are selected by operating a simple switch, joystick or keyboard. Completed message appears on the video screen, then user activates speech synthesizer, which generates a voice with a somewhat mechanical tone. With the keyboard, an experienced user can construct messages as rapidly as 30 words per minute.

  15. Airline Wheelchair

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Accutron Tool & Instrument Co.'s wheelchair was designed to increase mobility within the airplane. Utilizing NASA's structural analysis and materials engineering technologies, it allows passage through narrow airline aisles to move passengers to their seats and give access to lavatories. Stable, durable, comfortable and easy to handle, it's made of composite materials weighing only 17 pounds, yet is able to support a 200 pound person. Folded easily and stored when not in use.

  16. A motor learning approach to training wheelchair propulsion biomechanics for new manual wheelchair users: A pilot study.

    PubMed

    Morgan, Kerri A; Tucker, Susan M; Klaesner, Joseph W; Engsberg, Jack R

    2017-05-01

    Developing an evidence-based approach to teaching wheelchair skills and proper propulsion for everyday wheelchair users with a spinal cord injury (SCI) is important to their rehabilitation. The purpose of this project was to pilot test manual wheelchair training based on motor learning and repetition-based approaches for new manual wheelchair users with an SCI. A repeated measures within-subject design was used with participants acting as their own controls. Six persons with an SCI requiring the use of a manual wheelchair participated in wheelchair training. The training included nine 90-minute sessions. The primary focus was on wheelchair propulsion biomechanics with a secondary focus on wheelchair skills. During Pretest 1, Pretest 2, and Posttest, wheelchair propulsion biomechanics were measured using the Wheelchair Propulsion Test and a Video Motion Capture system. During Pretest 2 and Posttest, propulsion forces using the WheelMill System and wheelchair skills using the Wheelchair Skills Test were measured. Significant changes in area of the push loop, hand-to-axle relationship, and slope of push forces were found. Changes in propulsion patterns were identified post-training. No significant differences were found in peak and average push forces and wheelchair skills pre- and post-training. This project identified trends in change related to a repetition-based motor learning approach for propelling a manual wheelchair. The changes found were related to the propulsion patterns used by participants. Despite some challenges associated with implementing interventions for new manual wheelchair users, such as recruitment, the results of this study show that repetition-based training can improve biomechanics and propulsion patterns for new manual wheelchair users.

  17. The effectiveness of hand cooling at reducing exercise-induced hyperthermia and improving distance-race performance in wheelchair and able-bodied athletes.

    PubMed

    Goosey-Tolfrey, Victoria; Swainson, Michelle; Boyd, Craig; Atkinson, Greg; Tolfrey, Keith

    2008-07-01

    The purpose of this study was to examine the effectiveness of reducing core temperature in postexercise hyperthermic subjects and to assess if hand cooling (HC) improves subsequent timed distance performance. Following a detailed measurement check on the use of insulated auditory canal temperature (T(ac)), eight wheelchair (WA) athletes and seven male able-bodied (AB) athletes performed two testing sessions, comprising a 60-min exercise protocol and 10-min recovery period, followed by a performance trial (1 km and 3 km for WA and AB, respectively) at 30.8 degrees C (SD 0.2) and 60.6% (SD 0.2) relative humidity. In a counterbalanced order, HC and a no-cooling condition was administered during the 10-min recovery period before the performance trial. Nonsignificant condition x time interactions for both WA (F(15,75) = 1.5, P = 0.14) and AB (F(15,90) = 1.2, P = 0.32) confirmed that the exercise-induced changes (Delta) in T(ac) were similar before each intervention. However, the exercise-induced increase was evidently greater in AB compared with WA (2.0 vs. 1.3 degrees C change, respectively). HC produced DeltaT(ac) of -0.4 degrees C (SD 0.4) and -1.2 degrees C (SD 0.2) in comparison (WA and AB, respectively), and simple-effects analyses suggested that the reductions in T(ac) were noteworthy after 4 min of HC. HC had an impact on improving AB performances by -4.0 s (SD 11.5) (P < 0.05) and WA by -20.5 s (SD 24.2) (P > 0.05). In conclusion, extraction of heat through the hands was effective in lowering T(ac) in both groups and improving 3-km performance in the AB athletes and trends toward positive gains for the 1-km performance times of the WA group.

  18. Moment generation in wheelchair propulsion.

    PubMed

    Guo, Lan-Yuen; Zhao, K D; Su, Fong-Chin; An, Kai-Nan

    2003-01-01

    Wheelchair propulsion is a man machine interaction in which chair design and fit affect the relative positions and orientations of the upper extremity relative to the handrim and wheel axle. To understand these relationships better, experimental data were collected in five hand positions from five subjects exerting maximal effort to propel an instrumented wheelchair with its wheel in a locked position. The results of experiments revealed that the progression moment was greater at both initial and terminal propulsion positions and smaller in the mid-propulsion position. The vertical and horizontal force components were directed radially away from the wheel axle posterior to the dead centre position and radially towards the wheel axle anterior to top dead centre. Subsequently, a subject-specific quasi-static model of the upper extremity which maximized wheel progression moment was developed to augment our understanding of experimental measures. Model-predicted trends in progression moments and hand force direction were similar to experiment. Model predictions revealed that the optimal progression moment generation could potentially be affected by an individual's anthropometric parameters, joint strengths and also the direction of force applied by the hand on the handrim. Through wheelchair fitting and training of wheelchair users, it may be possible to improve propulsion technique.

  19. A COMPARISON OF STATIC AND DYNAMIC OPTIMIZATION MUSCLE FORCE PREDICTIONS DURING WHEELCHAIR PROPULSION

    PubMed Central

    Morrow, Melissa M.; Rankin, Jeffery W.; Neptune, Richard R.; Kaufman, Kenton R.

    2014-01-01

    The primary purpose of this study was to compare static and dynamic optimization muscle force and work predictions during the push phase of wheelchair propulsion. A secondary purpose was to compare the differences in predicted shoulder and elbow kinetics and kinematics and handrim forces. The forward dynamics simulation minimized differences between simulated and experimental data (obtained from 10 manual wheelchair users) and muscle co-contraction. For direct comparison between models, the shoulder and elbow muscle moment arms and net joint moments from the dynamic optimization were used as inputs into the static optimization routine. RMS errors between model predictions were calculated to quantify model agreement. There was a wide range of individual muscle force agreement that spanned from poor (26.4 % Fmax error in the middle deltoid) to good (6.4 % Fmax error in the anterior deltoid) in the prime movers of the shoulder. The predicted muscle forces from the static optimization were sufficient to create the appropriate motion and joint moments at the shoulder for the push phase of wheelchair propulsion, but showed deviations in the elbow moment, pronation-supination motion and hand rim forces. These results suggest the static approach does not produce results similar enough to be a replacement for forward dynamics simulations, and care should be taken in choosing the appropriate method for a specific task and set of constraints. Dynamic optimization modeling approaches may be required for motions that are greatly influenced by muscle activation dynamics or that require significant co-contraction. PMID:25282075

  20. Disturbance road adaptive driving control of power-assisted wheelchair using fuzzy inference.

    PubMed

    Seki, Hirokazu; Kiso, Atsushi

    2011-01-01

    This paper describes a novel driving control scheme of electric power-assisted wheelchairs for assistive driving on various large disturbance roads. The "electric power-assisted wheelchair" which assists the driving force by electric motors is expected to be widely used as a mobility support system for elderly people and disabled people; however, there are lots of large disturbance roads such as uphill roads and rough roads and operators need to row the hand-rims with the larger power load on such roads in order to obtain the enough driving velocity. For example the wheelchair might move backward on uphill roads due to the driving torque shortage. Therefore this study proposes a fuzzy algorithm based adaptive control scheme in order to realize the assistive driving without the operator's power load on large disturbance roads. The proposed fuzzy rules are designed from the driving distance information and the control parameters are inferred by the fuzzy algorithm. The assisted torque can be adjusted so that the enough distance and velocity are kept even on large disturbance roads. Driving experimental results are provided to verify the effectiveness of the proposed control system.

  1. WHEELCHAIR PROPULSION DEMANDS DURING OUTDOOR COMMUNITY AMBULATION

    PubMed Central

    Hurd, Wendy J.; Morrow, Melissa M. B.; Kaufman, Kenton R.; An, Kai-Nan

    2009-01-01

    Objective Quantify manual wheelchair propulsion effort during outdoor community ambulation. Design Case series Subjects Thirteen individuals (12 with SCI, 1 with spina bifida) who were experienced manual wheelchair users and had no current upper extremity injury or pain complaints. Methods Measurements were obtained from instrumented wheelchair rims during steady-state propulsion as subjects traversed outdoor concrete sidewalk terrain that included smooth level, aggregate level, and a ramp with a smooth surface. Propulsion effort was assessed using the average propulsion moment, average instantaneous power, and work for both upper extremities. Results Propulsion effort, captured by the propulsion moment, work and power, varied across ground conditions (p<0.001). Propulsion effort was greater as the rolling resistance increased (ie., smooth versus aggregate surfaces) and as the inclination angle progressed from level to inclined surfaces. There were no side-to-side differences across ground conditions for the propulsion moment or work. Power generation was significantly greater on the dominant compared to the non-dominant extremity during the more challenging aggregate surface and ramp conditions. Conclusions Propulsion effort varies with demands imposed by different ground conditions. Quantification of wheelchair propulsion demands provides rehabilitations specialists with objective information to guide treatment of patients adapting to manual wheelchair use. PMID:18590967

  2. WheelchairNet

    MedlinePlus

    ... at Teleton CRIT Mexico City and CRIT La Paz. September 2016. (Photos courtesy of American Wheelchair Mission.) ... at Teleton CRIT Mexico City and CRIT La Paz. September 2016. (Photos courtesy of American Wheelchair Mission.) ...

  3. The effect of wheel size on mobility performance in wheelchair athletes.

    PubMed

    Mason, B; van der Woude, L; Lenton, J P; Goosey-Tolfrey, V

    2012-10-01

    The purpose of the current study was to investigate the effects of different wheel sizes, with fixed gear ratios, on maximal effort mobility performance in wheelchair athletes. 13 highly trained wheelchair basketball players, grouped by classification level, performed a battery of 3 field tests in an adjustable wheelchair with 3 different wheel sizes (0.59 m, 0.61 m and 0.65 m). Performance was assessed using the time taken to perform drills, with velocity and acceleration data also collected via a wheelchair velocometer. 20 m sprint time improved in the 0.65 m condition (5.58 ± 0.43 s, P=0.029) compared with 0.59 m (5.72 ± 0.40 s). Acceleration performance over the first 2 (P=0.299) and 3 (P=0.145) pushes was not statistically influenced by wheel size. However, the peak velocities reached were greater in the 0.65 m condition (4.77 ± 0.46 m ∙ s(-1), P=0.078, Effect Size [ES]=0.63) compared with 0.59 m (4.61 ± 0.40 m ∙ s(-1)). Impact velocity, calculated as the change in velocity from the onset of a push to the following impact peak, to define coupling performance, was also significantly improved in 0.65 m wheels (0.14 ± 0.14 m ∙ s(-1), P=0.006) than 0.59 m wheels (0.05 ± 0.10 m ∙ s(-1)). The time taken to complete the linear mobility (P=0.630) and the agility drill (P=0.505) were not affected by wheel size. Finally, no significant interactions existed between wheel size, classification and any performance measure. To conclude, larger 0.65 m wheels improved the maximal sprinting performance of highly trained wheelchair basketball players, without any negative effects on acceleration or manoeuvrability. Improvements in sprinting were attributed to a combination of the reduced drag forces experienced and improvements in coupling thought to be due to the lower angular velocities of the wheel/hand-rim when developing high wheelchair velocities in larger wheels. © Georg Thieme Verlag KG Stuttgart · New York.

  4. A theory of wheelchair wheelie performance.

    PubMed

    Kauzlarich, J J; Thacker, J G

    1987-01-01

    The results of this analytical study of wheelchair wheelie performance can be summarized into two wheelchair design equations, or rules of thumb, as developed in the paper. The equation containing the significant parameters involved in popping a wheelie for curb climbing is: fh = 0.8 mg theta c.g. [A] where fh is handrim force, m is the mass of the wheelchair + user less rear wheels, g is acceleration of gravity (9.807 m/s2), and theta c.g. is "c.g. angle," i.e., the angle between the vertical through the rear axle and a line connecting the rear axle and the system center-of-gravity. Equation [A] shows that reducing the mass and/or the c.g. angle will make it easier to pop a wheelie. The c.g. angle is reduced by moving the rear axle position forward on the wheelchair. Wheelie balance is the other aspect of performance considered; where the user balances the wheelchair on the rear wheels for going down curbs or just for fun. The ease with which a system can be controlled (balanced) is related to the static stability of the system. The static stability is defined as: omega 2 = mgl/J [B] where J is the mass moment of inertia at the center of gravity of the system about the direction perpendicular to the sideframe. For better wheelchair control during wheelchair balance the static stability should be reduced. Measurements of the value for the polar mass moment of inertia for a typical wheelchair + user of m = 90 kg was found to be J = 8.7 kg-m2. In order to decrease the value of the static stability, Equation [B], one can increase J or decrease m and/or l, where l is the distance from the rear axle to the c.g. of the system. It is also shown that balancing a rod in the palm of the hand (inverted pendulum) is a mathematical problem similar to the wheelie balance problem, and a rod of length 1.56 meters is similar to a wheelchair + user system mass of 90 kg. However, balancing a rod is done primarily by using visual perception, whereas wheelie balance involves human

  5. Training visual control in wheelchair basketball shooting.

    PubMed

    Oudejans, Raôul R D; Heubers, Sjoerd; Ruitenbeek, Jean-René J A C; Janssen, Thomas W J

    2012-09-01

    We examined the effects of visual control training on expert wheelchair basketball shooting, a skill more difficult than in regular basketball, as players shoot from a seated position to the same rim height. The training consisted of shooting with a visual constraint that forced participants to use target information as late as possible. Participants drove under a large screen that initially blocked the basket. As soon as they saw the basket they shot. When training with the screen, shooting percentages increased. We conclude that visual control training is an effective method to improve wheelchair basketball shooting. The findings support the idea that perceptual-motor learning can be enhanced by manipulating relevant constraints in the training environment, even for expert athletes.

  6. Mechanics in a wheelchair

    NASA Astrophysics Data System (ADS)

    Bernhard, Karin; Bernhard, Jonte

    1999-12-01

    It is not only possible for a student sitting in a wheelchair to participate in many active engagement activities. Using a wheelchair is also of extra value for non-physically disabled students in many experiential mechanics activities since the friction is low and kinesthetic experience involved. A wheelchair can also be used as an engaging "tool" for connecting mechanical concepts and real-world phenomena.

  7. Low cost wheelchair.

    PubMed

    Bosshard, R G; Yeo, J D

    1983-04-01

    This wheelchair is a new concept in wheelchair design, made entirely of readily available plastic materials and rear bicycle wheels. The chair does not require a cushion, weights only 12 kg with 100 mm front castors or 13 kg with 175 mm castors. It is easy to manoeuvre. The design allows this wheelchair to be used as a conventional wheelchair and a shower/commode chair. Side arms and brakes can be attached if required. The necessary materials are relatively inexpensive and generally available in most countries.

  8. Manual wheelchair propulsion patterns on natural surfaces during start-up propulsion.

    PubMed

    Koontz, Alicia M; Roche, Bailey M; Collinger, Jennifer L; Cooper, Rory A; Boninger, Michael L

    2009-11-01

    To classify propulsion patterns over surfaces encountered in the natural environment during start-up and compare selected biomechanical variables between pattern types. Case series. National Veterans Wheelchair Games, Minneapolis, MN, 2005. Manual wheelchair users (N=29). Subjects pushed their wheelchairs from a resting position over high-pile carpet, over linoleum, and up a ramp with a 5 degrees incline while propulsion kinematics and kinetics were recorded with a motion capture system and an instrumented wheel. Three raters classified the first 3 strokes as 1 of 4 types on each surface: arc, semicircular (SC), single looping over propulsion (SL), and double looping over propulsion (DL). The Fisher exact test was used to assess pattern changes between strokes and surface type. A multiple analysis of variance test was used to compare peak and average resultant force and moment about the hub, average wheel velocity, stroke frequency, contact angle, and distance traveled between stroke patterns. SL was the most common pattern used during start-up propulsion (44.9%), followed by arc (35.9%), DL (14.1%), and SC (5.1%). Subjects who dropped their hands below the rim during recovery achieved faster velocities and covered greater distances (.016< or =P< or =.075) during start-up on linoleum and carpet and applied more force during start-up on the ramp compared with those who used an arc pattern (P=.066). Classifying propulsion patterns is a difficult task that should use multiple raters. In addition, propulsion patterns change during start-up, with an arc pattern most prevalent initially. The biomechanical findings in this study agree with current clinical guidelines that recommend training users to drop the hand below the pushrim during recovery.

  9. Autonomous assistance navigation for robotic wheelchairs in confined spaces.

    PubMed

    Cheein, Fernando Auat; Carelli, Ricardo; De la Cruz, Celso; Muller, Sandra; Bastos Filho, Teodiano F

    2010-01-01

    In this work, a visual interface for the assistance of a robotic wheelchair's navigation is presented. The visual interface is developed for the navigation in confined spaces such as narrows corridors or corridor-ends. The interface performs two navigation modus: non-autonomous and autonomous. The non-autonomous driving of the robotic wheelchair is made by means of a hand-joystick. The joystick directs the motion of the vehicle within the environment. The autonomous driving is performed when the user of the wheelchair has to turn (90, 90 or 180 degrees) within the environment. The turning strategy is performed by a maneuverability algorithm compatible with the kinematics of the wheelchair and by the SLAM (Simultaneous Localization and Mapping) algorithm. The SLAM algorithm provides the interface with the information concerning the environment disposition and the pose -position and orientation-of the wheelchair within the environment. Experimental and statistical results of the interface are also shown in this work.

  10. Fiber composite flywheel rim

    DOEpatents

    Davis, D.E.; Ingham, K.T.

    1987-04-28

    A flywheel comprising a hub having at least one radially projecting disc, an annular rim secured to said disc and providing a surface circumferential to said hub, a first plurality of resin-impregnated fibers wound about said rim congruent to said surface, and a shell enclosing said first plurality of fibers and formed by a second plurality of resin-impregnated fibers wound about said rim tangentially to said surface. 2 figs.

  11. Fiber composite flywheel rim

    DOEpatents

    Davis, Donald E.; Ingham, Kenneth T.

    1987-01-01

    A flywheel 2 comprising a hub 4 having at least one radially projecting disc 6, an annular rim 14 secured to said disc and providing a surface circumferential to said hub, a first plurality of resin-impregnated fibers 22 wound about said rim congruent to said surface, and a shell 26 enclosing said first plurality of fibers and formed by a second plurality of resin-impregnated fibers wound about said rim tangentially to said surface.

  12. Children's wheelchair clinic.

    PubMed

    Holt, K S; Darcus, H; Brand, H L

    1972-12-16

    During the first year of a children's monthly wheelchair clinic 29 out of 34 chairs supplied in the past were found to be unsatisfactory. The advantages of a central clinic for a region where clinicians and technical officers can meet are emphasized, as is also the need for wider dispersal of knowledge about wheelchairs for disabled children.

  13. Effect of wheelchair design on wheeled mobility and propulsion efficiency in less-resourced settings

    PubMed Central

    2017-01-01

    Background Wheelchair research includes both qualitative and quantitative approaches, primarily focuses on functionality and skill performance and is often limited to short testing periods. This is the first study to use the combination of a performance test (i.e. wheelchair propulsion test) and a multiple-day mobility assessment to evaluate wheelchair designs in rural areas of a developing country. Objectives Test the feasibility of using wheel-mounted accelerometers to document bouts of wheeled mobility data in rural settings and use these data to compare how patients respond to different wheelchair designs. Methods A quasi-experimental, pre- and post-test design was used to test the differences between locally manufactured wheelchairs (push rim and tricycle) and an imported intervention product (dual-lever propulsion wheelchair). A one-way repeated measures analysis of variance was used to interpret propulsion and wheeled mobility data. Results There were no statistical differences in bouts of mobility between the locally manufactured and intervention product, which was explained by high amounts of variability within the data. With regard to the propulsion test, push rim users were significantly more efficient when using the intervention product compared with tricycle users. Conclusion Use of wheel-mounted accelerometers as a means to test user mobility proved to be a feasible methodology in rural settings. Variability in wheeled mobility data could be decreased with longer acclimatisation periods. The data suggest that push rim users experience an easier transition to a dual-lever propulsion system. PMID:28936416

  14. Children in wheelchairs.

    PubMed

    Wisbeach, A; Holt, K S

    1980-07-19

    Three hundred and seventy-five families replied to a questionnaire about the use of their disabled children's wheelchairs. Many problems were found, such as difficulty in folding the chair and placing it in the car boot and difficulty in using pulbic transport. These families need adequate guidance to anticipate and deal with the problems. Provision of a wheelchair does not solve the mobility problems. The parents are faced with the task of transporting both the disabled child and the wheelchair whenever they want to use their own car or public transport. Ease of folding and lightness are important criteria for wheelchairs carried by cars. Parents need careful guidance about selecting suitable cars and also need to be shown how to lift the chairs without endangering their backs. Such advice should be provided by every wheelchair clinic and assessment and rehabilitation certre.

  15. Children in wheelchairs.

    PubMed Central

    Wisbeach, A; Holt, K S

    1980-01-01

    Three hundred and seventy-five families replied to a questionnaire about the use of their disabled children's wheelchairs. Many problems were found, such as difficulty in folding the chair and placing it in the car boot and difficulty in using pulbic transport. These families need adequate guidance to anticipate and deal with the problems. Provision of a wheelchair does not solve the mobility problems. The parents are faced with the task of transporting both the disabled child and the wheelchair whenever they want to use their own car or public transport. Ease of folding and lightness are important criteria for wheelchairs carried by cars. Parents need careful guidance about selecting suitable cars and also need to be shown how to lift the chairs without endangering their backs. Such advice should be provided by every wheelchair clinic and assessment and rehabilitation certre. PMID:6447531

  16. Maneuverability and usability analysis of three knee-extension propelled wheelchairs.

    PubMed

    Bloswick, D S; Erickson, J; Brown, D R; Howell, G; Mecham, W

    The purpose of this study was to evaluate the maneuverability and usability of three knee-extension propelled wheelchairs. The maneuverability of the knee-extension propelled wheelchairs was determined in a controlled test representing five standard wheelchair activities. The usability of the wheelchairs was evaluated in a field test with elderly residents of an extended care facility in Salt Lake City. The results indicate that the wheelchair designs using a swinging (four-bar linkage) or sliding belt mechanism are preferred to a sliding plate design. The use of knee-extension propelled wheelchairs is a feasible alternative to hand propelled wheelchairs. Further development and research is needed to address power requirements, maneuverability, and entrance/egress from the chairs.

  17. Finite element analysis of a composite wheelchair wheel design

    NASA Technical Reports Server (NTRS)

    Ortega, Rene

    1994-01-01

    The finite element analysis of a composite wheelchair wheel design is presented. The design is the result of a technology utilization request. The designer's intent is to soften the riding feeling by incorporating a mechanism attaching the wheel rim to the spokes that would allow considerable deflection upon compressive loads. A finite element analysis was conducted to verify proper structural function. Displacement and stress results are presented and conclusions are provided.

  18. The Hephaestus Smart Wheelchair System.

    PubMed

    Simpson, Richard C; Poirot, Daniel; Baxter, Francie

    2002-06-01

    The Hephaestus Smart Wheelchair System is envisioned as a series of components that clinicians and wheelchair manufacturers will be able to attach to standard power wheelchairs to convert them into "smart wheelchairs." A prototype of the system has been developed and mounted on an Everest and Jennings Lancer2000 wheelchair. The prototype bases its navigation assistance behavior on the behavior developed for the NavChair Assistive Wheelchair Navigation System, but the underlying hardware and software are being designed to facilitate commercialization. This paper describes our design goals for the Hephaestus system and discusses the current status of the system prototype as well as plans for future work.

  19. Wheelchair basketball quantification.

    PubMed

    Gil-Agudo, Angel; Del Ama-Espinosa, Antonio; Crespo-Ruiz, Beatriz

    2010-02-01

    Classification systems are one of the key elements in sports for people with disability, including wheelchair basketball. Further scientific studies to validate classification systems are needed. This article describes the most relevant research, with emphasis on biomechanics.

  20. Children's Wheelchair Clinic

    PubMed Central

    Holt, K. S.; Darcus, H.; Brand, H. Lorna

    1972-01-01

    During the first year of a children's monthly wheelchair clinic 29 out of 34 chairs supplied in the past were found to be unsatisfactory. The advantages of a central clinic for a region where clinicians and technical officers can meet are emphasized, as is also the need for wider dispersal of knowledge about wheelchairs for disabled children. ImagesFIG. 2FIG. 3FIG. 4FIG. 5 PMID:4264882

  1. Alar Rim Deformities.

    PubMed

    Totonchi, Ali; Guyuron, Bahman

    2016-01-01

    The alar rim plays an important role in nasal harmony. Alar rim flaws are common following the initial rhinoplasty. Classification of the deformities helps with diagnosis and successful surgical correction. Diagnosis of the deformity requires careful observation of the computerized or life-sized photographs. Techniques for treatment of these deformities can easily be learned with attention to detail. Copyright © 2016 Elsevier Inc. All rights reserved.

  2. A review of manual wheelchairs.

    PubMed

    Flemmer, Claire L; Flemmer, Rory C

    2016-01-01

    To review the scientific literature published in the last 14 years on the different types of manual wheelchairs. A systematic review of the literature was conducted to find the recent research on manual wheelchairs. The findings of 77 references on pushrim-propelled wheelchairs, crank-propelled wheelchairs, lever-propelled wheelchairs, geared manual wheelchairs and pushrim-activated power-assist wheelchairs are reported. The pushrim-propelled wheelchair is light, easy to steer and has good indoor manoeuvrability but is very inefficient and causes serious upper body overloading so that long-term use leads to steadily deteriorating capability for the user and ultimately a transition to a powered chair. Whilst the latter is less physically demanding, the sedentary lifestyle and decreasing muscle use lead to several secondary health problems. Crank- and lever-propelled wheelchairs and geared pushrim wheelchairs are more efficient and less demanding and may improve the quality of life of the user by expanding the range of accessible environments, reducing upper body pain, increasing independence and avoiding or delaying the 'debilitating cycle'. However, wheelchairs with these alternative modes of propulsion are often heavier, wider and/or longer and are less easy to steer, brake and fold than the pushrim wheelchair. Implications for rehabilitation Pushrim-propelled wheelchairs are difficult to drive on outdoor paths (grass and gravel/sand surfaces) and ramps so that users are confined to restricted environments and have limited participation in everyday activities. The repetitive strain imposed on the upper body by pushrim propulsion leads to very high prevalence of shoulder and wrist pain in manual wheelchair users. Crank-propelled and lever-propelled wheelchairs are more efficient and less straining than pushrim propelled wheelchairs, allowing users to access more challenging environments, prolong independence and improve the quality of life.

  3. Is any wheelchair better than no wheelchair? A Zimbabwean perspective

    PubMed Central

    Mlambo, Tecla; van der Veen, Judith; Nhunzvi, Clement; Tigere, Deborah; Scheffler, Elsje

    2015-01-01

    Background Within a rights-based paradigm, wheelchairs are essential in the promotion of user autonomy, dignity, freedom, inclusion and participation. Objectives This paper aimed to describe a group of Zimbabwean wheelchair users’ satisfaction with wheelchairs, wheelchair services and wheelchair function. Method A mixed method, descriptive study was done. Quantitative data was collected from 94 consecutively sampled wheelchair users, who accessed wheelchair services at 16 clinics in five Zimbabwean provinces between October 2013 and February 2014, using the Quebec User Evaluation of Satisfaction with Assistive Technology for adults and children and Functioning Every day with a Wheelchair questionnaire. Qualitative data were collected through two focus group discussions (22 participants) and two case studies with participants purposively sampled from those who participated in the quantitative phase. Results More than 60% of participants were dissatisfied with the following wheelchair features: durability (78.6%), weight (75.6%), ease of adjustment (69.1%), effectiveness (69.0%), safety (66.7%), reliability (66.7%), and meeting user needs (60.6%). Similarly, more than 66% of participants were dissatisfied with various services aspects: professional services (69.0%), follow-up (67.0%), and service delivery (68.3%). Although 60% of participants agreed that the wheelchair contributed to specific functions, more than 50% of participants indicated that the features of the wheelchair did not allow in- (53.2%) and outdoor (52.7%) mobility. Conclusion Findings indicate high levels of dissatisfaction with wheelchair features and services, as well as mobility. It is recommended that policy and minimum service standards which incorporate evidence and good practice guidelines for wheelchair services and management of wheelchair donations are developed for Zimbabwe. PMID:28730038

  4. Degraded Crater Rim

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 3 May 2002) The Science The eastern rim of this unnamed crater in Southern Arabia Terra is very degraded (beaten up). This indicates that this crater is very ancient and has been subjected to erosion and subsequent bombardment from other impactors such as asteroids and comets. One of these later (younger) craters is seen in the upper right of this image superimposed upon the older crater rim material. Note that this smaller younger crater rim is sharper and more intact than the older crater rim. This region is also mantled with a blanket of dust. This dust mantle causes the underlying topography to take on a more subdued appearance. The Story When you think of Arabia, you probably think of hot deserts and a lot of profitable oil reserves. On Mars, however, Southern Arabia Terra is a cold place of cratered terrain. This almost frothy-looking image is the badly battered edge of an ancient crater, which has suffered both erosion and bombardment from asteroids, comets, or other impacting bodies over the long course of its existence. A blanket of dust has also settled over the region, which gives the otherwise rugged landscape a soft and more subdued appearance. The small, round crater (upper left) seems almost gemlike in its setting against the larger crater ring. But this companionship is no easy romance. Whatever formed the small crater clearly whammed into the larger crater rim at some point, obliterating part of its edge. You can tell the small crater was formed after the first and more devastating impact, because it is laid over the other larger crater. How much younger is the small one? Well, its rim is also much sharper and more intact, which gives a sense that it is probably far more youthful than the very degraded, ancient crater.

  5. RIMS Program Description.

    ERIC Educational Resources Information Center

    Kraepelien, Hans

    Computer routines for the translation of teacher-prepared mark sense forms to magnetic tape are described. The program, Receiving IMS (RIMS), is part of the Southwest Regional Laboratory's (SWRL) Instructional Management System (IMS). It accepts mark sense sheets from remotely located Xerox 660 scanner copiers and/or IMS update information from…

  6. The Pacific Rim.

    ERIC Educational Resources Information Center

    Thomas, Paul F., Ed.

    1988-01-01

    The articles in this special edition were compiled to provide information to Canadian social studies teachers about Pacific Rim countries. Section 1, entitled "The Big Picture and Future Interests," contains: (1) "Social Studies for the 21st Century" (J. Tucker); (2) "Culture and Communication: A Perspective on Asian…

  7. Impact Crater with Smoothed Rim

    NASA Image and Video Library

    2012-03-01

    This image from NASA Dawn spacecraft of asteroid Vesta shows hows a large impact crater whose rim is rather smoothed and degraded. There are many smaller, younger craters surrounding and inside of this crater and these have sharper, fresher rims.

  8. Concussions in wheelchair basketball.

    PubMed

    Wessels, Karla K; Broglio, Steven P; Sosnoff, Jacob J

    2012-02-01

    To estimate the incidence rate of concussions in wheelchair basketball. Survey. Wheelchair basketball tournaments during the 2009 to 2010 season. Wheelchair basketball players (N=263) ranging in age from 18 to 60 years. Not applicable. Participants completed a survey on their concussion history including how many concussions they have sustained, how many days they refrained from physical activity because of injury, to whom they reported their injury, and reasons for not reporting an injury if they did not. Participants also provided demographic information about their disability, age, sex, and length of wheelchair use and sports participation. Within the sample of 263 wheelchair basketball players, 6.1% reported experiencing a concussion in the current season. Of those experiencing concussions during the current season, 44% did not report their concussion. Of those not reporting the incident, 67% did not because they did not want to be removed from physical activity. Analysis by sex indicated that 5.82% of the male athletes sustained a concussion during the current season, and 14.36% had sustained an injury during their athletic career. Female athletes, however, sustained concussions at a higher rate, with 6.67% having concussions during the current season and 30.6% during their athletic careers. Women were also 2.5 times more likely to sustain a concussion than men. Athletes were most likely to report their concussion to their coach (60% of concussed athletes). The current investigation was consistent with previous research in that women were more likely to sustain a concussion than men, and injury rates were similar to those in able-bodied basketball. Further work is needed in concussion assessment in persons with disability, as well as greater education concerning concussion in disability sports. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  9. RIMS: Resource Information Management System

    NASA Technical Reports Server (NTRS)

    Symes, J.

    1983-01-01

    An overview is given of the capabilities and functions of the resource management system (RIMS). It is a simple interactive DMS tool which allows users to build, modify, and maintain data management applications. The RIMS minimizes programmer support required to develop/maintain small data base applications. The RIMS also assists in bringing the United Information Services (UIS) budget system work inhouse. Information is also given on the relationship between the RIMS and the user community.

  10. RIMS: Resource Information Management System

    NASA Technical Reports Server (NTRS)

    Symes, J.

    1983-01-01

    An overview is given of the capabilities and functions of the resource management system (RIMS). It is a simple interactive DMS tool which allows users to build, modify, and maintain data management applications. The RIMS minimizes programmer support required to develop/maintain small data base applications. The RIMS also assists in bringing the United Information Services (UIS) budget system work inhouse. Information is also given on the relationship between the RIMS and the user community.

  11. Gusev's Rim Revealed

    NASA Technical Reports Server (NTRS)

    2004-01-01

    NASA's Mars Exploration Rover Spirit took this panoramic camera image on sol 91 (April 5, 2004). Spirit is looking to the southeast, and through the martian haze has captured the rim of Gusev Crater approximately 80 kilometers (49.7 miles) away on the horizon.

    The right side of this image reveals the portion of the crater edge that descends into the mouth of Ma'adim Vallis, a channel that opens into Gusev Crater. Spirit is currently traveling toward the informally named 'Columbia Hills,' which lie to the left of the region pictured here.

    This image is similar to a panoramic camera image taken on sol 68, but Gusev's ridge is more visible here because the atmospheric dust caused by winter dust storms has settled. Scientists expect to get even clearer images than this one in upcoming sols.

    This image has been modified to make the crater rim more visible.

  12. Engineering manual and electric powered wheelchairs.

    PubMed

    Cooper, R A

    1999-01-01

    The sophistication required to develop and properly configure a wheelchair is illustrated by the amount and complexity of the research being conducted. At this time there appears to be between 1.5 and 2.0 million full-time wheelchair users within the United States. The reliance of the user on the wheelchair and the amount of time in the wheelchair provide significant challenges for the wheelchair design engineer. Currently there are a wide variety of wheelchair designs that are commercially available. These wheelchairs accommodate a variety of people's needs, and represent significant progress. The current trend among manufacturers of manual wheelchairs seems to be cost-reduction engineering. The ergonomics of long-term wheelchair use are critical to the advancement of wheelchair design and to the clinical selection of wheelchairs. Electric powered wheelchairs appear to be progressing faster than nearly all other types of wheelchairs. This is due to the availability of computing power with low cost microcontrollers and associated peripherals. The greater range and availability of sensors are also making changes into the design of electric powered wheelchairs. The interaction between an electric powered wheelchair and the user can be extremely complex. In many cases, individual solutions are necessary. One of the more challenging questions is determining the abilities of the user required to drive an electric powered wheelchair effectively. There have been substantial improvements in the engineering of all wheelchairs. However, there remain significant issues to be addressed.

  13. Not your parent's wheelchair.

    PubMed

    Cox, Deborah I

    2004-01-01

    A pediatric wheelchair is indeed a smaller seating system mounted over a mobility base that helps a child get from point A to point B. The important thing to recognize is that the child is every day learning new things about how he or she fits in with the world. That child is making friends and exploring the playground and going to music or art class. He or she may be starting and ending the day with a parent, but midday is spent interacting with the school's bus driver, teachers, counselor, and therapists. It is the responsibility of the rehab specialist to make sure that, while using a wheelchair to get from point A to point B in all of these different settings and with all of these different people, that disability does not slow the child down.

  14. Restaurant wheelchair accessibility.

    PubMed

    McClain, L; Beringer, D; Kuhnert, H; Priest, J; Wilkes, E; Wilkinson, S; Wyrick, L

    1993-07-01

    This study was designed to determine the compliance of restaurants to the wheelchair accessibility standards set forth in the Uniform Federal Accessibility Standards. The standards that were operationalized in this study are also found in Title III of the Americans With Disabilities Act of 1990. The data were collected at 120 sites in three midwestern states. For one who uses a wheelchair, parking the car is often an obstacle to eating out. Only 53% of the restaurants surveyed provide handicapped parking. Entering the building may also be a problem. Of the restaurants that required a ramp, only 66% provided them. Inside the restaurant, the key problems were accessible rest-rooms and the height of tables. The study provided comparisons between restaurants in rural and urban settings, as well as comparisons between conventional restaurants and fast food restaurants. No notable differences emerged for these comparisons.

  15. Measuring Wheelchair Intervention Outcomes: Development of the Wheelchair Outcome Measure

    PubMed Central

    Mortenson, William B; Miller, William C; Miller-Pogar, Jan

    2013-01-01

    Purpose Provision of a wheelchair has immediate intuitive benefits; however, it can be difficult to evaluate which wheelchair and seating components best meet an individual’s needs. As well, funding agencies now prefer evidence of outcomes; and therefore measurement upon prescription of a wheelchair or its components is essential to demonstrate the efficacy of intervention. As no existing tool can provide individualized goal-oriented measure of outcome after wheelchair prescription, a research project was undertaken to create the Wheelchair Outcome Measure (WhOM). Method A mixed method research design was employed to develop the instrument, which used in-depth interviews of prescribers, individuals who use wheelchairs and their associates, supplemented by additional questions in which participant preferences in key areas of the measure were quantified. Results The WhOM is a client-specific wheelchair intervention measurement tool that is based on the World Health Organization’s International Classification of Function, Disability, and Health. It identifies desired outcomes at a participation level and also acknowledges concerns about body structure and function. Conclusion The new outcome instrument will allow clients to identify and evaluate the outcomes they wish to achieve with their wheelchairs and seating and provide clinicians a way to quantify outcomes of their interventions in a way that is meaningful to the client and potential funding sources. PMID:19263533

  16. Control of a simulated wheelchair based on a hybrid brain computer interface.

    PubMed

    Long, Jinyi; Li, Yuanqing; Wang, Hongtao; Yu, Tianyou; Pan, Jiahui

    2012-01-01

    In this paper, a hybrid BCI system was described for the control of a simulated wheelchair. This hybrid BCI was based on the motor imagery-based mu rhythm and the P300 potential. With our paradigm, the user may perform left- or right-hand imagery to control the direction (left or right turn) of the simulated wheelchair. Furthermore, a hybrid manner was used for speed control: e.g., foot imagery without button attention for deceleration and a specific button attention without any motor imagery for acceleration. An experiment based on a simulated wheelchair in virtual environment was conducted to assess the BCI control. Subjects effectively steered the simulated wheelchairs by controlling the direction and speed with our hybrid BCI system. Data analysis validated that our hybrid BCI system can be used to control the direction and speed of a simulated wheelchair.

  17. Telehealth monitor to measure physical activity and pressure relief maneuver performance in wheelchair users.

    PubMed

    Dowling, Ariel V; Eberly, Valerie; Maneekobkunwong, Somboon; Mulroy, Sara J; Requejo, Philip S; Gwin, Joseph T

    2016-09-29

    This study demonstrated the feasibility of a device for monitoring pressure relief maneuvers and physical activity for wheelchair users. The device counts the number of wheel pushes based on wheelchair acceleration and measures pressure relief maneuvers using a seat sensor consisting of three force sensing resistors (FSRs). To establish the feasibility of the seat sensor for the detection of pressure relief maneuvers, 10 wheelchair users and 10 non-disabled controls completed a series of wheelchair depression raises, forward trunk leans, and lateral trunk leans. The seat sensor was placed underneath the user's seat cushion. To establish the feasibility of wheel push counting, 10 full-time wheelchair users navigated a flat 50-m outdoor track and a 100-m outdoor obstacle course during self-propulsion (e.g., wheel pushes) and during assisted-propulsion (e.g., no wheel pushes). Of the 240 performed pressure relief, 225 were properly classified by the seat sensor (accuracy: 94%, sensitivity: 96%, specificity: 80%). Sensitivity was highest for depression raises (98%) and lowest for front lean maneuvers (80%). The wheelchair activity monitor measured 2,112 pushes during the self-propulsion trials compared to 2,162 pushes measured with the instrumented push-rim (97.7%). During assisted-propulsion trials, there were 477 incorrectly identified pushes (8.0 per trial).

  18. Evaluation of a redesigned self-checkout station for wheelchair users.

    PubMed

    Bajaj, Komal; Mirka, Gary A; Sommerich, Carolyn M; Khachatoorian, Haig

    2006-01-01

    Self-checkout is the emergent/emerging retail technology wherein users (shoppers) check out their own items using an interactive kiosk. A dramatic growth is anticipated in the prevalence of self-checkout systems in retail environments. A study was conducted to develop and evaluate a redesign of a self-checkout system with a focus on issues related to physical accessibility for wheelchair users. Two checkout station prototypes were built: a full-scale model of an existing system and a full-scale model of a system with design modifications (e.g., inclusion of appropriate wheelchair clearance under the workstation, reduced vertical position of the credit card reader, etc.). Five wheelchair users and 10 non-wheelchair users performed simulated self-checkout activities using both workstations. The principal independent variable was workstation type (standard design vs. modified design). The dependent measures were productivity (time to complete a transaction), shoulder flexion angle, torso flexion angle, and the user's subjective assessment of the experience. The results of this study indicate that workstation type did not influence productivity levels in either participant group (wheelchair users or non-wheelchair users). Posture, on the other hand, was significantly improved: the peak shoulder angle was reduced by 64% in wheelchair users and by 69% in the non-wheelchair user group. Peak flexion angle of the torso was also reduced by 67% for wheelchair users. Subjective feedback from the wheelchair user group supported the postural data by showing an overall preference for the redesigned workstation, whereas the non-wheelchair group showed no preference between the two. These results indicate that design for populations with specific limitations does not need to come at a cost of reduced accessibility for persons without these limitations; universal design is achievable.

  19. RESNA Wheelchair Service Provision Guide

    ERIC Educational Resources Information Center

    Arledge, Stan; Armstrong, William; Babinec, Mike; Dicianno, Brad E.; Digiovine, Carmen; Dyson-Hudson, Trevor; Pederson, Jessica; Piriano, Julie; Plummer, Teresa; Rosen, Lauren; Schmeler, Mark; Shea, Mary; Stogner, Jody

    2011-01-01

    The purpose of the Wheelchair Service Provision Guide is to provide an appropriate framework for identifying the essential steps in the provision of a wheelchair. It is designed for use by all participants in the provision process including consumers, family members, caregivers, social service and health care professionals, suppliers,…

  20. Next generation autonomous wheelchair control.

    PubMed

    Benson, John; Barrett, Steven

    2005-01-01

    Often times the physically challenged, limited to a wheelchair, also have difficulty with vision. In order to help, something must "see" for them. Therefore there must be some way for a wheelchair to know its environment, sense where it is, and where it must go. It also must be able to avoid any obstacles which are not normally part of the environment. An autonomous wheelchair will serve an important role by allowing users more freedom and independence. This design challenge is broken into four major steps: wheelchair control, environment recognition, route planning, and obstacle avoidance. The first step is to reverse engineer a wheelchair and rebuild the controls, which will be the main topic of discussion for this paper. Two big challenges with this step are high power motor control and joystick control. An H-bridge motor interface, controlled by a microprocessor, was designed for the motors. The joystick control is handled with the same microprocessor.

  1. Design and experimental evaluation of yoked hand-clutching for a lever drive chair.

    PubMed

    Sarigul-Klijn, Yasemin; Smith, Brendan W; Reinkensmeyer, David J

    2017-05-16

    Lever-drive wheelchairs lower physical strain but are less maneuverable than push-rim wheelchairs. Here, we study a possible solution in which the user simultaneously actuates clutches mounted between the levers and wheels each stroke via a clutch handle attached to one lever; this solution is of particular interest for user groups with only one functional hand. First, to demonstrate maneuverability, we show how this "yoked clutch" allows an experienced user to maneuver a constrained space. Then, we compared the difficulty of learning a yoked clutch chair to a conventional lever-drive transmission (i.e. a one-way bearing). Twenty-two unimpaired novice adults navigated a figure-eight track during six training sessions over two weeks. Participant mean speed improved roughly 60% for both chairs, with similar exponential improvement time constants (3 days) and final speeds. However, speed improvement mostly took place overnight rather than within the session for hand-clutching, and the physiological cost index was also about 40% higher. These results indicate that while hand-clutching is no more difficult to learn than a lever-drive, it is reliant on overnight improvement. Also, its increased maneuverability comes with decreased efficiency. We discuss how the yoked clutch may be particularly well suited for individuals with stroke during inpatient rehabilitation.

  2. Upper extremity biomechanical model for evaluation of pediatric joint demands during wheelchair mobility.

    PubMed

    Paul, Alyssa J; Slavens, Brooke A; Graf, Adam; Krzak, Joseph; Vogel, Lawrence; Harris, Gerald F

    2012-01-01

    Current methods for evaluating upper extremity (UE) dynamics during pediatric wheelchair use are limited. We propose a new model to characterize UE joint kinematics and kinetics during pediatric wheelchair mobility. The bilateral model is comprised of the thorax, clavicle, scapula, upper arm, forearm, and hand segments. The modeled joints include: sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist. The model is complete and is currently undergoing pilot studies for clinical application. Results may provide considerable quantitative insight into pediatric UE joint dynamics to improve wheelchair prescription, training and long term care of children with orthopaedic disabilities.

  3. A five-wheel wheelchair with an active-caster drive system.

    PubMed

    Munakata, Yu; Tanaka, Aki; Wada, Masayoshi

    2013-06-01

    A novel wheelchair system with an active-caster drive mechanism is presented in this paper. A manual (hand propelled) wheelchair with an external single-wheel drive system forms a five-wheel configuration. The active-caster mechanism is applied to a drive system to motorize a manual wheelchair. Two electric motors which drive a wheel axis and a steering axis of a drive wheel independently are equipped on the active-caster. A coordinated control of the two motors enables the velocity vector on the steering shaft to direct in an arbitrary direction with an arbitrary magnitude. The generated velocity vector allows a wheelchair to go straight and/or rotate completely in a same way as a standard electric wheelchair. Namely 2DOF of the wheelchair can be controlled independently by a single drive wheel without any constraint, such as the orientation of the drive wheel which is well known as a non-holonomic constraint. In addition to the 2DOF mobility, the proposed system enables wheelchair users to change drive modes, a rear drive and a front drive. The drive wheel on the back side of the wheelchair is vertically actuated by a linear motor to change the height of the drive wheel that can vary load distribution and the number of wheels contacting to the ground. The five-wheel-contact makes the wheelchair to move as the normal mode in which the center of rotation is located at the midpoint of the main wheels. Depressing the drive wheel results in lost contacts of the main wheels from the ground in which the center of rotation is jumped at the midpoint of the front wheels, namely it performs as a front drive wheelchair. In this paper, kinematic models of the wheelchair and that with an active-caster drive system are analyzed and a control method by using a 2DOF joystick is derived. Based on the kinematic model, a prototype mechanism of the active-caster is designed and mounted on a manual wheelchair to realize the five-wheel wheelchair. In the experiments, the independent 2

  4. Aft outer rim seal arrangement

    SciTech Connect

    Lee, Ching-Pang; Tham, Kok-Mun; Schroeder, Eric; Meeroff, Jamie; Miller, Jr., Samuel R; Marra, John J; Campbell, Christian X

    2015-04-28

    An outer rim seal arrangement (10), including: an annular rim (70) centered about a longitudinal axis (30) of a rotor disc (31), extending fore and having a fore-end (72), an outward-facing surface (74), and an inward-facing surface (76); a lower angel wing (62) extending aft from a base of a turbine blade (22) and having an aft end (64) disposed radially inward of the rim inward-facing surface to define a lower angel wing seal gap (80); an upper angel wing (66) extending aft from the turbine blade base and having an aft end (68) disposed radially outward of the rim outward-facing surface to define a upper angel wing seal gap (80, 82); and guide vanes (100) disposed on the rim inward-facing surface in the lower angel wing seal gap. Pumping fins (102) may be disposed on the upper angel wing seal aft end in the upper angel wing seal gap.

  5. Voice Controlled Wheelchair

    NASA Technical Reports Server (NTRS)

    1977-01-01

    Michael Condon, a quadraplegic from Pasadena, California, demonstrates the NASA-developed voice-controlled wheelchair and its manipulator, which can pick up packages, open doors, turn a TV knob, and perform a variety of other functions. A possible boon to paralyzed and other severely handicapped persons, the chair-manipulator system responds to 35 one-word voice commands, such as "go," "stop," "up," "down," "right," "left," "forward," "backward." The heart of the system is a voice-command analyzer which utilizes a minicomputer. Commands are taught I to the computer by the patient's repeating them a number of times; thereafter the analyzer recognizes commands only in the patient's particular speech pattern. The computer translates commands into electrical signals which activate appropriate motors and cause the desired motion of chair or manipulator. Based on teleoperator and robot technology for space-related programs, the voice-controlled system was developed by Jet Propulsion Laboratory under the joint sponsorship of NASA and the Veterans Administration. The wheelchair-manipulator has been tested at Rancho Los Amigos Hospital, Downey, California, and is being evaluated at the VA Prosthetics Center in New York City.

  6. A robotic wheelchair trainer: design overview and a feasibility study

    PubMed Central

    2010-01-01

    Background Experiencing independent mobility is important for children with a severe movement disability, but learning to drive a powered wheelchair can be labor intensive, requiring hand-over-hand assistance from a skilled therapist. Methods To improve accessibility to training, we developed a robotic wheelchair trainer that steers itself along a course marked by a line on the floor using computer vision, haptically guiding the driver's hand in appropriate steering motions using a force feedback joystick, as the driver tries to catch a mobile robot in a game of "robot tag". This paper provides a detailed design description of the computer vision and control system. In addition, we present data from a pilot study in which we used the chair to teach children without motor impairment aged 4-9 (n = 22) to drive the wheelchair in a single training session, in order to verify that the wheelchair could enable learning by the non-impaired motor system, and to establish normative values of learning rates. Results and Discussion Training with haptic guidance from the robotic wheelchair trainer improved the steering ability of children without motor impairment significantly more than training without guidance. We also report the results of a case study with one 8-year-old child with a severe motor impairment due to cerebral palsy, who replicated the single-session training protocol that the non-disabled children participated in. This child also improved steering ability after training with guidance from the joystick by an amount even greater than the children without motor impairment. Conclusions The system not only provided a safe, fun context for automating driver's training, but also enhanced motor learning by the non-impaired motor system, presumably by demonstrating through intuitive movement and force of the joystick itself exemplary control to follow the course. The case study indicates that a child with a motor system impaired by CP can also gain a short-term benefit

  7. Rim of Henry Crater

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 02 April 2002) This portion of the rim of Henry Crater has numerous dark streaks located on the slopes of the inner crater wall. These dark slope streaks have been suggested to have formed when the relatively bright dust that mantles the slopes slides downhill, either exposing a dust-free darker surface or creating a darker surface by increasing its roughness. The topography in this region appears muted, indicating the presence of regional dust mantling. The materials on floor of the crater (middle to lower left) are layered, with differing degrees of hardness and resistance to erosion producing cliffs (resistant layers) and ledges (easily eroded layers). These layered materials may have been originally deposited in water, although deposition by other means, such as windblown dust and sand, is also possible. Henry Crater, named after a 19th Century French astronomer, is 170 km in diameter and is located at 10.9o N, 336.7o W (23.3o E) in a region called Arabia Terra.

  8. Upper limb nerve entrapments in elite wheelchair racers.

    PubMed

    Boninger, M L; Robertson, R N; Wolff, M; Cooper, R A

    1996-01-01

    The prevalence of upper limb nerve injuries has been reported to be as high as 73% in individuals who rely on manual wheelchairs for mobility. Many authors hypothesize that the repetitive trauma to carpal canal structures caused by propelling a wheelchair is the reason for this high prevalence. The purpose of this study was to determine the prevalence of nerve conduction abnormalities in a group of elite wheelchair racers whose wrists are exposed to additional propulsion-related trauma during training and competition. We performed bilateral upper limb nerve conduction studies on each athlete (n = 12). The racers pushed their chairs an average of 56 miles a week for training purposes. Fifty percent of the athletes (n = 6) had evidence of median mononeuropathy by nerve conduction. Of these 6 racers, 5 had evidence of mononeuropathy bilaterally, making a total of 11 positive hands of the 23 tested. Twenty-five percent of the athletes had evidence of ulnar mononeuropathy at the wrist, and 25% had evidence of ulnar mononeuropathy at the elbow. Seventeen percent of athletes had evidence of radial nerve injury. Years with a disability accounted for a significant amount of the variance in the mean median sensory amplitude (R2 = 0.511; P = 0.020) and the mean ulnar palmar amplitude (R2 = 0.605; P = 0.008). Variables not correlated with nerve conduction studies include age, hours per day in a wheelchair not spent training, years competing, and number of miles pushed in training. Despite the amount of time spent training these wheelchair athletes have a similar or lower prevalence of median mononeuropathy then reported in the general wheelchair-using population.

  9. A hydraulic seat-rise wheelchair.

    PubMed

    Purves, W K

    1983-01-01

    A hydraulic seat-rise wheelchair constructed for a patient experiencing severe difficulty getting into and out of a wheelchair is described. The seat-rise mechanism, activated by a hydraulic cylinder, is constructed to locate within a wheelchair frame replacing the seat and back of a normal manual wheelchair. Patient control of the lifting and lowering feature is maintained by controls fitted to the arm of the wheelchair. A wheelchair of this design is most suitable for use by patients who, by virtue of their disability, require it to achieve greater independence.

  10. Most essential wheeled mobility skills for daily life: an international survey among paralympic wheelchair athletes with spinal cord injury.

    PubMed

    Fliess-Douer, Osnat; Vanlandewijck, Yves C; Van der Woude, Lucas H V

    2012-04-01

    To create a hierarchical list of the most essential wheeled mobility (WM) skills for everyday life of wheelchair users with a spinal cord injury (SCI), and to compare perceptions of WM gained during and after clinical rehabilitation. Cross-sectional study using survey questionnaires. The Beijing Paralympic games, at the international zone of the Olympic village and in different sports venues. A sample of men (N=49) and women (N=30) elite manual wheelchair user athletes with SCI (paraplegia, n=64; tetraplegia, n=15). Not applicable. A survey with 24 predefined skills was distributed during the Beijing Paralympic games. Respondents were asked to rate the essentiality of each skill (1, not essential; 5, extremely essential); to state where, when, and with whom they have learned to perform each skill; and to mark the level of WM, which they gained during and after clinical rehabilitation, on 3 different WM visual analog scales (scores 1-10). Rated as the most essential skill was transfer into and out of a car (mean ± SD, 4.7±0.7). Rated as the least essential skill was the 1-handed wheelie (mean ± SD, 1.9±1.3). Of the respondents, 57% have learned the most essential skills in clinical rehabilitation, while 40% claimed to have learned those skills afterward in a community setting. Three percent have never learned to perform the most essential skills. Of the very essential skills, 40% were self-taught. Mean score ± SD for the extent to which WM skills were gained in rehabilitation was 5.4±2.5. The main survey outcome is a sorted list of WM skills according to their essentiality for daily life of hand-rim wheelchair users with SCI. It is recommended to incorporate the skills that were graded as very essential and extremely essential during inpatient rehabilitation and in postrehabilitation WM workshops. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  11. Wheelchair armrest strength testing.

    PubMed

    Cooper, R A; Rentschler, A J; O'Connor, T J; Ster, J F

    2000-01-01

    There are about 1.4 million manual wheelchair users, 100,000 electric-powered wheelchair users, and 60,000 electric-powered scooter users. The current study was undertaken to determine if the fasteners of a clamp-type armrest receiver were prone to failure. The first test was used to examine the potential misalignment of the armrest receiver components that attach it to the frame. The second test was to evaluate the entire armrest using the American National Standards Institute/Rehabilitation Engineering and Assistive Technology Society of North America armrest static strength standard. Finally, we conducted three fatigue tests. The first fatigue test was performed by repeating the static stability tests multiple times. The last two tests were a modified version of the double-drum wheelchair fatigue test used to apply repeated loading and vibration simultaneously. A paired t-test showed that there is no statistically significant difference (p = 0.08), with a confidence of 95%, between critical alignment measurements. The armrest including the receiver passed the standard requirement of a force of 760 N being applied outward at 15 degrees. During fatigue testing, we found that armrests did not exhibit any visible or functional damage. Upon completion of the tests, the armrests and receivers functioned properly. At about 100,289 cycles on a double-drum test machine, three bolts failed on each armrest receiver when the screws were loosened to have only five threads engaged prior to commencing the test. The design of the armrest tested was in compliance with existing national and international standards. Currently, both International Standards Organization and American National Standards Institute/Rehabilitation Engineering and Assistive Technology Society committees are developing standards for seating systems that will include static, impact, and fatigue strength testing of devices like lateral torso supports, lateral hip support, etc. Methods similar to those

  12. Biomechanical Model for Evaluation of Pediatric Upper Extremity Joint Dynamics during Wheelchair Mobility

    PubMed Central

    Schnorenberg, Alyssa J.; Slavens, Brooke A.; Wang, Mei; Vogel, Lawrence; Smith, Peter; Harris, Gerald F.

    2014-01-01

    Pediatric manual wheelchair users (MWU) require high joint demands on their upper extremity (UE) during wheelchair mobility, leading them to be at risk of developing pain and pathology. Studies have examined UE biomechanics during wheelchair mobility in the adult population; however, current methods for evaluating UE joint dynamics of pediatric MWU are limited. An inverse dynamics model is proposed to characterize three-dimensional UE joint kinematics and kinetics during pediatric wheelchair mobility using a SmartWheel instrumented handrim system. The bilateral model comprises thorax, clavicle, scapula, upper arm, forearm, and hand segments and includes the sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist joints. A single 17 year-old male with a C7 spinal cord injury (SCI) was evaluated while propelling his wheelchair across a 15-meter walkway. The subject exhibited wrist extension angles up to 60°, large elbow ranges of motion and peak glenohumeral joint forces up to 10% body weight. Statistically significant asymmetry of the wrist, elbow, glenohumeral and acromioclavicular joints was detected by the model. As demonstrated, the custom bilateral UE pediatric model may provide considerable quantitative insight into UE joint dynamics to improve wheelchair prescription, training, rehabilitation and long-term care of children with orthopaedic disabilities. Further research is warranted to evaluate pediatric wheelchair mobility in a larger population of children with SCI to investigate correlations to pain, function and transitional changes to adulthood. PMID:24309622

  13. Biomechanical model for evaluation of pediatric upper extremity joint dynamics during wheelchair mobility.

    PubMed

    Schnorenberg, Alyssa J; Slavens, Brooke A; Wang, Mei; Vogel, Lawrence C; Smith, Peter A; Harris, Gerald F

    2014-01-03

    Pediatric manual wheelchair users (MWU) require high joint demands on their upper extremity (UE) during wheelchair mobility, leading them to be at risk of developing pain and pathology. Studies have examined UE biomechanics during wheelchair mobility in the adult population; however, current methods for evaluating UE joint dynamics of pediatric MWU are limited. An inverse dynamics model is proposed to characterize three-dimensional UE joint kinematics and kinetics during pediatric wheelchair mobility using a SmartWheel instrumented handrim system. The bilateral model comprises thorax, clavicle, scapula, upper arm, forearm, and hand segments and includes the sternoclavicular, acromioclavicular, glenohumeral, elbow and wrist joints. A single 17 year-old male with a C7 spinal cord injury (SCI) was evaluated while propelling his wheelchair across a 15-meter walkway. The subject exhibited wrist extension angles up to 60°, large elbow ranges of motion and peak glenohumeral joint forces up to 10% body weight. Statistically significant asymmetry of the wrist, elbow, glenohumeral and acromioclavicular joints was detected by the model. As demonstrated, the custom bilateral UE pediatric model may provide considerable quantitative insight into UE joint dynamics to improve wheelchair prescription, training, rehabilitation and long-term care of children with orthopedic disabilities. Further research is warranted to evaluate pediatric wheelchair mobility in a larger population of children with SCI to investigate correlations to pain, function and transitional changes to adulthood.

  14. From Wheelchair to Cane

    PubMed Central

    Mayo, Amanda; Berbrayer, David

    2015-01-01

    ABSTRACT Spina bifida is associated with foot deformities, which may lead to foot ulcers, osteomyelitis, and limb amputation. Calcanectomy and Symes amputations have been reported successful in spina bifida. There is lack of evidence for transtibial amputations. This case describes a 27-yr-old woman with L4 level spina bifida who underwent bilateral transtibial amputations. She ambulated with bilateral ankle foot orthoses and canes until age 22. At age 22, she had bilateral foot reconstructive surgeries complicated by nonunion, ulcerations, and osteomyelitis. She was using a wheelchair by age 25. She had elective bilateral transtibial amputations at age 27 for progressive osteomyelitis. Four weeks after amputations, she was fit with bilateral prostheses. On completion of 2 mos of rehabilitation, she ambulated with a cane. This case demonstrates good functional outcomes after transtibial amputations in a young spina bifida patient. Prosthetic fitting should be considered for similar, previously high functioning spina bifida patients with transtibial amputation(s). PMID:26259056

  15. Development of a wheelchair maintenance training programme and questionnaire for clinicians and wheelchair users.

    PubMed

    Toro, Maria Luisa; Bird, Emily; Oyster, Michelle; Worobey, Lynn; Lain, Michael; Bucior, Samuel; Cooper, Rory A; Pearlman, Jonathan

    2017-01-27

    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.

  16. Rim seal for turbine wheel

    DOEpatents

    Glezer, Boris; Boyd, Gary L.; Norton, Paul F.

    1996-01-01

    A turbine wheel assembly includes a disk having a plurality of blades therearound. A ceramic ring is mounted to the housing of the turbine wheel assembly. A labyrinth rim seal mounted on the disk cooperates with the ceramic ring to seal the hot gases acting on the blades from the disk. The ceramic ring permits a tighter clearance between the labyrinth rim seal and the ceramic ring.

  17. Preliminary evidence to support a "boot camp" approach to wheelchair skills training for clinicians.

    PubMed

    Giesbrecht, Edward M; Wilson, Nicole; Schneider, Andrea; Bains, Derek; Hall, Jonathan; Miller, William C

    2015-06-01

    To evaluate the impact of providing intensive large-group training on wheelchair-specific self-efficacy and skill capacity among occupational therapy students. Intervention study using before-after trial. Universities. Volunteer sample of master of occupational therapy students (N=65). Two instructors provided a total of 4.5 hours of wheelchair skills training to groups of 14 to 19 students in a boot camp format, which included a brief lecture, instruction, demonstration, and hands-on practice. Wheelchair skill capacity (Wheelchair Skills Test Questionnaire [WST-Q]), with scores ranging from 0 to 64, and wheelchair-specific self-efficacy (Wheelchair Use Confidence Scale for Manual Wheelchair Users [WheelCon-M]), with scores ranging from 0 to 10. At postintervention, the mean WST-Q score increased by 24.7 (95% confidence interval, 22.1-27.3; P=.000), reflecting a 38.6% improvement (Cohen d=2.8). The mean WheelCon-M score improved by 3.0 (95% confidence interval, 2.5-3.3; P=.000). To our knowledge, this is the first study to measure and demonstrate improvement in wheelchair-specific self-efficacy among student clinicians. Participants demonstrated substantively larger improvements and acquired more advanced skills than previous studies using shorter training sessions with smaller groups. This study provides evidence for using a boot camp format as an effective strategy to increase occupational therapy students' confidence and skill with wheelchair mobility, preparing them to place greater emphasis on, and achieve better success in, training future clients. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  18. Shoulder load during synchronous handcycling and handrim wheelchair propulsion in persons with paraplegia.

    PubMed

    Arnet, Ursina; van Drongelen, Stefan; Scheel-Sailer, Anke; van der Woude, Lucas H V; Veeger, DirkJan H E J

    2012-03-01

    To compare the shoulder load during handcycling and wheelchair propulsion under similar conditions of external power in persons with spinal cord injury. Cross-sectional. Eight men with spinal cord injury. Kinetics and kinematics were measured during handbike and wheelchair propulsion at 25, 35, 45 and 55 W on a treadmill. Shoulder load (glenohumeral contact forces, relative muscle forces) was calculated with the Delft Shoulder and Elbow Model. At all power output levels, glenohumeral contact forces were significantly lower during handcycling compared with wheelchair propulsion (p < 0.001). At 55 W, the mean glenohumeral contact force was 345 N for hand-cycling, whereas it was 585 N for wheelchair propulsion. Also, relative muscle forces were lower during handcycling. The largest differences between handbike and wheelchair propulsion were found in the supraspinatus (4.5% vs. 20.7%), infraspinatus (3.7% vs. 16.5%) and biceps (5.0% vs. 17.7%). Due to continuous force application in hand-cycling, shoulder load was lower compared with wheelchair propulsion. Furthermore, muscles that are prone to overuse injuries were less stressed during handcycling. Therefore, handcycling may be a good alternative for outdoor mobility and may help prevent overuse injuries of the shoulder complex.

  19. The Functional Classification and Field Test Performance in Wheelchair Basketball Players

    PubMed Central

    Gil, Susana María; Yanci, Javier; Otero, Montserrat; Olasagasti, Jurgi; Badiola, Aduna; Bidaurrazaga-Letona, Iraia; Iturricastillo, Aitor; Granados, Cristina

    2015-01-01

    Wheelchair basketball players are classified in four classes based on the International Wheelchair Basketball Federation (IWBF) system of competition. Thus, the aim of the study was to ascertain if the IWBF classification, the type of injury and the wheelchair experience were related to different performance field-based tests. Thirteen basketball players undertook anthropometric measurements and performance tests (hand dynamometry, 5 m and 20 m sprints, 5 m and 20 m sprints with a ball, a T-test, a Pick-up test, a modified 10 m Yo-Yo intermittent recovery test, a maximal pass and a medicine ball throw). The IWBF class was correlated (p<0.05) to the hand dynamometry (r= 0.84), the maximal pass (r=0.67) and the medicine ball throw (r= 0.67). Whereas the years of dependence on the wheelchair were correlated to the velocity (p<0.01): 5 m (r= −0.80) and 20 m (r= −0.77) and agility tests (r= −0.77, p<0.01). Also, the 20 m sprint with a ball (r= 0.68) and the T-test (r= −0.57) correlated (p<0.05) with the experience in playing wheelchair basketball. Therefore, in this team the correlations of the performance variables differed when they were related to the disability class, the years of dependence on the wheelchair and the experience in playing wheelchair basketball. These results should be taken into account by the technical staff and coaches of the teams when assessing performance of wheelchair basketball players. PMID:26240665

  20. The Functional Classification and Field Test Performance in Wheelchair Basketball Players.

    PubMed

    Gil, Susana María; Yanci, Javier; Otero, Montserrat; Olasagasti, Jurgi; Badiola, Aduna; Bidaurrazaga-Letona, Iraia; Iturricastillo, Aitor; Granados, Cristina

    2015-06-27

    Wheelchair basketball players are classified in four classes based on the International Wheelchair Basketball Federation (IWBF) system of competition. Thus, the aim of the study was to ascertain if the IWBF classification, the type of injury and the wheelchair experience were related to different performance field-based tests. Thirteen basketball players undertook anthropometric measurements and performance tests (hand dynamometry, 5 m and 20 m sprints, 5 m and 20 m sprints with a ball, a T-test, a Pick-up test, a modified 10 m Yo-Yo intermittent recovery test, a maximal pass and a medicine ball throw). The IWBF class was correlated (p<0.05) to the hand dynamometry (r= 0.84), the maximal pass (r=0.67) and the medicine ball throw (r= 0.67). Whereas the years of dependence on the wheelchair were correlated to the velocity (p<0.01): 5 m (r= -0.80) and 20 m (r= -0.77) and agility tests (r= -0.77, p<0.01). Also, the 20 m sprint with a ball (r= 0.68) and the T-test (r= -0.57) correlated (p<0.05) with the experience in playing wheelchair basketball. Therefore, in this team the correlations of the performance variables differed when they were related to the disability class, the years of dependence on the wheelchair and the experience in playing wheelchair basketball. These results should be taken into account by the technical staff and coaches of the teams when assessing performance of wheelchair basketball players.

  1. Using a smart wheelchair as a gaming device for floor-projected games: a mixed-reality environment for training powered-wheelchair driving skills.

    PubMed

    Secoli, R; Zondervan, D; Reinkensmeyer, D

    2012-01-01

    For children with a severe disability, such as can arise from cerebral palsy, becoming independent in mobility is a critical goal. Currently, however, driver's training for powered wheelchair use is labor intensive, requiring hand-over-hand assistance from a skilled therapist to keep the trainee safe. This paper describes the design of a mixed reality environment for semi-autonomous training of wheelchair driving skills. In this system, the wheelchair is used as the gaming input device, and users train driving skills by maneuvering through floor-projected games created with a multi-projector system and a multi-camera tracking system. A force feedback joystick assists in steering and enhances safety.

  2. Portable basketball rim testing device

    DOEpatents

    Abbott, W. Bruce; Davis, Karl C.

    1993-01-01

    A portable basketball rim rebound testing device 10 is illustrated in two preferred embodiments for testing the rebound or energy absorption characteristics of a basketball rim 12 and its accompanying support to determine likely rebound or energy absorption charcteristics of the system. The apparatus 10 includes a depending frame 28 having a C-clamp 36 for releasably rigidly connecting the frame to the basketball rim 12. A glide weight 60 is mounted on a guide rod 52 permitting the weight 60 to be dropped against a calibrated spring 56 held on an abutment surface on the rod to generate for deflecting the basketball rim and then rebounding the weight upwardly. A photosensor 66 is mounted on the depending frame 28 to sense passage of reflective surfaces 75 on the weight to thereby obtain sufficient data to enable a processing means 26 to calculate the rebound velocity and relate it to an energy absorption percentage rate of the rim system 12. A readout is provided to display the energy absorption percentage.

  3. Automatic transmission for electric wheelchairs.

    PubMed

    Reswick, J B

    1985-07-01

    A new infinitely variable automatic transmission called the RESATRAN that automatically changes its speed ratio in response to load torque being transmitted is presented. A prototype has been built and tested on a conventional three-wheeled electric motor propelled wheelchair. It is shown theoretically that more than 50 percent reduction in power during hill climbing may be expected when a transmission-equipped wheelchair is compared to a direct-drive vehicle operating at the same voltage. It is suggested that with such a transmission, wheelchairs can use much smaller motors and associated electronic controls, while at the same time gaining in efficiency that results in longer operating distances for the same battery charge. Design details of the transmission and test results are presented. These results show a substantial reduction in operating current and increased distance of operation over a test course.

  4. Health, Personal, and Environmental Predictors of Wheelchair-Use Confidence in Adult Wheelchair Users.

    PubMed

    Sakakibara, Brodie M; Miller, William C; Eng, Janice J; Routhier, François; Backman, Catherine L

    2015-10-01

    There are no predictive models of wheelchair-use confidence. Therefore, clinicians and researchers are limited in their ability to screen for and identify wheelchair users who may be more prone to low wheelchair-use confidence and may benefit from clinical intervention. The purpose of this study was to identify health-related, personal, and environmental factors that predict perceived wheelchair-use confidence in community-dwelling adults who use manual wheelchairs. A cross-sectional study was conducted. Community-dwelling manual wheelchair users (N=124) were included in the study if they were ≥50 years of age, had ≥6 months of wheelchair use experience, and had no cognitive impairment. The Wheelchair Use Confidence Scale was used to assess wheelchair-use confidence. The sociodemographic information form, Functional Comorbidity Index, Seating Identification Tool, Interpersonal Support and Evaluation List, and Home and Community Environment Instrument captured the independent variables. Blocks of health, personal, and environmental variables were sequentially entered into the regression model. Five personal variables (age, standardized beta [β]=-0.18; sex, β=-0.26; daily hours of wheelchair occupancy, β=0.20; wheelchair-use training, β=0.20; and wheelchair-use assistance, β=-0.34) and one environmental variable (need for seating intervention, β=-0.18) were statistically significant predictors, explaining 44% of the confidence variance. The sample comprised volunteers and, therefore, may underrepresent or overrepresent particular groups within the population. The study's cross-sectional research design does not allow for conclusions to be made regarding causality. Older women who use wheelchairs and who require assistance with wheelchair use may have low wheelchair-use confidence. The same is true for individuals who have no formal wheelchair-use training, who are in need of a seating intervention, and who report few hours of daily wheelchair use. These

  5. Adaptive sports technology and biomechanics: wheelchairs.

    PubMed

    Cooper, Rory A; De Luigi, Arthur Jason

    2014-08-01

    Wheelchair sports are an important tool in the rehabilitation of people with severe chronic disabilities and have been a driving force for innovation in technology and practice. In this paper, we will present an overview of the adaptive technology used in Paralympic sports with a special focus on wheeled technology and the impact of design on performance (defined as achieving the greatest level of athletic ability and minimizing the risk of injury). Many advances in manual wheelchairs trace their origins to wheelchair sports. Features of wheelchairs that were used for racing and basketball 25 or more years ago have become integral to the manual wheelchairs that people now use every day; moreover, the current components used on ultralight wheelchairs also have benefitted from technological advances developed for sports wheelchairs. For example, the wheels now used on chairs for daily mobility incorporate many of the components first developed for sports chairs. Also, advances in manufacturing and the availability of aerospace materials have driven current wheelchair design and manufacture. Basic principles of sports wheelchair design are universal across sports and include fit; minimizing weight while maintaining high stiffness; minimizing rolling resistance; and optimizing the sports-specific design of the chair. However, a well-designed and fitted wheelchair is not sufficient for optimal sports performance: the athlete must be well trained, skilled, and use effective biomechanics because wheelchair athletes face some unique biomechanical challenges. Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  6. Three-dimensional kinematics of the shoulder complex during wheelchair propulsion: a technical report.

    PubMed

    Davis, J L; Growney, E S; Johnson, M E; Iuliano, B A; An, K N

    1998-01-01

    Methods for the three-dimensional (3-D) kinematic analysis of the shoulder complex (humerus relative to trunk) are presented and their use demonstrated in this analysis of shoulder motion during wheelchair propulsion. Ten subjects propelled two different wheelchairs (adjustable and conventional chairs) while the motions of the left arm and trunk were measured using a video tracking system. Eulerian angles described the sequence-dependent rotations of the humerus relative to the trunk. Wheel angular velocity and acceleration, hand position on the handrim, and duration of cycle subphases were also measured. Selected temporal and kinematic parameters were derived from the time-normalized average cycle of each subject on each wheelchair. Within-subject variation of these parameters according to wheelchair type were compared using a two-tailed t-test for paired observations. The adjustable chair made available a larger propulsion are compared with the conventional chair. Only the minimum amount of elevation demonstrated a significant difference between chairs (the conventional chair had a smaller minimum than the adjustable chair) at the corrected significance level of p < 0.001. Other differences, though not statistically significant, were still informative. Less shoulder internal rotation but more overall shoulder motion was observed during recovery phase in the adjustable chair as compared with the conventional chair. The methods presented for measuring the 3-D kinematics of the shoulder complex during wheelchair propulsion proved feasible for future use in studies that will address shoulder kinetics, energy requirements, wheelchair design, and chronic use disorders.

  7. A description of manual wheelchair skills training curriculum in entry-to-practice occupational and physical therapy programs in Canada.

    PubMed

    Best, Krista L; Miller, William C; Routhier, François

    2015-01-01

    To describe the curriculum for manual wheelchair (MWC) skills training in entry-to-practice occupational (OT) and physical therapy (PT) programs in Canada. An online survey was sent to 28 directors of entry-to-practice OT and PT programs in Canadian universities. Responses were solicited from individuals who could report about wheelchair skills training. Fourteen survey questions asked about: (1) demographic information, (2) specific curriculum content for MWC skills training, (3) teaching methods used, (4) instructional methods and estimated time used to teach MWC skills and (5) whether validated wheelchair skills training programs were used in curriculum development. Responses received from 21/28 programs, (OT-11/14; PT-10/14). About 16 of 21 programs included curriculum for MWC skills training. Informal hands-on instruction was the most common method used for teaching wheelchair skills (13/21), while multiple lectures were used the least (5/21). Only 8/21 used a validated wheelchair skills training program in curriculum development. Despite the public availability of a validated wheelchair skills program, there is little use of the program in entry-to-practice curriculum. Integrating online training programs into existing curricula or the development of post-professional training modules may help clinicians to better accommodate the mobility needs of the substantially increasing population with disabilities. Implications for Rehabilitation Current clinical curriculum includes basic wheelchair skills training, but not necessarily training in the advanced wheelchair skills that are needed for optimal wheelchair mobility. There is evidence for a standardized approach for providing wheelchair skills training, that may be administered through curriculum, online or through post-graduate training modules.

  8. DE 1 RIMS operational characteristics

    NASA Technical Reports Server (NTRS)

    Olsen, R. C.; Comfort, R. H.; Chandler, M. O.; Moore, T. E.; Waite, J. H., Jr.; Reasoner, D. L.; Biddle, A. P.

    1985-01-01

    The Retarding Ion Mass Spectrometer (RIMS) on the Dynamics Explorer 1 spacecraft observes both the thermal and superthermal (50 eV) ions of the ionosphere and inner magnetosphere. It is capable of measuring the detailed species distribution function of these ions in many cases. It was equipped with an integral electrometer to permit in-flight calibration of the detector sensitivities and variations thereof. A guide to understanding the RIMS data set is given. The reduction process from count rates to physical quantities is discussed in some detail. The procedure used to establish in-flight calibration is described, and results of a comparison with densities from plasma wave measurements are provided. Finally, a discussion is provided of various anomalies in the data set, including changes of channeltron efficiency with time, spin modulation of the axial sensor heads, apparent potential differences between the sensor heads, and failures of the radial head retarding potential sweep and of the -Z axial head aperture plane bias. Studies of the RIMS data set should be conducted only with a thorough awareness of the material presented here, or in collaboration with one of the scientists actively involved with RIMS data analysis.

  9. Trade in the Pacific Rim.

    ERIC Educational Resources Information Center

    Dollar, David

    1988-01-01

    States that international trade is a prime factor linking the Pacific Rim nations. Discusses the differences in each nation's productive factors (land, labor, capital) and examines the emerging technological competition. Concludes that if U.S. firms cannot meet the challenge of foreign competition, then protectionism might limit further economic…

  10. Trade in the Pacific Rim.

    ERIC Educational Resources Information Center

    Dollar, David

    1988-01-01

    States that international trade is a prime factor linking the Pacific Rim nations. Discusses the differences in each nation's productive factors (land, labor, capital) and examines the emerging technological competition. Concludes that if U.S. firms cannot meet the challenge of foreign competition, then protectionism might limit further economic…

  11. Rim-Supported Turbine Seal

    NASA Technical Reports Server (NTRS)

    Longenecker, Kent O.

    1988-01-01

    Interstage seal accommodates large pressure drop across vane stage. Sealing surfaces close to inner diameter of gas-flow path. Two blade stages supported by single disk, broached over entire width of rim. Seal concept developed for small rocket turbines as liquid-oxygen pumps. Well suited to turbines with high pressure drops across vane stages.

  12. Wheelchair caster loading during frontal impact.

    PubMed

    Bertocci, Gina E; van Roosmalen, Linda

    2003-01-01

    Many wheelchair users are required or choose to use their wheelchairs as a motor vehicle seat during transport. It is therefore key that the wheelchair components be designed to tolerate crash-level loading conditions. Casters are particularly prone to failure under crash loading conditions. Our study evaluated wheelchair caster loading during 20g/48 kph frontal sled impact testing using an 85-kg surrogate wheelchair base (SWCB) with casters positioned on a load-measuring platform. A Hybrid III 50th percentile male test dummy was seated in the SWCB, which simulated a power wheelchair and was secured using four-point tiedowns. Various rear securement point heights and wheelchair seating systems were used to study their effect on caster loading. Caster normal loading was found to vary from 769 to 7,209 N depending on rear securement location and integrity of the seating system. Dynamic sled impact test results showed that normal loading of the front wheelchair casters was influenced by wheelchair seating system integrity and rear wheelchair securement height. Shear loading varied from 781 to 1,589 N and did not appear to be dependent on seat integrity or rear securement height. The load/time histories measured during dynamic impact testing can be used to guide the development of transit-safe caster design.

  13. Noise Robust Speech Recognition Applied to Voice-Driven Wheelchair

    NASA Astrophysics Data System (ADS)

    Sasou, Akira; Kojima, Hiroaki

    2009-12-01

    Conventional voice-driven wheelchairs usually employ headset microphones that are capable of achieving sufficient recognition accuracy, even in the presence of surrounding noise. However, such interfaces require users to wear sensors such as a headset microphone, which can be an impediment, especially for the hand disabled. Conversely, it is also well known that the speech recognition accuracy drastically degrades when the microphone is placed far from the user. In this paper, we develop a noise robust speech recognition system for a voice-driven wheelchair. This system can achieve almost the same recognition accuracy as the headset microphone without wearing sensors. We verified the effectiveness of our system in experiments in different environments, and confirmed that our system can achieve almost the same recognition accuracy as the headset microphone without wearing sensors.

  14. Weight Training for Wheelchair Sports.

    ERIC Educational Resources Information Center

    Practical Pointers, 1978

    1978-01-01

    The article examines weight lifting training procedures for persons involved in wheelchair sports. Popular myths about weight training are countered, and guidelines for a safe and sound weight or resistance training program are given. Diagrams and descriptions follow for specific weightlifting activities: regular or standing press, military press,…

  15. A Variable-Height Wheelchair.

    ERIC Educational Resources Information Center

    Miller, Jack M.; And Others

    1981-01-01

    Describes a variable-height wheelchair which can be raised 18 inches above normal chair height by means of an electrically operated screw jack. Photoqraphs illustrate the chair to be convenient and helpful for a handicapped chemistry student. (Author/SK)

  16. A Variable-Height Wheelchair.

    ERIC Educational Resources Information Center

    Miller, Jack M.; And Others

    1981-01-01

    Describes a variable-height wheelchair which can be raised 18 inches above normal chair height by means of an electrically operated screw jack. Photoqraphs illustrate the chair to be convenient and helpful for a handicapped chemistry student. (Author/SK)

  17. Coordination patterns of shoulder muscles during level-ground and incline wheelchair propulsion.

    PubMed

    Qi, Liping; Wakeling, James; Grange, Simon; Ferguson-Pell, Martin

    2013-01-01

    The aim of this study was to investigate how the coordination patterns of shoulder muscles change with level-ground and incline wheelchair propulsion. Wheelchair kinetics and electromyography (EMG) activity of seven muscles were recorded with surface electrodes for 15 nondisabled subjects during wheelchair propulsion on a stationary ergometer and wooden ramp (4 degree slope). Kinetic data were measured by a SmartWheel. The kinetics variables and the onset, cessation, and duration of EMG activity from seven muscles were compared with paired t-tests for two sessions. Muscle coordination patterns across seven muscles were analyzed by principal component analysis. Push forces on the push rim and the percentage of push phase in the cycle increased significantly during incline propulsion. Propulsion condition and posture affected muscle coordination patterns. During incline propulsion, there was more intense and longer EMG activity of push muscles in the push phase and less EMG activity of the recovery muscles, which corresponded with the increased kinetic data total force output and longer push phase in the incline condition. This work establishes a framework for developing a performance feedback system for wheelchair users to better coordinate their muscle patterning activity.

  18. The intra-push velocity profile of the over-ground racing wheelchair sprint start.

    PubMed

    Moss, A D; Fowler, N E; Goosey-Tolfrey, V L

    2005-01-01

    The aim of this study was to analyse the first six pushes of a sprint start in over-ground racing wheelchair propulsion. One international male wheelchair athlete (age=28 years; body mass=60.6 kg; racing classification=T4) performed maximal over-ground sprint trials, over approximately 10 m, in his own racing wheelchair fitted with a velocometer. Each trial was filmed at 200 Hz using a "Pan and Tilt" system. Eight trials were manually digitised at 100 Hz. Raw co-ordinate data were smoothed and differentiated using a quintic spline routine. Across the period from pushes one to six the duration of each push cycle decreased (0.82+/-0.02-0.45+/-0.01 s) with the mean duration of the propulsive phase decreasing from 0.62+/-0.02 to 0.21+/-0.01 s and the recovery phase increasing from 0.20+/-0.01 to 0.24+/-0.02 s. The push-rim was contacted progressively closer to top dead centre and released progressively closer to bottom dead centre with each push. The data indicate that peak velocity occurred after release. The main findings of this study support the observation that racing wheelchair sprint propulsion is a complex form of locomotion and cannot be described accurately by using just the established definitions of a propulsive and a recovery phase.

  19. Voice controlled wheelchairs: fine control by humming.

    PubMed

    Peixoto, Nathalia; Nik, Hossein Ghaffari; Charkhkar, Hamid

    2013-10-01

    People without disabilities seamlessly control devices with their hands. Interestingly, their hands can perform coarse and fine control. Implementing smooth control for computerized systems is not straightforward and most of the time it is not intuitive either. Here we offer a solution to that problem: smooth control through humming. Voice commands have become ubiquitous in modern technology. Speech-to-text applications abound. Smooth control, on the other hand, has not been tackled yet. Here we design and implement a humming control technique, and demonstrate a hardware implementation with a powered wheelchair. Once actuated, the speed with which the chair moves will depend on the subtle variation on the fundamental frequency of the user's humming, acquired through an accelerometer measuring vocal cord vibration. We also discuss two signal processing techniques that handle commonly encountered issues when trying to resolve frequencies in real time data. The hardware implementation shows performance of 80% and higher in speech recognition for signal-to-noise ratio (SNR) higher than 8dB and 100% in smooth control and frequency detection for all tested SNRs. We also discuss potential applications of smooth humming control to other assistive technology. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. Getting the Right Wheelchair for Travel: A WC19-Compliant Wheelchair

    ERIC Educational Resources Information Center

    Manary, Miriam A.; Hobson, Douglas A.; Schneider, Lawrence W.

    2007-01-01

    Children and adults who must remain seated in their wheelchairs while traveling are often at a disadvantage in terms of crash safety. The new voluntary wheelchair industry standard WC19 (short for Section 19 of the ANSI/RESNA wheelchair standards) works to close the safety gap by providing design and performance criteria and test methods to assess…

  1. Training a Parent in Wheelchair Skills to Improve Her Child's Wheelchair Skills: A Case Study

    ERIC Educational Resources Information Center

    Kirby, R. Lee; Smith, Cher; Billard, Jessica L.; Irving, Jenny D. H.; Pitts, Janice E.; White, Rebecca S.

    2010-01-01

    We tested the hypothesis that training a parent in wheelchair-user and caregiver wheelchair skills would improve the child's wheelchair skills. We studied an 11-year-old girl with spina bifida and her mother. The mother received 4 training sessions averaging 42.5 minutes per session, over a period of 3 weeks. The total pre-training and, 4 weeks…

  2. Wheelchairs as mobility restraints: predictors of wheelchair activity in nonambulatory nursing home residents.

    PubMed

    Simmons, S F; Schnelle, J F; MacRae, P G; Ouslander, J G

    1995-04-01

    The purpose of this paper is to describe factors affecting wheelchair mobility in nonambulatory nursing home (NH) residents. Prospective descriptive study of a convenience sample of nonambulatory NH residents. Seven nursing homes. Sixty-five nonambulatory residents. One-minute, time-sampled observations of behavior for each resident were made every 15 minutes for 8 to 11 hours across 2 days, noting wheelchair propulsion activity for the dependent variable; independent variables included measures of wheelchair level of assistance, speed, endurance, handgrip strength, and balance. A stepwise Multiple Regression analysis found wheelchair speed to be the single best predictor of the percentage of time residents were behaviorally observed wheelchair propelling (Multiple r = .45, P < .02). Handgrip strength and wheelchair endurance measures were highly intercorrelated with wheelchair speed. Wheelchairs that were either dysfunctional or inappropriately fitted to the residents' size were a major barrier to wheelchair use, affecting 46% of residents using wheelchairs. Improving wheelchair skills with targeted intervention programs, along with making chairs more "user friendly" (e.g., grip extensions on brakes, foot pedals that one can move without bending over), could result in more wheelchair propulsion with resultant improvements in the NH resident's independence, freedom of movement, and quality of life.

  3. Characterization of pediatric wheelchair kinematics and wheelchair tiedown and occupant restraint system loading during rear impact.

    PubMed

    Fuhrman, Susan I; Karg, Patricia; Bertocci, Gina

    2010-04-01

    This study characterizes pediatric wheelchair kinematic responses and wheelchair tiedown and occupant restraint system (WTORS) loading during rear impact. It also examines the kinematic and loading effects of wheelchair headrest inclusion in rear impact. In two separate rear-impact test scenarios, identical WC19-compliant manual pediatric wheelchairs were tested using a seated Hybrid III 6-year-old anthropomorphic test device (ATD) to evaluate wheelchair kinematics and WTORS loading. Three wheelchairs included no headrests, and three were equipped with slightly modified wheelchair-mounted headrests. Surrogate WTORS properly secured the wheelchairs; three-point occupant restraints properly restrained the ATD. All tests used a 26km/h, 11g rear-impact test pulse. Headrest presence affected wheelchair kinematics and WTORS loading; headrest-equipped wheelchairs had greater mean seatback deflections, mean peak front and rear tiedown loads and decreased mean lap belt loads. Rear-impact tiedown loads differed from previously measured loads in frontal impact, with comparable tiedown load levels reversed in frontal and rear impacts. The front tiedowns in rear impact had the highest mean peak loads despite lower rear-impact severity. These outcomes have implications for wheelchair and tiedown design, highlighting the need for all four tiedowns to have an equally robust design, and have implications in the development of rear-impact wheelchair transportation safety standards.

  4. Getting the Right Wheelchair for Travel: A WC19-Compliant Wheelchair

    ERIC Educational Resources Information Center

    Manary, Miriam A.; Hobson, Douglas A.; Schneider, Lawrence W.

    2007-01-01

    Children and adults who must remain seated in their wheelchairs while traveling are often at a disadvantage in terms of crash safety. The new voluntary wheelchair industry standard WC19 (short for Section 19 of the ANSI/RESNA wheelchair standards) works to close the safety gap by providing design and performance criteria and test methods to assess…

  5. West Rim of Endeavour Crater on Mars

    NASA Image and Video Library

    2011-08-10

    A portion of the west rim of Endeavour crater sweeps southward in this color view from NASA Mars Exploration Rover Opportunity. The rover first destination on the rim, called Spirit Point in tribute to Opportunity now-inactive twin, Spirit.

  6. Upper Body-Based Power Wheelchair Control Interface for Individuals With Tetraplegia.

    PubMed

    Thorp, Elias B; Abdollahi, Farnaz; Chen, David; Farshchiansadegh, Ali; Lee, Mei-Hua; Pedersen, Jessica P; Pierella, Camilla; Roth, Elliot J; Seanez Gonzalez, Ismael; Mussa-Ivaldi, Ferdinando A

    2016-02-01

    Many power wheelchair control interfaces are not sufficient for individuals with severely limited upper limb mobility. The majority of controllers that do not rely on coordinated arm and hand movements provide users a limited vocabulary of commands and often do not take advantage of the user's residual motion. We developed a body-machine interface (BMI) that leverages the flexibility and customizability of redundant control by using high dimensional changes in shoulder kinematics to generate proportional control commands for a power wheelchair. In this study, three individuals with cervical spinal cord injuries were able to control a power wheelchair safely and accurately using only small shoulder movements. With the BMI, participants were able to achieve their desired trajectories and, after five sessions driving, were able to achieve smoothness that was similar to the smoothness with their current joystick. All participants were twice as slow using the BMI however improved with practice. Importantly, users were able to generalize training controlling a computer to driving a power wheelchair, and employed similar strategies when controlling both devices. Overall, this work suggests that the BMI can be an effective wheelchair control interface for individuals with high-level spinal cord injuries who have limited arm and hand control.

  7. Upper Body-Based Power Wheelchair Control Interface for Individuals with Tetraplegia

    PubMed Central

    Thorp, Elias B.; Abdollahi, Farnaz; Chen, David; Farshchiansadegh, Ali; Lee, Mei-Hua; Pedersen, Jessica; Pierella, Camilla; Roth, Elliot J.; Gonzalez, Ismael Seanez; Mussa-Ivaldi, Ferdinando A.

    2016-01-01

    Many power wheelchair control interfaces are not sufficient for individuals with severely limited upper limb mobility. The majority of controllers that do not rely on coordinated arm and hand movements provide users a limited vocabulary of commands and often do not take advantage of the user’s residual motion. We developed a body-machine interface (BMI) that leverages the flexibility and customizability of redundant control by using high dimensional changes in shoulder kinematics to generate proportional controls commands for a power wheelchair. In this study, three individuals with cervical spinal cord injuries were able to control the power wheelchair safely and accurately using only small shoulder movements. With the BMI, participants were able to achieve their desired trajectories and, after five sessions driving, were able to achieve smoothness that was similar to the smoothness with their current joystick. All participants were twice as slow using the BMI however improved with practice. Importantly, users were able to generalize training controlling a computer to driving a power wheelchair, and employed similar strategies when controlling both devices. Overall, this work suggests that the BMI can be an effective wheelchair control interface for individuals with high-level spinal cord injuries who have limited arm and hand control. PMID:26054071

  8. Experimental study on a smart wheelchair system using a combination of stereoscopic and spherical vision.

    PubMed

    Nguyen, Jordan S; Su, Steven W; Nguyen, Hung T

    2013-01-01

    This paper is concerned with the experimental study performance of a smart wheelchair system named TIM (Thought-controlled Intelligent Machine), which uses a unique camera configuration for vision. Included in this configuration are stereoscopic cameras for 3-Dimensional (3D) depth perception and mapping ahead of the wheelchair, and a spherical camera system for 360-degrees of monocular vision. The camera combination provides obstacle detection and mapping in unknown environments during real-time autonomous navigation of the wheelchair. With the integration of hands-free wheelchair control technology, designed as control methods for people with severe physical disability, the smart wheelchair system can assist the user with automated guidance during navigation. An experimental study on this system was conducted with a total of 10 participants, consisting of 8 able-bodied subjects and 2 tetraplegic (C-6 to C-7) subjects. The hands-free control technologies utilized for this testing were a head-movement controller (HMC) and a brain-computer interface (BCI). The results showed the assistance of TIM's automated guidance system had a statistically significant reduction effect (p-value = 0.000533) on the completion times of the obstacle course presented in the experimental study, as compared to the test runs conducted without the assistance of TIM.

  9. Wheelchair propulsion: effects of experience and push strategy on efficiency and perceived exertion.

    PubMed

    Lenton, John P; Fowler, Neil E; van der Woude, Lucas; Goosey-Tolfrey, Victoria L

    2008-10-01

    The purpose of this study was to examine the role of wheeling experience on efficiency, metabolic cost, and differentiated ratings of perceived exertion (RPEs) during synchronous and asynchronous hand-rim propulsion with varying arm frequencies. Fourteen able-bodied (AB) male participants and 8 male wheelchair sportsmen (WS) performed tests of peak oxygen consumption for both propulsion modes. Subsequently, 2 series of five 4-min sub-maximal exercise bouts were completed at an individualized velocity (60% of peak oxygen consumption). Arm frequencies consisted of the freely chosen frequency (FCF), followed by 4 counter-balanced paced trials pushing at 60%, 80%, 120%, and 140% of the FCF. Efficiency indices (gross, GE; work, WE) were determined and peripheral (RPE-P), central (RPE-C), and overall (RPE-O) RPEs were recorded. The GE (6.4% vs. 8.4%) and WE (11.3% vs. 15.1%) were significantly higher in WS than in AB (p = 0.001). Trends in the oxygen consumption, GE, and WE data were similar in both groups, propulsion mode, and arm frequency. Data suggest that 80% FCF resulted in improved efficiency for both propulsion mode and group, although the differences between those arm frequencies immediately above and below were non-significant. Lower RPE scores corresponded with higher efficiency values. Regardless of group there were significant differences (p = 0.001) between the differentiated RPE measures, whereby RPE-P was on average always the highest score (13.1) and RPE-C the lowest (11.1; RPE-O was 12.2). In conclusion, despite the anticipated differences in efficiency between the WS and AB participants, this study confirmed that psycho-physiological measures produce similar trends to physiological measures with manipulations of both arm frequency and propulsion mode.

  10. Wheelchair service provision education in academia

    PubMed Central

    2017-01-01

    Background An estimated 70 million people with disabilities need wheelchairs. To address this global crisis, the World Health Organization (WHO) proposed an eight-step wheelchair service provision model to ensure service quality regardless of resource setting. The International Society of Wheelchair Professionals (ISWP) aims to facilitate the integration of the WHO eight-step model into professional rehabilitation programmes. Objective To develop an enhanced understanding of the current wheelchair service provision education provided in professional rehabilitation programmes worldwide. Methods In a cross-sectional design, an online survey was distributed to ISWP contacts of educational institutions. Quantitative responses were analysed through summary statistics and qualitative answers were analysed by content analyses. When relevant, educational institutions were stratified into resource settings. Results Seventy-two representatives of educational institutions in 21 countries completed the survey. Wheelchair content was taught in 79% of represented institutions, of which 75% of respondents reported using original course material, 10% of respondents used WHO Wheelchair Service Training Packages and 15% of respondents used other available resources. The majority of educational institutions teaching with their own wheelchair-related course material taught ≤ 20 hours. Fourteen of the 15 respondents without wheelchair education, expressed an interest in integrating wheelchair education into their academic curricula. Conclusion The majority of the educational institutions teach wheelchair education; however, there is great variability in what and how it is taught and evaluated. The results demonstrate the need for more in-depth investigation regarding the integration process of wheelchair education in educational institutions, with the ultimate goal of improving wheelchair service provision worldwide. PMID:28936415

  11. Descriptive study about congruence in wheelchair prescription.

    PubMed

    Cherubini, M; Melchiorri, G

    2012-06-01

    Wheelchair prescription is relevant in the prevention of muscular joint pathology, and to facilitate autonomy and the patient's social life. However, in order to reach this goal, respecting the standards with a client-centred approach is essential. Congruence between user ability and wheelchair characteristics by making wheelchairs more "user friendly" can improve patient independence, facilitate integration into society and improve the patient's quality of life. The purpose of this study was to analyse congruence of wheelchair use by our patients, through the consideration of specific recommendations related to each subject's individual clinical situation. The second aim of the paper was to improve wheelchair prescriptions, by identifying the most frequent mistakes in the prescription and construction of wheelchairs. Observational study, outpatient. One hundred-fifty wheelchair users (average age 46.7±17.3) were analysed and described at 16.2±8.5 years from the onset of their disability. The subjects were 80 males and 70 females. Sixty-eight percent of the wheelchairs were not suitable for the patients, while 32% were suitable. We reported the incidence of non-congruence with respect to each wheelchair part. After finding a correlation between the prescription sources and suitability, the authors suggested that wheelchair prescriptions should be carried out in specialized departments, or that physician competences, and collaboration between physicians and technicians must be improved. Our data indicates the necessity to pay more attention to wheelchair prescription while considering ergonomic fitting to the individual. Identifying the most frequent mistakes in the prescription and construction of wheelchairs in this paper could help to make more appropriate prescriptions.

  12. A hybrid brain computer interface to control the direction and speed of a simulated or real wheelchair.

    PubMed

    Long, Jinyi; Li, Yuanqing; Wang, Hongtao; Yu, Tianyou; Pan, Jiahui; Li, Feng

    2012-09-01

    Brain-computer interfaces (BCIs) are used to translate brain activity signals into control signals for external devices. Currently, it is difficult for BCI systems to provide the multiple independent control signals necessary for the multi-degree continuous control of a wheelchair. In this paper, we address this challenge by introducing a hybrid BCI that uses the motor imagery-based mu rhythm and the P300 potential to control a brain-actuated simulated or real wheelchair. The objective of the hybrid BCI is to provide a greater number of commands with increased accuracy to the BCI user. Our paradigm allows the user to control the direction (left or right turn) of the simulated or real wheelchair using left- or right-hand imagery. Furthermore, a hybrid manner can be used to control speed. To decelerate, the user imagines foot movement while ignoring the flashing buttons on the graphical user interface (GUI). If the user wishes to accelerate, then he/she pays attention to a specific flashing button without performing any motor imagery. Two experiments were conducted to assess the BCI control; both a simulated wheelchair in a virtual environment and a real wheelchair were tested. Subjects steered both the simulated and real wheelchairs effectively by controlling the direction and speed with our hybrid BCI system. Data analysis validated the use of our hybrid BCI system to control the direction and speed of a wheelchair.

  13. Sports medicine and the wheelchair athlete.

    PubMed

    Shephard, R J

    1988-04-01

    International competitions for the wheelchair-confined are now a major feature of the world of sport. They are helpful in improving both mood state and physiological function, while improving long term prognosis. Immediate medical problems are much as in other types of competition, but there are also specific problems (bladder infections, pressure sores, intolerance of environmental extremes, and injuries related to wheelchair use). Disability classification, based on the anatomical or functional level of a lesion, provides a reasonably fair basis for competition. Most of the functional data to date relate to strength (isometric and isokinetic) and aerobic power (measured in a wheelchair or on an arm ergometer). While the inactive patient is often severely limited, wheelchair athletes may have a greater functional capacity than sedentary normals. The principles of training for the wheelchair-confined are much as in the able-bodied, although because the arm muscles are small, much of the training response may be peripheral rather than central. The margin between an effective stimulus and overtraining is also reduced. Involvement in a training programme not only increases physiological function, but also counters depression, increasing the subject's sense of self-efficacy. Biomechanicians are now contributing increasingly to wheelchair sport, improving the design of competitive wheelchairs, improving the mechanical efficiency of participants, and helping to reduce the risks of injury. The benefits of wheelchair sport are now clearly established, and family physicians should do more to encourage the involvement of the wheelchair-confined.

  14. Muscle damage occurring in wheelchair sports people.

    PubMed

    Ide, M; Ogata, H; Kobayashi, M; Wada, F

    1997-04-01

    Seven college-age healthy men exercised on a wheelchair treadmill to evaluate muscle damage that may occur from wheelchair propulsion. An experimental model in which a participant performs up-hill running in a wheelchair was prepared. Plasma creatinekinase (CK), myoglobin (Mb) and lactatedehydrogenase (LDH) were measured as parameters. Blood samples were taken pre-, immediately after-, 24 h after- and 72 h after the exercise. All of these parameters significantly increased after the exercise, but their time-courses were apparently varied. It is concluded that wheelchair propulsion causes muscle damage in certain situations such as up-hill running.

  15. Partitioning kinetic energy during freewheeling wheelchair maneuvers.

    PubMed

    Medola, Fausto O; Dao, Phuc V; Caspall, Jayme J; Sprigle, Stephen

    2014-03-01

    This paper describes a systematic method to partition the kinetic energy (KE) of a free-wheeling wheelchair. An ultralightweight rigid frame wheelchair was instrumented with two axle-mounted encoders and data acquisition equipment to accurately measure the velocity of the drive wheels. A mathematical model was created combining physical specifications and geometry of the wheelchair and its components. Two able-bodied subjects propelled the wheelchair over four courses that involved straight and turning maneuvers at differing speeds. The KE of the wheelchair was divided into three components: translational, rotational, and turning energy. This technique was sensitive to the changing contributions of the three energy components across maneuvers. Translational energy represented the major component of total KE in all maneuvers except a zero radius turn in which turning energy was dominant. Both translational and rotational energies are directly related to wheelchair speed. Partitioning KE offers a useful means of investigating the dynamics of a moving wheelchair. The described technique permits analysis of KE imparted to the wheelchair during maneuvers involving changes in speed and direction, which are most representative of mobility in everyday life. This technique can be used to study the effort required to maneuver different types and configurations of wheelchairs.

  16. [Standard requirements for electric wheelchairs (author's transl)].

    PubMed

    Fritsch, M

    1979-02-01

    Electric Wheelchairs are driven on public roads. Neither an operating license, liability insurance nor special driving license is necessary according to Road Traffic and Road Licensing Regulations. Statutory regulations prescribe that these wheelchairs must be fitted with two independent brakes and adequate lighting equipment. Safety can be increased by: Totmann brake system - battery servicing - improved battery chargers and technical safety tests. Maintenance of the wheelchair prolongs its life. Social security agencies should allow a large number of the most severely handicapped people to benefit from medically prescribed wheelchairs.

  17. A preliminary model of wheelchair service delivery.

    PubMed

    Eggers, Sara L; Myaskovsky, Larissa; Burkitt, Kelly H; Tolerico, Michelle; Switzer, Galen E; Fine, Michael J; Boninger, Michael L

    2009-06-01

    To integrate and expand on previously published models of wheelchair service delivery, and provide a preliminary framework for developing more comprehensive, descriptive models of wheelchair service delivery for adults with spinal cord injury within the U.S. health care system. Literature review and a qualitative analysis of in-depth interviews. Not applicable. Ten academic, clinical, regulatory, and industry experts (Department of Veterans Affairs [VA] and non-VA) in wheelchair service delivery. Not applicable. Interviewees were asked to discuss the full range of variables and stakeholders involved in wheelchair service delivery, and to limit their scope to the provision of primary subsequent or replacement chairs (not backup chairs) to adults within the United States. Most experts we interviewed stressed that clients who require a wheelchair play a central role in the wheelchair service delivery process. Providers (including clinicians, rehabilitation engineers, and rehabilitation counselors) are also critical stakeholders. More so than in other health care settings, suppliers play an integral role in the provision of wheelchairs to clients and may significantly influence the appropriateness of the wheelchair provided. Suppliers often have a direct role in wheelchair service delivery through their interactions with the clinician and/or client. This model also identified a number of system-level factors (including facility administration and standards, policies, and regulations) that influence wheelchair service delivery and ultimately the appropriateness of the wheelchair provided. We developed a detailed, descriptive model of wheelchair service delivery that integrates the delivery process and device outcomes, and includes the patient-level, provider-level, and system-level factors that may directly influence those processes and outcomes. We believe that this detailed model can help clinicians and researchers describe and consider the complexities of wheelchair

  18. Southeast Rim of Hale Crater

    NASA Image and Video Library

    2015-01-22

    NASA Mars Reconnaissance Orbiter observes the southeast rim of Hale Crater, about 150 kilometers 90 miles in diameter and located in the mid-southern latitudes just north of the massive Argyre basin. RSL are often found on northwest-facing slopes, and they occur in the central peak of Hale. During the season when we know RSL appear, this observation at high resolution might help us see if they occur elsewhere. http://photojournal.jpl.nasa.gov/catalog/PIA19176

  19. Electric Wheelchair Controlled by Human Body Motion Interface

    NASA Astrophysics Data System (ADS)

    Yokota, Sho; Hashimoto, Hiroshi; Ohyama, Yasuhiro; She, Jin-Hua

    This research studies the possibility of an intuitive interface for an electric wheelchair by using human body except hands. For this purpose, we focused on the human body motion which has relation to actions or behavior. This motion comes from the human stabilization function for holding expectable collapsing caused by voluntary motion. Thus this motion is considered as a kind of characteristics of human motion, and is linked to intentions unconsciously. Therefore, the interface which does not require conscious and complex motion is realized by applying this human body motion to the interface of electric wheelchair. In this paper, first, we did experiment to search a part which vividly shows the pressure change on the seat. As a result, it was confirmed that pressure change of the seat back vividly shows the human body motion. Next, we designed the prototype based on this evidence. Finally, experiment was conducted by using 10 subjects and SD method to evaluate feeling of operation. For this result, it was turned out that all subjects feel that proposed interface was intuitive, or to control at their direction. Therefore it was confirmed that human body motion interface has a possibility to be used for an interface of electric wheelchair.

  20. Soft, conformal bioelectronics for a wireless human-wheelchair interface.

    PubMed

    Mishra, Saswat; Norton, James J S; Lee, Yongkuk; Lee, Dong Sup; Agee, Nicolas; Chen, Yanfei; Chun, Youngjae; Yeo, Woon-Hong

    2017-05-15

    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. Here, we introduce a bioelectronic system that makes dry, conformal contact to the skin. The mechanically comfortable sensor records high-fidelity electrooculograms, comparable to the conventional gel electrode. Quantitative signal analysis and infrared thermographs show the advantages of the soft biosensor for an ergonomic human-machine interface. A classification algorithm with an optimized set of features shows the accuracy of 94% with five eye movements. A Bluetooth-enabled system incorporating the soft bioelectronics demonstrates a precise, hands-free control of a robotic wheelchair via electrooculograms.

  1. A qualitative examination of wheelchair configuration for optimal mobility performance in wheelchair sports: a pilot study.

    PubMed

    Mason, Barry S; Porcellato, Lorna; van der Woude, Lucas H V; Goosey-Tolfrey, Victoria L

    2010-02-01

    To examine wheelchair athletes' perceptions of wheelchair configuration in relation to aspects of mobility performance. Nine elite wheelchair athletes from wheelchair basketball, wheelchair rugby and wheelchair tennis were interviewed using a semi-structured format. Interview transcripts were analysed using an Interpretative Phenomenological Analysis, whereby emergent themes with common connections were identified and clustered into 3 superordinate themes: (i) performance indicators; (ii) principal areas of wheelchair configuration; and (iii) supplementary areas of wheelchair configuration. Participants revealed that stability was the most important contributor towards successful performance. Whilst there was some agreement amongst participants on how manipulating most areas of wheelchair configuration influenced performance, opinions were divided as to whether camber had a positive or negative effect on straight line performance. Experienced athletes seemed to display a good understanding of how modifying wheelchair configurations can affect sports performance, yet the methods offered for identifying optimal settings were extremely subjective. Therefore, future quantitative research into specific areas of configuration is imperative to identify these optimums and to inform athletes about the decisions they make when configuring a new sports wheelchair.

  2. Accretionary dark rims in unequilibrated chondrites

    NASA Astrophysics Data System (ADS)

    King, T. V. V.; King, E. A.

    1981-12-01

    Textural and qualitative EDX investigations of dark-rimmed particles in six low petrologic type chondrites indicate that the rims accreted on host particles over a wide range of temperatures prior to initial accumulation and lithification of the meteorites in which the rimmed particles are now contained. Many dark rims are enriched in moderately volatile trace elements such as Na, Cl, P, and K, relative to the host particles and matrix. The range of physical/chemical environments associated with hypervelocity impacts may have offered the setting for the formation of dark-rimmed particles early in solar system history.

  3. Real-time head movement system and embedded Linux implementation for the control of power wheelchairs.

    PubMed

    Nguyen, H T; King, L M; Knight, G

    2004-01-01

    Mobility has become very important for our quality of life. A loss of mobility due to an injury is usually accompanied by a loss of self-confidence. For many individuals, independent mobility is an important aspect of self-esteem. Head movement is a natural form of pointing and can be used to directly replace the joystick whilst still allowing for similar control. Through the use of embedded LINUX and artificial intelligence, a hands-free head movement wheelchair controller has been designed and implemented successfully. This system provides for severely disabled users an effective power wheelchair control method with improved posture, ease of use and attractiveness.

  4. Flux Coupling for Wheelchair Battery Chargers

    NASA Technical Reports Server (NTRS)

    Mclyman, C. W.

    1985-01-01

    Battery-charger concept for wheelchairs includes magnetic-flux coupling instead of electrical connections between power sources and wheelchairs. Concept meant to facilitate operation by patients whose disabilities make it difficult or impossible to maneuver common electrical plugs into or out of ac wall outlets.

  5. 21 CFR 890.3860 - Powered wheelchair.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Powered wheelchair. 890.3860 Section 890.3860 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3860 Powered wheelchair. (a...

  6. 21 CFR 890.3860 - Powered wheelchair.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Powered wheelchair. 890.3860 Section 890.3860 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3860 Powered wheelchair. (a...

  7. 21 CFR 890.3900 - Standup wheelchair.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Standup wheelchair. 890.3900 Section 890.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3900 Standup wheelchair....

  8. 21 CFR 890.3900 - Standup wheelchair.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Standup wheelchair. 890.3900 Section 890.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3900 Standup wheelchair....

  9. 21 CFR 890.3900 - Standup wheelchair.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Standup wheelchair. 890.3900 Section 890.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3900 Standup wheelchair....

  10. 21 CFR 890.3900 - Standup wheelchair.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Standup wheelchair. 890.3900 Section 890.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3900 Standup wheelchair....

  11. 21 CFR 890.3900 - Standup wheelchair.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Standup wheelchair. 890.3900 Section 890.3900 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3900 Standup wheelchair....

  12. 21 CFR 890.3860 - Powered wheelchair.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Powered wheelchair. 890.3860 Section 890.3860 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3860 Powered wheelchair. (a...

  13. 21 CFR 890.3860 - Powered wheelchair.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Powered wheelchair. 890.3860 Section 890.3860 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3860 Powered wheelchair. (a...

  14. 21 CFR 890.3860 - Powered wheelchair.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Powered wheelchair. 890.3860 Section 890.3860 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3860 Powered wheelchair. (a...

  15. Flux Coupling for Wheelchair Battery Chargers

    NASA Technical Reports Server (NTRS)

    Mclyman, C. W.

    1985-01-01

    Battery-charger concept for wheelchairs includes magnetic-flux coupling instead of electrical connections between power sources and wheelchairs. Concept meant to facilitate operation by patients whose disabilities make it difficult or impossible to maneuver common electrical plugs into or out of ac wall outlets.

  16. All-terrain self-leveling wheelchair.

    PubMed

    Schofield, Andrew; Barrett, Steven

    2014-01-01

    Limited mobility is something that affects approximately 6.8 million Americans. Approximately 1.7 million are using wheelchairs or scooters of some kind to enhance mobility. Everyday obstacles present a challenge to those in a wheelchair. Also, outdoor environments such as campsites, lakes, or even grass fields provide additional challenges for those with limited mobility. This project provides a solution to some of the limitations faced by those in wheelchairs. The wheels and tires of the wheelchair allow navigation through most terrains such as grass, gravel, and sand. Furthermore, as a wheelchair climbs or descends a hill it becomes unstable and the user risks tipping the wheelchair causing injury or even death. The self-leveling wheelchair uses an accelerometer to determine its angle of inclination and depending on user interface choices will display the angle or raise the seat with linear actuators to keep the seat level. This will keep the center of gravity towards the front of the chair when going up a hill and towards the back of the chair when going down a hill. This enhanced stability will give the user the confidence and ability to go places where most traditional wheelchairs can not. The chair has the ability to self-level at up to 45 degree and can provide a manual lift of 6 inches. The design presented in this report is patent pending.

  17. Wheelchair transfer techniques for the dental office.

    PubMed

    Felder, R S; Gillette, V M; Leseberg, K

    1988-01-01

    Dental offices must be made more accessible to individuals who are physically challenged. Transfer techniques for safely moving patients between wheelchairs and dental chairs, sliding transfers, one- and two-person transfers, and methods of accommodating patients in a dental operatory who cannot be transferred from wheelchairs are presented.

  18. Context-Based Filtering for Assisted Brain-Actuated Wheelchair Driving

    PubMed Central

    Vanacker, Gerolf; del R. Millán, José; Lew, Eileen; Ferrez, Pierre W.; Moles, Ferran Galán; Philips, Johan; Van Brussel, Hendrik; Nuttin, Marnix

    2007-01-01

    Controlling a robotic device by using human brain signals is an interesting and challenging task. The device may be complicated to control and the nonstationary nature of the brain signals provides for a rather unstable input. With the use of intelligent processing algorithms adapted to the task at hand, however, the performance can be increased. This paper introduces a shared control system that helps the subject in driving an intelligent wheelchair with a noninvasive brain interface. The subject's steering intentions are estimated from electroencephalogram (EEG) signals and passed through to the shared control system before being sent to the wheelchair motors. Experimental results show a possibility for significant improvement in the overall driving performance when using the shared control system compared to driving without it. These results have been obtained with 2 healthy subjects during their first day of training with the brain-actuated wheelchair. PMID:18354739

  19. Health, Personal, and Environmental Predictors of Wheelchair-Use Confidence in Adult Wheelchair Users

    PubMed Central

    Sakakibara, Brodie M.; Eng, Janice J.; Routhier, François; Backman, Catherine L.

    2015-01-01

    Background There are no predictive models of wheelchair-use confidence. Therefore, clinicians and researchers are limited in their ability to screen for and identify wheelchair users who may be more prone to low wheelchair-use confidence and may benefit from clinical intervention. Objective The purpose of this study was to identify health-related, personal, and environmental factors that predict perceived wheelchair-use confidence in community-dwelling adults who use manual wheelchairs. Design A cross-sectional study was conducted. Methods Community-dwelling manual wheelchair users (N=124) were included in the study if they were ≥50 years of age, had ≥6 months of wheelchair use experience, and had no cognitive impairment. The Wheelchair Use Confidence Scale was used to assess wheelchair-use confidence. The sociodemographic information form, Functional Comorbidity Index, Seating Identification Tool, Interpersonal Support and Evaluation List, and Home and Community Environment Instrument captured the independent variables. Blocks of health, personal, and environmental variables were sequentially entered into the regression model. Results Five personal variables (age, standardized beta [β]=−0.18; sex, β=−0.26; daily hours of wheelchair occupancy, β=0.20; wheelchair-use training, β=0.20; and wheelchair-use assistance, β=−0.34) and one environmental variable (need for seating intervention, β=−0.18) were statistically significant predictors, explaining 44% of the confidence variance. Limitations The sample comprised volunteers and, therefore, may underrepresent or overrepresent particular groups within the population. The study's cross-sectional research design does not allow for conclusions to be made regarding causality. Conclusion Older women who use wheelchairs and who require assistance with wheelchair use may have low wheelchair-use confidence. The same is true for individuals who have no formal wheelchair-use training, who are in need of a

  20. Impact of structured wheelchair services on satisfaction and function of wheelchair users in Zimbabwe

    PubMed Central

    van der Veen, Judith; Tigere, Deborah

    2016-01-01

    Background Providing wheelchairs without comprehensive support services might be detrimental to user satisfaction and function. Objectives This paper compares wheelchair user satisfaction and function before and after implementation of comprehensive wheelchair services, based on the World Health Organization guidelines on wheelchair service provision in less resourced settings, in Zimbabwe. Method A pre- and post-test study with a qualitative component was done. Quantitative data were collected with the Quebec User Evaluation of Satisfaction with Assistive Technology for adults and children and the ‘Functioning Every day with a Wheelchair Questionnaire’. Data were collected from 55 consecutively sampled wheelchair users, who received a new wheelchair in the study period. Qualitative data were collected through two audio recorded focus groups and two case studies and are presented through narrative examples. Results The proportion of adult users who were satisfied significantly increased for all wheelchair and service delivery aspects (p = 0.001 - 0.008), except follow-up (p = 0.128). The same was true for children’s post-test ratings on all variables assessed (p = 0.001 - 0.04), except training in the use of the device (p = 0.052). The biggest improvement in satisfaction figures were for comfort needs (44.3%), indoor mobility (43.2%), outdoor mobility (37.2%), safe and efficient, independent operation (33.5%) and transport (31.4%). The qualitative data illustrated user satisfaction with wheelchair features and services. Conclusion The wheelchair service programme resulted in significant positive changes in user satisfaction with the wheelchair, wheelchair services and function. It is recommended that the Zimbabwean government and partner organisations continue to support and develop wheelchair services along these guidelines. PMID:28730049

  1. The wheelchair as a full-body tool extending the peripersonal space.

    PubMed

    Galli, Giulia; Noel, Jean Paul; Canzoneri, Elisa; Blanke, Olaf; Serino, Andrea

    2015-01-01

    Dedicated multisensory mechanisms in the brain represent peripersonal space (PPS), a limited portion of space immediately surrounding the body. Previous studies have illustrated the malleability of PPS representation through hand-object interaction, showing that tool use extends the limits of the hand-centered PPS. In the present study we investigated the effects of a special tool, the wheelchair, in extending the action possibilities of the whole body. We used a behavioral measure to quantify the extension of the PPS around the body before and after Active (Experiment 1) and Passive (Experiment 2) training with a wheelchair and when participants were blindfolded (Experiment 3). Results suggest that a wheelchair-mediated passive exploration of far space extended PPS representation. This effect was specifically related to the possibility of receiving information from the environment through vision, since no extension effect was found when participants were blindfolded. Surprisingly, the active motor training did not induce any modification in PPS representation, probably because the wheelchair maneuver was demanding for non-expert users and thus they may have prioritized processing of information from close to the wheelchair rather than at far spatial locations. Our results suggest that plasticity in PPS representation after tool use seems not to strictly depend on active use of the tool itself, but is triggered by simultaneous processing of information from the body and the space where the body acts in the environment, which is more extended in the case of wheelchair use. These results contribute to our understanding of the mechanisms underlying body-environment interaction for developing and improving applications of assistive technological devices in different clinical populations.

  2. Facing rim cavities fluctuation modes

    NASA Astrophysics Data System (ADS)

    Casalino, Damiano; Ribeiro, André F. P.; Fares, Ehab

    2014-06-01

    Cavity modes taking place in the rims of two opposite wheels are investigated through Lattice-Boltzmann CFD simulations. Based on previous observations carried out by the authors during the BANC-II/LAGOON landing gear aeroacoustic study, a resonance mode can take place in the volume between the wheels of a two-wheel landing gear, involving a coupling between shear-layer vortical fluctuations and acoustic modes resulting from the combination of round cavity modes and wheel-to-wheel transversal acoustic modes. As a result, side force fluctuations and tonal noise side radiation take place. A parametric study of the cavity mode properties is carried out in the present work by varying the distance between the wheels. Moreover, the effects due to the presence of the axle are investigated by removing the axle from the two-wheel assembly. The azimuthal properties of the modes are scrutinized by filtering the unsteady flow in narrow bands around the tonal frequencies and investigating the azimuthal structure of the filtered fluctuation modes. Estimation of the tone frequencies with an ad hoc proposed analytical formula confirms the observed modal properties of the filtered unsteady flow solutions. The present study constitutes a primary step in the description of facing rim cavity modes as a possible source of landing gear tonal noise.

  3. Autonomous caregiver following robotic wheelchair

    NASA Astrophysics Data System (ADS)

    Ratnam, E. Venkata; Sivaramalingam, Sethurajan; Vignesh, A. Sri; Vasanth, Elanthendral; Joans, S. Mary

    2011-12-01

    In the last decade, a variety of robotic/intelligent wheelchairs have been proposed to meet the need in aging society. Their main research topics are autonomous functions such as moving toward some goals while avoiding obstacles, or user-friendly interfaces. Although it is desirable for wheelchair users to go out alone, caregivers often accompany them. Therefore we have to consider not only autonomous functions and user interfaces but also how to reduce caregivers' load and support their activities in a communication aspect. From this point of view, we have proposed a robotic wheelchair moving with a caregiver side by side based on the MATLAB process. In this project we discussing about robotic wheel chair to follow a caregiver by using a microcontroller, Ultrasonic sensor, keypad, Motor drivers to operate robot. Using camera interfaced with the DM6437 (Davinci Code Processor) image is captured. The captured image are then processed by using image processing technique, the processed image are then converted into voltage levels through MAX 232 level converter and given it to the microcontroller unit serially and ultrasonic sensor to detect the obstacle in front of robot. In this robot we have mode selection switch Automatic and Manual control of robot, we use ultrasonic sensor in automatic mode to find obstacle, in Manual mode to use the keypad to operate wheel chair. In the microcontroller unit, c language coding is predefined, according to this coding the robot which connected to it was controlled. Robot which has several motors is activated by using the motor drivers. Motor drivers are nothing but a switch which ON/OFF the motor according to the control given by the microcontroller unit.

  4. Shoulder pain: a comparison of wheelchair athletes and nonathletic wheelchair users.

    PubMed

    Fullerton, Heather D; Borckardt, Jeffrey J; Alfano, Alan P

    2003-12-01

    The purpose of this study was to directly compare the onset and prevalence of shoulder pain in athletic and nonathletic wheelchair users. A questionnaire was distributed to athletic and nonathletic wheelchair-dependent populations. This inquired about presence and duration of shoulder pain, age of subject, level of injury, duration of time since injury, wheelchair use, involvement in sports, and training habits. A total of 257 subjects were involved in the study. The odds of having shoulder pain were twice as high among nonathletes as they were among athletes. This finding represents a significant difference over and above age differences, differences in years spent in a wheelchair, and differences in level of spinal cord injury. Athletes also have an average of 12 yr free of shoulder pain after becoming wheelchair bound, whereas nonathletes have only 8 yr. Promotion of active exercise for wheelchair users is encouraged to decrease shoulder pain, resulting in more functional, pain-free years.

  5. Life-cycle analysis of depot versus rehabilitation manual wheelchairs.

    PubMed

    Cooper, R A; Robertson, R N; Lawrence, B; Heil, T; Albright, S J; VanSickle, D P; Gonzalez, J

    1996-02-01

    The proper selection of a wheelchair requires making several critical decisions, not the least of which is what type of wheelchair is appropriate. The International Organization for Standards (ISO) continues to develop and refine wheelchair standards. Standards allow the objective comparison of products from various sources, permitting consumers or clinicians to assess wheelchairs with which they are not familiar by comparing test results. This study consisted of three components: 1) the comparison of fatigue test results with a planar ANSI/RESNA test dummy to a HERL contoured test dummy; 2) the comparison of fatigue test results for common depot versus common rehabilitation manual wheelchairs; and 3) the comparison of fatigue test results for manual rehabilitation wheelchairs with solid 8-inch casters versus those with pneumatic 8-inch casters. Rehabilitation wheelchairs lasted on average 13.2 times longer than the depot wheelchairs. Both types, tested with the standard ISO-ANSI/RESNA dummy, lasted on average 2.1 times longer than those wheelchairs tested using the contoured dummy. The three rehabilitation wheelchairs equipped with 8-inch pneumatic casters lasted on average 3.2 times longer than the 6 rehabilitation wheelchairs equipped with solid 8-inch casters. The depot wheelchairs cost about 3.4 times as much to operate per cycle or per meter than the rehabilitation wheelchairs. The rehabilitation wheelchairs tended to experience component failures, while the depot wheelchairs tended to experience frame failures. Our testing indicates that the tests in the ISO-ANSI/RESNA standards can relate design features to fatigue test results and durability. Rehabilitation wheelchairs tend to use higher quality materials and better manufacturing practices, and they provide greater mobility for wheelchair users. Purchasers and prescribers of wheelchairs should consider the life-cycle cost and not just the purchase price for wheelchairs.

  6. Dynamics of the alar rim graft.

    PubMed

    Guyuron, Bahman; Bigdeli, Yaas; Sajjadian, Ali

    2015-04-01

    The purpose of this study was to review the dynamics and frequency of the use of the alar rim graft. The recorded intraoperative information for the purpose of rhinoplasty research was reviewed to investigate the frequency of the use of alar rim grafts. Intraoperative observations were also made while inserting the alar rim graft to identify the changes that occur in the structures that could be influenced by placement of this graft. The data were tabulated in an Excel file and analyzed. Of the 1427 patients who underwent nose reconstruction or rhinoplasty in this study, 565 (39.56 percent) received alar rim grafts. This included 73 primary nose reconstructions, 20 secondary nose reconstructions, two revision nose reconstructions, 304 primary rhinoplasties, 107 secondary rhinoplasties, 43 revision operations following primary rhinoplasties, and seven revision operations following secondary rhinoplasties. However, when 100 more recent consecutive cases were reviewed, 88 percent of primary rhinoplasty patients and 67 percent of secondary rhinoplasty patients received alar rim grafts. The observed dynamic changes after insertion of each graft included (1) correction of the concavity of the ala, (2) caudal advancement of the alar rim, (3) elongation of nostril, and (4) widening of the nostril. The majority of patients who undergo rhinoplasty would benefit from the alar rim graft, and this study demonstrates a steady increase in its use. Placement of an alar rim graft results in elongation of the short nostril, correction of the alar concavity, widening of the nostril, and slight caudal transposition of the alar rim.

  7. Chondrule rims and interchondrule matrix in UOC

    NASA Technical Reports Server (NTRS)

    Alexander, C.; Hutchison, R.; Barber, D. J.

    1984-01-01

    Opaque rims around chondrules and clasts were distinguished from opaque, interchondrule matrix apparently unrelated spatially to chondrules and clasts. Microprobe and electron microscope techniques were used. The mean chemical composition for dark rim and matrix in Bishunpur and Tieschitz are similar to the opaque matrix of Huss, et al. However, the mean dark rim compositions in Bishunpur have significantly higher Fe, and lower Na, K, Al and Si than opaque interchondrule matrix. The opaque matrix of Huss, et al, essentially lies between these compositions. In Tieschitz only rim material was observed. In Tieschitz the rims are Si-poor and dominated by normative olivine (Fo50). Again there is an Na, K, Al component but is often nepheline normative rather than albitic. It too is probably present as glass, Ashworth (pers.comm.). In Bishunpur rims as well as the silicate-FeS, FeNi layering described by Allen, et al, discontinuous layering was observed within the silicate portion. This is apparently due to variations in the proportions of the components, particularly in the glassy phase. In Bishunpur there is a strong genetic link between matrix and rims, although rims seem to have formed under different, possibly more oxidizing, conditions. Also the presence of the same component in rims, matrix chondrules, and clasts suggests a common source.

  8. Road loads acting on manual wheelchairs.

    PubMed

    VanSickle, D P; Cooper, R A; Boninger, M L

    2000-09-01

    A barrier to performing more in-depth analyzes during the wheelchair design process is a lack of dynamic reaction force and moment data, and the instrumentation to collect this data. Instrumentation was developed to collect the dynamic force and moment data. New data collections methodologies and analysis techniques were implemented to facilitate computer-aided-engineering for wheelchair designs. Data were collected during standardized wheelchair fatigue tests, while driving over a simulated road course within a laboratory, and while driving in the community. Seventeen subjects participated in this study. Based upon the three test conditions, a pseudo-statistical distribution of the force and moment data at both a caster and rear wheel was developed. The key parameters describing the distribution and the extremums of the data (minima and maxima) were compared using analysis of variance. The results showed that the force and moment distributions and extreme values were similar for the both sets of human trials (i.e., simulated road course and field trials). However, the standardized testing (i.e., wheelchair fatigue testing) differed from both human trials. The force/moment data gathered during this study are suitable for inputs in finite element analysis and dynamic modeling. Our results suggest that the fatigue tests should be modified to change the magnitude and increase the frequency of the forces and moments imparted on the wheelchair. The data reported from this study can be used to improve wheelchair standards and to facilitate computer-aided-engineer in wheelchair design.

  9. Changing chairs: anticipating problems in prescribing wheelchairs.

    PubMed

    Batavia, M; Batavia, A I; Friedman, R

    2001-08-15

    This article presents a framework for prescribing, ordering, and adapting a new wheelchair, focusing on individual, environmental and wheelchair factors that must be taken into consideration to ensure optimal function. A review and analysis was conducted of all factors relevant to the transition to a new wheelchair. Without appropriate planning and implementation, this transition can result in unnecessary expenses, duplication of effort, and possibly even injury to the user and abandonment of the wheelchair. Recommendations are provided to manufacturers, therapists, technicians, users, insurers and physicians, who must work together throughout this process. To the extent feasible, the authors suggest that major changes from the previous wheelchair should be avoided, particularly for people with substantial functional limitations. Therapists and technicians must measure the user accurately, and anticipate those factors that can impede a smooth transition. Insurers and other payors must recognize that changing wheelchairs will often require substantial professional assistance, including several fittings to adjust the new chair to the needs of the user. Additional research and case reporting on outcomes of adjusting to a new wheelchair appear warranted.

  10. Sensewheel: an adjunct to wheelchair skills training.

    PubMed

    Symonds, Andrew; Taylor, Stephen J G; Holloway, Catherine

    2016-12-01

    The purpose of this Letter was to investigate the influence of real-time verbal feedback to optimise push arc during over ground manual wheelchair propulsion. Ten healthy non-wheelchair users pushed a manual wheelchair for a distance of 25 m on level paving, initially with no feedback and then with real-time verbal feedback aimed at controlling push arc within a range of 85°-100°. The real-time feedback was provided by a physiotherapist walking behind the wheelchair, viewing real-time data on a tablet personal computer received from the Sensewheel, a lightweight instrumented wheelchair wheel. The real-time verbal feedback enabled the participants to significantly increase their push arc. This increase in push arc resulted in a non-significant reduction in push rate and a significant increase in peak force application. The intervention enabled participants to complete the task at a higher mean velocity using significantly fewer pushes. This was achieved via a significant increase in the power generated during the push phase. This Letter identifies that a lightweight instrumented wheelchair wheel such as the Sensewheel is a useful adjunct to wheelchair skills training. Targeting the optimisation of push arc resulted in beneficial changes in propulsion technique.

  11. Shoulder pain in female wheelchair basketball players.

    PubMed

    Curtis, K A; Black, K

    1999-04-01

    Descriptive self-report survey. To assess activity level, medical history, and the prevalence and intensity of shoulder and upper extremity pain experienced during functional activities in female athletes who compete in wheelchairs. Previous studies have documented a high incidence of upper extremity soft tissue disorders in athletes who compete in wheelchairs. None of these studies have specifically focused on female athletes who use wheelchairs. Forty-six female wheelchair basketball players completed an anonymous survey that included demographic data, medical history data, and the Wheelchair User's Shoulder Pain Index (WUSPI). The WUSPI is a valid and reliable self-report measure scored from 0 to 150, with higher scores indicating a greater intensity of shoulder pain during functional activities. The average age of the respondents was 33.2 (+/- 9.1) years, with an average of 12.5 (+/- 10.2) years of wheelchair use. Their disabilities included 39% spinal cord injury, 28% various lower extremity musculoskeletal and neuromuscular disabilities, 13% postpolio paralysis, 11% spina bifida, and 9% amputations. Only 14% of the subjects reported shoulder pain prior to wheelchair use. In contrast, 72% of the subjects reported shoulder pain since wheelchair use, with 52% reporting current shoulder pain. Overall, the subjects scored an average +/- SD performance-corrected total WUSPI score of 15.6 +/- 20.5 on a scale of 0 to 150 points, with 0 representing no pain. The highest intensity of shoulder pain was reported during household chores, propulsion on ramps or inclines, lifting overhead, and while sleeping. Shoulder and upper extremity pain was a very common problem reported by over 90% of the subjects in this study. Prevention of pain and chronic disability in athletes who use wheelchairs should be addressed by coaches, players, and health care professionals.

  12. An experience on wheelchair bank management.

    PubMed

    Lau, Hongyin; Tam, Eric W C; Cheng, Jack C Y

    2008-11-01

    In this article, we described the wheelchair bank program at a local hospital and our experiences in managing the service over the past 10 years from 1996 to 2005. This article also reported statistical information related to the acquisitions of wheelchairs and adaptive components, including body support and pressure relief systems. The cost benefit of recycling seating and mobility equipments for use by children with neuromuscular diseases was revealed. With the reference of the reported data, the demands on specific types of wheelchairs and adaptive parts were disclosed to facilitate budget planning of similar services.

  13. Wheelchair wheels for use on sand.

    PubMed

    Hillman, M

    1994-05-01

    Mobility over sand and other rough surfaces can be a major problem for people in wheelchairs. From tests with a simple prototype, model tests and theoretical calculations the following observations were made for an attendant propelled chair. The rolling resistance of a wheelchair on sand may be improved by pulling, rather than pushing the chair. The use of a ball wheel at the front improves the rolling resistance, though standard large diameter rear wheels give acceptable performance. From these observations a prototype device for fitment to a standard wheelchair has been designed.

  14. Region-specific deletions of RIM1 reproduce a subset of global RIM1α(-/-) phenotypes.

    PubMed

    Haws, M E; Kaeser, P S; Jarvis, D L; Südhof, T C; Powell, C M

    2012-03-01

    The presynaptic protein RIM1α mediates multiple forms of presynaptic plasticity at both excitatory and inhibitory synapses. Previous studies of mice lacking RIM1α (RIM1α(-/-) throughout the brain showed that deletion of RIM1α results in multiple behavioral abnormalities. In an effort to begin to delineate the brain regions in which RIM1 deletion mediates these abnormal behaviors, we used conditional (floxed) RIM1 knockout mice (fRIM1). By crossing these fRIM1 mice to previously characterized transgenic cre lines, we aimed to delete RIM1 selectively in the dentate gyrus (DG), using a specific preproopiomelanocortin promoter driving cre recombinase (POMC-cre) line , and in pyramidal neurons of the CA3 region of hippocampus, using the kainate receptor subunit 1 promoter driving cre recombinase (KA-cre). Neither of these cre driver lines was uniquely selective to the targeted regions. In spite of this, we were able to reproduce a subset of the global RIM1α(-/-) behavioral abnormalities, thereby narrowing the brain regions in which loss of RIM1 is sufficient to produce these behavioral differences. Most interestingly, hypersensitivity to the pyschotomimetic MK-801 was shown in mice lacking RIM1 selectively in the DG, arcuate nucleus of the hypothalamus and select cerebellar neurons, implicating novel brain regions and neuronal subtypes in this behavior. © 2012 The Authors. Genes, Brain and Behavior © 2012 Blackwell Publishing Ltd and International Behavioural and Neural Genetics Society.

  15. Pacific Rim log trade: determinants and trends.

    Treesearch

    Donald F. Flora; Andrea L. Anderson; Wendy J. McGinnls

    1991-01-01

    Pacific Rim trade in softwood logs amounts to about $3 billion annually, of which the U.S. share is about $2 billion. Log exporting is a significant part of the forest economy in the Pacific Northwest. The 10 major Pacific Rim log-trading client and competitor countries differ widely in their roles in trade and in their policies affecting the industry.

  16. Review of real brain-controlled wheelchairs

    NASA Astrophysics Data System (ADS)

    Fernández-Rodríguez, Á.; Velasco-Álvarez, F.; Ron-Angevin, R.

    2016-12-01

    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. Furthermore, these factors are compared according to the type of signal used, in order to clarify the differences among them. Finally, the trend of current research in this field is discussed, as well as the challenges that should be solved in the future.

  17. Wheelchair Design Changes: New Opportunities for Recreation.

    ERIC Educational Resources Information Center

    Exceptional Parent, 1984

    1984-01-01

    Changes in wheelchair design (such as larger tires and lighter overall weight) make it possible for disabled persons to exercise more mobility and control and participate in a greater variety of recreational activities. (CL)

  18. Delivery of wheelchairs to disabled children.

    PubMed

    Dorsett, P; Holt, K S; Wisbeach, A

    1978-09-02

    In a follow-up study from a children's wheelchair clinic the delivery times for 120 wheelchairs ordered during 1973--7 were analysed. Delivery delays were considerable: only 22 of the 120 chairs were delivered within one month and 69 within three months, while 21 took over six months to arrive. Factors such as the type of chair ordered, the need for modifications, and the centre handling the transaction did not influence delivery time. Administrative delays may be an important contributory factor.

  19. Biomechanics and Strength of Manual Wheelchair Users

    PubMed Central

    Ambrosio, Fabrisia; Boninger, Michael L; Souza, Aaron L; Fitzgerald, Shirley G; Koontz, Alicia M; Cooper, Rory A

    2005-01-01

    Background/Objective: Previous investigations have identified muscular imbalance in the shoulder as a source of pain and injury in manual wheelchair users. Our aim was to determine whether a correlation exists between strength and pushrim biomechanical variables including: tangential (motive) force (Ft), radial force (Fr), axial force (Fz), total (resultant) force (FR), fraction of effective force (FEF), and cadence. Methods: Peak isokinetic shoulder strength (flexion [FLX], extension [EXT], abduction [ABD], adduction [ADD], internal rotation [IR], and external rotation [ER]) was tested in 22 manual wheelchair users with a BioDex system for 5 repetitions at 60°/s. Subjects then propelled their own manual wheelchair at 2 speeds, 0.9 m/s (2 mph) and 1.8 m/s (4 mph), for 20 seconds, during which kinematic (OPTOTRAK) and kinetic (SMARTWHEEL) data were collected. Peak isokinetic forces in the cardinal planes were correlated with pushrim biomechanical variables. Results: All peak torque strength variables correlated significantly (P ≤ 0.05) with Ft, Fr, and FR, but were not significantly correlated with Fz, FEF, or cadence. Finally, there were no relationships found between muscle strength ratios (for example, FLX/EXT) and Ft, Fr, FR, Fz, or FEF. Conclusion: There was a correlation between strength and force imparted to the pushrim among wheelchair users; however, there was no correlation found in wheelchair propulsion or muscle imbalance. Clinicians should be aware of this, and approach strength training and training in wheelchair propulsion techniques separately. PMID:16869087

  20. 'Mazatzal' Rock on Crater Rim

    NASA Technical Reports Server (NTRS)

    2004-01-01

    NASA's Spirit took this navigation camera image of the 2-meter-wide (6.6-foot-wide) rock called 'Mazatzal' on sol 76, March 21, 2004. Scientists intend to aggressively analyze this target with Spirit's microscopic imager, Moessbauer spectrometer and alpha particle X-ray spectrometer before brushing and 'digging in' with the rock abrasion tool on upcoming sols.

    Mazatzal stood out to scientists because of its large size, light tone and sugary surface texture. It is the largest rock the team has seen at the rim of the crater informally named 'Bonneville.' It is lighter-toned than previous rock targets Adirondack and Humphrey. Its scalloped pattern may be a result of wind sculpting, a very slow process in which wind-transported silt and sand abrade the rock's surface, creating depressions. This leads scientists to believe that Mazatzal may have been exposed to the wind in this location for an extremely long time.

    The name 'Mazatzal' comes from a mountain range and rock formation that was deposited around 1.2 billion years ago in the Four Peaks area of Arizona.

  1. The Accuracy of New Wheelchair Users’ Predictions about their Future Wheelchair Use

    PubMed Central

    Hoenig, Helen; Griffiths, Patricia; Ganesh, Shanti; Caves, Kevin; Harris, Frances

    2013-01-01

    Objective This study examined the accuracy of new wheelchair user predictions about their future wheelchair use. Design Prospective cohort study of 84 community dwelling veterans provided a new manual wheelchair. Results The association between predicted and actual wheelchair use was strong at 3-months (phi coefficient = .56), with 90% of those who anticipated using the wheelchair at 3-months still using it (i.e., positive predictive value 0.96) and 60% of those who anticipated not using it indeed no longer using the wheelchair (i.e., negative predictive value 0.60, overall accuracy 0.92). Predictive Accuracy diminished over time, with overall accuracy declining from 0.92 at 3-months to 0.66 at 6-months. At all time points, and for all types of use, patients better predicted use as opposed to disuse, with correspondingly higher positive than negative predictive values. Accuracy of prediction of usage in specific indoor and outdoor locations varied according to location. Conclusions This study demonstrates the importance of better understanding the potential mismatch between the anticipated and actual patterns of wheelchair use. The findings suggest that users can be relied upon to accurately predict their basic wheelchair-related needs in the short term. Further exploration is needed to identify characteristics that will aid users and their providers in more accurately predicting mobility needs for the long-term. PMID:22596074

  2. Comfort and stability of wheelchair backrests according to the TAWC (tool for assessing wheelchair discomfort).

    PubMed

    Hong, Eun-Kyoung; Dicianno, Brad E; Pearlman, Jon; Cooper, Rosemarie; Cooper, Rory A

    2016-01-01

    The goal of this study was thus to determine if people with different types of wheelchair backrests on their personal wheelchairs reported different levels of comfort as measured by the Tool for Assessing Wheelchair disComfort (TAWC). Participants were between 18 and 80 years of age and were manual wheelchair users. The TAWC was used to assess the participants' wheelchair seating discomfort levels with the wheelchair and seating systems. We surveyed 131 wheelchair users to assess the comfort of their backrests on their personal wheelchairs and found a trend suggesting that rigid backrests are were less comfortable as compared with sling backrests. This finding was statistically significant in a subgroup of participants with tetraplegia. Although many clinicians expect rigid backrests to be more comfortable because they may provide more support, the higher discomfort ratings among rigid backrest users with tetraplegia may be due to sub-optimal shape, fit, adjustment or user preferences. Implications for Rehabilitation Development of a measure for long-term seating discomfort is needed. Design and development of better rigid backrests that are functional but provide adequate comfort are in need.

  3. Effects of variable practice on the motor learning outcomes in manual wheelchair propulsion.

    PubMed

    Leving, Marika T; Vegter, Riemer J K; de Groot, Sonja; van der Woude, Lucas H V

    2016-11-23

    Handrim wheelchair propulsion is a cyclic skill that needs to be learned during rehabilitation. It has been suggested that more variability in propulsion technique benefits the motor learning process of wheelchair propulsion. The purpose of this study was to determine the influence of variable practice on the motor learning outcomes of wheelchair propulsion in able-bodied participants. Variable practice was introduced in the form of wheelchair basketball practice and wheelchair-skill practice. Motor learning was operationalized as improvements in mechanical efficiency and propulsion technique. Eleven Participants in the variable practice group and 12 participants in the control group performed an identical pre-test and a post-test. Pre- and post-test were performed in a wheelchair on a motor-driven treadmill (1.11 m/s) at a relative power output of 0.23 W/kg. Energy consumption and the propulsion technique variables with their respective coefficient of variation were calculated. Between the pre- and the post-test the variable practice group received 7 practice sessions. During the practice sessions participants performed one-hour of variable practice, consisting of five wheelchair-skill tasks and a 30 min wheelchair basketball game. The control group did not receive any practice between the pre- and the post-test. Comparison of the pre- and the post-test showed that the variable practice group significantly improved the mechanical efficiency (4.5 ± 0.6% → 5.7 ± 0.7%) in contrast to the control group (4.5 ± 0.6% → 4.4 ± 0.5%) (group x time interaction effect p < 0.001).With regard to propulsion technique, both groups significantly reduced the push frequency and increased the contact angle of the hand with the handrim (within group, time effect). No significant group × time interaction effects were found for propulsion technique. With regard to propulsion variability, the variable practice group increased variability when

  4. Motion Evaluation Of A Wheelchair Prototype For Disabled People

    NASA Astrophysics Data System (ADS)

    Geonea, Ionut Daniel; Dumitru, Nicolae; Margine, Alexandru

    2015-09-01

    In this paper is presented the design solution and experimental prototype of a wheelchair for disabled people. Design solution proposed to be implemented uses two reduction gears motors and a mechanical transmission with chains. It's developed a motion controller based on a PWM technology, which allows the user to control the wheelchair motion. The wheelchair has the ability of forward - backward motion and steering. The design solution is developed in Solid Works, and it's implemented to a wheelchair prototype model. Wheelchair design and motion makes him suitable especially for indoor use. It is made a study of the wheelchair kinematics, first using a kinematic simulation in Adams. Are presented the wheelchair motion trajectory and kinematics parameters. The experimental prototype is tested with a motion analysis system based on ultra high speed video cameras recording. The obtained results from simulation and experimentally tests, demonstrate the efficiency of wheelchair proposed solution.

  5. Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial.

    PubMed

    Kirby, R Lee; Miller, William C; Routhier, Francois; Demers, Louise; Mihailidis, Alex; Polgar, Jan Miller; Rushton, Paula W; Titus, Laura; Smith, Cher; McAllister, Mike; Theriault, Chris; Thompson, Kara; Sawatzky, Bonita

    2015-11-01

    To test the hypothesis that powered wheelchair users who receive the Wheelchair Skills Training Program (WSTP) improve their wheelchair skills in comparison with a control group that receives standard care, and secondarily to assess goal achievement, satisfaction with training, retention, injury rate, confidence with wheelchair use, and participation. Randomized controlled trial. Rehabilitation centers and communities. Powered wheelchair users (N=116). Five 30-minute WSTP training sessions. Assessments were done at baseline (t1), posttraining (t2), and 3 months posttraining (t3) using the Wheelchair Skills Test Questionnaire (WST-Q version 4.1), Goal Attainment Score (GAS), Satisfaction Questionnaire, injury rate, Wheelchair Use Confidence Scale for Power Wheelchair Users (WheelCon), and Life Space Assessment (LSA). There was no significant t2-t1 difference between the groups for WST-Q capacity scores (P=.600), but the difference for WST-Q performance scores was significant (P=.016) with a relative (t2/t1 × 100%) improvement of the median score for the intervention group of 10.8%. The mean GAS ± SD for the intervention group after training was 92.8%±11.4%, and satisfaction with training was high. The WST-Q gain was not retained at t3. There was no clinically significant difference between the groups in injury rate and no statistically significant differences in WheelCon or LSA scores at t3. Powered wheelchair users who receive formal wheelchair skills training demonstrate modest, transient posttraining improvements in their WST-Q performance scores, have substantial improvements on individualized goals, and are positive about training. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  6. Effectiveness of a Wheelchair Skills Training Program for Powered Wheelchair Users: A Randomized Controlled Trial

    PubMed Central

    Kirby, R. Lee; Miller, William C.; Routhier, Francois; Demers, Louise; Mihailidis, Alex; Polgar, Jan Miller; Rushton, Paula W.; Titus, Laura; Smith, Cher; McAllister, Mike; Theriault, Chris; Thompson, Kara; Sawatzky, Bonita

    2015-01-01

    Objectives To test the hypothesis that powered wheelchair users who receive the Wheelchair Skills Training Program (WSTP) improve their wheelchair skills in comparison with a Control group that receives standard care. Our secondary objectives were to assess goal achievement, satisfaction with training, retention, injury rate, confidence with wheelchair use and participation. Design Randomized controlled trial (RCT). Setting Rehabilitation centers and communities. Participants 116 powered wheelchair users. Intervention Five 30-minute WSTP training sessions. Main Outcome Measures Assessments were done at baseline (T1), post-training (T2) and 3 months post-training (T3) using the Wheelchair Skills Test Questionnaire (WST-Q 4.1), Goal Attainment Score (GAS), Satisfaction Questionnaire, Injury Rate, Wheelchair Use Confidence Scale for Power Wheelchair Users (WheelCon) and Life Space Assessment (LSA). Results There was no significant T2-T1 difference between the groups for WST-Q capacity scores (p = 0.600) but the difference for WST-Q performance scores was significant (p = 0.016) with a relative (T2/T1 x 100%) improvement of the median score for the Intervention group of 10.8%. The mean (SD) GAS for the Intervention group after training was 92.8% (11.4) and satisfaction with training was high. The WST-Q gain was not retained at T3. There was no clinically significant difference between the groups in injury rate and no statistically significant differences in WheelCon or LSA scores at T3. Conclusions Powered wheelchair users who receive formal wheelchair skills training demonstrate modest transient post-training improvements in their WST-Q performance scores, they have substantial improvements on individualized goals and they are positive about training. PMID:26232684

  7. Elastic unbalance of composite rim flywheels

    SciTech Connect

    Portnov, G.G.; Barinov, I.N.; Kulakov, V.L.

    1995-01-01

    Elastic unbalance of a composite flywheel is considered to be caused by different strain character of the rotating rim due to the distributed material density homogeneity or the corrective mass balancing it in the static state. An analysis has been carried out on the effect of elasticity of the rim flywheel on the linear elastic unbalance and its magnitude for an actual composite flywheel has been calculated. A procedure has been developed for the elimination of unbalance using two corrective masses. The problem of angular unbalance of a rim flywheel has also been considered. The finite element method has been used for computation.

  8. A Study of Magnetic Fields on Bright-Rimmed Clouds

    NASA Astrophysics Data System (ADS)

    Kusune, Takayoshi; Sugitani, Koji

    2015-08-01

    Bright-rimmed clouds (BRCs), which are located at periphery of HII regions, are considered to be potential sites for induced star formation by UV radiation from nearby massive stars. Many theorists have developed 2D/3D hydrodynamical models to understand dynamical evolution of such molecular clouds. Most simulations, however, did not always include the magnetic field effect, which is of importance in the astrophysics. This is because that there are few observation results examining the magnetic field configuration of BRCs in detail. In order to obtain information on magnetic field in and around BRCs, we have made near-infrared (JHKs) imaging polarimetry toward 24 BRCs showing strong interaction with HII region (Urquhart et al. 2009). We used the imaging polarimeter SIRPOL/SIRIUS (FOV ~7.7’ x 7.7’) mounted on IRSF 1.4 m telescope at the South African Astronomical Observatory.We found that polarization vectors, i.e., magnetic fields inside the clouds, follow the curved bright rim just behind the bright rim for almost all of the observed BRCs. Our investigation into the relation between the ambient magnetic field direction and the UV radiation direction suggests a following tendency. In the case that the ambient magnetic field is perpendicular to the direction of incident UV radiation, the clouds are likely to have bright rims with small curvatures. On the other hand, in the case that the ambient field is parallel to the UV radiation, they would have those with larger curvatures. In this presentation, we will present the physical quantities for these BRCs (i.e., magnetic field strength, the post shock pressure by the ionization front, etc.) as well as these morphological results.

  9. A survey of stakeholder perspectives on a proposed combined exoskeleton-wheelchair technology.

    PubMed

    Bhatnagar, Tim; Ben Mortensen, W; Mattie, Johanne; Wolff, Jamie; Parker, Claire; Borisoff, Jaimie

    2017-07-01

    Exoskeleton technology has potential benefits for wheelchair users' health and mobility. However, there are practical barriers to their everyday use as a mobility device. In particular, challenges related to travelling longer distances and transitioning between using a wheelchair and exoskeleton walking may present significant deterrents to regular exoskeleton use. In an effort to remove these barriers, a combined exoskeleton-wheelchair concept ('COMBO') has been proposed, which aims to achieve the benefits of both these mobility technologies. Given the inherent importance of including user-stakeholder opinions when designing an assistive technology solution, a study was undertaken to explore the perspectives of wheelchair users and healthcare professionals on the proposed conceptual design of the COMBO. An online survey with quantitative and qualitative components was conducted with wheelchair users and healthcare professionals working directly with individuals with mobility impairments. Respondents rated whether they would use or recommend a COMBO for four potential reasons. Nine design features were rated and compared in terms of their importance. Content analysis was used to analyze data from an open-ended question regarding additional perceptions about using or recommending a COMBO. A total of 481 survey responses were analyzed, 354 from wheelchair users and 127 from healthcare professionals. Potential health benefits was the most highly rated reason for potential use or recommendation of a COMBO. Of the 9 design features, 2 had a median rating of very important: inclusion of a fall-protection mechanism, and the ability for the operator to use their hands while standing. Qualitative findings indicated that health and physical benefits, use for daily life activities, and psychosocial benefits were important considerations in whether to use or recommend the COMBO. This study captures the opinions and perspectives of two stakeholder groups for an exoskeleton-wheelchair

  10. Participation motivation and competition anxiety among Korean and non-Korean wheelchair tennis players

    PubMed Central

    Jeong, Irully; Park, Sunghee

    2013-01-01

    The purpose of this study was to examine differences in participation motivation and competition anxiety between Korean and non-Korean wheelchair tennis players and to identify relations between participation motivation and competition anxiety in each group. Sixty-six wheel-chair tennis players who participated in the 2013 Korea Open Wheel-chair Tennis Tournament in Seoul completed the Participation Motivation Survey and the Competitive State Anxiety Inventory II. Data were analyzed by a frequency analysis, descriptive statistics, Pearson’s correlation analysis, and independent samples t-test to identify participants’ demographic characteristics, differences in participation motivation, competition anxiety between Korean and non-Korean players, and correlations between participation motivation and competition anxiety in each group. Korean players reported significantly higher motivation in purification compared to non-Korean players, whereas non-Korean players reported significantly higher motivation in enjoyment. In addition, non-Korean players demonstrated higher cognitive anxiety and self-confidence compared to Korean players. Moreover, the physical anxiety of Korean players was negatively correlated with learning, health-fitness, and enjoyment motivation. On the other hand, only self-confidence was significantly related to learning motivation and enjoyment motivation in non-Korean players. Thus, the results presented herein provide evidence for the development of specialized counseling programs that consider the psychological characteristics of Korean wheelchair tennis players. PMID:24409429

  11. Mechanical energy and power flow analysis of wheelchair use with different camber settings.

    PubMed

    Huang, Yueh-Chu; Guo, Lan-Yuen; Tsai, Chung-Ying; Su, Fong-Chin

    2013-04-01

    It has been suggested that minimisation of energy cost is one of the primary determinants of wheelchair designs. Wheel camber is one important parameter related to wheelchair design and its angle may affect usability during manual propulsion. However, there is little available literature addressing the effect of wheel camber on the mechanical energy or power flow involved in manual wheelchair propulsion. Twelve normal subjects (mean age, 22.3 years; SD, 1.6 years) participated in this study. A video-tracking system and an instrumented wheel were used to collect 3D kinematic and kinetic data. Wheel camber of 0° and 15° was chosen to examine the difference between mechanical power and power flow of the upper extremity during manual wheelchair propulsion. The work calculated from power flow and the discrepancy between the mechanical work and power flow work of upper extremity had significantly greater values with increased camber. The upper arm had a larger active muscle power compared with that in the forearm and hand segments. While propelling the increased camber, the magnitude of both the proximal and distal joint power and proximal muscle power was increased in all three segments. While the propelling wheel with camber not only needs a greater energy cost but also there is greater energy loss.

  12. Participation motivation and competition anxiety among Korean and non-Korean wheelchair tennis players.

    PubMed

    Jeong, Irully; Park, Sunghee

    2013-01-01

    The purpose of this study was to examine differences in participation motivation and competition anxiety between Korean and non-Korean wheelchair tennis players and to identify relations between participation motivation and competition anxiety in each group. Sixty-six wheel-chair tennis players who participated in the 2013 Korea Open Wheel-chair Tennis Tournament in Seoul completed the Participation Motivation Survey and the Competitive State Anxiety Inventory II. Data were analyzed by a frequency analysis, descriptive statistics, Pearson's correlation analysis, and independent samples t-test to identify participants' demographic characteristics, differences in participation motivation, competition anxiety between Korean and non-Korean players, and correlations between participation motivation and competition anxiety in each group. Korean players reported significantly higher motivation in purification compared to non-Korean players, whereas non-Korean players reported significantly higher motivation in enjoyment. In addition, non-Korean players demonstrated higher cognitive anxiety and self-confidence compared to Korean players. Moreover, the physical anxiety of Korean players was negatively correlated with learning, health-fitness, and enjoyment motivation. On the other hand, only self-confidence was significantly related to learning motivation and enjoyment motivation in non-Korean players. Thus, the results presented herein provide evidence for the development of specialized counseling programs that consider the psychological characteristics of Korean wheelchair tennis players.

  13. Could changes in the wheelchair delivery system improve safety?

    PubMed Central

    Kirby, R L; Coughlan, S G; Christie, M

    1995-01-01

    Despite emerging evidence about the high incidence and severity of wheelchair-related injuries, regulations governing wheelchair safety are almost nonexistent in Canada. The authors believe that, to improve wheelchair safety, a concerted effort by government, manufacturers, purchasing groups, users and clinicians is needed. Health Canada's Health Protection Branch should treat wheelchairs as medical devices (as defined in the Food and Drugs Act 1985) and improve its injury-reporting network. Manufacturers should give a higher priority to safety in wheelchair design, improve their educational materials and formalize postmarketing surveillance. Purchasing groups should try to ensure that they do not stifle innovation in wheelchair design by setting unrealistic reimbursement ceilings and should use their market power more effectively. Users should obtain their wheelchairs in specialized settings, heed safety warnings and make more effective use of litigation when such action is warranted. Clinicians should ensure that patients are equipped with the most appropriate wheelchair for their needs, that they are given adequate training in safe wheelchair use and that they understand the dangers involved. Rapid changes in wheelchair technology and emerging evidence about the high incidence and severity of injuries related to wheelchair use suggest that such changes are needed in the wheelchair delivery system. PMID:7489551

  14. Principles and Practices for Championship Performances in Wheelchair Field Events.

    ERIC Educational Resources Information Center

    Practical Pointers, 1980

    1980-01-01

    The article discusses training and competing in wheelchair sports. General principles of training, including scheduling and content considerations, are listed. Principles for specific wheelchair events (shotput, discus, and javelin) are detailed. A final part addresses training for the wheelchair pentathlon, which includes archery, swimming,…

  15. Southern rim of Isidis Planitia basin

    NASA Image and Video Library

    2002-05-21

    This scene from NASA Mars Odyssey shows the contrasting morphologies of the relatively rough highland terrain in the lower portion of the image and the relatively smooth materials at top of the southern rim of the Isidis Planitia basin.

  16. Rim Fire Time Lapse, August 2013

    NASA Image and Video Library

    Time-lapse photography shows various perspectives of the 2013 Rim Fire, as viewed from Yosemite National Park. The first part of this video is from the Crane Flat Helibase. The fire is currently bu...

  17. Perspectives of basic wheelchair users on improving their access to wheelchair services in Kenya and Philippines: a qualitative study.

    PubMed

    Williams, Emma; Hurwitz, Elizabeth; Obaga, Immaculate; Onguti, Brenda; Rivera, Adovich; Sy, Tyrone Reden L; Kirby, R Lee; Noon, Jamie; Tanuku, Deepti; Gichangi, Anthony; Bazant, Eva

    2017-08-17

    The United Nations has called for countries to improve access to mobility devices when needed. The World Health Organization has published guidelines on the provision of manual wheelchairs in less-resourced settings. Yet little is known about the extent to which appropriate wheelchairs are available and provided according to international guidelines. This study's purpose was to describe wheelchair users' experiences receiving services and acquiring wheelchair skills in urban and peri-urban areas of Kenya and the Philippines. Local researchers in Nairobi and Manila interviewed 48 adult basic wheelchair users, with even distribution of those who had and had not received wheelchair services along with their wheelchair. Recordings were transcribed in the local language and translated into English. The study team coded transcripts for predetermined and emergent themes, using Atlas-ti software. A qualitative content analysis approach was taken with the WHO service delivery process as an organizing framework. Wheelchair users frequently described past experiences with ill-fitting wheelchairs and little formal training to use wheelchairs effectively. Through exposure to multiple wheelchairs and self-advocacy, they learned to select wheelchairs suitable for their needs. Maintenance and repair services were often in short supply. Participants attributed shorter duration of wheelchair use to lack of repair. Peer support networks emerged as an important source of knowledge, resources and emotional support. Most participants acknowledged that they received wheelchairs that would have been difficult or impossible for them to pay for, and despite challenges, they were grateful to have some means of mobility. Four themes emerged as critical for understanding the implementation of wheelchair services: barriers in the physical environment, the need for having multiple chairs to improve access, perceived social stigma, and the importance of peer support. Interventions are needed to

  18. Brain-Computer Interface application: auditory serial interface to control a two-class motor-imagery-based wheelchair.

    PubMed

    Ron-Angevin, Ricardo; Velasco-Álvarez, Francisco; Fernández-Rodríguez, Álvaro; Díaz-Estrella, Antonio; Blanca-Mena, María José; Vizcaíno-Martín, Francisco Javier

    2017-05-30

    Certain diseases affect brain areas that control the movements of the patients' body, thereby limiting their autonomy and communication capacity. Research in the field of Brain-Computer Interfaces aims to provide patients with an alternative communication channel not based on muscular activity, but on the processing of brain signals. Through these systems, subjects can control external devices such as spellers to communicate, robotic prostheses to restore limb movements, or domotic systems. The present work focus on the non-muscular control of a robotic wheelchair. A proposal to control a wheelchair through a Brain-Computer Interface based on the discrimination of only two mental tasks is presented in this study. The wheelchair displacement is performed with discrete movements. The control signals used are sensorimotor rhythms modulated through a right-hand motor imagery task or mental idle state. The peculiarity of the control system is that it is based on a serial auditory interface that provides the user with four navigation commands. The use of two mental tasks to select commands may facilitate control and reduce error rates compared to other endogenous control systems for wheelchairs. Seventeen subjects initially participated in the study; nine of them completed the three sessions of the proposed protocol. After the first calibration session, seven subjects were discarded due to a low control of their electroencephalographic signals; nine out of ten subjects controlled a virtual wheelchair during the second session; these same nine subjects achieved a medium accuracy level above 0.83 on the real wheelchair control session. The results suggest that more extensive training with the proposed control system can be an effective and safe option that will allow the displacement of a wheelchair in a controlled environment for potential users suffering from some types of motor neuron diseases.

  19. Rimmed and edge thickened Stodola shaped flywheel

    DOEpatents

    Kulkarni, S.V.; Stone, R.G.

    1983-10-11

    A flywheel is described that is useful for energy storage in a hybrid vehicle automotive power system or in some stationary applications. The flywheel has a body composed of essentially planar isotropic high strength material. The flywheel body is enclosed by a rim of circumferentially wound fiber embedded in resin. The rim promotes flywheel safety and survivability. The flywheel has a truncated and edge thickened Stodola shape designed to optimize system mass and energy storage capability. 6 figs.

  20. Using a Wheelchair as a Seat in a Motor Vehicle: An Overview of Wheelchair Transportation Safety and Related Standards

    ERIC Educational Resources Information Center

    Schneider, Larry

    2007-01-01

    This is the first of a series of six articles on the topic of transportation safety for wheelchair-seated travelers and will highlight some of the basic issues and principles that have been considered in the development of voluntary standards for wheelchair tiedown and occupant restraints systems (WTORS) as well as for wheelchairs that are used as…

  1. Using a Wheelchair as a Seat in a Motor Vehicle: An Overview of Wheelchair Transportation Safety and Related Standards

    ERIC Educational Resources Information Center

    Schneider, Larry

    2007-01-01

    This is the first of a series of six articles on the topic of transportation safety for wheelchair-seated travelers and will highlight some of the basic issues and principles that have been considered in the development of voluntary standards for wheelchair tiedown and occupant restraints systems (WTORS) as well as for wheelchairs that are used as…

  2. Effects of user's actions on rolling resistance and wheelchair stability during handrim wheelchair propulsion in the field.

    PubMed

    Sauret, Christophe; Vaslin, Philippe; Lavaste, François; de Saint Remy, Nicolas; Cid, Mariano

    2013-03-01

    Currently, rolling resistance and wheelchair stability during manual wheelchair propulsion can be assessed from the loads applied on the front and rear wheels, which are determined in a static condition. However, a user's actions on the wheelchair would change these loads during locomotion, which should affect both the rolling resistance and wheelchair stability. The goal of this study was to verify these assumptions and assess how much the rolling resistance and wheelchair stability are affected by the user's actions during propulsion. For that purpose, a mechanical model was developed using measurements of an instrumented wheelchair equipped with several six-component dynamometers. Experiments were performed by three subjects propelling the instrumented wheelchair over flat ground. The results showed variations over wide ranges of the fore-aft distribution of the total load, rolling resistance, wheelchair stability, wheelchair velocity and mechanical power dissipated by the rolling resistance during the propulsion cycle. In addition, the time courses of all these variables differed with the subject. Finally, this study demonstrated the possibility of assessing intra-cycle values of both rolling resistance and wheelchair stability during manual wheelchair displacements in the field, which provides a technical step towards evaluating a wheelchair user in his daily environment. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

  3. Evaluation of aluminum ultralight rigid wheelchairs versus other ultralight wheelchairs using ANSI/RESNA standards.

    PubMed

    Liu, Hsin-yi; Pearlman, Jonathan; Cooper, Rosemarie; Hong, Eun-kyoung; Wang, Hongwu; Salatin, Benjamin; Cooper, Rory A

    2010-01-01

    Previous studies found that select titanium ultralight rigid wheelchairs (TURWs) had fewer equivalent cycles and less value than select aluminum ultralight folding wheelchairs (AUFWs). The causes of premature failure of TURWs were not clear because the TURWs had different frame material and design than the AUFWs. We tested 12 aluminum ultralight rigid wheelchairs (AURWs) with similar frame designs and dimensions as the TURWs using the American National Standards Institute/Rehabilitation Engineering and Assistive Technology Society of North America and International Organization for Standardization wheelchair standards and hypothesized that the AURWs would be more durable than the TURWs. Across wheelchair models, no significant differences were found in the test results between the AURWs and TURWs, except in their overall length. Tire pressure, tube-wall thickness, and tube manufacturing were proposed to be the factors affecting wheelchair durability through comparison of the failure modes, frames, and components. The frame material did not directly affect the performance of AURWs and TURWs, but proper wheelchair manufacture and design based on mechanical properties are important.

  4. Kinematics of the elbow during wheelchair propulsion: a comparison of two wheelchairs and two stroking techniques.

    PubMed

    Rudins, A; Laskowski, E R; Growney, E S; Cahalan, T D; An, K N

    1997-11-01

    The kinematics of the elbow joint were studied for two types of wheelchairs and during two types of propulsive strokes. Ten serially selected healthy volunteers propelled a standard and a lightweight wheelchair on a roller system with both circular and pumping strokes. Kinematic data for the wheelchair and the upper extremity were collected by an optical tracking system. These kinematic descriptors were subsequently time-normalized with a spline algorithm to provide a graphic description of the wheelchair strokes. Thirteen discrete variables were compared for the two chairs and the two propulsive strokes. Total elbow motion ranged from 60.9 degrees of flexion to 5.2 degrees of extension. Maximal elbow flexion velocity ranged from 515.4 degrees to 572.8 degrees per second. Kinematic differences between the two wheelchairs were minimal, with a trend for 8.3 degrees to 5.2 degrees more elbow flexion in the lightweight wheelchair (p < .05), depending on the stroke used. With the use of any one chair, the style of the stroke had no significant effect on elbow kinematics, but the use of a pumping stroke did decrease propulsion arc by 12 degrees to 14 degrees (p < .05). No major differences regarding elbow kinematics were seen between the two types of wheelchairs. The pumping-stroke technique resulted in a shortened handrim contact arc.

  5. Driving performance in a power wheelchair simulator.

    PubMed

    Archambault, Philippe S; Tremblay, Stéphanie; Cachecho, Sarah; Routhier, François; Boissy, Patrick

    2012-05-01

    A power wheelchair simulator can allow users to safely experience various driving tasks. For such training to be efficient, it is important that driving performance be equivalent to that in a real wheelchair. This study aimed at comparing driving performance in a real and in a simulated environment. Two groups of healthy young adults performed different driving tasks, either in a real power wheelchair or in a simulator. Smoothness of joystick control as well as the time necessary to complete each task were recorded and compared between the two groups. Driving strategies were analysed from video recordings. The sense of presence, of really being in the virtual environment, was assessed through a questionnaire. Smoothness of joystick control was the same in the real and virtual groups. Task completion time was higher in the simulator for the more difficult tasks. Both groups showed similar strategies and difficulties. The simulator generated a good sense of presence, which is important for motivation. Performance was very similar for power wheelchair driving in the simulator or in real life. Thus, the simulator could potentially be used to complement training of individuals who require a power wheelchair and use a regular joystick. [Box: see text].

  6. Body composition of female wheelchair athletes.

    PubMed

    Sutton, L; Wallace, J; Goosey-Tolfrey, V; Scott, M; Reilly, T

    2009-04-01

    Wheelchair users undergo changes in body composition as a result of disability. In this study the distribution of bone mineral, lean and fat mass was assessed in highly-trained female wheelchair athletes and a reference group by dual-energy X-ray absorptiometry (DXA). The transferability of anthropometric equations commonly used in female groups was examined in order to establish a suitable field method of body composition assessment. The DXA total-body results indicated no difference between groups, but segmental analyses uncovered regional differences. The wheelchair athletes had greater BMD (p=0.088), more lean mass (p<0.001) and a lower percent fat (p=0.050) in their arms. The reverse was true of the legs (p< or =0.001). The trunk as a whole did not differ between groups. In general, the anthropometric equations showed a lack of transferability to the wheelchair group and tended to underestimate total percent body fat. Anthropometric measures such as body mass index (BMI) and waist girth showed strong correlations with body fat in the wheelchair group (BMI: r=0.90, p=0.001; waist: r=0.83, p=0.001), but weaker results in the reference group. It is recommended that specific anthropometric equations be developed for use in the absence of a 'gold standard' measure of body composition such as DXA.

  7. Efforts toward an autonomous wheelchair - biomed 2011.

    PubMed

    Barrett, Steven; Streeter, Robert

    2011-01-01

    An autonomous wheelchair is in development to provide mobility to those with significant physical challenges. The overall goal of the project is to develop a wheelchair that is fully autonomous with the ability to navigate about an environment and negotiate obstacles. As a starting point for the project, we have reversed engineered the joystick control system of an off-the-shelf commercially available wheelchair. The joystick control has been replaced with a microcontroller based system. The microcontroller has the capability to interface with a number of subsystems currently under development including wheel odometers, obstacle avoidance sensors, and ultrasonic-based wall sensors. This paper will discuss the microcontroller based system and provide a detailed system description. Results of this study may be adapted to commercial or military robot control.

  8. User evaluation of a collaborative wheelchair system.

    PubMed

    Zeng, Qiang; Burdet, Etienne; Teo, Chee Leong

    2008-01-01

    The collaborative wheelchair assistant (CWA) is a robotic wheelchair which makes full use of human skills, by involving the user into the navigation control. The user gives the high-level commands and directly controls the speed, while the low-level control is taken over by the machine, which constrains the wheelchair to follow a software defined guide path. This paper presents an evaluation of the CWA system, consisting of experiments performed with human subjects including three people with cerebral palsy (CP) and two with traumatic brain injury (TBI). We investigate the performance of the system in terms of its interaction with human subjects and motion efficiency and compare to that of able-bodied subjects, who have previously performed the same evaluation. The results suggest that the CWA brings safe motion and drastically simplifies the control without compromising the navigation performance.

  9. Assessment of wheelchair drag resistance using a coasting deceleration technique.

    PubMed

    Hoffman, Martin D; Millet, Guillaume Y; Hoch, Anne Z; Candau, Robin B

    2003-11-01

    To apply a recently developed coasting deceleration method to measure rolling and aerodynamic resistances opposing wheelchair propulsion on a variety of different wheelchairs and wheel combinations and on two different ground surfaces. For each condition, 20-25 trials were performed across a speed range of approximately 70-300 m/min. The least-squares method was then used to arrive at values for the coefficient of rolling resistance (CR) and effective frontal area of the wheelchair and occupant. Wheelchair rolling resistance was found to be velocity dependent under some circumstances. CR values on linoleum differed among folding lightweight wheelchairs and when compared with a rigid ultralight and racing wheelchair. Changing rear wheels and tires on one wheelchair resulted in a 14% difference in CR. Carpet increased CR values by an average of 0.0118 over the values determined on linoleum. As expected, effective frontal area of the wheelchair and occupant values were lower for the racer than for the folding lightweight wheelchair. Wheelchair rolling resistance is not always independent of velocity, and CR on linoleum can vary among wheelchairs by as much as seven-fold, and carpet can more than double CR.

  10. Power wheelchair driving challenges in the community: a users' perspective.

    PubMed

    Torkia, Caryne; Reid, Denise; Korner-Bitensky, Nicol; Kairy, Dahlia; Rushton, Paula W; Demers, Louise; Archambault, Philippe S

    2015-05-01

    There is limited information on the difficulties individuals experience in manoeuvring their power wheelchairs during daily activities. The aim of this study was to describe the nature and context of power wheelchair driving challenges from the perspective of the user. A qualitative design using semi-structured interviews with power wheelchair users. Qualitative content analysis was used to identify themes. Twelve experienced power wheelchair users were interviewed. Findings revealed that power wheelchair driving difficulties were related to the accomplishment of activities of daily living, and the influence of environmental context. Four key themes emerged: (1) difficulties accessing and using public buildings-facilities, (2) outdoor mobility, (3) problems in performing specific wheelchair mobility tasks/manoeuvres and (4) barriers and circumstances that are temporary, unforeseen or specific to a particular context. This qualitative study furthers our understanding of the driving difficulties powered wheelchair (PW) users experience during daily activities. This knowledge will assist clinicians and researchers in two areas: in choosing assessment measures that are ecologically valid for power wheelchair users; and, in identifying and refining the content of training programs specific to the use of power wheelchairs. A better understanding of the everyday challenges individuals experience in driving their power wheelchair will assist clinicians and researchers in: Choosing assessment measures and identifying training programs for this population. Refining the content of power wheelchair training programs.

  11. Appropriate protection for wheelchair riders on public transit buses.

    PubMed

    Shaw, Greg; Gillispie, Timothy

    2003-01-01

    Securement of wheelchairs and occupant restraint for wheelchair riders on buses is one of the most difficult problems facing transit providers. The primary findings of this literature review show that (1) very little information has been published regarding transit bus safety and crash environment; (2) the focus of most reported wheelchair incidents involved noncollision events, in which inappropriate wheelchair securement or rider restraint resulted in minor injuries; and (3) studies spanning 30 years indicate that the large transit bus is an exceedingly safe form of transportation, so that wheelchair riders do not face undo risk of injury in this transportation environment. Further study is required to characterize the rare-occurring severe transit bus crashes. The resulting information is needed to establish an appropriate level of crash protection so that the next generation of U.S. wheelchair securement and occupant restraint systems not only are reasonably safe but also are easy to use and acceptable to wheelchair riders and transit bus operators.

  12. An approach to the design of wheelchairs for young users.

    PubMed

    Kenward, M G

    1971-12-01

    Sixty six physically handicapped children between the ages of 5 and 16 took part in an anthropometric study of young wheelchair users. All those involved had at one time used a wheelchair regularly, and only 9 in the study habitually walked. Using a standard body measuring instrument, 13 measurements of bodily dimensions were taken with the children sitting in their usual chairs. An assessment was also made of the degree of support afforded by the backrest. Five dimensions normally used in prescribing wheelchairs to patients were used as a basis for working out the sizes of the various sections of a wheelchair, such as seat, backrest, armrest and frame size. The raw data indicated that appreciable inconsistencies in body shape existed which were not allowed for in present wheelchair design. A new approach is proposed in which wheelchairs would be assembled from interlocking sections of variable size . This arrangement would allow wheelchairs to be fitted more completely to the individual.

  13. Strength training for wheelchair users.

    PubMed Central

    Davis, G M; Shephard, R J

    1990-01-01

    Sedentary adult males with spinal lesions, all habitual wheelchair users, were allocated to exercise (n = 11) and control (n = 4) groups. A Cybex II dynamometer was used to assess peak power, average power, total work and muscular endurance for elbow flexion/extension, shoulder flexion/extension and shoulder abduction/adduction at five angular velocities, on recruitment and after eight and 16 weeks of forearm ergometer training (three days/week). Small sub-groups of the exercised subjects were assigned to high or low intensity endurance effort (70 or 40 per cent of maximal oxygen intake) and long or short training sessions (40 or 20 minutes per session). Despite the aerobic nature of the activity, gains of average power were registered by the two muscle groups most involved in the ergometer task (shoulder extension and elbow flexion). In keeping with current theories of training, gains were largest with prolonged, high intensity activity at angular velocities approximating those adopted during training. PMID:2350664

  14. Teaching about the Pacific Rim. ERIC Digest No. 43.

    ERIC Educational Resources Information Center

    Wojtan, Linda S.

    This ERIC Digest examines: (1) the meaning of the term "Pacific Rim"; (2) reasons for emphasizing the Pacific Rim in the social studies curriculum; and (3) useful strategies for teaching about this part of the world. The terms, Pacific Rim and Pacific Basin, are used. interchangeably; however, the "Rim" refers to those nations…

  15. Folding and unfolding manual wheelchairs: an ergonomic evaluation of health-care workers.

    PubMed

    White, Heather A; Lee Kirby, R

    2003-11-01

    The objective of this study was to test the hypotheses (i) that health-care workers vary greatly in the methods used to fold and unfold selected manual wheelchairs, and (ii) that many of the methods used include bent and twisted back postures that are known to be associated with a high risk of injury. We studied 20 health-care workers in a rehabilitation center. Subjects folded and unfolded two wheelchairs of cross-brace design, one with and one without a sling seat. As outcome measures, we used a questionnaire, time taken, visual analog scales of perceived exertion and back strain, folded width, videotape and Ovako Working Posture Analysis System (OWAS) back scores (1-4). Subjects used up to 14 different combinations of approach, hand placement and back posture to accomplish the tasks. The mean OWAS scores were in the 2.4-3.1 range and 49 (42%) of the 118 scores recorded were class 4 (back simultaneously "bent and twisted", considered to be associated with the highest risk of injury). We also observed methods that appeared to be safe and effective. Age, gender, profession, experience and seat condition did not generally influence the outcome measures. We conclude that health-care workers use a variety of methods to fold and unfold wheelchairs, many of which include bent and twisted back postures that may carry a risk of injury. Further study is needed to confirm this risk, to identify more ergonomically sound wheelchair designs and to develop better methods of carrying out the common and important task of folding and unfolding wheelchairs.

  16. Electrophysiologic and Ultrasonographic Assessment of Carpal Tunnel Syndrome in Wheelchair Basketball Athletes

    PubMed Central

    2017-01-01

    Objective To investigate the contributing factors of carpal tunnel syndrome (CTS), electrodiagnostic and ultrasonographic findings of median nerve, and median nerve change after exercise in wheelchair basketball (WCB) players. Methods Fifteen WCB players with manual wheelchairs were enrolled in the study. Medical history of the subjects was taken. Electrodiagnosis and ultrasonography of both median nerves were performed to assess CTS in WCB players. Ultrasonographic median nerves evaluation was conducted after wheelchair propulsion for 20 minutes. Results Average body mass index (BMI) and period of wheelchair use of CTS subjects were greater than those of normal subjects. Electrodiagnosis revealed CTS in 14 of 30 hands (47%). Cross-sectional area (CSA) of median nerve was greater in CTS subjects than in normal subjects at 0.5 cm and 1 cm proximal to distal wrist crease (DWC), DWC, 1 cm, 2 cm, 3 cm, and 3.5 cm distal to DWC. After exercising, median nerve CSAs at 0.5 cm and 1 cm proximal to DWC, DWC, and 3 cm and 3.5 cm distal to DWC were greater than baseline CSAs in CTS subjects; and median nerve CSAs at 1 cm proximal to DWC and DWC were greater than baseline CSAs in normal subjects. The changes in median nerve CSA after exercise in CTS subjects were greater than in normal subjects at 0.5 cm proximal to DWC and 3 cm and 3.5 cm distal to DWC. Conclusion BMI and total period of wheelchair use contributed to developing CTS in WCB players. The experimental exercise might be related to the median nerve swelling around the inlet and outlet of carpal tunnel in WCB athletes with CTS. PMID:28289636

  17. Electrophysiologic and Ultrasonographic Assessment of Carpal Tunnel Syndrome in Wheelchair Basketball Athletes.

    PubMed

    Kim, Do Kyun; Kim, Beom Suk; Kim, Min Je; Kim, Ki Hoon; Park, Byung Kyu; Kim, Dong Hwee

    2017-02-01

    To investigate the contributing factors of carpal tunnel syndrome (CTS), electrodiagnostic and ultrasonographic findings of median nerve, and median nerve change after exercise in wheelchair basketball (WCB) players. Fifteen WCB players with manual wheelchairs were enrolled in the study. Medical history of the subjects was taken. Electrodiagnosis and ultrasonography of both median nerves were performed to assess CTS in WCB players. Ultrasonographic median nerves evaluation was conducted after wheelchair propulsion for 20 minutes. Average body mass index (BMI) and period of wheelchair use of CTS subjects were greater than those of normal subjects. Electrodiagnosis revealed CTS in 14 of 30 hands (47%). Cross-sectional area (CSA) of median nerve was greater in CTS subjects than in normal subjects at 0.5 cm and 1 cm proximal to distal wrist crease (DWC), DWC, 1 cm, 2 cm, 3 cm, and 3.5 cm distal to DWC. After exercising, median nerve CSAs at 0.5 cm and 1 cm proximal to DWC, DWC, and 3 cm and 3.5 cm distal to DWC were greater than baseline CSAs in CTS subjects; and median nerve CSAs at 1 cm proximal to DWC and DWC were greater than baseline CSAs in normal subjects. The changes in median nerve CSA after exercise in CTS subjects were greater than in normal subjects at 0.5 cm proximal to DWC and 3 cm and 3.5 cm distal to DWC. BMI and total period of wheelchair use contributed to developing CTS in WCB players. The experimental exercise might be related to the median nerve swelling around the inlet and outlet of carpal tunnel in WCB athletes with CTS.

  18. Isokinetic shoulder rotator muscles in wheelchair athletes.

    PubMed

    Bernard, P L; Codine, P; Minier, J

    2004-04-01

    To assess the influence of wheelchair propulsion and neurological level on isokinetic shoulder rotational strength. University of Montpellier, France Data were evaluated in three groups of subjects as follows: 12 nonathletes, 15 tennis players and 21 wheelchair athletes. We then compared 12 high paraplegic athletes (HPA) and nine low paraplegic athletes (LPA) within the group of 21 wheelchair athletes: The isokinetic tests were performed in the seated 45 degrees abducted test position in the scapular plane at 60, 180 and 300 degrees s(-1) for both shoulders. Peak torque and mean power values were gathered and, from these values, the internal/external rotation ratios were calculated. Intergroup comparison showed an influence of lesion and sport on peak torque at 180 and 300 degrees s(-1) for the internal rotators and significantly higher values of the internal/external ratios in the wheelchair athlete group. For mean power, we observed significant differences under all test conditions and significant differences for ratio only on the dominant side at 180 degrees s(-1) and on the dominant side at 300 degrees s(-1). Comparison of the two groups of paraplegic athletes showed significantly higher values of peak torque and mean power of the external rotators in the LPA for all test conditions. Neurological level of lesion does not systematically influence the development of internal rotator muscles; in contrast, the participation of the external rotators appears strongly correlated to neurological level. The comparison of the two sides in the two paraplegic groups showed that in two-thirds of the cases the values of the external rotators were significantly higher than those of the internal rotators on the nondominant side for peak torque and mean power. Ratios on the dominant side were systematically higher than on the nondominant side, with significant differences also noted in two-thirds of the cases. These results raise questions about the influence of neurological

  19. A paired outcomes study comparing two pediatric wheelchairs for low-resource settings: the regency pediatric wheelchair and a similarly sized wheelchair made in Kenya.

    PubMed

    Rispin, Karen; Wee, Joy

    2014-01-01

    This comparative study of two similar wheelchairs designed for less-resourced settings provides feedback to manufacturers, informing ongoing improvement in wheelchair design. It also provides practical familiarity to clinicians in countries where these chairs are available, in their selection of prescribed wheelchairs. In Kenya, 24 subjects completed 3 timed skills and assessments of energy cost on 2 surfaces in each of 2 wheelchairs: the Regency pediatric chair and a pediatric wheelchair manufactured by the Association of the Physically Disabled of Kenya (APDK). Both wheelchairs are designed for and distributed in less-resourced settings. The Regency chair significantly outperformed the APDK chair in one of the energy cost assessments on both surfaces and in one of three timed skills tests.

  20. Delivery of wheelchairs to disabled children.

    PubMed Central

    Dorsett, P; Holt, K S; Wisbeach, A

    1978-01-01

    In a follow-up study from a children's wheelchair clinic the delivery times for 120 wheelchairs ordered during 1973--7 were analysed. Delivery delays were considerable: only 22 of the 120 chairs were delivered within one month and 69 within three months, while 21 took over six months to arrive. Factors such as the type of chair ordered, the need for modifications, and the centre handling the transaction did not influence delivery time. Administrative delays may be an important contributory factor. PMID:151577

  1. The Rim Inertial Measuring System (RIMS). [to measure angular rate and linear acceleration of a moving vehicle

    NASA Technical Reports Server (NTRS)

    Groom, N. J.

    1979-01-01

    The rim inertial measuring system (RIMS) is introduced and an approach for extracting angular rate and linear acceleration information from a RIMS unit is presented and discussed. The RIMS consists of one or more small annular momentum control devices (AMCDs), mounted in a strapped down configuration, which are used to measure angular rates and linear accelerations of a moving vehicle. An AMCD consists of a spinning rim, a set of noncontacting magnetic bearings for supporting the rim, and a noncontacting electromagnetic spin motor. The approach for extracting angular rate and linear acceleration information is for a single spacecraft mounted RIMS unit.

  2. Rimmed and edge thickened Stodola shaped flywheel

    DOEpatents

    Kulkarni, Satish V.; Stone, Richard G.

    1983-01-01

    A flywheel (10) is described that is useful for energy storage in a hybrid vehicle automotive power system or in some stationary applications. The flywheel (10) has a body (15) composed of essentially planar isotropic high strength material. The flywheel (10) body (15) is enclosed by a rim (50) of circumferentially wound fiber (2) embedded in resin (3). The rim (50) promotes flywheel (10) safety and survivability. The flywheel (10) has a truncated and edge thickened Stodola shape designed to optimize system mass and energy storage capability.

  3. Recycling RIM polymers into automotive fascia

    SciTech Connect

    Not Available

    1994-08-01

    This article reports an important discovery that scrap polymers may not have to be segregated for many of the recycling approaches for automotive thermoset poly-urethane polymers. Recycling painted parts has been a major impediment in most recycling alternatives, but that is not the case with the regrind approach to RIM (reaction injection molded) recycling. Scrap from painted, unpainted, filled, and unfilled polyurethane fascia, fenders, and side claddings can be collected as one resource. The flow of RIM scrap through the recycling process is illustrated.

  4. Analyzing wheelchair mobility patterns of community-dwelling older adults.

    PubMed

    Karmarkar, Amol M; Cooper, Rory A; Wang, Hongwu; Kelleher, Annmarie; Cooper, Rosemarie

    2011-01-01

    This study determined and compared wheelchair mobility patterns for older adults during an organized sporting event and within their community. In July 2008, 39 veterans participating in the 28th National Veterans Wheelchair Games (Omaha, Nebraska) completed the study. Of these, 26 were manual wheelchair and 13 were power wheelchair users. We collected wheelchair-related mobility data using wheelchair data-logging devices. Participants were significantly more active using manual wheelchairs during the games than when using their wheelchairs in their homes in terms of distance traveled (4,466.2 vs 1,367.4 m, p < 0.001) and average speed of propulsion (0.76 vs 0.64 m/s, p < 0.001). The trend was the same for power wheelchair users, with respect to distance (7,306.2 vs 3,450.5 m, p = 0.004) and average speed (0.9 vs 0.7 m/s, p = 0.002). This study demonstrates an objective method of evaluating wheelchair use in community-dwelling older adults.

  5. Evaluation of lightweight wheelchairs using ANSI/RESNA testing standards.

    PubMed

    Gebrosky, Benjamin; Pearlman, Jonathan; Cooper, Rory A; Cooper, Rosemarie; Kelleher, Annmarie

    2013-01-01

    Lightweight wheelchairs are characterized by their low cost and limited range of adjustment. Our study evaluated three different folding lightweight wheelchair models using the American National Standards Institute/Rehabilitation Engineering Society of North America (ANSI/RESNA) standards to see whether quality had improved since the previous data were reported. On the basis of reports of increasing breakdown rates in the community, we hypothesized that the quality of these wheelchairs had declined. Seven of the nine wheelchairs tested failed to pass the multidrum test durability requirements. An average of 194,502 +/- 172,668 equivalent cycles was completed, which is similar to the previous test results and far below the 400,000 minimum required to pass the ANSI/RESNA requirements. This was also significantly worse than the test results for aluminum ultralight folding wheelchairs. Overall, our results uncovered some disturbing issues with these wheelchairs and suggest that manufacturers should put more effort into this category to improve quality. To improve the durability of lightweight wheelchairs, we suggested that stronger regulations be developed that require wheelchairs to be tested by independent and certified test laboratories. We also proposed a wheelchair rating system based on the National Highway Transportation Safety Administration vehicle crash ratings to assist clinicians and end users when comparing the durability of different wheelchairs.

  6. Wheelchair seating: A study on the healthy elderly.

    PubMed

    Timm, Marina; Samuelsson, Kersti

    2016-11-01

    Many frail elderly and disabled persons have to use a manual wheelchair to remain mobile and active. Apart from a well-fitted wheelchair, an appropriate wheelchair cushion is considered crucial for postural support and to prevent complications. To examined the effect of two types of seat cushions in two types of wheelchairs with regard to pelvic rotation, respiratory function, and interface pressure. Forty healthy elderly between 67 and 85 years of age participated. Two types of commonly used manual wheelchairs and two types of seat cushions were tested. Interface pressure, pelvic position, and respiratory function were measured using a sensor array mat, a study-specific inclinometer, and a spirometer. Differences in interface pressure and pelvic rotation between cushions were found in both wheelchairs. Compared with sitting on a standard cushion, sitting on the positioning cushion increased peak pressure. The posterior pelvic tilt increased with the positioning cushion in the Etac Cross wheelchair and for both cushions in the Etac Cross wheelchair compared with the HD Balance wheelchair. No difference was observed in respiratory function. This study highlights the importance of a thorough evaluation of the effects of wheelchair interventions, especially for the elderly and disabled.

  7. A Cost-Effective Virtual Environment for Simulating and Training Powered Wheelchairs Manoeuvres.

    PubMed

    Headleand, Christopher J; Day, Thomas; Pop, Serban R; Ritsos, Panagiotis D; John, Nigel W

    2016-01-01

    Control of a powered wheelchair is often not intuitive, making training of new users a challenging and sometimes hazardous task. Collisions, due to a lack of experience can result in injury for the user and other individuals. By conducting training activities in virtual reality (VR), we can potentially improve driving skills whilst avoiding the risks inherent to the real world. However, until recently VR technology has been expensive and limited the commercial feasibility of a general training solution. We describe Wheelchair-Rift, a cost effective prototype simulator that makes use of the Oculus Rift head mounted display and the Leap Motion hand tracking device. It has been assessed for face validity by a panel of experts from a local Posture and Mobility Service. Initial results augur well for our cost-effective training solution.

  8. When mental fatigue maybe characterized by Event Related Potential (P300) during virtual wheelchair navigation.

    PubMed

    Lamti, Hachem A; Gorce, Philippe; Ben Khelifa, Mohamed Moncef; Alimi, Adel M

    2016-12-01

    The goal of this study is to investigate the influence of mental fatigue on the event related potential P300 features (maximum pick, minimum amplitude, latency and period) during virtual wheelchair navigation. For this purpose, an experimental environment was set up based on customizable environmental parameters (luminosity, number of obstacles and obstacles velocities). A correlation study between P300 and fatigue ratings was conducted. Finally, the best correlated features supplied three classification algorithms which are MLP (Multi Layer Perceptron), Linear Discriminate Analysis and Support Vector Machine. The results showed that the maximum feature over visual and temporal regions as well as period feature over frontal, fronto-central and visual regions were correlated with mental fatigue levels. In the other hand, minimum amplitude and latency features didn't show any correlation. Among classification techniques, MLP showed the best performance although the differences between classification techniques are minimal. Those findings can help us in order to design suitable mental fatigue based wheelchair control.

  9. Biomechanics of Pediatric Manual Wheelchair Mobility

    PubMed Central

    Slavens, Brooke A.; Schnorenberg, Alyssa J.; Aurit, Christine M.; Tarima, Sergey; Vogel, Lawrence C.; Harris, Gerald F.

    2015-01-01

    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. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments of 14 children with spinal cord injury (SCI) during the functional tasks. Additionally, pain and health-related quality of life outcomes were assessed. This research found that joint demands are significantly different amongst functional tasks, with greatest demands placed on the shoulder during the starting task. Propulsion was significantly different from starting and stopping at all joints. We identified multiple stroke patterns used by the children, some of which are not standard in adults. One subject reported average daily pain, which was minimal. Lower than normal physical health and higher than normal mental health was found in this population. It can be concluded that functional tasks should be considered in addition to propulsion for rehabilitation and SCI treatment planning. This research provides wheelchair users and clinicians with a comprehensive, biomechanical, mobility assessment approach for wheelchair prescription, training, and long-term care of children with SCI. PMID:26442251

  10. Reaching High Bookshelves From a Wheelchair

    NASA Technical Reports Server (NTRS)

    Walch, A. J.

    1982-01-01

    "Book retriever" allows people confined to wheelchairs to remove or replace books from upper shelves of library stacks. Retriever is mechanical device composed of aluminum tube approximately 5 feet long with two jaws at upper end. Jaws securely clamp selected book; they are thin enough to be inserted between adjacent books.

  11. 21 CFR 890.3850 - Mechanical wheelchair.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Mechanical wheelchair. 890.3850 Section 890.3850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3850...

  12. 21 CFR 890.3910 - Wheelchair accessory.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wheelchair accessory. 890.3910 Section 890.3910 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3910...

  13. 21 CFR 890.3850 - Mechanical wheelchair.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Mechanical wheelchair. 890.3850 Section 890.3850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3850...

  14. 21 CFR 890.3910 - Wheelchair accessory.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Wheelchair accessory. 890.3910 Section 890.3910 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3910...

  15. 21 CFR 890.3920 - Wheelchair component.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Wheelchair component. 890.3920 Section 890.3920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3920...

  16. 21 CFR 890.3930 - Wheelchair elevator.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Wheelchair elevator. 890.3930 Section 890.3930 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3930...

  17. 21 CFR 890.3930 - Wheelchair elevator.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wheelchair elevator. 890.3930 Section 890.3930 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3930...

  18. 21 CFR 890.3920 - Wheelchair component.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wheelchair component. 890.3920 Section 890.3920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3920...

  19. Just a Body in a Wheelchair

    ERIC Educational Resources Information Center

    Rosen, Betty

    2014-01-01

    This article has no direct link with academics, children, students or those who teach: I severed almost all such connections several years ago. It describes the rewards and challenges of leading a reminiscence group of elderly people, all of whom suffer some level of memory loss and/or severe physical disability; most are wheelchair-bound. It…

  20. Reaching High Bookshelves From a Wheelchair

    NASA Technical Reports Server (NTRS)

    Walch, A. J.

    1982-01-01

    "Book retriever" allows people confined to wheelchairs to remove or replace books from upper shelves of library stacks. Retriever is mechanical device composed of aluminum tube approximately 5 feet long with two jaws at upper end. Jaws securely clamp selected book; they are thin enough to be inserted between adjacent books.

  1. Just a Body in a Wheelchair

    ERIC Educational Resources Information Center

    Rosen, Betty

    2014-01-01

    This article has no direct link with academics, children, students or those who teach: I severed almost all such connections several years ago. It describes the rewards and challenges of leading a reminiscence group of elderly people, all of whom suffer some level of memory loss and/or severe physical disability; most are wheelchair-bound. It…

  2. Biomechanics of Pediatric Manual Wheelchair Mobility.

    PubMed

    Slavens, Brooke A; Schnorenberg, Alyssa J; Aurit, Christine M; Tarima, Sergey; Vogel, Lawrence C; Harris, Gerald F

    2015-01-01

    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. A custom pediatric inverse dynamics model was used to evaluate three-dimensional upper extremity joint motions, forces, and moments of 14 children with spinal cord injury (SCI) during the functional tasks. Additionally, pain and health-related quality of life outcomes were assessed. This research found that joint demands are significantly different amongst functional tasks, with greatest demands placed on the shoulder during the starting task. Propulsion was significantly different from starting and stopping at all joints. We identified multiple stroke patterns used by the children, some of which are not standard in adults. One subject reported average daily pain, which was minimal. Lower than normal physical health and higher than normal mental health was found in this population. It can be concluded that functional tasks should be considered in addition to propulsion for rehabilitation and SCI treatment planning. This research provides wheelchair users and clinicians with a comprehensive, biomechanical, mobility assessment approach for wheelchair prescription, training, and long-term care of children with SCI.

  3. Medical Concerns among Wheelchair Road Racers.

    ERIC Educational Resources Information Center

    Martinez, Santos F.

    1989-01-01

    Results of a questionnaire administered to 43 wheelchair road racers suggest that their medical problems may lead to complications while training or racing. The study looked at the effects of training, injuries, bladder management, medications, and spasms. Sports medicine professionals are provided with information on handling disabled athletes.…

  4. Medical Concerns among Wheelchair Road Racers.

    ERIC Educational Resources Information Center

    Martinez, Santos F.

    1989-01-01

    Results of a questionnaire administered to 43 wheelchair road racers suggest that their medical problems may lead to complications while training or racing. The study looked at the effects of training, injuries, bladder management, medications, and spasms. Sports medicine professionals are provided with information on handling disabled athletes.…

  5. 21 CFR 890.3930 - Wheelchair elevator.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Wheelchair elevator. 890.3930 Section 890.3930 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3930...

  6. 21 CFR 890.3910 - Wheelchair accessory.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Wheelchair accessory. 890.3910 Section 890.3910 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3910...

  7. 21 CFR 890.3930 - Wheelchair elevator.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Wheelchair elevator. 890.3930 Section 890.3930 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3930...

  8. 21 CFR 890.3920 - Wheelchair component.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Wheelchair component. 890.3920 Section 890.3920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3920...

  9. 21 CFR 890.3920 - Wheelchair component.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Wheelchair component. 890.3920 Section 890.3920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3920...

  10. 21 CFR 890.3910 - Wheelchair accessory.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Wheelchair accessory. 890.3910 Section 890.3910 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3910...

  11. 21 CFR 890.3850 - Mechanical wheelchair.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Mechanical wheelchair. 890.3850 Section 890.3850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3850...

  12. 21 CFR 890.3850 - Mechanical wheelchair.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Mechanical wheelchair. 890.3850 Section 890.3850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3850...

  13. 21 CFR 890.3930 - Wheelchair elevator.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Wheelchair elevator. 890.3930 Section 890.3930 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3930...

  14. 21 CFR 890.3920 - Wheelchair component.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Wheelchair component. 890.3920 Section 890.3920 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3920...

  15. 21 CFR 890.3850 - Mechanical wheelchair.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Mechanical wheelchair. 890.3850 Section 890.3850 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3850...

  16. 21 CFR 890.3910 - Wheelchair accessory.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Wheelchair accessory. 890.3910 Section 890.3910 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3910...

  17. The Mobility Decision. 1990 Wheelchair Guide.

    ERIC Educational Resources Information Center

    Henke, Cliff

    1990-01-01

    This article presents tips for parents shopping for wheelchairs for children with special mobility needs. Manual versus power chairs, dimensions, maneuverability, weight, transportability, durability, adaptability, maximum/minimum speeds, battery life (for power chairs), climbing angle, and other features are discussed. Factors to consider in…

  18. Transportation Safety Standards for Wheelchair Users: A Review of Voluntary Standards for Improved Safety, Usability, and Independence of Wheelchair-Seated Travelers

    ERIC Educational Resources Information Center

    Schneider, Lawrence W.; Manary, Miriam A.; Hobson, Douglas A.

    2008-01-01

    Safe transportation for wheelchair users who do not transfer to the vehicle seat when traveling in motor vehicles requires after-market wheelchair tiedown and occupant restraint systems (WTORS) to secure the wheelchair and provide crashworthy restraint for the wheelchair-seated occupant. In the absence of adequate government safety standards,…

  19. Transportation Safety Standards for Wheelchair Users: A Review of Voluntary Standards for Improved Safety, Usability, and Independence of Wheelchair-Seated Travelers

    ERIC Educational Resources Information Center

    Schneider, Lawrence W.; Manary, Miriam A.; Hobson, Douglas A.

    2008-01-01

    Safe transportation for wheelchair users who do not transfer to the vehicle seat when traveling in motor vehicles requires after-market wheelchair tiedown and occupant restraint systems (WTORS) to secure the wheelchair and provide crashworthy restraint for the wheelchair-seated occupant. In the absence of adequate government safety standards,…

  20. Arm cranking versus wheelchair propulsion for testing aerobic fitness in children with spina bifida who are wheelchair dependent.

    PubMed

    Bloemen, Manon A T; de Groot, Janke F; Backx, Frank J G; Westerveld, Rosalyne A; Takken, Tim

    2015-05-01

    To determine the best test performance and feasibility using a Graded Arm Cranking Test vs a Graded Wheelchair Propulsion Test in young people with spina bifida who use a wheelchair, and to determine the reliability of the best test. Validity and reliability study. Young people with spina bifida who use a wheelchair. Physiological responses were measured during a Graded Arm Cranking Test and a Graded Wheelchair Propulsion Test using a heart rate monitor and calibrated mobile gas analysis system (Cortex Metamax). For validity, peak oxygen uptake (VO2peak) and peak heart rate (HRpeak) were compared using paired t-tests. For reliability, the intra-class correlation coefficients, standard error of measurement, and standard detectable change were calculated. VO2peak and HRpeak were higher during wheelchair propulsion compared with arm cranking (23.1 vs 19.5 ml/kg/min, p = 0.11; 165 vs 150 beats/min, p < 0.05). Reliability of wheelchair propulsion showed high intra-class correlation coefficients (ICCs) for both VO2peak (ICC = 0.93) and HRpeak (ICC = 0.90). This pilot study shows higher HRpeak and a tendency to higher VO2peak in young people with spina bifida who are using a wheelchair when tested during wheelchair propulsion compared with arm cranking. Wheelchair propulsion showed good reliability. We recommend performing a wheelchair propulsion test for aerobic fitness testing in this population.

  1. Aerothermal experiments in turbine rim seals

    NASA Astrophysics Data System (ADS)

    Pittman, Lionel Obadiah, Jr.

    Purge flows are necessary for ensuring that hot gasses do not penetrate the thermally sensitive rim seal and disk cavity regions of turbines. The temperature and mass flow rate of the purge air can affect the component life and aerodynamic performance of a turbine stage. Therefore it is of interest to understand the basic mechanisms that govern this complex flow problem. The present work focuses on two turbine rim seal investigations. The first focused on temperature measurements in the rim cavity region of a rotating, high-speed, low-pressure turbine as means to quantify a rim seal's effectiveness. The seal had a realistic geometry with a small axial overlap between the stationary and rotating components. The purge flow rate was varied from 0 to 1 percent of the core mass flow rate. The results will describe the temperatures as well as the seal's effectiveness as a function of the purge flow rate, and turbine operating point. The second was a study on the effect of purge flow on the aerodynamic performance of a turbine stage. Exit flow field surveys were taken in both a low pressure turbine stage and a high pressure turbine stage. Also a computational study was done on the low pressure turbine stage to add insight into the effect of purge flow on turbine stage performance. In addition, the computation results provide insight into the effect of purge flow on the low pressure turbine blade passage flow field.

  2. Wheelchair Skills Capacity and Performance of Manual Wheelchair Users With Spinal Cord Injury.

    PubMed

    Kirby, R Lee; Worobey, Lynn A; Cowan, Rachel; Pedersen, Jessica Presperin; Heinemann, Allen W; Dyson-Hudson, Trevor A; Shea, Mary; Smith, Cher; Rushton, Paula W; Boninger, Michael L

    2016-10-01

    To describe the wheelchair skills capacity and performance of experienced manual wheelchair users with spinal cord injury (SCI) and to assess measurement properties of the Wheelchair Skills Test (WST) and Wheelchair Skills Test Questionnaire (WST-Q). Cross-sectional descriptive study involving within-subject comparisons. Four Spinal Cord Injury Model Systems centers. Manual wheelchair users with SCI (N=117). Not applicable. WST and WST-Q version 4.2 as well as measures for Confidence, Basic Mobility, Independence, Ability to Participate, Satisfaction, and Pain Interference. The median (interquartile range) values for WST capacity, WST-Q capacity, and WST-Q performance were 81.0% (69.0%-90.0%), 88.0% (77.0%-97.0%), and 76.0% (66.3%-84.0%). The total WST capacity scores correlated significantly with the total WST-Q capacity scores (r=.76; P<.01) and WST-Q performance scores (r=.55; P<.01). The total WST-Q capacity and WST-Q performance scores were correlated significantly (r=.63; P<.001). Success rates were <75% for 10 of the 32 (31%) individual skills on the WST and 6 of the 32 (19%) individual skills on the WST-Q. Regression models for the total WST and WST-Q measures identified statistically significant predictors including age, sex, body mass index, and/or level of injury. The WST and WST-Q measures correlated significantly with the Confidence, Basic Mobility, Independence, or Pain Interference measures. Many people with SCI are unable to or do not perform some of the wheelchair skills that would allow them to participate more fully. More wheelchair skills training may enhance participation and quality of life of adults with SCI. The WST and WST-Q exhibit good content, construct, and concurrent validity. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  3. Measurement properties of the Wheelchair Skills Test-Questionnaire for powered wheelchair users.

    PubMed

    Rushton, Paula W; Kirby, R Lee; Routhier, Francois; Smith, Cher

    2016-01-01

    To evaluate the test-retest reliability, concurrent validity and responsiveness of the Wheelchair Skills Test - Questionnaire (WST-Q) Version 4.1 for powered wheelchair users. A volunteer sample of 72 community-dwelling, experienced powered wheelchair users, ranging in age from 50 to 77 years, participated in this study. Participants completed measures at baseline and 1 month later. Mean ± standard deviation total percentage WST-Q scores at baseline and 1 month were 83.7% ± 10.9 and 86.3% ± 10.0 respectively. Cronbach's alpha was 0.90 and the 1 month test-retest intraclass correlation coefficient (ICC1,1) was 0.78 (confidence interval: 0.68-0.86). There were no floor or ceiling effects. Percentages of agreement between baseline and 1 month for individual skills ranged from 72.2% to 100%. The correlations between the WST-Q and the objective Wheelchair Skills Test (WST), WheelCon and Life Space Assessment were r = 0.65, r = 0.47 and r = 0.47 respectively. The standard error of measurement (SEM) and smallest real difference (SRD) were 5.0 and 6.2 respectively. The WST-Q 4.1 has high internal consistency, strong test-retest reliability and strong support for concurrent validity and responsiveness. There is evidence of reliability, validity and responsiveness of the Wheelchair Skills Test - Questionnaire (WST-Q) among experienced older adult powered wheelchair users. The WST-Q can be used to measure powered wheelchair skills, guide intervention and measure change over time.

  4. Radial Internal Material Handling System (RIMS) for Circular Habitat Volumes

    NASA Technical Reports Server (NTRS)

    Howe, A. Scott; Haselschwardt, Sally

    2012-01-01

    A Radial Internal Material Handling System (RIMS) has been developed to service a circular floor area in variable gravity. On planetary surfaces, pressurized human habitable volumes will require a means to carry heavy equipment between various locations within the volume of the habitat, regardless of the partial gravity (Earth, moon, Mars, etc). On the NASA Habitat Demonstration Unit (HDU), a vertical cylindrical volume, it was determined that a variety of heavy items would need to be carried back and forth from deployed locations to the General Maintenance Work Station (GMWS) when in need of repair, and other equipment may need to be carried inside for repairs, such as rover parts and other external equipment. The vertical cylindrical volume of the HDU lent itself to a circular overhead track and hoist system that allows lifting of heavy objects from anywhere in the habitat to any other point in the habitat interior. In addition, the system is able to hand off lifted items to other material handling systems through the side hatches, such as through an airlock. This paper describes the RIMS system which is scalable for application in a variety of circular habitat volumes.

  5. Radial Internal Material Handling System (RIMS) for Circular Habitat Volumes

    NASA Technical Reports Server (NTRS)

    Howe, A. Scott; Haselschwardt, Sally

    2012-01-01

    A Radial Internal Material Handling System (RIMS) has been developed to service a circular floor area in variable gravity. On planetary surfaces, pressurized human habitable volumes will require a means to carry heavy equipment between various locations within the volume of the habitat, regardless of the partial gravity (Earth, moon, Mars, etc). On the NASA Habitat Demonstration Unit (HDU), a vertical cylindrical volume, it was determined that a variety of heavy items would need to be carried back and forth from deployed locations to the General Maintenance Work Station (GMWS) when in need of repair, and other equipment may need to be carried inside for repairs, such as rover parts and other external equipment. The vertical cylindrical volume of the HDU lent itself to a circular overhead track and hoist system that allows lifting of heavy objects from anywhere in the habitat to any other point in the habitat interior. In addition, the system is able to hand off lifted items to other material handling systems through the side hatches, such as through an airlock. This paper describes the RIMS system which is scalable for application in a variety of circular habitat volumes.

  6. Effects of rim thickness on spur gear bending stress

    NASA Technical Reports Server (NTRS)

    Bibel, G. D.; Reddy, S. K.; Savage, M.; Handschuh, R. F.

    1991-01-01

    Thin rim gears find application in high-power, light-weight aircraft transmissions. Bending stresses in thin rim spur gear tooth fillets and root areas differ from the stresses in solid gears due to rim deformations. Rim thickness is a significant design parameter for these gears. To study this parameter, a finite element analysis was conducted on a segment of a thin rim gear. The rim thickness was varied and the location and magnitude of the maximum bending stresses reported. Design limits are discussed and compared with the results of other researchers.

  7. Aspects of Manual Wheelchair Configuration Affecting Mobility: A Review

    PubMed Central

    Medola, Fausto Orsi; Elui, Valeria Meirelles Carril; Santana, Carla da Silva; Fortulan, Carlos Alberto

    2014-01-01

    Many aspects relating to equipment configuration affect users’ actions in a manual wheelchair, determining the overall mobility performance. Since the equipment components and configuration determine both stability and mobility efficiency, configuring the wheelchair with the most appropriate set-up for individual users’ needs is a difficult task. Several studies have shown the importance of seat/backrest assembly and the relative position of the rear wheels to the user in terms of the kinetics and kinematics of manual propulsion. More recently, new studies have brought to light evidence on the inertial properties of different wheelchair configurations. Further new studies have highlighted the handrim as a key component of wheelchair assembly, since it is the interface through which the user drives the chair. In light of the new evidence on wheelchair mechanics and propulsion kinetics and kinematics, this article presents a review of the most important aspects of wheelchair configuration that affect the users’ actions and mobility. PMID:24648656

  8. Do wheelchairs spread pathogenic bacteria within hospital walls?

    PubMed

    Peretz, Avi; Koiefman, Anna; Dinisman, Eleonora; Brodsky, Diana; Labay, Kozitta

    2014-02-01

    Transmission of nosocomial pathogens has been linked to transient colonization of health care workers, medical devices and other constituents of patients' environment. In this paper we present our findings concerning the presence of pathogenic bacteria on wheelchairs, and the possibility that wheelchairs constitute a reservoir of these bacteria and a means of spreading them. In this work we examined four wheelchairs, each from a different location: the internal medicine ward, the emergency department, the general surgery ward and wheelchair stockpile of the transportation unit of the hospital. The samples were collected and cultured on different media. Bacterial identification and antimicrobial sensitivity testing were carried out using accepted practices in the microbiology laboratory. We found that wheelchairs are contaminated with several pathogenic bacteria, among them antibiotic-resistant strains such as MRSA, Pseudomonas aeruginosa, Acinetobacter baumanni etc. Since there is no specific guideline protocol that deals with disinfection and cleaning frequency of wheelchairs in hospitals, we suggest each hospital to write one.

  9. Aspects of manual wheelchair configuration affecting mobility: a review.

    PubMed

    Medola, Fausto Orsi; Elui, Valeria Meirelles Carril; Santana, Carla da Silva; Fortulan, Carlos Alberto

    2014-02-01

    Many aspects relating to equipment configuration affect users' actions in a manual wheelchair, determining the overall mobility performance. Since the equipment components and configuration determine both stability and mobility efficiency, configuring the wheelchair with the most appropriate set-up for individual users' needs is a difficult task. Several studies have shown the importance of seat/backrest assembly and the relative position of the rear wheels to the user in terms of the kinetics and kinematics of manual propulsion. More recently, new studies have brought to light evidence on the inertial properties of different wheelchair configurations. Further new studies have highlighted the handrim as a key component of wheelchair assembly, since it is the interface through which the user drives the chair. In light of the new evidence on wheelchair mechanics and propulsion kinetics and kinematics, this article presents a review of the most important aspects of wheelchair configuration that affect the users' actions and mobility.

  10. Comparison of kinematics, kinetics, and EMG throughout wheelchair propulsion in able-bodied and persons with paraplegia: an integrative approach.

    PubMed

    Dubowsky, Sarah R; Sisto, Sue Ann; Langrana, Noshir A

    2009-02-01

    A systematic integrated data collection and analysis of kinematic, kinetic, and electromyography (EMG) data allow for the comparison of differences in wheelchair propulsion between able-bodied individuals and persons with paraplegia. Kinematic data from a motion analysis system, kinetic data from force-sensing push rims, and electromyography data from four upper-limb muscles were collected for ten push strokes. Results are as follows: Individuals with paraplegia use a greater percentage of their posterior deltoids, biceps, and triceps in relation to maximal voluntary contraction. These persons also reached peak anterior deltoid firing nearly 10 deg earlier on the push rim, while reaching peak posterior deltoid nearly 10 deg later on the push rim. Able-bodied individuals had no triceps activity in the initial stages of propulsion while their paraplegic groups had activity throughout. Able-bodied participants also had, on average, peak resultant, tangential, and radial forces occurring later on the push rim (in degrees). There are two main conclusions that can be drawn from this integrative investigation: (1) A greater "muscle energy," as measured by the area under the curve of the percentage of EMG throughout propulsion, results in a greater resultant joint force in the shoulder and elbow, thus potentially resulting in shoulder pathology. (2) Similarly, a greater muscle energy may result in fatigue and play a factor in the development of shoulder pain and pathology over time; fatigue may compromise an effective propulsive stroke placing undue stresses on the joint capsule. Muscle activity differences may be responsible for the observed kinematic and kinetic differences between the two groups. The high incidence of shoulder pain in manual wheelchair users as compared to the general population may be the result of such differences, although the results from this biomedical investigation should be examined with caution. Future research into joint forces may shed light

  11. Exploratory validation of a multidimensional power wheelchair outcomes toolkit

    PubMed Central

    Ben Mortenson, W.; Demers, Louise; Rushton, Paula W.; Auger, Claudine; Routhier, Francois; Miller, William C.

    2017-01-01

    OBJECTIVES To evaluate the relationship among the measures in a power wheelchair outcomes toolkit. DESIGN We performed path analysis of cross-sectional data from self-report questionnaires and one objective measure. SETTING Data were collected in six Canadian sites. PARTICIPANTS A convenience sample of 128 power wheelchair users. The majority, 69 (53.9%), were female. Multiple sclerosis and spinal cord injury/disease were the most common diagnoses. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES The power wheelchair version of the Wheelchair Skills Test (4.1) was used to carry out an objective evaluation of capacity to perform 32 wheelchair skills. The Late Life Disability Index measured frequency of participation in 16 life activities. The Life-space Assessment measured independence, extent and frequency of mobility. The Assistive Technology Outcomes Profile for Mobility was used to assess perceived difficulty performing activity and participation using assistive technology. The Wheelchair Use Confidence Scale for powered wheelchair users captured users’ self-efficacy with wheelchair use. RESULTS Wheelchair confidence was independently associated with less difficulty with activity (β =0.08, 0.01

    0.05) and participation (β=0.39, p<0.01), increased life space (β=0.09, p<0.03) and greater wheelchair skills (β=0.37, p<0.01) Less perceived difficulty with activity was independently associated with increased frequency of participation (β=0.30, p<0.01). Life space mobility was independently associated with increased frequency of participation ((β=0.31, p<0.01). Less difficulty with participation was independently associated with greater life-space mobility (β=0.32, p<0.01) and greater frequency of participation (β=0.13, p<0.01). CONCLUSION This study provides empirical support for the measures included as part of the power wheelchair outcomes toolkit. They appear to provide complementary information on a variety of constructs related to power wheelchair

  12. Exploratory Validation of a Multidimensional Power Wheelchair Outcomes Toolkit.

    PubMed

    Mortenson, W Ben; Demers, Louise; Rushton, Paula W; Auger, Claudine; Routhier, Francois; Miller, William C

    2015-12-01

    To evaluate the relation among the measures in a power wheelchair outcomes toolkit. We performed path analysis of cross-sectional data from self-report questionnaires and 1 objective measure. Six sites. A convenience sample of power wheelchair users (N=128). Most (n=69; 53.9%) participants were women. Multiple sclerosis and spinal cord injury/disease were the most common diagnoses. Not applicable. The power wheelchair version of the Wheelchair Skills Test version 4.1 was used to carry out an objective evaluation of capacity to perform 32 wheelchair skills. The Late-Life Disability Index measured frequency of participation in 16 life activities. The Life-Space Assessment measured independence, extent, and frequency of mobility. The Assistive Technology Outcomes Profile for Mobility was used to assess perceived difficulty performing activity and participation using assistive technology. The Wheelchair Use Confidence Scale for powered wheelchair users captured users' self-efficacy with wheelchair use. Wheelchair confidence was independently associated with less difficulty with activity (β=.028, P=.002) and participation (β=.225, P<.001), increased life space (β=.095, P<.003), and greater wheelchair skills (β=.30, P<.001). Less perceived difficulty with activity was independently associated with increased frequency of participation (β=.55, P<.001). Life-space mobility was independently associated with increased frequency of participation (β=.167, P<.001). Less difficulty with participation was independently associated with greater life-space mobility (β=.59, P<.001) and greater frequency of participation (β=.13, P<.001). This study provides empirical support for the measures included as part of the power wheelchair outcomes toolkit. They appear to provide complementary information on a variety of constructs related to power wheelchair use. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  13. RIM - binding proteins (RBPs) couple Rab3 - interacting molecules (RIMs) to voltage - gated Ca2+ channels

    PubMed Central

    Hibino, H.; Pironkova, R.; Onwumere, O.; Vologodskaia, M.; Hudspeth, A. J.; Lesage, F.

    2007-01-01

    Summary Ca2+ influx through voltage-gated channels initiates the exocytotic fusion of synaptic vesicles to the plasma membrane. Here we show that RIM-binding proteins (RBPs), which associate with Ca2+ channels in hair cells, photoreceptors, and neurons, interact with α1D (L-type) and α1B (N-type) Ca2+-channel subunits. RBPs contain three Src homology 3 domains that bind to proline-rich motifs in α1 subunits and Rab3-interacting molecules (RIMs). Overexpression in PC12 cells of fusion proteins that suppress the interactions of RBPs with RIMs and α1 augments the exocytosis triggered by depolarization. RBPs may regulate the strength of synaptic transmission by creating a functional link between the synaptic-vesicle tethering apparatus, which includes RIMs and Rab3, and the fusion machinery, which includes Ca2+ channels and the SNARE complex. PMID:11988172

  14. Distal Radius Volar Rim Fracture Fixation Using DePuy-Synthes Volar Rim Plate

    PubMed Central

    Kachooei, Amir Reza; Tarabochia, Matthew; Jupiter, Jesse B.

    2016-01-01

    Background To assess the results of distal radius fractures with the involvement of the volar rim fixed with the DePuy-Synthes Volar Rim Plate. Case Description We searched for the patients with volar rim fracture and/or volar rim fractures as part of a complex fracture fixed with a volar rim plate. Ten patients met the inclusion criteria: three patients with type 23B3, six patients with type 23C, and one patient with very distal type 23A. The mean follow-up was 14 months (range: 2–26). Fractures healed in all patients. Of the three patients with isolated volar rim fractures (type 23B3), two patients had no detectable deficits in motion. These patients had an average Gartland and Werley score of 9 (range: 2–14). Of the other seven patients (six with type 23C and one with type 23A fracture), three patients healed with full range of motion and four had some deficits in range of motion. Two patients had excellent results, three had good results, and two had fair results using the Gartland and Werley categorical rating. One patient healed with a shortened radius and ulnar impingement requiring a second surgery for ulnar head resection arthroplasty. Literature Review Results after nonoperative treatment of volar rim fractures are not satisfactory and often require subsequent corrective osteotomy. Satisfactory outcomes are achieved when the fragments are well reduced and secured regardless of the device type. Clinical Relevance Volar rim plates give an adequate buttress of the volar radius distal to volar projection of the lunate facet and do not interfere with wrist mobility. Furthermore, the dorsal fragments can be fixed securely through the volar approach eliminating the need for a secondary posterior incision. However, patients should be informed of the potential problems and the need to remove the plate if symptoms develop. PMID:26855829

  15. Shoulder pain and time dependent structure in wheelchair propulsion variability.

    PubMed

    Jayaraman, Chandrasekaran; Moon, Yaejin; Sosnoff, Jacob J

    2016-07-01

    Manual wheelchair propulsion places considerable repetitive mechanical strain on the upper limbs leading to shoulder injury and pain. While recent research indicates that the amount of variability in wheelchair propulsion and shoulder pain may be related. There has been minimal inquiry into the fluctuation over time (i.e. time-dependent structure) in wheelchair propulsion variability. Consequently the purpose of this investigation was to examine if the time-dependent structure in the wheelchair propulsion parameters are related to shoulder pain. 27 experienced wheelchair users manually propelled their own wheelchair fitted with a SMARTWheel on a roller at 1.1m/s for 3min. Time-dependent structure of cycle-to-cycle fluctuations in contact angle and inter push time interval was quantified using sample entropy (SampEn) and compared between the groups with/without shoulder pain using non-parametric statistics. Overall findings were, (1) variability observed in contact angle fluctuations during manual wheelchair propulsion is structured (Z=3.15;p<0.05), (2) individuals with shoulder pain exhibited higher SampEn magnitude for contact angle during wheelchair propulsion than those without pain (χ(2)(1)=6.12;p<0.05); and (3) SampEn of contact angle correlated significantly with self-reported shoulder pain (rs (WUSPI) =0.41;rs (VAS)=0.56;p<0.05). It was concluded that the time-dependent structure in wheelchair propulsion may provide novel information for tracking and monitoring shoulder pain.

  16. The Injury Risk to Wheelchair Occupants Using Motor Vehicle Transportation

    PubMed Central

    Songer, Thomas J.; Fitzgerald, Shirley G.; Rotko, Katherine A.

    2004-01-01

    The transportation safety experience for persons using wheelchairs is largely unknown. Motor vehicle crash involvement and injury frequency was examined in a telephone interview completed by 596 wheelchair users. Overall, 42% were drivers. Most subjects also rode as passengers in private vehicles (87%) and public vehicles (61%). Wheelchair use as a seat in the vehicle was higher among passengers than drivers. Crash involvement was highest among drivers and lower in passengers. Reported injuries from non-crash scenarios, though, were higher in passengers compared to drivers. Persons seated in wheelchairs in vehicles appear to be at a greater safety risk. PMID:15319121

  17. Locally manufactured wheelchairs in Tanzania - are users satisfied?

    PubMed

    Amosun, Seyi; Ndosi, Aston; Buchanan, Helen

    2016-12-01

    The government of Tanzania created opportunity for the production of wheelchairs that would be appropriate to the local needs and environment. The study assessed the extent to which the wheelchairs met the activity and participation needs of the users, as well as the users' level of satisfaction with the provision, repair and maintenance of these wheelchairs. A descriptive cross-sectional analytical design was utilized to collect data through the administration of a questionnaire among 75 adult wheelchair users. Participants had used wheelchairs for an average period of 9.3 years. Most participants (61%) had sustained spinal cord injuries, and used three-wheeler chairs (76%). More than 90% reported that their wheelchairs positively influenced their activity and participation needs, and 85% were satisfied with their ability to carry out daily activities. Participants expressed satisfaction with the durability of the wheelchairs (89%), and the professional services received (71%), but not with follow-up services (77%). There was difference in satisfaction with features of 3-wheeler and 4-wheeler rigid chairs (p=0.030). The wheelchairs positively impacted participants' activity and participation needs. Participants were sat isfied with the features of the wheelchairs but not with follow-up services. The concerns of dissatisfied users should be addressed.

  18. Ultrasonographic evaluation of the shoulder in elite wheelchair tennis players.

    PubMed

    Jeon, In-Ho; Kochhar, Hemanshu; Lee, Jong-Min; Kyung, Hee-Soo; Min, Woo-Kie; Cho, Hwan-Sung; Wee, Ho-Wug; Shin, Dong-Joo; Kim, Poong-Taek

    2010-05-01

    Wheelchair tennis has been identified as a high-risk sport for shoulder injury, so understanding shoulder pathology in these athletes is important. This study investigated the incidence and pattern of shoulder injuries in wheelchair tennis players using high-resolution ultrasonography. Descriptive study. International Wheelchair Tennis Open. 33 elite-level wheelchair tennis players. Wheelchair tennis players completed a self-administered questionnaire, and shoulders of each athlete were investigated using high-resolution ultrasonography (linear probe 7.5 MHz). The most common pathology in the dominant shoulder was acromioclavicular pathology, in 21 players (63.6%). Full-thickness rotator-cuff tears involving the supraspinatus were found in 8 dominant shoulders and 6 nondominant shoulders. There were no correlations between identified shoulder pathology and the different variables studied, such as age, training time per day, length of wheelchair use, and length of career as a wheelchair tennis player. High prevalence of rotator-cuff and acromioclavicular pathology was found by ultrasonographic examination in the elite wheelchair tennis players in both dominant and nondominant shoulders. A high index of suspicion of these pathologies in wheelchair athletes is required.

  19. Wheelchair tiedown and occupant restraint loading associated with adult manual transit wheelchair in rear impact.

    PubMed

    Salipur, Zdravko; Bertocci, Gina

    2010-01-01

    Proper securement of wheelchairs in motor vehicles is vital to providing wheelchair users an adequate level of safety in a crash. Thus far, wheelchair tiedown and occupant restraint systems (WTORS) loading has mostly been examined under frontal impact conditions. Because of the inherent crash dynamic differences, rear-impact loading of WTORS is expected to differ greatly. In this study, three identical, reinforced, manual, folding, X-braced ANSI/RESNA WC19 wheelchairs were subjected to an International Organization for Standardization-proposed rear-impact crash pulse. WTORS loads (front tiedowns, rear tiedowns, lap belt, and shoulder belt) were measured and compared with frontal impact WTORS loading. Rear impact produced substantially higher loads (up to 7,851 N) in the front tiedowns than frontal impact. The rear tiedowns experienced relatively negligible loading (up to 257 N) in rear impact, while rear-impact dynamics caused the lap belt (maximum load of 1,865 N) to be loaded substantially more than the shoulder belt (maximum load of 68 N). Considering differences in frontal and rear impact WTORS loading is important to proper WTORS design and, thus, protection of wheelchair-seated occupants subjected to rear-impact events.

  20. Pushrim kinetics during advanced wheelchair skills in manual wheelchair users with spinal cord injury.

    PubMed

    Nagy, Jennifer; Winslow, Amy; Brown, Jessica M; Adams, Lisa; O'Brien, Kathleen; Boninger, Michael; Nemunaitis, Gregory

    2012-01-01

    To assess the peak force during wheelchair propulsion of individuals with spinal cord injury propelling over obstacles from the Wheelchair Skills Test. Twenty-three individuals with spinal cord injury (SCI) who are full-time manual wheelchair users were included in this prospective study. A SmartWheel (Three Rivers Holdings, LLC) was used to analyze each push while subjects negotiated standardized obstacles used in the Wheelchair Skills Test, including tile, carpet, soft surface, 5° and 10° ramps, 2 cm, 5 cm, and 15 cm curbs. When the peak forces of the advanced skills were compared to level 10 m tile/10 m carpet, there was a statistically significant increase in all peak forces (P value ranged from .0001 to .0268). It is well documented that a large number of individuals with SCI develop upper limb pain. One of the recommendations to preserve the upper limb is to minimize force during repetitive tasks. Advanced wheelchair skills require an increase in force to accomplish. The increase in forces ranged from 18% to 130% over that required for level 10 m tile/10 m carpet.

  1. Towards evidence-based classification in wheelchair sports: impact of seating position on wheelchair acceleration.

    PubMed

    Vanlandewijck, Yves C; Verellen, Joeri; Tweedy, Sean

    2011-07-01

    In most Paralympic wheelchair sports, active trunk range of movement is assessed by observing shoulder girdle excursion during active trunk movements and is a key determinant of an athlete's class. However, to date research evaluating the impact of reduced trunk range of movement on wheelchair sports performance has not been conducted. In the present study, 15 non-disabled male participants performed two 20-s sprints on a wheelchair ergometer in each of three seating positions. Positions were typical of those used to enhance sitting stability in wheelchair sport and each impacted available trunk range of movement differently: condition-90 (seated with thighs horizontal; unrestricted range of movement) condition-45 (seated with thighs in 45°), and condition-0 (seated with hips maximally flexed; minimum range of movement). In condition-90, the trunk only actively contributed to the first push; for the remainder of the sprint, the trunk was held almost isometrically at 48.2° to the horizontal (range 42.1-56.4°). Similar patterns were observed for both condition-45 and condition-0. Compared with condition-90, participants in condition-0 had reduced capacity to accelerate of statistical (P < 0.05) and practical significance. These findings are an important initial step towards evidence-based decision making in classification. Future research should evaluate the individual and collective impact of other factors that affect the trunk's contribution to wheelchair sports performance, including strapping, seating position, and impairments of trunk muscle power and coordination.

  2. Hand to hand.

    PubMed

    Bedell, Susanna E; Graboys, Thomas B

    2002-08-01

    Examination of the hands has the potential to transform the encounter between physician and patient. Taking the hands conveys a sense of warmth and connectedness and is a means to communicate the physician's mindfulness. The hands can focus the examination on the individual patient as a complete human being, and not merely a disease or a collection of symptoms. The hands provide readily accessible information that may not be available through other evaluations, and they offer clues to a patient's physical and mental health. Commonplace observations, such as those revealed in the hands, can unravel medical mysteries and provide profound clinical insights.

  3. 9. CRATER RIM DRIVE NEAR THURSTON LAVA TUBE. VIEW OF ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    9. CRATER RIM DRIVE NEAR THURSTON LAVA TUBE. VIEW OF CRENELATED LAVA STONE GUARD WALL AND ROCK CUT OPPOSITE. NOTE CATTLE GUARD ACROSS ROAD PARTIALLY PAVED OVER. - Crater Rim Drive, Volcano, Hawaii County, HI

  4. Skills based evaluation of alternative input methods to command a semi-autonomous electric wheelchair.

    PubMed

    Rojas, Mario; Ponce, Pedro; Molina, Arturo

    2016-08-01

    This paper presents the evaluation, under standardized metrics, of alternative input methods to steer and maneuver a semi-autonomous electric wheelchair. The Human-Machine Interface (HMI), which includes a virtual joystick, head movements and speech recognition controls, was designed to facilitate mobility skills for severely disabled people. Thirteen tasks, which are common to all the wheelchair users, were attempted five times by controlling it with the virtual joystick and the hands-free interfaces in different areas for disabled and non-disabled people. Even though the prototype has an intelligent navigation control, based on fuzzy logic and ultrasonic sensors, the evaluation was done without assistance. The scored values showed that both controls, the head movements and the virtual joystick have similar capabilities, 92.3% and 100%, respectively. However, the 54.6% capacity score obtained for the speech control interface indicates the needs of the navigation assistance to accomplish some of the goals. Furthermore, the evaluation time indicates those skills which require more user's training with the interface and specifications to improve the total performance of the wheelchair.

  5. Relation between kinematic analysis of wheelchair propulsion and wheelchair functional basketball classification.

    PubMed

    Crespo-Ruiz, Beatriz M; Del Ama-Espinosa, Antonio J; Gil-Agudo, Angel M

    2011-04-01

    The objective was to conduct a methodological pilot study to analyze wheelchair propulsion upper limb kinematics in standard competitive play considering the functional classification of each athlete. Ten basketball players with a functional classification ranging from 1 to 4 were included in the study. Four camcorders (Kinescan-IBV) and a treadmill for wheelchairs were used. Temporal parameters were analyzed and the upper limb kinematics was obtained using ISB recommendations. The value of the temporal parameters such as push phase duration, the ratio of push phase/recovery phase, contact, and propulsion angle seems to reduce as the functional classification increases. A methodological protocol has been developed that allows the analysis of kinematic characteristics of wheelchair propulsion in basketball players taking into account their functional classification.

  6. Heart rates of participants in wheelchair sports.

    PubMed

    Coutts, K D

    1988-02-01

    The relative stress of participation in wheelchair basketball, volleyball, tennis, and racquetball were determined by monitoring the heart rates of wheelchair athletes. Heart rates were recorded for 5 seconds every 30 seconds during monitoring sessions of 10 min or longer under game or practice conditions. Subjects were volunteer paraplegic athletes with lesions below T5 or with equivalent disability according to an international sport classification system. Average heart rates were 89 beats/min for tennis 'practice', 96 for racquetball 'practice' 107 for volleyball 'practice', 114 for volleyball 'game', 127 for tennis 'game', 129 for basketball 'practice', 135 for racquetball 'game', and 149 for basketball 'game' conditions. The percentage of time when heart rates were above 140 beats/min, followed the same pattern as the average heart rates and ranged from 0 to 62%.

  7. Crater Rim Layers, Rubble, and Gullies

    NASA Image and Video Library

    2017-08-07

    This observation from NASA's Mars Reconnaissance Orbiter shows a close view of the rim and upper wall of an impact crater on the Martian surface. The layers in enhanced color are exposed subsurface strata that are relatively resistant to erosion. Boulder-like rubble beyond the crater rim is scattered down the wall of the crater (down-slope is toward the lower left of the image). Another feature of interest to Mars scientists is a large gully roughly 100 meters across. These gullies may have formed when water from melted ice on the crater walls, or from groundwater within the walls, assisted in transporting eroding material downslope. https://photojournal.jpl.nasa.gov/catalog/PIA21870

  8. Rim seal arrangement having pumping feature

    DOEpatents

    Lee, Ching-Pang; Myers, Caleb

    2017-04-25

    A rim seal arrangement for a gas turbine engine includes a first seal face on a rotor component, and a second seal face on a stationary annular rim centered about a rotation axis of the rotor component. The second seal face is spaced from the first seal face along an axial direction to define a seal gap. The seal gap is located between a radially outer hot gas path and a radially inner rotor cavity. The first seal face has a plurality of circumferentially spaced depressions, each having a depth in an axial direction and extending along a radial extent of the first seal face. The depressions influence flow in the seal gap such that during rotation of the rotor component, fluid in the seal gap is pumped in a radially outward direction to prevent ingestion of a gas path fluid from the hot gas path into the rotor cavity.

  9. Grafting the alar rim: application as anatomical graft.

    PubMed

    Gruber, Ronald P; Fox, Paige; Peled, Anne; Belek, Kyle A

    2014-12-01

    Alar rim contour and alar rim grafts have become essential components of rhinoplasty. Ideally, grafts of the nose should be anatomical in shape. So doing might make grafts of the alar rim more robust. The authors considered doing that by applying the graft as a continuous extension of the lateral crus. Twelve patients (two men and 10 women) constituted the study group (seven primary and five secondary cases). Of those, there were five concave rims, two concave rims with rim retraction, two boxy tips, and three cephalically oriented lateral crura. Surgical technique included the following: (1) an open approach was used; (2) a marginal incision that ignored the caudal margin of the lateral crus (the incision went straight posteriorly to a point 5 to 6 mm from the rim margin) was used; (3) a triangular graft was made to cover the exposed vestibular skin; (4) it was secured end to end to the caudal border of the lateral crus; and (5) the poster end was allowed to sit in a small subcutaneous pocket. Follow-up was 11 to 19 months. All 12 patients exhibited good rims as judged by a blinded panel. Rim retraction was not fully corrected in one patient, but no further treatment was required. One patient did require a secondary small rim graft for residual rim concavity. The concept of grafting the alar rim is strongly supported by the authors' results. The modifications the authors applied by designing the graft to be anatomical in shape has been a technical help.

  10. The Case of the Missing Crater Rim

    NASA Image and Video Library

    2017-08-21

    In this observation from NASA's Mars Reconnaissance Orbiter, these two craters perched at the edge of an outflow channel, appear to have lost a portion of their crater rims during a flood event. Alternatively, it is also possible that the craters impacted the edge of the outflow channel after the flood occurred and we are seeing the difference in the strength of the material impacted. https://photojournal.jpl.nasa.gov/catalog/PIA21881

  11. Rim Sim: A Role-Play Simulation

    USGS Publications Warehouse

    Barrett, Robert C.; Frew, Suzanne L.; Howell, David G.; Karl, Herman A.; Rudin, Emily B.

    2003-01-01

    Rim Sim is a 6-hour, eight-party negotiation that focuses on creating a framework for the long-term disaster-recovery efforts. It involves a range of players from five countries affected by two natural disasters: a typhoon about a year ago and an earthquake about 6 months ago. The players are members of an International Disaster Working Group (IDWG) that has been created by an international commission. The IDWG has been charged with drawing up a framework for managing two issues: the reconstruction of regionally significant infrastructure and the design of a mechanism for allocating funding to each country for reconstruction of local infrastructure and ongoing humanitarian needs. The first issue will involve making choices among five options (two harbor options, two airport options, and one rail-line option), each of which will have three levels at which to rebuild. The second issue will involve five starting-point options. Participants are encouraged to invent other options for both issues. The goal of Rim Sim is to raise questions about traditional approaches to disaster-preparedness planning and reconstruction efforts in an international setting, in this case the Pacific Rim. Players must confront the reverberating effects of disasters and the problems of using science and technical information in decisionmaking, and are introduced to a consensus-building approach emphasizing face-to-face dialog and multinational cooperation in dealing with humanitarian concerns, as well as long-term efforts to reconstruct local and regional infrastructure. The Rim Sim simulation raises four key points: ripple effects of disasters, role of science, multiparty negotiation, and building personal relationships.

  12. The Inner Rim in Protoplanetary Disks

    NASA Astrophysics Data System (ADS)

    Flock, Mario; Turner, Neal J.

    2016-10-01

    Many stars host planets orbiting within one astronomical unit (AU). These close planets origins are a mystery that motivates investigating protoplanetary disks central regions.A key factor governing the conditions near the star is the silicate sublimation front, which largely determines where the starlight is absorbed, and which is often called the inner rim. We present the first radiation hydrodynamical modeling of the sublimation front in the disks around the young intermediate-mass stars called Herbig Ae stars. The models are axisymmetric, and include starlight heating, silicate grains sublimating and condensing to equilibrium at the local, timedependent temperature and density, and accretion stresses parametrizing the results of MHD magneto-rotational turbulence models.The results show for the first time the dynamical stability of the rim. Passing the model disks into Monte Carlo radiative transfer calculations allows us to directly compare with observational constraints. The inner rim has a substantial radial extent, corresponding to several disk scale heights. A pressure maximum develops at the position of thermal ionization at temperatures about 1000 K. The pressure maximum is capable of halting solid pebbles radial drift and concentrating them in a zone where temperatures are sufficiently high for annealing to form crystalline silicates.

  13. The Articulated Alar Rim Graft: Reengineering the Conventional Alar Rim Graft for Improved Contour and Support.

    PubMed

    Ballin, Annelyse C; Kim, Haena; Chance, Elizabeth; Davis, Richard E

    2016-08-01

    Surgical refinement of the wide nasal tip is challenging. Achieving an attractive, slender, and functional tip complex without destabilizing the lower nasal sidewall or deforming the contracture-prone alar rim is a formidable task. Excisional refinement techniques that rely upon incremental weakening of wide lower lateral cartilages (LLC) often destabilize the tip complex and distort tip contour. Initial destabilization of the LLC is usually further exacerbated by "shrink-wrap" contracture, which often leads to progressive cephalic retraction of the alar margin. The result is a misshapen tip complex accentuated by a conspicuous and highly objectionable nostril deformity that is often very difficult to treat. The "articulated" alar rim graft (AARG) is a modification of the conventional rim graft that improves treatment of secondary alar rim deformities, including postsurgical alar retraction (PSAR). Unlike the conventional alar rim graft, the AARG is sutured to the underlying tip complex to provide direct stationary support to the alar margin, thereby enhancing graft efficacy. When used in conjunction with a well-designed septal extension graft (SEG) to stabilize the central tip complex, lateral crural tensioning (LCT) to tighten the lower nasal sidewalls and minimize soft-tissue laxity, and lysis of scar adhesions to unfurl the retracted and scarred nasal lining, the AARG can eliminate PSAR in a majority of patients. The AARG is also highly effective for prophylaxis against alar retraction and in the treatment of most other contour abnormalities involving the alar margin. Moreover, the AARG requires comparatively little graft material, and complications are rare. We present a retrospective series of 47 consecutive patients treated with the triad of AARG, SEG, and LCT for prophylaxis and/or treatment of alar rim deformities. Outcomes were favorable in nearly all patients, and no complications were observed. We conclude the AARG is a simple and effective method for

  14. Anthropometry and Performance in Wheelchair Basketball.

    PubMed

    Granados, Cristina; Yanci, Javier; Badiola, Aduna; Iturricastillo, Aitor; Otero, Montse; Olasagasti, Jurgi; Bidaurrazaga-Letona, Iraia; Gil, Susana M

    2015-07-01

    This study investigated whether anthropometric characteristics, generic and specific sprinting, agility, strength, and endurance capacity could differentiate between First-Division and Third-Division wheelchair basketball (WB) players. A First-Division WB team (n = 8; age = 36.05 ± 8.25 years, sitting body height = 91.38 ± 4.24 cm, body mass = 79.80 ± 12.63 kg) and a Third-Division WB team (n = 11; age = 31.10 ± 6.37 years, sitting body height = 85.56 ± 6.48 cm, body mass = 71.18 ± 17.63 kg) participated in the study. Wheelchair sprint, agility, strength, and endurance tests were performed. The First-Division team was faster (8.7%) in 20 m without the ball, more agile (13-22%), stronger (18-33%), covered more distance (20%) in the endurance test, and presented higher values of rate of perceived exertion for the exercise load (48%) than the Third-Division team. Moreover, the individual 20-m sprint time values correlated inversely with the individual strength/power values (from r = -0.54 to -0.77, p ≤ 0.05, n = 19). Wheelchair basketball coaches should structure strength and conditioning training to improve sprint and agility and evaluate players accordingly, so that they can receive appropriate training stimuli to match the physiological demands of their competitive level.

  15. Exercise Intensity During Power Wheelchair Soccer.

    PubMed

    Barfield, J P; Newsome, Laura; Malone, Laurie A

    2016-11-01

    To determine exercise intensity during power wheelchair soccer among a sample of persons with mobility impairments. Cross-sectional descriptive. On-site training facilities of multiple power wheelchair soccer teams. Participants with severe mobility impairments (N=30) (mean ± SD, age: 29.40±15.51y, body mass index: 24.11±6.47kg/m(2), power soccer experience: 7.91±3.93y, disability sport experience: 12.44±9.73y) were recruited from multiple power wheelchair soccer teams. Portable metabolic carts were used to collect oxygen consumption (V˙o2) data during resting and game play conditions. Average V˙o2 (expressed in metabolic equivalent tasks [METs]) during resting and game play conditions and rating of perceived exertion for game play. V˙o2 increased from 1.35±0.47 METs at rest to 1.81±0.65 METs during game play. This 34% increase in exercise intensity was significant (P<.01) and supported by a mean perceived exertion score of approximately 13 (somewhat hard). Although not able to sustain an intensity associated with reduced secondary disease risk (ie, 3 METs), the documented light-intensity exercise in the current study surpassed an intensity threshold associated with improved functional capacity and performance of daily living activities (ie, 1.5 METs). Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  16. Biomechanics and energetics of basketball wheelchairs evolution.

    PubMed

    Ardigo', L P; Goosey-Tolfrey, V L; Minetti, A E

    2005-06-01

    The aim of this study was to investigate metabolic demand and mechanical work of different basketball wheelchairs that represented significant stages of its evolution from 1960 to date. Four subjects pushed each model on a basketball court at different speeds (from 0.90 to 2.35 m.s(-1)). During the trials, oxygen consumption was measured. Also, the different forms of mechanical work involved in the exercise were investigated. The oxygen consumption decreased from the oldest model to the next ones, remaining then quite constant. This was also the same with breathing and pushing frequencies. Both the work against air drag and rolling resistance decreased, air drag always played a minor role due to the low speeds investigated. The total mechanical work was highest in the oldest wheelchair and lowest in the newest one. The efficiencies were found similar for all the chairs but the most recent one (less efficient). Already by the 1970's the wheelchair economy had reached an acceptable level, at least partially because of its improved ergonomics. Yet, when focusing on the efficiency, the surprisingly low value with the newest model suggests factors other than the economy (need of better balance, responsiveness, and ground grip) as determinants of the evolution of this device.

  17. Locomotor-respiratory coupling during wheelchair propulsion.

    PubMed

    MacDonald, M L; Kirby, R L; Nugent, S T; MacLeod, D A

    1992-04-01

    Visceral movement due to impact loading is believed to play a role in the locomotor-respiratory coupling (LRC) that has been detected in a number of mammalian species. In the bird and bat species in which LRC has been described, the effect of the wing muscles on the timing of respiration appears to be a dominant influence. To test the hypothesis that LRC occurs in humans propelling wheelchairs (where there is no impact loading and the arms are used for locomotion), we studied 10 wheelchair athletes on a motorized treadmill at three speeds. Each subject's data were analyzed by spectral analysis (based on the fast Fourier transform), which detected apparent LRC (rates within 1% of a single-digit integer ratio) in 12 (40%) of the 30 test settings. However, a control analysis, in which each subject's arm-thrust rates were compared with another subject's breathing rates, revealed apparent (but false) coupling in 8 (27%), not significantly less often (using the chi 2 test). These findings appear to refute the hypothesis that LRC occurs during wheelchair propulsion. These data are consistent with the theory that the visceral piston is important to LRC and suggest that rhythmic arm movements are insufficient to induce the phenomenon in this setting.

  18. Subbrow blepharoplasty using supraorbital rim periosteal fixation.

    PubMed

    Kim, Yeon Soo

    2014-02-01

    Subbrow blepharoplasty (SBB) addresses lateral hooding of the upper eyelid skin, a shortcoming of classical upper blepharoplasty. Therefore, SBB is widely used by plastic surgeons in Korea and Japan. The aim of this study is to improve postoperative results and to minimize a relapse of existing SBB by the use of a supraorbital rim periosteal suture fixation technique. An upper incision is made along the inferior margin of the eyebrow. A lower incision, which is determined according to necessary amount of skin excision, is made vertically, deep to the posterior fascia of the obicularis oculi muscle (OOM). Then, skin, OOM, and posterior fascia of the OOM are excised en bloc. An upper skin flap dissection is extended to the width of 1 cm. The posterior fascia of the OOM in the inferior flap is pulled up and three transverse 5-0 nylon sutures are placed to fix it to the periosteum and the sub-brow fat of the supraorbital rim temporally to the supraorbital nerve. A margin of upper flap level is usually a suitable position for fixation. Thirty-six patients underwent SBB using the supraorbital rim periosteal suture fixation technique from July 2007 to June 2012. Thirty-six patients underwent SBB and were followed up for an average of 27 months. The follow-up period ranged from 8 months to 6 years. Their mean age at the time of surgery was 55 years. Thirty-four patients (94.4 %) were satisfied with the surgical results, however, two patients (5.6 %) complained about dimpling at the periosteal suture fixation point. Administration of two focal injections of triamcinolone acetonide resulted in relief and disappearance of the dimpling. We report our experience with a subbrow blepharoplasty using suture fixation of the OOM in the inferior flap to the supraorbital rim periosteum at the margin of the upper flap after an elliptical excision of subbrow skin. Our method of SBB has the advantage of ensuring the continuance of surgical results and minimizing the risk of relapse

  19. Effectiveness and safety of wheelchair skills training program in improving the wheelchair skills capacity: a systematic review.

    PubMed

    Tu, Chun-Jing; Liu, Lin; Wang, Wei; Du, He-Ping; Wang, Yu-Ming; Xu, Yan-Bing; Li, Ping

    2017-06-01

    To comprehensively assess the effectiveness and safety of wheelchair skills training program in improving wheelchair skills capacity. PubMed, OVID, EBSCO, ScienceDirect, Web of Science, CINAHL, Cochrane Library, Google Scholar, and China Knowledge Resource Integrated Database were searched up to March 2017. Controlled clinical trials that compared a wheelchair skills training program with a control group that received other interventions and used the wheelchair skills test scores to evaluate wheelchair skills capacity were included. Two authors independently screened articles, extracted data, and assessed the methodological quality using the Cochrane risk-of-bias tool in randomized controlled trial (RCT) and methodological index for non-randomized studies. The data results of wheelchair skills test scores were extracted. Data from 455 individuals in 10 RCTs and from 140 participants in seven non-randomized studies were included for meta-analysis using Stata version 12.0 (Stata Corporation, College Station, TX, USA). In the short term (immediately to one week) post-intervention, relative to a control group, manual wheelchair skills training could increase the total wheelchair skills test scores by 13.26% in RCTs (95% confidence interval (CI), 6.19%-20.34%; P < 0.001) and by 23.44% in non-randomized studies (95% CI, 13.98%-32.90%; P < 0.001). Few adverse events occurred during training; however, compared with a control group, evidence was insufficient to support the effectiveness of powered wheelchair skills training and the long-term (3-12 months) advantage of manual wheelchair skills training ( P = 0.755). The limited evidence suggests that wheelchair skills training program is beneficial in the short term, but its long-term effects remain unclear.

  20. Alteration and formation of rims on the CM parent body

    NASA Astrophysics Data System (ADS)

    Browning, Lauren B.; McSween, Harry Y., Jr.; Zolensky, Michael

    1994-03-01

    All types of coarse-grained components in CM chondrites are surrounded by fine-grained dust coatings, but the origin of these rims is not yet clear. Although a strictly nebular origin seems likely for rims in the relatively unaltered type 3 chondrites, the rims in CM chondrites are dominated by secondary alteration phases. It has been argued that either the coarse-grained cores accreted altered rim materials while still in the nebula or that alteration of primary rim phases occurred on the CM parent body. To constrain the origin of alteration phases in rim material, we have analyzed the textures and mineral associations from 10 CM chondritic falls by optical and scanning electron microscopy. Our results indicate that the secondary phases in CM chondritic rims were produced by parent body fluid-rock interactions which redefined some primary rim textures and may have produced, in some cases, both coarse-grained components and the rims that surround them. Textural features demonstrate the interactive exchange of alteration fluids between rims, matrix, and chondrules on the CM parent body. For example, most matrix-rim contacts are gradational, suggesting the synchronous alteration of both components. Several observations suggest the possibility of in situ rim production. For example, tochilinite and phyllosilicates commonly form rims around matrix carbonates, which are generally believed to have precipitated from alteration fluids on the CM parent body. This suggests that the rims surrounding matrix carbonates may also have been produced by alteration processes. Partially replaced chondrule olivines bear a striking resemblance to many rimmed olivines in the matrix which suggests, by analogy, that site-specific precipitation of S-bearing phases may also be responsible for the occurrence of many tochilinite-rich rims around isolated matrix olivines. Non-silicate rims precipitate around olivines of any composition, but the process is most effective for fayalitic olivines

  1. Pilot study for quantifying driving characteristics during power wheelchair soccer.

    PubMed

    Kumar, Amit; Karmarkar, Amol M; Collins, Diane M; Souza, Ana; Oyster, Michelle L; Cooper, Rosemarie; Cooper, Rory A

    2012-01-01

    This study determined the driving characteristics of wheelchair users during power wheelchair soccer games. Data for this study were collected at the 28th and 29th National Veterans Wheelchair Games. Nineteen veterans who were 18 years or older and power wheelchair soccer players completed a brief demographic survey and provided information about their power wheelchairs. A customized data-logging device was placed on each participant's wheelchair before power soccer game participation. The data logger was removed at the end of the final game for each participant. The average distance traveled during the games was 899.5 +/- 592.5 m, and the average maximum continuous distance traveled was 256.0 +/- 209.4 m. The average wheelchair speed was 0.8 +/- 0.2 m/s, and the average duration of driving time was 17.6 +/- 8.3 min. Average proportion of time spent at a speed >1 m/s was 30.7% +/- 33.8%, between 0.5 and 1 m/s was 16.2% +/- 34.4%, and <0.5 m/s was 21.4% +/- 24.3%. The information from this descriptive study provides insight for future research in the field of adapted sports for people with high levels of impairments who use power wheelchairs for their mobility.

  2. Ultrasonographic median nerve changes after a wheelchair sporting event.

    PubMed

    Impink, Bradley G; Boninger, Michael L; Walker, Heather; Collinger, Jennifer L; Niyonkuru, Christian

    2009-09-01

    To investigate the acute median nerve response to intense wheelchair propulsion by using ultrasonography and to examine the relationship between carpal tunnel syndrome (CTS) signs and symptoms and the acute median nerve response. Case series. Research room at the National Veterans Wheelchair Games. Manual wheelchair users (N=28) competing in wheelchair basketball. Ultrasound images collected before and after a wheelchair basketball game. Median nerve cross-sectional area, flattening ratio, and swelling ratio and changes in these after activity. Comparison of median nerve characteristics and patient characteristics between participants with and without positive physical examination findings and with and without symptoms of CTS. Significant changes in median nerve ultrasound characteristics were noted after activity. The group as a whole showed a significant decrease in cross-sectional area at the radius of 4.05% (P=.023). Participants with positive physical examinations showed significantly different (P=.029) and opposite changes in swelling ratio compared with the normal group. Subjects with CTS symptoms had a significantly (P=.022) greater duration of wheelchair use (17.1 y) compared with the asymptomatic participants (9 y). Manual wheelchair propulsion induces acute changes in median nerve characteristics that can be visualized by using ultrasound. Studying the acute median nerve response may be useful for optimizing various interventions, such as wheelchair set up or propulsion training, to decrease both acute and chronic median nerve damage and the likelihood of developing CTS.

  3. Training Patterns of Wheelchair Basketball Players in Turkey

    ERIC Educational Resources Information Center

    Tatar, Yasar

    2008-01-01

    The aim of this study was to analyze technical drills, warm-up and cool-down exercises used by wheelchair basketball players of the Turkish league in relation to training sessions. 33 male wheelchair basketball players participated in the study (mean age 26.6[plus or minus]5,95 years). All players reported that they used warm-up exercises before…

  4. Female Wheelchair Athletes and Changes to Body Image.

    ERIC Educational Resources Information Center

    Sands, Robert Thomas; Wettenhall, Robyn Sandra

    2000-01-01

    The effects of a psychological intervention program on attitudes of body image of six national female wheelchair basketball players was examined. As a result of the cognitive behavioral intervention program, physical self-perception increased for the wheelchair athletes and for 50 percent of the athletes on multidimensional components of body…

  5. 21 CFR 890.3940 - Wheelchair platform scale.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wheelchair platform scale. 890.3940 Section 890.3940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3940 Wheelchair...

  6. 21 CFR 890.3940 - Wheelchair platform scale.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Wheelchair platform scale. 890.3940 Section 890.3940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3940 Wheelchair...

  7. 49 CFR 37.205 - Additional passengers who use wheelchairs.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.205 Additional passengers who use wheelchairs. If a number of wheelchair users exceeding the number of securement locations on the bus seek to... transportation to them on the bus....

  8. 49 CFR 37.205 - Additional passengers who use wheelchairs.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.205 Additional passengers who use wheelchairs. If a number of wheelchair users exceeding the number of securement locations on the bus seek to... transportation to them on the bus....

  9. 49 CFR 37.205 - Additional passengers who use wheelchairs.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.205 Additional passengers who use wheelchairs. If a number of wheelchair users exceeding the number of securement locations on the bus seek to... transportation to them on the bus....

  10. 49 CFR 37.205 - Additional passengers who use wheelchairs.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.205 Additional passengers who use wheelchairs. If a number of wheelchair users exceeding the number of securement locations on the bus seek to... transportation to them on the bus....

  11. 49 CFR 37.205 - Additional passengers who use wheelchairs.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... INDIVIDUALS WITH DISABILITIES (ADA) Over-the-Road Buses (OTRBs) § 37.205 Additional passengers who use wheelchairs. If a number of wheelchair users exceeding the number of securement locations on the bus seek to... transportation to them on the bus....

  12. Learning to Drive a Wheelchair in Virtual Reality

    ERIC Educational Resources Information Center

    Inman, Dean P.; Loge, Ken; Cram, Aaron; Peterson, Missy

    2011-01-01

    This research project studied the effect that a technology-based training program, WheelchairNet, could contribute to the education of children with physical disabilities by providing a chance to practice driving virtual motorized wheelchairs safely within a computer-generated world. Programmers created three virtual worlds for training. Scenarios…

  13. Female Wheelchair Athletes and Changes to Body Image.

    ERIC Educational Resources Information Center

    Sands, Robert Thomas; Wettenhall, Robyn Sandra

    2000-01-01

    The effects of a psychological intervention program on attitudes of body image of six national female wheelchair basketball players was examined. As a result of the cognitive behavioral intervention program, physical self-perception increased for the wheelchair athletes and for 50 percent of the athletes on multidimensional components of body…

  14. Adolescents' Attitudes toward Wheelchair Users: A Provincial Survey

    ERIC Educational Resources Information Center

    Arbour-Nicitopoulos, Kelly P.

    2010-01-01

    The study aims were to examine (i) adolescents' attitudes towards family members who use a wheelchair in relation to other health problems and conditions, and (ii) the association between perceived wheelchair stigma and socio-demographic factors. Data were based on surveys from 2790 seventh to 12th grade students derived from the 2007 cycle of the…

  15. Learning to Drive a Wheelchair in Virtual Reality

    ERIC Educational Resources Information Center

    Inman, Dean P.; Loge, Ken; Cram, Aaron; Peterson, Missy

    2011-01-01

    This research project studied the effect that a technology-based training program, WheelchairNet, could contribute to the education of children with physical disabilities by providing a chance to practice driving virtual motorized wheelchairs safely within a computer-generated world. Programmers created three virtual worlds for training. Scenarios…

  16. Adolescents' Attitudes toward Wheelchair Users: A Provincial Survey

    ERIC Educational Resources Information Center

    Arbour-Nicitopoulos, Kelly P.

    2010-01-01

    The study aims were to examine (i) adolescents' attitudes towards family members who use a wheelchair in relation to other health problems and conditions, and (ii) the association between perceived wheelchair stigma and socio-demographic factors. Data were based on surveys from 2790 seventh to 12th grade students derived from the 2007 cycle of the…

  17. Development of a Screening Tool for Safe Wheelchair Seating

    DTIC Science & Technology

    2005-01-01

    wheelchairs and seating systems do not fit the individual needs of nursing homes residents, many problems can become evident: pressure ulcers , difficulty in...from the MDS, including diagnosis, cognitive status, communication ability, sensation level, skin integrity (presence/absence of pressure ulcers ...Abstract Objectives: Most elderly nursing home residents who need wheelchairs are not being assessed individually to ensure proper prescription for

  18. 21 CFR 890.3940 - Wheelchair platform scale.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Wheelchair platform scale. 890.3940 Section 890.3940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3940 Wheelchair...

  19. 21 CFR 890.3940 - Wheelchair platform scale.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Wheelchair platform scale. 890.3940 Section 890.3940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3940 Wheelchair...

  20. 21 CFR 890.3940 - Wheelchair platform scale.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Wheelchair platform scale. 890.3940 Section 890.3940 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES PHYSICAL MEDICINE DEVICES Physical Medicine Prosthetic Devices § 890.3940 Wheelchair...

  1. A Microcomputer Training System for Electric Wheelchair Users.

    ERIC Educational Resources Information Center

    Crocker, D. M. E.; Turner, J. D.

    1988-01-01

    Outlines the development of a computer-based means of assessment and training for motorized wheelchair users. Programs designed to run on a BBC microcomputer that allow the ability of a severely handicapped person to be tested are explained; a joystick-controlled wheelchair simulation is described, and its use with children highlighted.…

  2. On the development of an expert system for wheelchair selection

    NASA Technical Reports Server (NTRS)

    Madey, Gregory R.; Bhansin, Charlotte A.; Alaraini, Sulaiman A.; Nour, Mohamed A.

    1994-01-01

    The presentation of wheelchairs for the Multiple Sclerosis (MS) patients involves the examination of a number of complicated factors including ambulation status, length of diagnosis, and funding sources, to name a few. Consequently, only a few experts exist in this area. To aid medical therapists with the wheelchair selection decision, a prototype medical expert system (ES) was developed. This paper describes and discusses the steps of designing and developing the system, the experiences of the authors, and the lessons learned from working on this project. Wheelchair Advisor, programmed in CLIPS, serves as diagnosis, classification, prescription, and training tool in the MS field. Interviews, insurance letters, forms, and prototyping were used to gain knowledge regarding the wheelchair selection problem. Among the lessons learned are that evolutionary prototyping is superior to the conventional system development life-cycle (SDLC), the wheelchair selection is a good candidate for ES applications, and that ES can be applied to other similar medical subdomains.

  3. Design And Structural Analysis Of A Powered Wheelchair Transmission

    NASA Astrophysics Data System (ADS)

    Geonea, Ionut Daniel; Dumitru, Nicolae; Margine, Alexandru

    2015-09-01

    In this paper are presented the author's researches on designing, dynamical and structural evaluation of a transmission for a wheelchair, intended to persons with locomotors disabilities. The kinematics of proposed transmission is analyzed in order to realize a proper synthesis and design of gears. A 3D model of the transmission and wheelchair are designed in Solid Works, and they will be used for the dynamic simulation of the wheelchair robotic system in Adams software. In Adams is analyzed wheelchair trajectory and dynamics for a combined trajectory: linear motion and steering. Dynamic parameters obtained from simulation are used to perform a finite element analysis of bevel and worm gears. Simulation results reveal the transmission dynamics parameters, emphasize the efficiency of the transmission and enable implementation of this design to a wheelchair model.

  4. How many people would benefit from a smart wheelchair?

    PubMed

    Simpson, Richard C; LoPresti, Edmund F; Cooper, Rory A

    2008-01-01

    Independent mobility is important, but some wheelchair users find operating existing manual or powered wheelchairs difficult or impossible. Challenges to safe, independent wheelchair use can result from various overlapping physical, perceptual, or cognitive symptoms of diagnoses such as spinal cord injury, cerebrovascular accident, multiple sclerosis, amyotrophic lateral sclerosis, and cerebral palsy. Persons with different symptom combinations can benefit from different types of assistance from a smart wheelchair and different wheelchair form factors. The sizes of these user populations have been estimated based on published estimates of the number of individuals with each of several diseases who (1) also need a wheeled mobility device and (2) have specific symptoms that could interfere with mobility device use.

  5. The prevalence of carpal tunnel syndrome among long-term manual wheelchair users with spinal cord injury: A cross-sectional study

    PubMed Central

    Hollisaz, Mohammad Taghi; Taheri, Taher; Kazemi, Hadi; Aghda, Amidoddin Khatibi

    2016-01-01

    Context Use of a handrim wheelchair could force the wrist into extreme excursions and encroachment of the median nerve. Objective We performed a study of the prevalence of carpal tunnel syndrome in prolonged wheelchair users. Design and setting A cross-sectional study was conducted for one year in an outpatient clinic of spinal cord injury. Participants Patients had traumatic injury at the first thoracic level and below, with time since injury of at least 5 years. Outcome measure The prevalence of carpal tunnel syndrome by history taking, clinical examinations and motor and sensory nerve conduction studies of median nerve performed for both hands. Results Participants (N = 297) were all male. Mean (SD) age and duration since injury were 48 (8.5) and 23 (6.6) years, respectively. A significant difference in median duration of injury based on the severity of the syndrome (P < 0.001), and a significant trend in time since injury for the severity (P (one tailed) < 0.001) were seen. There was a significant difference in the median age among the groups (P = 0.009), and the median increased with the severity (P (one tailed) = 0.001). Conclusions Carpal tunnel syndrome is a common side effect of the long time use of wheelchair, and its severity is associated with duration of wheelchair use and age. Alternative methods for wheelchair propulsion should be developed to diminish the likelihood of the syndrome. PMID:26182184

  6. Wheelchair utilization and satisfaction following cerebral vascular accident.

    PubMed

    Garber, Susan L; Bunzel, Reynold; Monga, Trilok N

    2002-01-01

    The purpose of this cross-sectional descriptive study was to determine the extent to which wheelchairs prescribed during rehabilitation are used and perceived as satisfactorily meeting individual mobility, functional, psychological and social needs of veterans who have had a stroke. Forty-nine veterans were interviewed during a one-time visit to the Veterans Affairs Medical Center. Questionnaires on demographics, medical status, functional independence, cognition, social integration, depression, health status and well-being, and wheelchair use and satisfaction were administered. Fifteen participants (31%) no longer used their wheelchairs. Primary reasons included improved physical function (93%) and use of alternative mobility aids (87%). Use by continued wheelchair users ranged from less than 1 hour each day (29%) to more than 8 hours each day (3%). Participants who retained use of the wheelchair were satisfied with its performance. Continued use was associated with impaired mobility, physical dysfunction, and physical dependence. Participants who no longer used their wheelchairs had used them an average of 13 weeks. Medical and psychosocial problems unrelated to wheelchair use were common. Almost 45% of the participants had impaired socialization, 80% had severely compromised occupations, and 41 percent displayed mild to severe depression. Although wheelchair use declined for 31% of the participants, primarily as a result of improved physical function, it is evident that a number of wheelchairs were issued at great expense that were no longer needed. This finding, as well as the reporting of problems unrelated to wheelchair use, suggests the need for reevaluation of mobility and psychosocial needs during the years following rehabilitation for a stroke.

  7. Quality and Equity in Wheelchairs Used by Veterans.

    PubMed

    Myaskovsky, Larissa; Gao, Shasha; Hausmann, Leslie R M; Bornemann, Kellee R; Burkitt, Kelly H; Switzer, Galen E; Fine, Michael J; Phillips, Samuel L; Gater, David; Spungen, Ann M; Worobey, Lynn; Boninger, Michael L

    2017-03-01

    To assess in Veterans with spinal cord injury (SCI) or amputated limb (AL) the following: (1) patient demographics, medical factors, cultural and psychosocial characteristic by race; (2) wheelchair quality by race; and (3) the independent associations of patient race and the other factors with wheelchair quality. Cross-sectional cohort study. Three Department of Veterans Affairs (VA) medical centers affiliated with academic medical centers. Eligible participants were Veterans with SCI or ALs (N=516); 482 of them completed the interview. Analyses were restricted to white and African American participants. Because there was no variation in wheelchair quality among AL patients (n=42), they were excluded from all but descriptive analyses, leading to a final sample size of 421. Not applicable. Wheelchair quality as defined by the Medicare Healthcare Common Procedure Coding System. We found race differences in many of our variables, but not in quality for manual (odds ratio [OR]=.67; 95% confidence interval [CI], .33-1.36) or power (OR=.82; 95% CI, .51-1.34) wheelchairs. Several factors including age (OR=.96; 95% CI, .93-.99) and income (OR=3.78; 95% CI, 1.43-9.97) were associated with wheelchair quality. There were no significant associations of cultural or psychosocial factors with wheelchair quality. Although there were no racial differences in wheelchair quality, we found a significant association of older age and lower income with poorer wheelchair quality among Veterans. Efforts are needed to raise awareness of such disparities among VA wheelchair providers and to take steps to eliminate these disparities in prescription practice across VA sites. Published by Elsevier Inc.

  8. Shoulder joint kinetics of the elite wheelchair tennis serve

    PubMed Central

    Reid, Machar; Elliott, Bruce; Alderson, Jacque

    2007-01-01

    Background The shoulder is a key joint in wheelchair locomotion and commonly implicated in injury among virtually all wheelchair populations. In tennis, quantification of the shoulder joint kinetics that characterise the wheelchair serve could enhance injury prevention and rehabilitation practices as well as assist coaches evaluate the efficacy of their current technical instruction. Methods A 12‐camera, 250 Hz Vicon motion analysis system (Oxford Metrics Inc., UK) recorded the 3D flat (WFS) and kick serve (WKS) motions of two male top 30‐ranked international wheelchair players. Mechanical comparisons between wheelchair players, as well as to the previously captured data of 12 high‐performance able‐bodied players executing the same types of serves, were undertaken. Results Without the benefit of a propulsive leg action, wheelchair players developed lower peak absolute (∼32 m/s) and horizontal (∼28 m/s) pre‐impact racquet velocities than able‐bodied players (∼42 m/s, ∼38 m/s). Wheelchair serve tactics nevertheless necessitated that higher pre‐impact horizontal and right lateral racquet velocities characterised the WFS (∼29 m/s, WKS: ∼26 m/s) and WKS (∼4 m/s, WFS: ∼11 m/s) respectively. The shoulder joint kinetics that contributed to the differential racquet velocity profiles were mostly developed independent of wheelchair serve type, but varied with and were likely related to the level and severity of spinal cord injury of the individual players. Conclusions Compared with able‐bodied players, wheelchair players experienced matching pre‐ and post‐impact shoulder joint loads, such that wheelchair and able‐bodied playing populations appear subject to similar shoulder joint injury risk. PMID:17957009

  9. Effect of wheelchair mass, tire type and tire pressure on physical strain and wheelchair propulsion technique.

    PubMed

    de Groot, Sonja; Vegter, Riemer J K; van der Woude, Lucas H V

    2013-10-01

    The purpose of this study was to evaluate the effect of wheelchair mass, solid vs. pneumatic tires and tire pressure on physical strain and wheelchair propulsion technique. 11 Able-bodied participants performed 14 submaximal exercise blocks on a treadmill with a fixed speed (1.11 m/s) within 3 weeks to determine the effect of tire pressure (100%, 75%, 50%, 25% of the recommended value), wheelchair mass (0 kg, 5 kg, or 10 kg extra) and tire type (pneumatic vs. solid). All test conditions (except pneumatic vs. solid) were performed with and without instrumented measurement wheels. Outcome measures were power output (PO), physical strain (heart rate (HR), oxygen uptake (VO2), gross mechanical efficiency (ME)) and propulsion technique (timing, force application). At 25% tire pressure PO and subsequently VO2 were higher compared to 100% tire pressure. Furthermore, a higher tire pressure led to a longer cycle time and contact angle and subsequently lower push frequency. Extra mass did not lead to an increase in PO, physical strain or propulsion technique. Solid tires led to a higher PO and physical strain. The solid tire effect was amplified by increased mass (tire × mass interaction). In contrast to extra mass, tire pressure and tire type have an effect on PO, physical strain or propulsion technique of steady-state wheelchair propulsion. As expected, it is important to optimize tire pressure and tire type.

  10. Home in a Wheelchair: House Design Ideas for Easier Wheelchair Living.

    ERIC Educational Resources Information Center

    Chasin, Joseph

    Intended to aid in the building or purchase of a home suitable for use by a handicapped individual in a wheelchair, the booklet provides detailed design guidelines. Included is information on the decision process, finances, ramps, a car shelter, doors communication devices, electrical needs, windows, elevators and chair lifts, the kitchen, an…

  11. Measurement Properties of the Wheelchair Skills Test Questionnaire for Powered Wheelchair Users

    PubMed Central

    Rushton, Paula W.; Kirby, R. Lee; Routhier, Francois; Smith, Cher

    2015-01-01

    Purpose To evaluate the test-retest reliability, concurrent validity and responsiveness of the Wheelchair Skills Test - Questionnaire (WST-Q) Version 4.1 for powered wheelchair users. Methods A volunteer sample of 72 community-dwelling, experienced powered wheelchair users, ranging in age from 50 to 77 years, participated in this study. Participants completed measures at baseline and 1 month later. Results Mean ± standard deviation total percentage WST-Q scores at baseline and 1 month were 83.7% ±10.9 and 86.3% ±10.0 respectively. Cronbach’s alpha was 0.90 and the 1 month test-retest intraclass correlation coefficient (ICC1,1) was 0.78 (confidence interval:0.68–0.86). There were no floor or ceiling effects. Percentages of agreement between baseline and 1 month for individual skills ranged from 72.2–100%. The correlations between the WST-Q and the objective Wheelchair Skills Test (WST), WheelCon and Life Space Assessment were r=0.65, r = 0.47 and r = 0.47 respectively. The standard error of measurement (SEM) and smallest real difference (SRD) were 5.0 and 6.2 respectively. Conclusion The WST-Q 4.1 has high internal consistency, strong test-retest reliability and strong support for concurrent validity and responsiveness. PMID:25411057

  12. Radial Internal Material Handling System (RIMS) for Circular Habitat Volumes

    NASA Technical Reports Server (NTRS)

    Howe, Alan S.; Haselschwardt, Sally; Bogatko, Alex; Humphrey, Brian; Patel, Amit

    2013-01-01

    On planetary surfaces, pressurized human habitable volumes will require a means to carry equipment around within the volume of the habitat, regardless of the partial gravity (Earth, Moon, Mars, etc.). On the NASA Habitat Demonstration Unit (HDU), a vertical cylindrical volume, it was determined that a variety of heavy items would need to be carried back and forth from deployed locations to the General Maintenance Work Station (GMWS) when in need of repair, and other equipment may need to be carried inside for repairs, such as rover parts and other external equipment. The vertical cylindrical volume of the HDU lent itself to a circular overhead track and hoist system that allows lifting of heavy objects from anywhere in the habitat to any other point in the habitat interior. In addition, the system is able to hand-off lifted items to other material handling systems through the side hatches, such as through an airlock. The overhead system consists of two concentric circle tracks that have a movable beam between them. The beam has a hoist carriage that can move back and forth on the beam. Therefore, the entire system acts like a bridge crane curved around to meet itself in a circle. The novelty of the system is in its configuration, and how it interfaces with the volume of the HDU habitat. Similar to how a bridge crane allows coverage for an entire rectangular volume, the RIMS system covers a circular volume. The RIMS system is the first generation of what may be applied to future planetary surface vertical cylinder habitats on the Moon or on Mars.

  13. Transportation safety standards for wheelchair users: a review of voluntary standards for improved safety, usability, and independence of wheelchair-seated travelers.

    PubMed

    Schneider, Lawrence W; Manary, Miriam A; Hobson, Douglas A; Bertocci, Gina E

    2008-01-01

    Safe transportation for wheelchair users who do not transfer to the vehicle seat when traveling in motor vehicles requires after-market wheelchair tiedown and occupant restraint systems (WTORS) to secure the wheelchair and provide crashworthy restraint for the wheelchair-seated occupant. In the absence of adequate government safety standards, voluntary standards for the design and performance of WTORS, and for wheelchairs used as seats in motor vehicles, have been developed. The initial versions of these standards qualify equipment for use in all types and sizes of motor vehicles using a 30-mph (48-kph), 20-g frontal sled-impact test. The wheelchair standard requires four accessible, crash-tested securement points on wheelchairs so they can be more easily and effectively secured using a four-point strap-type tie-down system. Future voluntary standards are aimed at reducing injury risk for wheelchair-seated occupants in rear impacts and at providing a method for evaluating the crashworthiness of wheelchair seating systems independent of wheelchair base-frames. They also address improved usability and independence for wheelchair-seated travelers using public transportation by specifying universal docking interface geometry for wheelchairs and design and performance requirements for rear-facing wheelchair passenger stations for use in the very low-g environments of large fixed-route transit buses.

  14. Launch system development in the Pacific Rim

    NASA Technical Reports Server (NTRS)

    Stone, Barbara A.; Page, John R.

    1993-01-01

    Several Western Pacific Rim nations are beginning to challenge the domination of the United States, Europe, and the former Soviet Union in the international market for commercial launch sevices. This paper examines the current development of launch systems in China, Japan, and Australia. China began commercial launch services with their Long March-3 in April 1990, and is making enhancements to vehicles in this family. Japan is developing the H-2 rocket which will be marketed on a commercial basis. In Australia, British Aerospace Ltd. is leading a team conducting a project definition study for an Australian Launch Vehicle, aimed at launching the new generation of satellites into low Earth orbit.

  15. Flow on the Rim of Tooting Crater

    NASA Image and Video Library

    2017-05-25

    This oblique view from NASA's Mars Reconnaissance Orbiter shows a small part of the near-rim ejecta from Tooting Crater. The flow extending from upper left to lower right looks much like a typical lava flow, but doesn't emanate from a volcanic vent. Instead, this must be either melted rock from the impact event, or a wet debris flow from melting of ice. The surface is dusty so color variations are minor. https://photojournal.jpl.nasa.gov/catalog/PIA21648

  16. Wheelchair propulsion biomechanics and wheelers' quality of life: an exploratory review.

    PubMed

    Chow, John W; Levy, Charles E

    2011-01-01

    PURPOSE. To provide an overview of associations between wheelchair propulsion biomechanics for both everyday and racing wheelchairs, wheeling-related upper limb injuries, and quality of life of manual wheelchair users through a synthesis of the available information. METHODS. A search of publications was carried out in PubMed and SportsDiscus databases. Studies on wheelchair propulsion biomechanics, upper limb injuries associated with wheelchair propulsion and quality of life of wheelchair users were identified. Relevant articles cited in identified articles but not cited in PubMed or SportsDiscus were also included. RESULTS. Wheelchair sports participation has positive impact on quality of life and research in racing wheelchair biomechanics can indirectly promote the visibility of wheelchair sports. The impact of pushrim-activated power-assisted wheelchairs (a hybrid between manual and battery-powered wheelchairs) and geared manual wheels on wheelers' everyday life were discussed. CONCLUSIONS. The study of wheelchair propulsion biomechanics focuses on how a wheelchair user imparts power to the wheels to achieve mobility and the accumulated knowledge can help to improve wheelchair users' mobility, reduce physical stress associated with wheelchair propulsion, and as a result, enhance quality of life.

  17. Gender differences in wheelchair marathon performance – Oita International Wheelchair Marathon from 1983 to 2011

    PubMed Central

    Lepers, Romuald; Stapley, Paul J; Knechtle, Beat

    2012-01-01

    Background The purpose of the study was (1) to examine the changes in participation and performance of males and females at the Oita International Wheelchair Marathon in Oita, Japan, between 1983 and 2011, and (2) to analyze the gender difference in the age of peak wheelchair marathon performance. Methods Age and time performance data for all wheelchair athletes completing the Oita International Wheelchair Marathon from 1983 to 2011 were analyzed. Results Mean annual number of finishers was 123 ± 43 for males and 6 ± 3 for females (5.0% ± 2.0% of all finishers), respectively. Mean age of overall finishers was significantly (P = 0.026) greater for males (41.3 ± 1.8 years) compared to females (32.7 ± 1.4 years). In contrast, there was no difference in the mean age of the top three overall finishers between males (35.8 ± 3.2 years) and females (31.6 ± 1.5 years). The race time of the top three overall finishers was significantly lower (P < 0.01) for males (1:34 ± 0:11 hours:minutes) compared to females (1:59 ± 0:20 hours:minutes), but it was not significantly different between male (2:06 ± 0:12 hours:minutes) and female (2:12 ± 0:18 hours:minutes) overall finishers. The mean gender difference in time was 26.1% ± 9.7% for the top three overall finishers. Conclusion Further studies are required to investigate the reasons for the low participation of females in wheelchair marathons and why the gender difference in marathon performance is much greater for disabled athletes than for able-bodied athletes. PMID:24198599

  18. Prioritising wheelchair services for children: a pilot discrete choice experiment to understand how child wheelchair users and their parents prioritise different attributes of wheelchair services.

    PubMed

    Bray, Nathan; Yeo, Seow Tien; Noyes, Jane; Harris, Nigel; Edwards, Rhiannon Tudor

    2016-01-01

    Approximately 95 million children worldwide are disabled; 10 % use a wheelchair. In the UK, an estimated 770,000 children are disabled. National Health Service Wheelchair Services are the largest provider of wheelchairs in the UK; however, recent reports have highlighted issues with these services. This study explores the use of discrete choice experiment methods to inform wheelchair service provision for disabled children based on service user preferences. The aim was to explore how disabled children and their parents prioritise different attributes of wheelchair services. The secondary aims were to compare priorities between parents and disabled children and to explore marginal rate of substitution for incremental changes in attributes. Discrete choice experiments are a method of attribute-based stated preference valuation used by health economists to understand how individuals prioritise different attributes of healthcare services and treatments. We conducted the first pilot discrete choice experiment to explore how disabled children (aged 11 to 18) and their parents prioritise different attributes of hypothetical wheelchair services. Eleven disabled children (aged 11 to 18) and 30 parents of disabled children completed eight pairwise choice tasks based on five service attributes: wheelchair assessment, cost contribution, training, delivery time and frequency of review. Data were analysed using conditional logistic regression. For each pairwise choice, the participants were asked to choose which service scenario (A or B) they preferred. Comprehensiveness of wheelchair assessment and wheelchair delivery time significantly (P < 0.05) affected service preferences of children (β-coefficients = 1.43 [95 % bootstrapped CI = 1.42 to 2.08] and -0.92 [95 % bootstrapped CI = -1.41 to -0.84], respectively) and parents (β-coefficients = 1.53 [95 % bootstrapped CI = 1.45 to 2.16] and -1.37 [95 % bootstrapped CI = -1.99 to -1

  19. Early motor learning changes in upper-limb dynamics and shoulder complex loading during handrim wheelchair propulsion.

    PubMed

    Vegter, Riemer J K; Hartog, Johanneke; de Groot, Sonja; Lamoth, Claudine J; Bekker, Michel J; van der Scheer, Jan W; van der Woude, Lucas H V; Veeger, Dirkjan H E J

    2015-03-10

    To propel in an energy-efficient manner, handrim wheelchair users must learn to control the bimanually applied forces onto the rims, preserving both speed and direction of locomotion. Previous studies have found an increase in mechanical efficiency due to motor learning associated with changes in propulsion technique, but it is unclear in what way the propulsion technique impacts the load on the shoulder complex. The purpose of this study was to evaluate mechanical efficiency, propulsion technique and load on the shoulder complex during the initial stage of motor learning. 15 naive able-bodied participants received 12-minutes uninstructed wheelchair practice on a motor driven treadmill, consisting of three 4-minute blocks separated by two minutes rest. Practice was performed at a fixed belt speed (v = 1.1 m/s) and constant low-intensity power output (0.2 W/kg). Energy consumption, kinematics and kinetics of propulsion technique were continuously measured. The Delft Shoulder Model was used to calculate net joint moments, muscle activity and glenohumeral reaction force. With practice mechanical efficiency increased and propulsion technique changed, reflected by a reduced push frequency and increased work per push, performed over a larger contact angle, with more tangentially applied force and reduced power losses before and after each push. Contrary to our expectations, the above mentioned propulsion technique changes were found together with an increased load on the shoulder complex reflected by higher net moments, a higher total muscle power and higher peak and mean glenohumeral reaction forces. It appears that the early stages of motor learning in handrim wheelchair propulsion are indeed associated with improved technique and efficiency due to optimization of the kinematics and dynamics of the upper extremity. This process goes at the cost of an increased muscular effort and mechanical loading of the shoulder complex. This seems to be associated with an

  20. Field-based physiological testing of wheelchair athletes.

    PubMed

    Goosey-Tolfrey, Victoria L; Leicht, Christof A

    2013-02-01

    The volume of literature on field-based physiological testing of wheelchair sports, such as basketball, rugby and tennis, is considerably smaller when compared with that available for individuals and team athletes in able-bodied (AB) sports. In analogy to the AB literature, it is recognized that performance in wheelchair sports not only relies on fitness, but also sport-specific skills, experience and technical proficiency. However, in contrast to AB sports, two major components contribute towards 'wheeled sports' performance, which are the athlete and the wheelchair. It is the interaction of these two that enable wheelchair propulsion and the sporting movements required within a given sport. Like any other athlete, participants of wheelchair sports are looking for efficient ways to train and/or analyse their technique and fitness to improve their performance. Consequently, laboratory and/or field-based physiological monitoring tools used at regular intervals at key time points throughout the year must be considered to help with training evaluation. The present review examines methods available in the literature to assess wheelchair sports fitness in a field-based environment, with special attention on outcome variables, validity and reliability issues, and non-physiological influences on performance. It also lays out the context of field-based testing by providing details about the Paralympic court sports and the impacts of a disability on sporting performance. Due to the limited availability of specialized equipment for testing wheelchair-dependent participants in the laboratory, the adoption of field-based testing has become the preferred option by team coaches of wheelchair athletes. An obvious advantage of field-based testing is that large groups of athletes can be tested in less time. Furthermore, athletes are tested in their natural environment (using their normal sports wheelchair set-up and floor surface), potentially making the results of such testing

  1. Navigation-synchronized multimodal control wheelchair from brain to alternative assistive technologies for persons with severe disabilities.

    PubMed

    Puanhvuan, Dilok; Khemmachotikun, Sarawin; Wechakarn, Pongsakorn; Wijarn, Boonyanuch; Wongsawat, Yodchanan

    2017-04-01

    Currently, electric wheelchairs are commonly used to improve mobility in disabled people. In severe cases, the user is unable to control the wheelchair by themselves because his/her motor functions are disabled. To restore mobility function, a brain-controlled wheelchair (BCW) would be a promising system that would allow the patient to control the wheelchair by their thoughts. P300 is a reliable brain electrical signal, a component of visual event-related potentials (ERPs), that could be used for interpreting user commands. This research aimed to propose a prototype BCW to allowed severe motor disabled patients to practically control a wheelchair for use in their home environment. The users were able to select from 9 possible destination commands in the automatic mode and from 4 directional commands (forward, backward, turn left and right) in the shared-control mode. These commands were selected via the designed P300 processing system. The wheelchair was steered to the desired location by the implemented navigation system. Safety of the user was ensured during wheelchair navigation due to the included obstacle detection and avoidance features. A combination of P300 and EOG was used as a hybrid BCW system. The user could fully operate the system such as enabling P300 detection system, mode shifting and stop/cancelation command by performing a different consecutive blinks to generate eye blinking patterns. The results revealed that the prototype BCW could be operated in either of the proposed modes. With the new design of the LED-based P300 stimulator, the average accuracies of the P300 detection algorithm in the shared-control and automatic modes were 95.31 and 83.42% with 3.09 and 3.79 bits/min, respectively. The P300 classification error was acceptable, as the user could cancel an incorrect command by blinking 2 times. Moreover, the proposed navigation system had a flexible design that could be interfaced with other assistive technologies. This research developed

  2. West Rim of Endeavour and a Farther Crater's Rim on Horizon

    NASA Technical Reports Server (NTRS)

    2009-01-01

    [figure removed for brevity, see original site]

    In the left half of this view from the panoramic camera (Pancam) of NASA's Mars Exploration Rover Opportunity, a western portion of the rim of Endeavour Crater is visible on the horizon. In the right half, the rim of a smaller crater, farther away, appears faintly on the horizon.

    Opportunity's Pancam took this image on March 8, 2009, during the 1,821st Martian day, or sol, of the rover's mission on Mars. The width of the image covers approximately one degree of the horizon.

    The part of Endeavour's rim visible here is about 16 kilometers (10 miles) from where Opportunity was when the image was taken. The rover was at the same location as when its Pancam took images after a drive on Sol 1820. Opportunity remained at that location until a drive on Sol 1823.

    The more-distant rim to the right, part of Iazu Crater, is about 38 kilometers (24 miles) away. Iazu is south of Endeavour and about 7 kilometers (4 miles) in diameter.

  3. On the Rim of 'Victoria Crater'

    NASA Technical Reports Server (NTRS)

    2006-01-01

    NASA's Mars rover Opportunity reached the rim of 'Victoria Crater' in Mars' Meridiani Planum region with a 26-meter (85-foot) drive during the rover's 951st Martian day, or sol (Sept. 26, 2006). After the drive, the rover's navigation camera took the three exposures combined into this view of the crater's interior. This crater has been the mission's long-term destination for the past 21 Earth months.

    A half mile in the distance one can see about 20 percent of the far side of the crater framed by the rocky cliffs in the foreground to the left and right of the image. The rim of the crater is composed of alternating promontories, rocky points towering approximately 70 meters (230 feet) above the crater floor, and recessed alcoves. The bottom of the crater is covered by sand that has been shaped into ripples by the Martian wind.

    The position at the end of the sol 951 drive is about six meters from the lip of an alcove called 'Duck Bay.' The rover team planned a drive for sol 952 that would move a few more meters forward, plus more imaging of the near and far walls of the crater.

    Victoria Crater is about five times wider than 'Endurance Crater,' which Opportunity spent six months examining in 2004, and about 40 times wider than 'Eagle Crater,' where Opportunity first landed.

    This view is presented as a cylindrical projection with geometric seam correction.

  4. Genetic Relationships Between Chondrules, Rims and Matrix

    NASA Technical Reports Server (NTRS)

    Huss, G. R.; Alexander, C. M. OD.; Palme, H.; Bland, P. A.; Wasson, J. T.

    2004-01-01

    The most primitive chondrites are composed of chondrules and chondrule fragments, various types of inclusions, discrete mineral grains, metal, sulfides, and fine-grained materials that occur as interchondrule matrix and as chondrule/inclusion rims. Understanding how these components are related is essential for understanding how chondrites and their constituents formed and were processed in the solar nebula. For example, were the first generations of chondrules formed by melting of matrix or matrix precursors? Did chondrule formation result in appreciable transfer of chondrule material into the matrix? Here, we consider three types of data: 1) compositional data for bulk chondrites and matrix, 2) mineralogical and textural information, and 3) the abundances and characteristics of presolar materials that reside in the matrix and rims. We use these data to evaluate the roles of evaporation and condensation, chondrule formation, mixing of different nebular components, and secondary processing both in the nebula and on the parent bodies. Our goal is to identify the things that are reasonably well established and to point out the areas that need additional work.

  5. The Martian, Part 4: Schiaparelli Crater Rim

    NASA Image and Video Library

    2015-10-15

    All this week, the THEMIS Image of the Day is following on the real Mars the path taken by fictional astronaut Mark Watney, stranded on the Red Planet in the book and movie, The Martian. Today's image shows part of the northwest rim of Schiaparelli Crater. Schiaparelli is a large, ancient impact scar, some 480 kilometers (280 miles) wide. It has been much modified by billions of years of erosion and deposition by wind and probably water. For astronaut Mark Watney, the descent from the rim onto the crater floor looks smooth and gradual. But it almost wrecks his rover vehicle when he drives into soft sediments. His goal? An automated rescue rocket, intended for the next Mars expedition, which stands about 250 kilometers (150 miles) away on the southern part of Schiaparelli's floor. Orbit Number: 10910 Latitude: -0.882761 Longitude: 13.4529 Instrument: VIS Captured: 2004-05-30 15:45 http://photojournal.jpl.nasa.gov/catalog/PIA19799

  6. Patients' and health care providers' knowledge of wheelchair transportation issues.

    PubMed

    Brinkey, Lori; Savoie, Christopher; Hurvitz, Edward A; Flannagan, Carol

    2009-01-01

    The objective of this study was to determine the level of knowledge about wheelchair transportation safety practices among wheelchair users (WCUs) and caregivers, therapists, physicians, and other professionals (CTPs). Two 10-question surveys were designed. One was administered to a convenience sample of 107 WCUs, average age 31 years (range: 4 to 86). Diagnoses included cerebral palsy (39%), spinal cord injury (19%), and others. The second was given to a convenience sample of 87 caregivers (33%), therapists (27%), physicians (18%), and others. Results indicated that most WCUs (67%) and about half of the CTPs had not received education about best transportation practices. Less than 20% in either group had heard of the transit option or a transit wheelchair, and less than 7% were aware of SAE J2249 and ANSI-RESNA WC/19 standards for wheelchairs and transportation. Sixty-seven percent of WCUs and 46% of CTPs felt lack of knowledge restricted their use of best transportation practices, followed by cost and vehicle space. Education about best practices was related to increased knowledge as well as increased use of occupant and wheelchair restraints. We concluded that there is a poor level of knowledge about wheelchair transportation safety practices among WCUs, caregivers, and professionals who prescribe wheelchairs. This knowledge deficit leads to a lack of standardized transport and a potential compromise of safety. Education can be beneficial, and should be pursued.

  7. Living with an electric wheelchair--the user perspective.

    PubMed

    Stenberg, Gunilla; Henje, Catharina; Levi, Richard; Lindström, Maria

    2016-01-01

    To explore the experiences of using an electric wheelchair in daily living. 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. 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. Six categories emerged that represent this core process: incorporating the electric wheelchair into the self-identity process, calculating functional consequences, encountering the reactions of others, facing duality in movability, using proactive strategies, and being at the mercy of the system. Findings indicate that the integration process is complex and manifold. Practical, personal, and social dimensions were intertwined and significantly involved. Integrating an electric wheelchair is a process closely connected to symbolic value, usability, community mobility and identity. These aspects should be considered in the production, prescription, and adaptation processes. Implications for Rehabilitation Integrating an electric wheelchair is a process closely connected to symbolic value, usability, community mobility, and identity. These aspects should be considered in the wheelchair production, prescription, and adaptation processes.

  8. Evaluation of pediatric manual wheelchair mobility using advanced biomechanical methods.

    PubMed

    Slavens, Brooke A; Schnorenberg, Alyssa J; Aurit, Christine M; Graf, Adam; Krzak, Joseph J; Reiners, Kathryn; Vogel, Lawrence C; Harris, Gerald F

    2015-01-01

    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). Twelve subjects with SCI underwent motion analysis while they propelled their wheelchair at a self-selected speed and propulsion pattern. Upper extremity joint kinematics, forces, and moments were computed using inverse dynamics methods with our custom model. The glenohumeral joint displayed the largest average range of motion (ROM) at 47.1° in the sagittal plane and the largest average superiorly and anteriorly directed joint forces of 6.1% BW and 6.5% BW, respectively. The largest joint moments were 1.4% body weight times height (BW × H) of elbow flexion and 1.2% BW × H of glenohumeral joint extension. Pediatric manual wheelchair users demonstrating these high joint demands may be at risk for pain and upper limb injuries. These evaluation methods may be a useful tool for clinicians and therapists for pediatric wheelchair prescription and training.

  9. Modeling and Simulation of Two Wheelchair Accessories for Pushing Doors.

    PubMed

    Abdullah, Soran Jalal; Shaikh Mohammed, Javeed

    2017-03-27

    Independent mobility is vital to individuals of all ages, and wheelchairs have proven to be great personal mobility devices. The tasks of opening and navigating through a door are trivial for healthy people, while the same tasks could be difficult for some wheelchair users. A wide range of intelligent wheelchair controllers and systems, robotic arms, or manipulator attachments integrated with wheelchairs have been developed for various applications, including manipulating door knobs. Unfortunately, the intelligent wheelchairs and robotic attachments are not widely available as commercial products. Therefore, the current manuscript presents the modeling and simulation of a novel but simple technology in the form of a passive wheelchair accessory (straight, arm-like with a single wheel, and arc-shaped with multiple wheels) for pushing doors open from a wheelchair. From the simulations using different wheel shapes and sizes, it was found that the arc-shaped accessory could push open the doors faster and with almost half the required force as compared to the arm-like accessory. Also, smaller spherical wheels were found to be best in terms of reaction forces on the wheels. Prototypes based on the arc-shaped accessory design will be manufactured and evaluated for pushing doors open and dodging or gliding other obstacles.

  10. Design of an immersive simulator for assisted power wheelchair driving.

    PubMed

    Devigne, Louise; Babel, Marie; Nouviale, Florian; Narayanan, Vishnu K; Pasteau, Francois; Gallien, Philippe

    2017-07-01

    Driving a power wheelchair is a difficult and complex visual-cognitive task. As a result, some people with visual and/or cognitive disabilities cannot access the benefits of a power wheelchair because their impairments prevent them from driving safely. In order to improve their access to mobility, we have previously designed a semi-autonomous assistive wheelchair system which progressively corrects the trajectory as the user manually drives the wheelchair and smoothly avoids obstacles. Developing and testing such systems for wheelchair driving assistance requires a significant amount of material resources and clinician time. With Virtual Reality technology, prototypes can be developed and tested in a risk-free and highly flexible Virtual Environment before equipping and testing a physical prototype. Additionally, users can "virtually" test and train more easily during the development process. In this paper, we introduce a power wheelchair driving simulator allowing the user to navigate with a standard wheelchair in an immersive 3D Virtual Environment. The simulation framework is designed to be flexible so that we can use different control inputs. In order to validate the framework, we first performed tests on the simulator with able-bodied participants during which the user's Quality of Experience (QoE) was assessed through a set of questionnaires. Results show that the simulator is a promising tool for future works as it generates a good sense of presence and requires rather low cognitive effort from users.

  11. Capturing and analyzing wheelchair maneuvering patterns with mobile cloud computing.

    PubMed

    Fu, Jicheng; Hao, Wei; White, Travis; Yan, Yuqing; Jones, Maria; Jan, Yih-Kuen

    2013-01-01

    Power wheelchairs have been widely used to provide independent mobility to people with disabilities. Despite great advancements in power wheelchair technology, research shows that wheelchair related accidents occur frequently. To ensure safe maneuverability, capturing wheelchair maneuvering patterns is fundamental to enable other research, such as safe robotic assistance for wheelchair users. In this study, we propose to record, store, and analyze wheelchair maneuvering data by means of mobile cloud computing. Specifically, the accelerometer and gyroscope sensors in smart phones are used to record wheelchair maneuvering data in real-time. Then, the recorded data are periodically transmitted to the cloud for storage and analysis. The analyzed results are then made available to various types of users, such as mobile phone users, traditional desktop users, etc. The combination of mobile computing and cloud computing leverages the advantages of both techniques and extends the smart phone's capabilities of computing and data storage via the Internet. We performed a case study to implement the mobile cloud computing framework using Android smart phones and Google App Engine, a popular cloud computing platform. Experimental results demonstrated the feasibility of the proposed mobile cloud computing framework.

  12. The Wheelchair Procurement Process: Perspectives of Clients and Prescribers

    PubMed Central

    Mortenson, William B; Miller, William C

    2014-01-01

    Back ground Increasing choices in assistive technology has made the process of procuring a wheelchair more complex and challenging. Purpose To explore the intricacies of the procurement process from the perspectives of clients and therapists. Methods Thirty-four participants were interviewed, including 13 wheelchair prescribers, 14 wheelchair users, and 7 wheelchair associates (family members and caregivers). Findings Analysis revealed five main themes. 1) “Who decides?” described varying degrees of client involvement in the procurement process. 2) “Expert knowledge” reflected the expert knowledge that all parties possessed. 3) “Form versus function” captured the primary and, at times, conflicting outcomes that participants wanted to achieve. 4) “Fitting in” depicted the environmental factors that affected wheelchair procurement. 5) “(Re)solutions” illustrated strategies that participants felt improved the process. Implications This study reveals clients’ experiences with wheelchair procurement, identifies potential issues therapists may encounter, and suggests possible remedies they might consider when prescribing wheelchairs within a client-centred framework. PMID:18615928

  13. Reliability of the revised wheelchair rugby trunk impairment classification system.

    PubMed

    Altmann, V C; Groen, B E; van Limbeek, J; Vanlandewijck, Y C; Keijsers, N L W

    2013-12-01

    Observational, cross-sectional. A new classification system for trunk impairment in wheelchair rugby was introduced in 2010. It consists of 10 tests, arranged in an algorithm, to assign four different trunk scores (0, 0.5, 1.0 or 1.5) to athletes. The purpose of this study was to assess the inter-rater reliability of this classification system. National competition for wheelchair rugby and wheelchair basketball in the Netherlands and Belgium. Three experienced wheelchair rugby classifiers independently assigned trunk scores to wheelchair rugby and wheelchair basketball athletes in two sessions. After each session, test descriptions were adjusted. The inter-rater reliability was evaluated by determining the agreement and Fleiss Kappa. In the first session, all classifiers agreed on the trunk score in 13 out of 16 athletes; the overall Kappa was 0.76 (P<0.001). The Kappa per trunk score ranged from 0.29 to 1. Four test descriptions were adjusted after the first session. In the second session, there was an agreement in trunk score between the classifiers in 15 out of 21 athletes. The overall Kappa was 0.75 (P<0.0001), and the Kappa per trunk scores ranged from 0.58 to 0.92. After the second session, two test descriptions were improved. The revised classification system for trunk impairment in wheelchair rugby showed a adequate inter-rater reliability for the allocation of trunk scores.

  14. Shoulder pain and time dependent structure in wheelchair propulsion variability

    PubMed Central

    Jayaraman, Chandrasekaran; Moon, Yaejin; Sosnoff, Jacob J.

    2016-01-01

    Manual wheelchair propulsion places considerable repetitive mechanical strain on the upper limbs leading to shoulder injury and pain. While recent research indicates that the amount of variability in wheelchair propulsion and shoulder pain may be related. There has been minimal inquiry into the fluctuation over time (i.e. time-dependent structure) in wheelchair propulsion variability. Consequently the purpose of this investigation was to examine if the time-dependent structure in the wheelchair propulsion parameters are related to shoulder pain. 27 experienced wheelchair users manually propelled their own wheelchair fitted with a SMARTWheel on a roller at 1.1 m/s for 3 minutes. Time-dependent structure of cycle-to-cycle fluctuations in contact angle and inter push time interval was quantified using sample entropy (SampEn) and compared between the groups with/without shoulder pain using non-parametric statistics. Overall findings were, (1) variability observed in contact angle fluctuations during manual wheelchair propulsion is structured (Z=3.15;p<0.05), (2) individuals with shoulder pain exhibited higher SampEn magnitude for contact angle during wheelchair propulsion than those without pain (χ2(1)=6.12;p<0.05); and (3) SampEn of contact angle correlated significantly with self-reported shoulder pain (rs (WUSPI) =0.41;rs (VAS)=0.56;p<0.05). It was concluded that the time-dependent structure in wheelchair propulsion may provide novel information for tracking and monitoring shoulder pain. PMID:27134151

  15. Cost-effectiveness of powered wheelchairs: findings of a study.

    PubMed

    Andrich, Renzo; Salatino, Claudia; Converti, Rosa Maria; Saruggia, Maurizio

    2015-01-01

    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). Overall, positive outcomes were detected for most users, especially in relation to their satisfaction and the psychosocial impact. A number of barriers were identified in various settings (at home, in public places, in natural spaces, in public transportation) that sometimes restrict the user mobility and thus may claim for corrective actions. Several environmental factors acting as facilitators were also identified. In relation to the economic impact, the provision of a powered wheelchair generated remarkable savings in social costs for most of the users, on average about 36.000 Euros per person on a projected 5-years span. This estimate results from the comparison between the social cost of the intervention (sum of the costs of all material and human resources involved in the provision and usage of the wheelchair) and the cost of non-intervention (the presumed social cost incurred in case no powered wheelchair had been provided and the user had to carry on with just a manual wheelchair). The study was also an opportunity to develop and try out a follow-up method that proved applicable within service delivery practice.

  16. Simulation model of a lever-propelled wheelchair.

    PubMed

    Sasaki, Makoto; Ota, Yuki; Hase, Kazunori; Stefanov, Dimitar; Yamaguchi, Masaki

    2014-01-01

    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. To investigate the lever-propulsion process, we carried out wheelchair lever propulsion experiments where joint angle, lever angle and three-directional forces and moments applied to the lever were recorded during the execution of defined propulsion motions. Kinematic and dynamic features of lever propulsion motions were extracted from the recorded data to be used for the model development. Five healthy male adults took part in these initial experiments. The analysis of the collected kinematic and dynamic motion parameters showed that lever propulsion is realized by a cyclical three-dimensional motion of upper extremities and that joint torque for propulsion is maintained within a certain range. The synthesized propulsion model was verified by computer simulation where the measured lever-angles were compared with the angles generated by the developed model simulation. Joint torque amplitudes were used to impose the torque limitation to the model joints. The results evidenced that the developed model can simulate successfully basic lever propulsion tasks such as pushing and pulling the lever.

  17. Operation assistance of a voice-controlled electric wheelchair

    NASA Astrophysics Data System (ADS)

    Asakawa, Takashi; Nishihara, Kazue

    2007-12-01

    We propose a voice-controlled electric wheelchair with a system for detecting its position and direction. Thus far, we have studied systems that incorporated voice instructions with our indoor navigation equipment using RF tags. The operability of a wheelchair was measured in the same environment for different operating methods. We found that one very effective method is to store the possible stopping positions and angles of rotation for the desired directions in RF cards, which could then adequately assist the movement of a wheelchair.

  18. Optimal path-following control of a smart powered wheelchair.

    PubMed

    Nguyen, Nghia; Nguyen, Hung T; Su, Steven

    2008-01-01

    This paper proposes an optimal path-following control approach for a smart powered wheelchair. Lyapunov's second method is employed to find a stable position tracking control rule. To guarantee robust performance of this wheelchair system even under model uncertainties, an advanced robust tracking is utilised based on the combination of a systematic decoupling technique and a neural network design. A calibration procedure is adopted for the wheelchair system to improve positioning accuracy. After the calibration, the accuracy is improved significantly. Two real-time experimental results obtained from square tracking and door passing tasks confirm the performance of proposed approach.

  19. Investigation of wheelchair instability during transport in large accessible transit vehicles.

    PubMed

    Salipur, Zdravko; Frost, Karen; Bertocci, Gina

    2012-01-01

    Large accessible transit vehicles (LATVs, fixed-route intracity buses), generally considered safe, may not be as safe for wheelchair-seated passengers. Transit provider practices vary regarding use of wheelchair tiedown and occupant restraint systems (WTORSs), while recent research suggests high levels of WTORS disuse and misuse. We sought to better understand wheelchair and wheelchair passenger instabilities related to WTORS disuse and misuse on LATVs. This article presents a retrospective review of 295 video surveillance records of wheelchair passenger trips on LATVs. Wheelchair trips involving disuse and misuse of WTORS were quantified and categorized based on WTORS configurations. Cases of wheelchair and wheelchair passenger instability were categorized based on severity, type, and direction. Three adverse events involving severe wheelchair and/or passenger instability were examined in greater detail. Results showed 20.3% of records involved wheelchair-related adverse events (95% minor instabilities, 5% severe instabilities). Scooters were most likely to be unstable, followed by manual and power wheelchairs. In most instability cases, no tiedowns were used to secure the wheelchair and no lap belt was used to restrain the wheelchair passenger properly. In many instances, the lap belt was misused in an attempt to secure the wheelchair, whereas the shoulder belt was never used.

  20. Dynamic contact angle in rim instability of dewetting holes.

    PubMed

    Choi, Sung-Hwan; Newby, Bi-min Zhang

    2006-02-07

    The effects of dynamic contact angle (thetad), between a substrate and the melt of a dewetting polymer thin film, on the evolution of rim instabilities of dewetting holes were reported. Various thetad's were achieved by covering SiOx surfaces with different coverage of octadecyltrichlorosilane. On each surface, the morphology of the dewetting holes was examined in detail as the hole grew to a certain size. Rim instabilities, in terms of undulations in both r and z directions, became more pronounced as thetad increased, under which condition, narrower and higher rims were also observed. Experimentally, atomic force microscopic scans of the rim were used to obtain the rim profile, which was predicted using thetad. The predicted rim profile was used, in combination with the analysis of Rayleigh instability of a cylindrical fluid, to interpret the rim instability. The model captures the basic trend of the rim instability dependency on thetad. The study demonstrates the importance of the substrate properties on the rim instability and the destabilization of polymer thin films during hole growth.

  1. Electroencephalography (EEG)-based brain-computer interface (BCI): a 2-D virtual wheelchair control based on event-related desynchronization/synchronization and state control.

    PubMed

    Huang, Dandan; Qian, Kai; Fei, Ding-Yu; Jia, Wenchuan; Chen, Xuedong; Bai, Ou

    2012-05-01

    This study aims to propose an effective and practical paradigm for a brain-computer interface (BCI)-based 2-D virtual wheelchair control. The paradigm was based on the multi-class discrimination of spatiotemporally distinguishable phenomenon of event-related desynchronization/synchronization (ERD/ERS) in electroencephalogram signals associated with motor execution/imagery of right/left hand movement. Comparing with traditional method using ERD only, where bilateral ERDs appear during left/right hand mental tasks, the 2-D control exhibited high accuracy within a short time, as incorporating ERS into the paradigm hypothetically enhanced the spatiotemoral feature contrast of ERS versus ERD. We also expected users to experience ease of control by including a noncontrol state. In this study, the control command was sent discretely whereas the virtual wheelchair was moving continuously. We tested five healthy subjects in a single visit with two sessions, i.e., motor execution and motor imagery. Each session included a 20 min calibration and two sets of games that were less than 30 min. Average target hit rate was as high as 98.4% with motor imagery. Every subject achieved 100% hit rate in the second set of wheelchair control games. The average time to hit a target 10 m away was about 59 s, with 39 s for the best set. The superior control performance in subjects without intensive BCI training suggested a practical wheelchair control paradigm for BCI users.

  2. Comparison between performances of three types of manual wheelchairs often distributed in low-resource settings.

    PubMed

    Rispin, Karen; Wee, Joy

    2015-07-01

    This study was conducted to compare the performance of three types of chairs in a low-resource setting. The larger goal was to provide information which will enable more effective use of limited funds by wheelchair manufacturers and suppliers in low-resource settings. The Motivation Rough Terrain and Whirlwind Rough Rider were compared in six skills tests which participants completed in one wheelchair type and then a day later in the other. A hospital-style folding transport wheelchair was also included in one test. For all skills, participants rated the ease or difficulty on a visual analogue scale. For all tracks, distance traveled and the physiological cost index were recorded. Data were analyzed using repeated measures analysis of variance. The Motivation wheelchair outperformed Whirlwind wheelchair on rough and smooth tracks, and in some metrics on the tight spaces track. Motivation and Whirlwind wheelchairs significantly outperformed the hospital transport wheelchair in all metrics on the rough track skills test. This comparative study provides data that are valuable for manufacturers and for those who provide wheelchairs to users. The comparison with the hospital-style transport chair confirms the cost to users of inappropriate wheelchair provision. Implications for Rehabilitation For those with compromised lower limb function, wheelchairs are essential to enable full participation and improved quality of life. Therefore, provision of wheelchairs which effectively enable mobility in the cultures and environments in which people with disabilities live is crucial. This includes low-resource settings where the need for appropriate seating is especially urgent. A repeated measures study to measure wheelchair performances in everyday skills in the setting where wheelchairs are used gives information on the quality of mobility provided by those wheelchairs. This study highlights differences in the performance of three types of wheelchairs often distributed in low

  3. Reliability and validity of the Microsoft Kinect for assessment of manual wheelchair propulsion.

    PubMed

    Milgrom, Rachel; Foreman, Matthew; Standeven, John; Engsberg, Jack R; Morgan, Kerri A

    2016-01-01

    Concurrent validity and test-retest reliability of the Microsoft Kinect in quantification of manual wheelchair propulsion were examined. Data were collected from five manual wheelchair users on a roller system. Three Kinect sensors were used to assess test-retest reliability with a still pose. Three systems were used to assess concurrent validity of the Kinect to measure propulsion kinematics (joint angles, push loop characteristics): Kinect, Motion Analysis, and Dartfish ProSuite (Dartfish joint angles were limited to shoulder and elbow flexion). Intraclass correlation coefficients revealed good reliability (0.87-0.99) between five of the six joint angles (neck flexion, shoulder flexion, shoulder abduction, elbow flexion, wrist flexion). ICCs suggested good concurrent validity for elbow flexion between the Kinect and Dartfish and between the Kinect and Motion Analysis. Good concurrent validity was revealed for maximum height, hand-axle relationship, and maximum area (0.92-0.95) between the Kinect and Dartfish and maximum height and hand-axle relationship (0.89-0.96) between the Kinect and Motion Analysis. Analysis of variance revealed significant differences (p < 0.05) in maximum length between Dartfish (mean 58.76 cm) and the Kinect (40.16 cm). Results pose promising research and clinical implications for propulsion assessment and overuse injury prevention with the application of current findings to future technology.

  4. 'Sutureless' transconjunctival approach for infraorbital rim fractures.

    PubMed

    Nagaraj, Vaibhav; Ghosh, Abhishek; Nanjappa, Madan; Ramesh, Keerthi

    2015-03-01

    To analyze the ease and surgical outcome of using sutureless transconjunctival approach for repair of infra-orbital fractures. Prospective clinical case series. Totally 5 patients with infra-orbital rim or orbital floor fractures were selected and the fractures were accessed through a pre-septal transconjunctival incision. After reduction and fixation, the conjunctiva was just re-approximated and re-draped into position. Incidence of post-operative complications such as diplopia, lid retraction, eyelid dystopia, foreign body granuloma and poor conjunctival healing was assessed at intervals of 1 week, 15 days and a month post-operatively. No complications were observed in any of the 5 patients. Healing was satisfactory in all patients. The sutureless technique appears to be a time saving and technically simpler viable alternative to multilayered suturing in orbital trauma with minimal post-operative complications.

  5. On the Rim of 'Victoria Crater' (Stereo)

    NASA Technical Reports Server (NTRS)

    2006-01-01

    [figure removed for brevity, see original site] Left-eye view of a stereo pair for PIA08780

    [figure removed for brevity, see original site] Right-eye view of a stereo pair for PIA08780

    NASA's Mars rover Opportunity reached the rim of 'Victoria Crater' in Mars' Meridiani Planum region with a 26-meter (85-foot) drive during the rover's 951st Martian day, or sol (Sept. 26, 2006). After the drive, the rover's navigation camera took the three exposures combined into this view of the crater's interior. This crater has been the mission's long-term destination for the past 21 Earth months.

    A half mile in the distance one can see about 20 percent of the far side of the crater framed by the rocky cliffs in the foreground to the left and right of the image. The rim of the crater is composed of alternating promontories, rocky points towering approximately 70 meters (230 feet) above the crater floor, and recessed alcoves. The bottom of the crater is covered by sand that has been shaped into ripples by the Martian wind.

    The position at the end of the sol 951 drive is about six meters from the lip of an alcove called 'Duck Bay.' The rover team planned a drive for sol 952 that would move a few more meters forward, plus more imaging of the near and far walls of the crater.

    Victoria Crater is about five times wider than 'Endurance Crater,' which Opportunity spent six months examining in 2004, and about 40 times wider than 'Eagle Crater,' where Opportunity first landed.

    This view is presented as a cylindrical-perspective projection with geometric seam correction.

  6. The quest for the perfect lightweight wheelchair: ultralight rigid frame wheelchair specification strategies for success.

    PubMed

    Mitchell, Steven

    2011-03-01

    It is hoped that this information will encourage rehabilitation therapists learning to prescribe ultralight rigid frame to set aside some of the "rules" they have been taught in school and take a more practical approach that emphasizes a need to understand the person, their problems, and priorities, then match those with the most appropriate product for their needs. Experienced rigid frame users are often given credit for "knowing exactly what they want" when it is time for a new wheelchair. In reality, most base their specifications on an existing wheelchair using a "relativity" approach. They determine their optimal configuration based on what has worked and what has not worked in the past. They frequently go online for product information and advice from other end users. The CareCure poll referenced early in this article is open indefinitely. If we learn to follow their lead, it is hoped that fewer first chairs will fit inappropriately in the future.

  7. A comparison of the physiological demands of wheelchair basketball and wheelchair tennis.

    PubMed

    Croft, Louise; Dybrus, Suzanne; Lenton, John; Goosey-Tolfrey, Victoria

    2010-09-01

    To examine the physiological profiles of wheelchair basketball and tennis and specifically to: (a) identify if there are differences in the physiological profiles of wheelchair basketball and tennis players of a similar playing standard, (b) to determine whether the competitive physiological demands of these sports differed (c) and to explore the relationship between the blood lactate [Bla-] response to exercise and to identify the sport specific heart rate (HR) training zones. Six elite athletes (4 male, 2 female) from each sport performed a submaximal and VO2peak test in their sport specific wheelchair. Heart rate, VO2, and [Bla-] were measured. Heart rate was monitored during international competitions and VO2 was calculated from this using linear regression equations. Individual HR training zones were identified from the [Bla-] profile and time spent within these zones was calculated for each match. Despite no differences in the laboratory assessment of HRpeak, the VO2peak was higher for the basketball players when compared with the tennis players (2.98 ± 0.91 vs 2.06 ± 0.71; P = .08). Average match HR (163 ± 11 vs 146 ± 16 beats x min(-1); P = .06) and average VO2 (2.26 ± 0.06 vs 1.36 ± 0.42 L x min(-1); P = .02) were higher during actual playing time of basketball when compared with whole tennis play. Consequently, differences in the time spent in the different training zones within and between the two sports existed (P < .05). Wheelchair basketball requires predominately high-intensity training, whereas tennis training requires training across the exercise intensity spectrum.

  8. Impact of Surface Type, Wheelchair Weight, and Axle Position on Wheelchair Propulsion by Novice Older Adults

    PubMed Central

    Cowan, Rachel E.; Nash, Mark S.; Collinger, Jennifer L.; Koontz, Alicia M.; Boninger, Michael L.

    2009-01-01

    Objective To examine the impact of surface type, wheelchair weight, and rear axle position on older adult propulsion biomechanics. Design Crossover trial. Setting Biomechanics laboratory. Participants Convenience sample of 53 ambulatory older adults with minimal wheelchair experience (65−87y); men = 20, women = 33. Intervention Participants propelled 4 different wheelchair configurations over 4 surfaces; tile, low carpet, high carpet, and an 8% grade ramp (surface, chair order randomized). Chair configurations included: (1) unweighted chair with an anterior axle position, (2) 9.05kg weighted chair with an anterior axle position, (3) unweighted chair with a posterior axle position (Δ0.08m), and (4) 9.05kg weighted chair with a posterior axle position (Δ0.08m). Weight was added to a titanium folding chair, simulating the weight difference between very light and depot wheelchairs. Instrumented wheels measured propulsion kinetics. Main Outcome Measures Average self-selected velocity, push-frequency, stroke length, peak resultant and tangential force. Results Velocity decreased as surface rolling resistance or chair weight increased. Peak resultant and tangential forces increased as chair weight increased, surface resistance increased, and with a posterior axle position. The effect of a posterior axle position was greater on high carpet and the ramp. The effect of weight was constant, but more easily observed on high carpet and ramp. The effects of axle position and weight were independent of one another. Conclusion Increased surface resistance decreases self-selected velocity and increases peak forces. Increased weight decreases self-selected velocity and increases forces. Anterior axle positions decrease forces, more so on high carpet. Effects of weight and axle position are independent. Greatest reductions in peak forces occur in lighter chairs with anterior axle positions. PMID:19577019

  9. Impact of surface type, wheelchair weight, and axle position on wheelchair propulsion by novice older adults.

    PubMed

    Cowan, Rachel E; Nash, Mark S; Collinger, Jennifer L; Koontz, Alicia M; Boninger, Michael L

    2009-07-01

    To examine the impact of surface type, wheelchair weight, and rear axle position on older adult propulsion biomechanics. Crossover trial. Biomechanics laboratory. Convenience sample of 53 ambulatory older adults with minimal wheelchair experience (65-87y); men, n=20; women, n=33. Participants propelled 4 different wheelchair configurations over 4 surfaces: tile, low carpet, high carpet, and an 8% grade ramp (surface, chair order randomized). Chair configurations included (1) unweighted chair with an anterior axle position, (2) 9.05 kg weighted chair with an anterior axle position, (3) unweighted chair with a posterior axle position (Delta0.08 m), and (4) 9.05 kg weighted chair with a posterior axle position (Delta0.08 m). Weight was added to a titanium folding chair, simulating the weight difference between very light and depot wheelchairs. Instrumented wheels measured propulsion kinetics. Average self-selected velocity, push frequency, stroke length, peak resultant and tangential force. Velocity decreased as surface rolling resistance or chair weight increased. Peak resultant and tangential forces increased as chair weight increased, as surface resistance increased, and with a posterior axle position. The effect of a posterior axle position was greater on high carpet and the ramp. The effect of weight was constant, but was more easily observed on high carpet and ramp. The effects of axle position and weight were independent of one another. Increased surface resistance decreases self-selected velocity and increases peak forces. Increased weight decreases self-selected velocity and increases forces. Anterior axle positions decrease forces, more so on high carpet. The effects of weight and axle position are independent. The greatest reductions in peak forces occur in lighter chairs with anterior axle positions.

  10. Astronaut John Young on rim of Plum crater gathering lunar rock samples

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Astronaut John W. Young, commander of the Apollo 16 lunar landing mission, stands on the rim of Plum crater while collecting lunar rock samples at Station No.1 during the first Apollo 16 extravehicular activity (EVA-1) at the Descartes landing site. This scene, looking eastward, was photographed by Astronaut Charles M. Duke Jr., lunar module pilot. The small boulder in the center foreground was chip sampled by the crewmen. Plum crater is 40 meters in diameter and 10 meters deep. The Lunar Roving Vehicle is parked on the far rim of the crater. The gnomon, which is used as a photographic reference to establish local vertical sun angle, scale, and lunar color, is deployed in the center of the picture. Young holds a geological hammer in his right hand.

  11. Astronaut John Young on rim of Plum crater gathering lunar rock samples

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Astronaut John W. Young, commander of the Apollo 16 lunar landing mission, stands on the rim of Plum crater while collecting lunar rock samples at Station No.1 during the first Apollo 16 extravehicular activity (EVA-1) at the Descartes landing site. This scene, looking eastward, was photographed by Astronaut Charles M. Duke Jr., lunar module pilot. The small boulder in the center foreground was chip sampled by the crewmen. Plum crater is 40 meters in diameter and 10 meters deep. The Lunar Roving Vehicle is parked on the far rim of the crater. The gnomon, which is used as a photographic reference to establish local vertical sun angle, scale, and lunar color, is deployed in the center of the picture. Young holds a geological hammer in his right hand.

  12. Using Virtual Reality to Dynamically Setting an Electrical Wheelchair

    NASA Astrophysics Data System (ADS)

    Dir, S.; Habert, O.; Pruski, A.

    2008-06-01

    This work uses virtual reality to find or refine in a recurring way the best adequacy between a person with physically disability and his electrical wheelchair. A system architecture based on "Experiment→Analyze and decision-making→Modification of the wheelchair" cycles is proposed. This architecture uses a decision-making module based on a fuzzy inference system which has to be parameterized so that the system converges quickly towards the optimal solution. The first challenge consists in computing criteria which must represent as well as possible particular situations that the user meets during each navigation experiment. The second challenge consists in transforming these criteria into relevant modifications about the active or non active functionalities or into adjustment of intrinsic setting of the wheelchair. These modifications must remain most stable as possible during the successive experiments. Objectives are to find the best wheelchair to give a beginning of mobility to a given person with physically disability.

  13. Towards personalized smart wheelchairs: Lessons learned from discovery interviews.

    PubMed

    Padir, Taşkin

    2015-01-01

    We posit that it is necessary to investigate the personalization of smart wheelchairs in three aspects interfaces for interaction, controllers for action (top-level, middle-level, and low-level), and feedback in interaction. Our team has been selected as an Innovation Corps (I-Corps) Team by the National Science Foundation to pursue customer discovery research to explore the commercial viability of smart wheelchairs. Through the process, our team has performed more than 110 interviews with powered wheelchair users, manufacturers, therapists, policy makers, and non-profit organization staff. Our findings revealed that the acceptability of fully autonomous systems by the users is still challenging and highly-dependent on the severity of the disability. Furthermore, the cost, ease-of-use and personalization are the most important factors in commercializing smart wheelchair technologies.

  14. What Do Users Want From “Smart” Wheelchairs?

    PubMed Central

    Madigan, Elizabeth A.; Newman, Wyatt S.

    2012-01-01

    Technological advances have made it possible to integrate a variety of functions into “smart” wheelchairs that include robotics but also sensors that support telehealth and communication applications. The purpose of this study was to identify possible features that current older adult wheelchair users identify as being most helpful and most important and to use scenarios to determine acceptability of potential features. A small pilot study including 5 wheelchair users residing an assisted living facility was conducted that included a questionnaire and a focus group. The participants identified safety-related features as most helpful and important. Within the scenarios presented, the safety-related features were identified as highly acceptable. Features that were available with current technology (e.g. communication with family) were least highly rated. While more research is needed on user preferences, “smart” wheelchair developers will want to include user preferences and focus on safety and telehealth features. PMID:24199099

  15. Spotter strap for the prevention of wheelchair tipping.

    PubMed

    Kirby, R L; Lugar, J A

    1999-10-01

    Injuries caused by wheelchair rear-tipping accidents are common. This article reports on the safety and effectiveness of a spotter strap that attaches to the cross-brace or frame below the center of gravity of an occupied wheelchair. We videotaped five therapists spotting 89 wheelchair users while the users each performed six tasks that were designed to induce rear instability. We induced 16 episodes of complete rear tipping. In all cases, the spotter strap allowed the spotter to stay out of the way during the task, but step in easily when necessary to prevent the wheelchair user from being injured. In one instance, the spotter needed assistance lifting a heavy subject to the upright position after catching the subject with the strap. In summary, the spotter strap is a safe and effective device. We recommend its use when there is a high risk of a rear-tipping accident.

  16. Re-embodiment: incorporation through embodied learning of wheelchair skills.

    PubMed

    Standal, Øyvind F

    2011-05-01

    In this article, the notion of re-embodiment is developed to include the ways that rearrangement and renewals of body schema take place in rehabilitation. More specifically, the embodied learning process of acquiring wheelchair skills serves as a starting point for fleshing out a phenomenological understanding of incorporation of assistive devices. By drawing on the work of Merleau-Ponty, the reciprocal relation between acquisition habits and incorporation of instruments is explored in relation to the learning of wheelchair skills. On the basis of this, it is argued that through learning to manoeuvre the wheelchair, a reversible relation between is established between the moving body-subject and the wheelchair. In this sense, re-embodiment involves a gestalt switch from body image to body schema.

  17. A Driving Behaviour Model of Electrical Wheelchair Users

    PubMed Central

    Hamam, Y.; Djouani, K.; Daachi, B.; Steyn, N.

    2016-01-01

    In spite of the presence of powered wheelchairs, some of the users still experience steering challenges and manoeuvring difficulties that limit their capacity of navigating effectively. For such users, steering support and assistive systems may be very necessary. To appreciate the assistance, there is need that the assistive control is adaptable to the user's steering behaviour. This paper contributes to wheelchair steering improvement by modelling the steering behaviour of powered wheelchair users, for integration into the control system. More precisely, the modelling is based on the improved Directed Potential Field (DPF) method for trajectory planning. The method has facilitated the formulation of a simple behaviour model that is also linear in parameters. To obtain the steering data for parameter identification, seven individuals participated in driving the wheelchair in different virtual worlds on the augmented platform. The obtained data facilitated the estimation of user parameters, using the ordinary least square method, with satisfactory regression analysis results. PMID:27148362

  18. WISDOM: wheelchair inertial sensors for displacement and orientation monitoring

    NASA Astrophysics Data System (ADS)

    Pansiot, J.; Zhang, Z.; Lo, B.; Yang, G. Z.

    2011-10-01

    Improved wheelchair design in recent years has significantly increased the mobility of people with disabilities, which has also enhanced the competitive advantage of wheelchair sports. For the latter, detailed assessment of biomechanical factors influencing individual performance and team tactics requires real-time wireless sensing and data modelling. In this paper, we propose the use of a miniaturized wireless wheel-mounted inertial sensor for wheelchair motion monitoring and tracking in an indoor sport environment. Based on a combined use of 3D microelectromechanical system (MEMS) gyroscopes and 2D MEMS accelerometers, the proposed system provides real-time velocity, heading, ground distance covered and motion trajectory of the wheelchair across the sports court. The proposed system offers a number of advantages compared to existing platforms in terms of size, weight and ease of installation. Beyond sport applications, it also has important applications for training and rehabilitation for people with disabilities.

  19. Perceived exercise benefits and barriers among power wheelchair soccer players.

    PubMed

    Barfield, J P; Malone, Laurie A

    2013-01-01

    Lack of exercise is a major risk factor for secondary conditions among persons dependent upon motorized wheelchairs. Power wheelchair soccer is a unique exercise opportunity for this population, and understanding factors that influence exercise decision-making is necessary for clinicians to help those in motorized chairs reduce their secondary risk. Therefore, this study examined differences in perceived benefits and barriers to exercise among power wheelchair soccer players using a mixed-methods analysis. The most common perceived benefit to exercise was "Exercising lets me have contact with friends and persons I enjoy." Post hoc comparisons of quantitative data indicated that persons with muscular dystrophy perceived exercise to be significantly less important than did other disability groups (p < 0.05). "Exercise is hard work for me," "Exercise tires me," and "There are too few places for me to exercise" were the most common perceived barriers. These findings can assist with development of exercise opportunities for power wheelchair users.

  20. A Driving Behaviour Model of Electrical Wheelchair Users.

    PubMed

    Onyango, S O; Hamam, Y; Djouani, K; Daachi, B; Steyn, N

    2016-01-01

    In spite of the presence of powered wheelchairs, some of the users still experience steering challenges and manoeuvring difficulties that limit their capacity of navigating effectively. For such users, steering support and assistive systems may be very necessary. To appreciate the assistance, there is need that the assistive control is adaptable to the user's steering behaviour. This paper contributes to wheelchair steering improvement by modelling the steering behaviour of powered wheelchair users, for integration into the control system. More precisely, the modelling is based on the improved Directed Potential Field (DPF) method for trajectory planning. The method has facilitated the formulation of a simple behaviour model that is also linear in parameters. To obtain the steering data for parameter identification, seven individuals participated in driving the wheelchair in different virtual worlds on the augmented platform. The obtained data facilitated the estimation of user parameters, using the ordinary least square method, with satisfactory regression analysis results.

  1. Design of assistive wheelchair system directly steered by human thoughts.

    PubMed

    Li, Junhua; Liang, Jianyi; Zhao, Qibin; Li, Jie; Hong, Kan; Zhang, Liqing

    2013-06-01

    Integration of brain-computer interface (BCI) technique and assistive device is one of chief and promising applications of BCI system. With BCI technique, people with disabilities do not have to communicate with external environment through traditional and natural pathways like peripheral nerves and muscles, and could achieve it only by their brain activities. In this paper, we designed an electroencephalogram (EEG)-based wheelchair which can be steered by users' own thoughts without any other involvements. We evaluated the feasibility of BCI-based wheelchair in terms of accuracies and real-world testing. The results demonstrate that our BCI wheelchair is of good performance not only in accuracy, but also in practical running testing in a real environment. This fact implies that people can steer wheelchair only by their thoughts, and may have a potential perspective in daily application for disabled people.

  2. Moving a patient from bed to a wheelchair

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000428.htm Moving a patient from bed to a wheelchair To use the sharing features on this ... move the footrests out of the way. Getting a Patient Ready to Transfer Before transferring into the ...

  3. Influence of handrim wheelchair propulsion training in adolescent wheelchair users, a pilot study.

    PubMed

    Dysterheft, Jennifer L; Rice, Ian M; Rice, Laura A

    2015-01-01

    Ten full-time adolescent wheelchair users (ages 13-18) completed a total of three propulsion trials on carpet and tile surfaces, at a self-selected velocity, and on a concrete surface, at a controlled velocity. All trials were performed in their personal wheelchair with force and moment sensing wheels attached bilaterally. The first two trials on each surface were used as pre-intervention control trials. The third trial was performed after receiving training on proper propulsion technique. Peak resultant force, contact angle, stroke frequency, and velocity were recorded during all trials for primary analysis. Carpet and tile trials resulted in significant increases in contact angle and peak total force with decreased stroke frequency after training. During the velocity controlled trials on concrete, significant increases in contact angle occurred, as well as decreases in stroke frequency after training. Overall, the use of a training video and verbal feedback may help to improve short-term propulsion technique in adolescent wheelchair users and decrease the risk of developing upper limb pain and injury.

  4. Influence of Handrim Wheelchair Propulsion Training in Adolescent Wheelchair Users, A Pilot Study

    PubMed Central

    Dysterheft, Jennifer L.; Rice, Ian M.; Rice, Laura A.

    2015-01-01

    Ten full-time adolescent wheelchair users (ages 13–18) completed a total of three propulsion trials on carpet and tile surfaces, at a self-selected velocity, and on a concrete surface, at a controlled velocity. All trials were performed in their personal wheelchair with force and moment sensing wheels attached bilaterally. The first two trials on each surface were used as pre-intervention control trials. The third trial was performed after receiving training on proper propulsion technique. Peak resultant force, contact angle, stroke frequency, and velocity were recorded during all trials for primary analysis. Carpet and tile trials resulted in significant increases in contact angle and peak total force with decreased stroke frequency after training. During the velocity controlled trials on concrete, significant increases in contact angle occurred, as well as decreases in stroke frequency after training. Overall, the use of a training video and verbal feedback may help to improve short-term propulsion technique in adolescent wheelchair users and decrease the risk of developing upper limb pain and injury. PMID:26042217

  5. Wheelchair economy class syndrome in amyotrophic lateral sclerosis.

    PubMed

    Kimura, Fumiharu; Ishida, Simon; Furutama, Daisuke; Hirata, Yuuji; Sato, Toshihiko; Hosokawa, Takashi; Hanafusa, Toshiaki

    2006-03-01

    A wheelchair-bound 61-year-old diabetic man with amyotrophic lateral sclerosis (ALS) developed sudden respiratory failure. Specific findings for hypoxemia and hypocapnia were incompatible with type II respiratory failure seen in the terminal stages of ALS. 'Economy class syndrome' was diagnosed, with massive thrombosis in the pulmonary arteries and deep vein thrombosis. This case offers a warning for long-term wheelchair users, particularly hypoxemic ALS patients, regarding the risks of treatable pulmonary thromboembolism.

  6. Exploring the impact of wheelchair design on user function in a rural South African setting

    PubMed Central

    Duffield, Svenje; Unger, Mariaan

    2015-01-01

    Background Wheelchairs provide mobility that can enhance function and community integration. Function in a wheelchair is influenced by wheelchair design. Objectives To explore the impact of wheelchair design on user function and the variables that guided wheelchair prescription in the study setting. Method A mixed-method, descriptive design using convenience sampling was implemented. Quantitative data were collected from 30 wheelchair users using the functioning every day with a Wheelchair Scale and a Wheelchair Specification Checklist. Qualitative data were collected from ten therapists who prescribed wheelchairs to these users, through interviews. The Kruskal-Wallis test was used to identify relationships, and content analysis was undertaken to identify emerging themes in qualitative data. Results Wheelchairs with urban designs were issued to 25 (83%) participants. Wheelchair size, fit, support and functional features created challenges concerning transport, operating the wheelchair, performing personal tasks, and indoor and outdoor mobility. Users using wheelchairs designed for use in semi-rural environments achieved significantly better scores regarding the appropriateness of the prescribed wheelchair than those using wheelchairs designed for urban use (p = <0.01). Therapists prescribed the basic, four-wheel folding frame design most often because of a lack of funding, lack of assessment, lack of skills and user choice. Conclusion Issuing urban type wheelchairs to users living in rural settings might have a negative effect on users’ functional outcomes. Comprehensive assessments, further training and research, on long term cost and quality of life implications, regarding provision of a suitable wheelchair versus a cheaper less suitable option is recommended. PMID:28730031

  7. Pacific Rim and Midle East Markets for Hardwood Products

    Treesearch

    Philip A. Araman

    1988-01-01

    Dramatic changes have taken place in the U.S. hardwood export market since 1975. World demand for U.S. hardwood logs, lumber, and veneer has quadrupled. Exports to Europe and particularly the Pacific Rim, have grown significantly. The focus of this presentation is on the Pacific Rim and Middle East markets. Reasons for overseas demand of U.S. hardwood products are...

  8. Is the Sun Setting on the Pacific Rim?

    ERIC Educational Resources Information Center

    Dearing, James W.

    1988-01-01

    Contends that the growing political and emotional split between the United States and Japan, the Pacific's two most powerful nations, may sever the unity of the Pacific Rim. Presents statistics, such as literacy and population growth rates, as well as economic data for thirteen Pacific Rim nations. (GEA)

  9. Isolated inflammatory myopathy with rimmed vacuoles presenting with dropped head.

    PubMed

    Kataoka, Hiroshi; Sugie, Kazuma; Terashima, Mari; Koizumi, Munehisa; Horikawa, Hirosei; Nishino, Ichizo; Nonaka, Ikuya; Ueno, Satoshi

    2009-12-01

    We describe an unusual case of inflammatory myopathy with rimmed vacuoles associated with dropped head syndrome. Muscle biopsy in our patient revealed variations in fiber size with fiber necrosis and regeneration, accompanied by many rimmed vacuoles and areas of endomysial cell infiltration. Electron microscopy demonstrated autophagic vacuoles and tubulofilamentous inclusions. This myopathy can cause dropped head syndrome in a subgroup of patients.

  10. Data Logger Technologies for Powered Wheelchairs: A Scoping Review.

    PubMed

    Routhier, François; Lettre, Josiane; Miller, William C; Borisoff, Jaimie F; Keetch, Kate; Mitchell, Ian M

    2017-06-29

    In recent years, studies increasingly employed data loggers to record the objective behaviors of powered wheelchair users. Of the data logging work reported in the literature, the technologies used offer marked differences in characteristics. In order to identify and describe the extent of published research activity that relies on data logger technologies for powered wheelchairs, we performed a scoping review of the scientific and grey literature. This scoping review, complementary to a previous one related to manual wheelchairs, is part of a process aiming to help further the development and increase the functionality of data loggers with wheelchairs. Five databases were searched: Medline, Compendex, CINAHL, EMBASE, Google Scholar. Sixty papers were retained for analysis. The most frequently used technologies were all installed on the wheelchair: 19.0% were accelerometers, 14.6% were pressure sensors or switches, 13.9% were odometers, 10.9% were global positioning systems, 9.5% were tilt sensors, and 7.3% were force-sensing technologies. The most reported outcomes were pressure-relief activities (17.3%), distance traveled (9.3%), mobility events (8.9%), acceleration (8.5%), and sitting time (6.9%). Future research may be needed to assess the usefulness of different outcomes and to develop methods more appropriate to optimize the practicality of wheelchair data loggers.

  11. Yaw rate and linear velocity stabilized manual wheelchair.

    PubMed

    Seifert, Sara J; Dahlstrom, Robert J; Condon, John P; Hedin, Daniel S

    2013-01-01

    We present the development of a prototype novel low-power, inexpensive stability control system for manual wheelchairs. Manual wheelchairs, while providing the ability to maneuver in relatively small indoor spaces, have a high center of gravity making them prone to tipping. Additionally, they can easily slide on sloped surfaces and can even spin and tip when attempting to turn or brake too quickly. When used on ramps and in outdoor environments where the surface is rarely perfectly flat (slopes greater than 1∶20 (5%) are common), wheelchair users can easily encounter potentially dangerous situations. The design and evaluation of an accident prevention system for independent manual wheelchair users that increases independence by enabling mobility with greater confidence and safety is described. The system does not limit a wheelchair user's ability to manually brake, rather, if the system detects that the wheelchair is out of control, braking force will be added by the system to either one or both wheels. The prototype utilized inexpensive bicycle technologies for the wheel brake and electrical power generator assemblies. Custom servos were designed along with custom electronics and firmware in the prototype to evaluate performance. The goal of the project was to derive specifications for a control and actuation system that utilizes inexpensive bicycle components in this cost-sensitive application. The design is detailed and the final specifications provided.

  12. Cardiorespiratory fitness and muscular strength of wheelchair users.

    PubMed Central

    Davis, G. M.; Kofsky, P. R.; Kelsey, J. C.; Shephard, R. J.

    1981-01-01

    The classification of lower-limb disabilities is commonly based on the site of the spinal cord lesion or the amount of functional muscle. Another important variable in assessing wheelchair users is their ability to carry out the activities of daily living. The cardiorespiratory fitness of those with lower-limb disabilities is usually assessed with arm-ergometry and wheelchair tests, each of which has some advantages. Muscle strength and endurance are also important aspects of the disabled person's ability to function. Fitness is often poor in the disabled, and normal wheelchair use does not seem to prove an adequate training stimulus. Exercise with an arm ergometer and with pulleys and participation in vigorous wheelchair sports can improve physical condition. Participation in exercise programs should be based on the results of a fitness assessment and on the level of the spinal cord lesion in those with paraplegia. Progression in such programs should be gradual to ensure that the exerciser does not become discouraged and drop out of classes before fitness is increased. Data on wheelchair athletes suggest that, with persistence, many individuals in wheelchairs can adjust relatively well to their disabilities. Images FIG. 1 FIG. 2 PMID:6459841

  13. Acceptance and meanings of wheelchair use in senior stroke survivors.

    PubMed

    Barker, Donna J; Reid, Denise; Cott, Cheryl

    2004-01-01

    The purpose of this qualitative study was to gain understanding of the lived experience of senior stroke survivors who used prescribed wheelchairs in their homes and communities. The study involved semistructured, in-depth interviews that were conducted with 10 participants, ages 70 to 80 years old, who had used a wheelchair for a mean of 5.6 years. A constant comparative inductive method of analysis was performed. Three different categories of acceptance of wheelchair use were identified; reluctant acceptance, grateful acceptance, and internal acceptance. Increased mobility, varied social response, and loss of some valued roles were common to all three wheelchair acceptance categories. Aspects of level of burden, freedom, and spontaneity varied in degree among the three acceptance categories. As the wheelchair provided opportunity for increased continuity in the lives of these stroke survivors, it appeared to be accepted more fully and viewed more positively. Prestroke lifestyle and values need to be carefully considered in order to maximize acceptance of wheelchair use among senior stroke survivors.

  14. Kinematic comparison of Hybrid II test dummy to wheelchair user.

    PubMed

    Dvorznak, M J; Cooper, R A; O'Connor, T J; Boninger, M L; Fitzgerald, S G

    2001-05-01

    Hybrid test dummies provide a safe alternative to human subjects when investigating mechanisms of wheelchair tips and falls. The data that researchers acquire from these test dummies are more useful if the test dummy represents the population being studied. The goal of this study was to measure the validity of a 50th percentile Hybrid II test dummy (HTD) as an accurate representation of a wheelchair user. A test pilot with T8 paraplegia due to traumatic spinal cord injury served as a basis for validation. Simple modifications were made to the HTD to approximate the trunk stability characteristics of a person with a spinal cord injury. An HTD, a modified HTD, and a human test pilot were seated in an electric-powered wheelchair and several braking tests performed. The standard HTD underestimated the kinematics when compared to the test pilot. The modified HTD had less trunk stability than the standard HTD during all braking methods. The modified HTD and wheelchair test pilot had similar trunk stability characteristics during kill switch and joystick full-reverse braking conditions. The modified HTD is a satisfactory representation of a wheelchair user with a spinal cord injury; however, the modified test dummy underestimates the trunk dynamics during the less extreme joystick release braking. Work should continue on the development of a low-speed, low-impact test dummy that emulates the wheelchair user population.

  15. Development and pilot testing of a kneeling ultralight wheelchair design.

    PubMed

    Mattie, Johanne L; Leland, Danny; Borisoff, Jaimie F

    2015-01-01

    "Dynamic wheeled mobility" offers "on the fly" seating adjustments for wheelchair users such that various activities performed throughout the day can be matched by an appropriate seat position. While this has benefits for user participation and health, the added weight in existing dynamic wheelchairs may impact the user's ability to transport the frame, e.g. into cars. Other dynamic features to enable more participation avenues are also desirable. This paper outlines the development of a "kneeling" ultralight wheelchair design that offers dynamic wheeled mobility functionality at a weight that is comparable to many existing ultralight wheelchairs. In addition, the wheelchair's kneeling function allows a lowered seat position to facilitate low-to-the-ground tasks such as floor transfers and other activities where sustained low level reaching may be required (e.g. playing with children, changing a tire, etc.). This paper also describes the development and pilot testing of an end user evaluation protocol designed to validate the wheelchair's functionality and performance. Successful realization and commercialization of the technology would offer a novel product choice for people with mobility disabilities, and that may support daily activities, health, improved quality of life, and greater participation in the community.

  16. Aerobic capacity and anaerobic threshold of wheelchair basketball players.

    PubMed

    Rotstein, A; Sagiv, M; Ben-Sira, D; Werber, G; Hutzler, J; Annenburg, H

    1994-03-01

    This study evaluated the aerobic capacity and anaerobic threshold of national level Israeli wheelchair basketball players. Subjects were tested working on a wheelchair rolling on a motor driven treadmill and on an arm cycle ergometer. Metabolic and cardiopulmonary parameters were measured during graded maximal exercise tests. Blood lactic acid (LA) concentration was measured in the intervals between loads during the test on the wheelchair. Heart rate (HR) and % heart rate reserve (%HRR) corresponding to the anaerobic threshold (4 mM blood LA) were evaluated while working on the wheelchair rolling on a motor driven treadmill. While working on the wheelchair the following peak exercise values were obtained: VO2 = 24.7 ml.kg/min, VE = 92.09 l/min HR = 181.5 b/min and R = 1.22. Values corresponding to the anaerobic threshold were found to be, HR = 139 b/min and %HRR = 57.02. Low correlations were obtained between peak exercise VO2 and VE measured while working on the wheelchair and those measured with arm cycle ergometer (r = 0.57 p = 0.137 and r = 0.4 p = 0.233 respectively). As athletes, subjects in the present study may be classified as having a low aerobic capacity and anaerobic threshold. It is also concluded that the ergometer type may have an important influence on test results.

  17. Participatory design in the development of the wheelchair convoy system

    PubMed Central

    Sharma, Vinod; Simpson, Richard C; LoPresti, Edmund F; Mostowy, Casimir; Olson, Joseph; Puhlman, Jeremy; Hayashi, Steve; Cooper, Rory A; Konarski, Ed; Kerley, Barry

    2008-01-01

    Background In long-term care environments, residents who have severe mobility deficits are typically transported by having another person push the individual in a manual wheelchair. This practice is inefficient and encourages staff to hurry to complete the process, thereby setting the stage for unsafe practices. Furthermore, the time involved in assembling multiple individuals with disabilities often deters their participation in group activities. Methods The Wheelchair Convoy System (WCS) is being developed to allow a single caregiver to move multiple individuals without removing them from their wheelchairs. The WCS will consist of a processor, and a flexible cord linking each wheelchair to the wheelchair in front of it. A Participatory Design approach – in which several iterations of design, fabrication and evaluation are used to elicit feedback from users – was used. Results An iterative cycle of development and evaluation was followed through five prototypes of the device. The third and fourth prototypes were evaluated in unmanned field trials at J. Iverson Riddle Development Center. The prototypes were used to form a convoy of three wheelchairs that successfully completed a series of navigation tasks. Conclusion A Participatory Design approach to the project allowed the design of the WCS to quickly evolve towards a viable solution. The design that emerged by the end of the fifth development cycle bore little resemblance to the initial design, but successfully met the project's design criteria. Additional development and testing is planned to further refine the system. PMID:18171465

  18. Data Logger Technologies for Manual Wheelchairs: A Scoping Review.

    PubMed

    Routhier, François; Lettre, Josiane; Miller, William C; Borisoff, Jaimie F; Keetch, Kate; Mitchell, Ian M; CanWheel Research Team

    2016-11-15

    In recent years, studies have increasingly employed data logger technologies to record objective driving and physiological characteristics of manual wheelchair users. However, the technologies used offer significant differences in characteristics, such as measured outcomes, ease of use, and level of burden. In order to identify and describe the extent of published research activity that relies on data logger technologies for manual wheelchair users, we performed a scoping review of the scientific and gray literature. Five databases were searched: Medline, Compendex, CINAHL, EMBASE, and Google Scholar. The 119 retained papers document a wide variety of logging devices and sensing technologies measuring a range of outcomes. The most commonly used technologies were accelerometers installed on the user (18.8%), odometers installed on the wheelchair (12.4%), accelerometers installed on the wheelchair (9.7%), and heart monitors (9.7%). Not surprisingly, the most reported outcomes were distance, mobility events, heart rate, speed/velocity, acceleration, and driving time. With decreasing costs and technological improvements, data loggers are likely to have future widespread clinical (and even personal) use. Future research may be needed to assess the usefulness of different outcomes and to develop methods more appropriate to wheelchair users in order to optimize the practicality of wheelchair data loggers.

  19. Older people's use of powered wheelchairs for activity and participation.

    PubMed

    Brandt, Ase; Iwarsson, Susanne; Ståhle, Agneta

    2004-03-01

    The aims of this study were to investigate outcomes of older people's use of powered wheelchairs and risk factors for negative outcomes. The study was a cross-sectional interview-study including 111 powered wheelchair users over 65 years of age. All participants used their powered wheelchair in the summer; nearly all users regarded it as important and found that it gave them independence. The wheelchair made activity and participation possible for the users. The most frequent activity in the summer was going for a ride, and in the winter it was shopping. However, some could not use the wheelchair for visits, and supplementary travel modes are called for. Users who could not walk at all or who could not transfer without assistance were more likely not to be able to carry out prioritized activities. Furthermore, other risk factors for negative outcomes and need for further research were identified. The use of powered wheelchairs is a relevant societal intervention in relation to older people with limited walking ability in order to make activity and participation possible. It is likely that a larger proportion of older people could benefit from this intervention, in particular if current practices are improved taking activity and participation outcomes into consideration.

  20. Discriminatory validity of the Aspects of Wheelchair Mobility Test as demonstrated by a comparison of four wheelchair types designed for use in low-resource areas.

    PubMed

    Rispin, Karen L; Hamm, Elisa; Wee, Joy

    2017-01-01

    Comparative effectiveness research on wheelchairs available in low-resource areas is needed to enable effective use of limited funds. Mobility on commonly encountered rolling environments is a key aspect of function. High variation in capacity among wheelchair users can mask changes in mobility because of wheelchair design. A repeated measures protocol in which the participants use one type of wheelchair and then another minimises the impact of individual variation. The Aspects of Wheelchair Mobility Test (AWMT) was designed to be used in repeated measures studies in low-resource areas. It measures the impact of different wheelchair types on physical performance in commonly encountered rolling environments and provides an opportunity for qualitative and quantitative participant response. This study sought to confirm the ability of the AWMT to discern differences in mobility because of wheelchair design. Participants were wheelchair users at a boarding school for students with disabilities in a low-resource area. Each participant completed timed tests on measured tracks on rough and smooth surfaces, in tight spaces and over curbs. Four types of wheelchairs designed for use in low-resource areas were included. The protocol demonstrated the ability to discriminate changes in mobility of individuals because of wheelchair type. Comparative effectiveness studies with this protocol can enable beneficial change. This is illustrated by design alterations by wheelchair manufacturers in response to results.

  1. Discriminatory validity of the Aspects of Wheelchair Mobility Test as demonstrated by a comparison of four wheelchair types designed for use in low-resource areas

    PubMed Central

    Hamm, Elisa; Wee, Joy

    2017-01-01

    Background Comparative effectiveness research on wheelchairs available in low-resource areas is needed to enable effective use of limited funds. Mobility on commonly encountered rolling environments is a key aspect of function. High variation in capacity among wheelchair users can mask changes in mobility because of wheelchair design. A repeated measures protocol in which the participants use one type of wheelchair and then another minimises the impact of individual variation. Objectives The Aspects of Wheelchair Mobility Test (AWMT) was designed to be used in repeated measures studies in low-resource areas. It measures the impact of different wheelchair types on physical performance in commonly encountered rolling environments and provides an opportunity for qualitative and quantitative participant response. This study sought to confirm the ability of the AWMT to discern differences in mobility because of wheelchair design. Method Participants were wheelchair users at a boarding school for students with disabilities in a low-resource area. Each participant completed timed tests on measured tracks on rough and smooth surfaces, in tight spaces and over curbs. Four types of wheelchairs designed for use in low-resource areas were included. Results The protocol demonstrated the ability to discriminate changes in mobility of individuals because of wheelchair type. Conclusion Comparative effectiveness studies with this protocol can enable beneficial change. This is illustrated by design alterations by wheelchair manufacturers in response to results. PMID:28936413

  2. Drive Control Scheme of Electric Power Assisted Wheelchair Based on Neural Network Learning of Human Wheelchair Operation Characteristics

    NASA Astrophysics Data System (ADS)

    Tanohata, Naoki; Seki, Hirokazu

    This paper describes a novel drive control scheme of electric power assisted wheelchairs based on neural network learning of human wheelchair operation characteristics. “Electric power assisted wheelchair” which enhances the drive force of the operator by employing electric motors is expected to be widely used as a mobility support system for elderly and disabled people. However, some handicapped people with paralysis of the muscles of one side of the body cannot maneuver the wheelchair as desired because of the difference in the right and left input force. Therefore, this study proposes a neural network learning system of such human wheelchair operation characteristics and a drive control scheme with variable distribution and assistance ratios. Some driving experiments will be performed to confirm the effectiveness of the proposed control system.

  3. Rim for rotary inertial energy storage device and method

    DOEpatents

    Knight, Jr., Charles E.; Pollard, Roy E.

    1980-01-01

    The present invention is directed to an improved rim or a high-performance rotary inertial energy storage device (flywheel). The improved rim is fabricated from resin impregnated filamentary material which is circumferentially wound in a side-by-side relationship to form a plurality of discretely and sequentially formed concentric layers of filamentary material that are bound together in a resin matrix. The improved rim is provided by prestressing the filamentary material in each successive layer to a prescribed tension loading in accordance with a predetermined schedule during the winding thereof and then curing the resin in each layer prior to forming the next layer for providing a prestress distribution within the rim to effect a self-equilibrating compressive prestress within the windings which counterbalances the transverse or radial tensile stresses generated during rotation of the rim for inhibiting deleterious delamination problems.

  4. Ultrasonographic Median Nerve Changes After Repeated Wheelchair Transfers in Persons With Paraplegia: Relationship With Subject Characteristics and Transfer Skills.

    PubMed

    Hogaboom, Nathan S; Diehl, Jessica A; Oyster, Michelle L; Koontz, Alicia M; Boninger, Michael L

    2016-04-01

    Wheelchair users with spinal cord injuries are susceptible to peripheral neuropathies from overuse, yet no studies have established a relationship between median neuropathy and wheelchair transfers. A more thorough understanding of how transfers and technique contribute to pathologic conditions may guide interventions that curtail its development. To evaluate the effects of repeated transfers on ultrasound markers for carpal tunnel syndrome (CTS) in people with spinal cord injuries and to relate changes to subject characteristics and transfer skills. Cross-sectional, repeated measures. Research laboratory and national wheelchair sporting events. A convenience sample of 30 wheelchair users with nonprogressive paraplegia were recruited via research registries and at the 2013 National Veterans Wheelchair Games and 2014 Paralyzed Veterans of America Buckeye Games. Participants were older than 18 years and could complete transfers independently within 30 seconds without use of their leg muscles. Demographic questionnaires and physical examinations for CTS were completed. Quantitative ultrasound techniques were used to measure changes in the median nerve after a repeated-transfers protocol. The Transfer Assessment Instrument (TAI) was completed to quantify transfer ability. Median nerve cross-sectional area at the level of the pisiform (PCSA) and swelling ratio (SR), transfer quality, and skills via the TAI. PCSA increased after repeated transfers (P < .025). Participants who used safe hand positions had a lower baseline SR (β = -0.728; P < .01). Participants with a higher body weight had a lower baseline SR provided they performed higher quality transfers. Participants who scooted to the front of the seat prior to transferring (TAI item 7; β = 0.144; P < .05) and who weighed more (β = 0.142; P < .05) exhibited greater increases in PCSA in response to transfers. An acute increase was observed in median nerve CSA at the pisiform after repeated wheelchair transfers

  5. Claw hand

    MedlinePlus

    Ulnar nerve palsy - claw hand; Ulnar nerve dysfunction - claw hand; Ulnar claw ... Someone can be born with claw hand (congenital), or they can develop it because of certain disorders, such as nerve injury.

  6. The impact of the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia.

    PubMed

    Toro, Maria L; Eke, Chika; Pearlman, Jonathan

    2016-01-22

    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. The purpose of this study was to investigate how the provision of wheelchairs according to the World Health Organization's service provision process by United Cerebral Palsy Wheels for Humanity in Indonesia affects wheelchair recipients compared to wait-listed controls. This study used a convenience sample (N = 344) of Children, Children with proxies, Adults, and Adults with proxies who were on a waiting list to receive a wheelchair as well as those who received one. Interviews were conducted at baseline and a 6 month follow-up to collect the following data: Demographics and wheelchair use questions, the World Health Organization Quality of Life-BREF, Functional Mobility Assessment, Craig Handicap Assessment Recording Technique Short Form. The Wheelchair Assessment Checklist and Wheelchair Skills Test Questionnaire were administered at follow up only. 167 participants were on the waiting list and 142 received a wheelchair. Physical health domain in the World Health Organization Quality of Life-BREF improved significantly for women who received a wheelchair (p = 0.044) and environmental health improved significantly for women and men who received a wheelchair as compared to those on the waiting list (p < 0.017). Satisfaction with the mobility device improved significantly for Adults with proxies and Children with proxies as compared to the waiting list (p < 0.022). Only 11 % of Adults who received a wheelchair reported being able to perform a "wheelie". The

  7. Quantification of activity during wheelchair basketball and rugby at the National Veterans Wheelchair Games: A pilot study.

    PubMed

    Sporner, Michelle L; Grindle, Garrett G; Kelleher, Annmarie; Teodorski, Emily E; Cooper, Rosemarie; Cooper, Rory A

    2009-09-01

    To date, no published data exists on distances and speeds traveled by rugby or basketball players during game play. The purpose of this study was to provide quantitative information of selected characteristics of wheelchair basketball and rugby game play. A miniaturized data logger was used to collect the distance traveled, average velocity, activity time, and number of starts and stops during basketball and rugby games. Participants were recruited prior to wheelchair basketball and rugby tournaments during the 2007 and 2008 National Veterans Wheelchair Games. Inclusion criteria were age 18 years or older and been participating in wheelchair basketball or rugby. The wheelchair rugby athletes on average traveled 2364.78 +/- 956.35 meters at 1.33 +/- 0.25 m/sec with 242.61 +/- 80.31 stops and starts in 29.98 +/- 11.79 min of play per game. The wheelchair basketball athletes on average traveled 2679.52 +/- 1103.66 m at 1.48 +/- 0.13 m/sec with 239.78 +/- 60.61 stops and starts in 30.28 +/- 9.59 min of play per game. Previous research has not reported basketball or rugby game play variables such as these, making this data set unique. The information could be used by players and coaches to create training protocols to better prepare for game conditions.

  8. Hand transplantation.

    PubMed

    Amer, Hatem; Carlsen, Brian T; Dusso, Jennifer L; Edwards, Brooks S; Moran, Steven L

    2011-05-01

    The first successful hand transplant was performed in 1998, opening up a new possibility for patients who have suffered mutilating hand injuries. Since then, more than 60 such procedures have been performed throughout the world. This article describes the evolution of hand transplantation, outcomes of patients listed in the International Registry of Hand and Composite Tissue Transplantation, and ethical issues involved in hand transplantation. It also describes the hand transplantation program at Mayo Clinic, which was established in 2010.

  9. Computer simulation to aid the risk assessment of wheelchair and special seating systems used in transport.

    PubMed

    Rogers, P D; Gibson, C; Wilcox, S J; Chong, A

    2009-01-01

    The crashworthiness of occupied proprietary wheelchairs, which are transported in motor vehicles, is currently assessed by physical crash testing in accordance with ISO 7176-19. If such wheelchairs are modified to meet the needs of the occupant, e.g. the addition of special seating, environmental control systems or life support equipment, then those making the modifications take on the manufacturer's responsibilities, one of these being the assessment of the modified wheelchair's ability to withstand vehicle crash forces. Destructively testing bespoke wheelchair designs is not practical so, currently, the transport-related risk is assessed using best engineering judgement. To improve this process virtual crash testing of the wheelchair and occupant was used. A modified crash criteria from ISO 7176-19 is proposed to enable assessment of the wheelchair's crashworthiness and provide the clinical engineer with an informed judgement of how both wheelchair alone and occupant and wheelchair together will behave in a crash.

  10. Accessibilities of Wheelchair Users to Cross the Gaps and Steps between Platforms and Trains

    NASA Astrophysics Data System (ADS)

    Hashizume, Tsutomu; Yoneda, Ikuo; Kitagawa, Hiroshi; Fujisawa, Shoichiro; Sueda, Osamu

    Gaps and steps between platforms and trains reduce the accessibility and mobility of people with wheelchairs in railway transportations. Using an experimental platform, the observations are performed how gaps and steps influence their capabilities for manual wheelchair or electric powered wheelchair users with spinal cord injury. A quantity of Normalized Driving Force (NDF) is introduced to evaluate the manual wheelchair user's abilities in the case of getting on or off the trains. Three types of electric powered wheelchairs are also tested under the same experimental conditions as the manual wheelchair. The dynamic wheelchair driving force is measured by using a torque meter equipped on a wheelchair to analyze the required force when getting on the trains. To improve practical accessibility of such people, an assistive device for boarding the trains is designed and its effect is verified.

  11. Biomechanics and Physiology for Propelling Wheelchair Uphill Slope.

    PubMed

    Hashizume, Tsutomu; Kitagawa, Hiroshi; Lee, Hokyoo; Ueda, Hisatoshi; Yoneda, Ikuo; Booka, Masayuki

    2015-01-01

    A vertical slope of sidewalks significantly inhibits to the mobility of manual wheelchair users in their daily life. International guidelines of the vertical slope are specified approximately 4% or 5% (1:20) gradient or less as preferred, and allow 8.3% (1:12) as its maximum when it is impossible. Relevant research of the physical strain for wheelchair users with pushing on slopes, and the validity assessment of slope guidelines have been investigated. However, the analysis for the effect of a slope distance and their transient performance are still remained. The purpose of this study is to clarify the physiological and biomechanical characteristics of manual wheelchair users that propelling a wheelchair on an uphill slope. We measured these data by a metabolic analysis system, a heart rate monitor system and an instrumented wheelchair wheel. Sixteen unimpaired subjects (non-wheelchair users) were examined to investigate the effect of a long slope with 120m distance and 8% gradient. And five wheelchair users with cervical cord injury were examined to evaluate the influence of different gradients (5%, 6.7%, 8.3%, 10% and 12.5%) with 3m length in laboratory. Our experimental results of the long slope showed that wheelchair propulsion velocity and power increased considerably at the beginning of the slope where the peak mean value of them were 0.96 m/s and 70.8W and they decreased linearly to 0.55m/s and 33.6W at final interval. A mean oxygen uptake and heart rate were increased as the distance increased and their results indicated the extremely high exercise intensity at a final interval that were 1.2liter /min and 152bpm. While wheelchair pushing cadence reduced after an initial interval, mean of strokes per10m increased to compensate the decrease of upper limb's power. The results of different gradients indicated that the normalized power of subjects with cervical cord injury was significant difference between each subject in the ability to climb a slope. Mean

  12. Physiology of wheelchair racing in athletes with spinal cord injury.

    PubMed

    Bhambhani, Yagesh

    2002-01-01

    Wheelchair racing is one of the most popular sporting activities of individuals with spinal cord injury. Athletes with this impairment have unique changes in metabolic, cardiorespiratory, neuromuscular and thermoregulatory systems, which reduce their overall physiological capacity compared with able-bodied individuals or individuals with other types of impairments. This review on spinal cord injury: presents the International Stoke Mandeville Games Federation classification of wheelchair athletes; describes methods commonly used to characterise anaerobic and aerobic fitness; presents the findings of physiological studies that have evaluated wheelchair racing performance; identifies the risks associated with temperature regulation when competing in wheelchair races; and discusses special conditions that can influence wheelchair racing performance. Currently there is limited research that has examined the relationship between sprint or distance wheelchair racing performance and the anaerobic and aerobic components of physical fitness. Although the descriptive evidence indicates that the profiles of these athletes reflect their training and participation in these specific events, the association between their physiological profiles and real or simulated racing performance is unclear. The generally accepted concept that high values of aerobic and anaerobic power are strongly correlated with endurance and sprint racing performance, respectively, are not necessarily true in this population. Athletes with spinal cord injury have an impaired thermoregulatory capacity, because the compromised autonomic and somatic nervous system functions disrupt control of skin blood flow and sweating below the level of the lesion. As a result, they may be more susceptible to hyperthermia during distance wheelchair racing performance. Wheelchair athletes should follow recommendations advocated for able-bodied individuals to minimise their risks of heat stress during competition. Many

  13. Geologic maps of Pacific basin and rim

    SciTech Connect

    Craddock, C.

    1986-07-01

    A major component of the Circum-Pacific Map Project is to compile five regional geologic maps at a scale of 1:10 million and a final map of the Pacific Ocean basin at a scale of 1:17 million. The Geologic Map of the Northeast Quadrant was published in 1983, and the Geologic Map of the Southeast Quadrant in 1985. The Geologic Maps of the Northwest Quadrant, the Southwest Quadrant, and the Antarctic Region are expected to reach publication during 1986. The Geologic Map of the Pacific Basin, with energy and mineral resources, is scheduled for publication in 1989. Each geologic map is a synthesis of a large amount of information. The land areas portray rock types by patterns and ages by colors; major faults are shown if they form the boundaries for map units. The oceanic areas include bathymetric contours, 13 sea-floor sediment types, all Deep Sea Drilling Program (DSDP) sites, selected DSDP columns, and selected sites of pre-Quaternary bedrock or sediment recovery. A correlation diagram on each map shows stratigraphic columns for the five regional maps, map units, geologic ages, and a time scale. An inset map shows presently active tectonic plates. The principal information sources for each sheet are given in a reference list, and each map is accompanied by explanatory notes. This map series represents the first integrated set of geologic maps of the entire Pacific Ocean basin and rim, including the Antarctic continent- altogether more than half the surface area of planet Earth.

  14. LSRA STS Tire Test - on rim

    NASA Technical Reports Server (NTRS)

    1995-01-01

    From 1993 to 1995, in conjunction with other NASA centers, NASA Dryden Flight Research Center, Edwards, California, used a Convair CV-990 airplane as a Landing Systems Research Aircraft (LSRA) to perform Space Shuttle tire tests. The results provided the Space Shuttle Program with data to support its flight rules and enabled it to resurface a grooved runway at Kennedy Space Center that had added unnecessary wear to the Space Shuttle tires. Tests were done using a unique fixture mounted in the center of the CV-990 fuselage, between the main landing gear. Landing gear systems from other aircraft could be attached to the test fixture, which lowered them to the runway surface during actual landings. The LSRA had the ability to reproduce the loads and speeds of the other aircraft, as well as simulate crosswind landing conditions in a safe, controlled environment. The video clip shows a landing on the concrete runway at Edwards, California on August 11, 1995, which concluded the Space Shuttle gear research program. As the Space Shuttle tire was lowered onto the surface, it was destroyed almost instantly. The rim scraped on the concrete, and stopped rolling as it became flat. It heated up and left a flaming trail of hot rubber and aluminum alloy particles. Notice how the fire quickly went out as the test gear was raised, indicating a safer condition than prevailed in a lakebed landing.

  15. LSRA STS Tire Test - on rim

    NASA Technical Reports Server (NTRS)

    1995-01-01

    From 1993 to 1995, in conjunction with other NASA centers, NASA Dryden Flight Research Center, Edwards, California, used a Convair CV-990 airplane as a Landing Systems Research Aircraft (LSRA) to perform Space Shuttle tire tests. The results provided the Space Shuttle Program with data to support its flight rules and enabled it to resurface a grooved runway at Kennedy Space Center that had added unnecessary wear to the Space Shuttle tires. Tests were done using a unique fixture mounted in the center of the CV-990 fuselage, between the main landing gear. Landing gear systems from other aircraft could be attached to the test fixture, which lowered them to the runway surface during actual landings. The LSRA had the ability to reproduce the loads and speeds of the other aircraft, as well as simulate crosswind landing conditions in a safe, controlled environment. The video clip shows a landing on the concrete runway at Edwards, California on August 11, 1995, which concluded the Space Shuttle gear research program. As the Space Shuttle tire was lowered onto the surface, it was destroyed almost instantly. The rim scraped on the concrete, and stopped rolling as it became flat. It heated up and left a flaming trail of hot rubber and aluminum alloy particles. Notice how the fire quickly went out as the test gear was raised, indicating a safer condition than prevailed in a lakebed landing.

  16. Visual illusions and plate design: the effects of plate rim widths and rim coloring on perceived food portion size.

    PubMed

    McClain, A D; van den Bos, W; Matheson, D; Desai, M; McClure, S M; Robinson, T N

    2014-05-01

    The Delboeuf Illusion affects perceptions of the relative sizes of concentric shapes. This study was designed to extend research on the application of the Delboeuf illusion to food on a plate by testing whether a plate's rim width and coloring influence perceptual bias to affect perceived food portion size. Within-subjects experimental design. Experiment 1 tested the effect of rim width on perceived food portion size. Experiment 2 tested the effect of rim coloring on perceived food portion size. In both experiments, participants observed a series of photographic images of paired, side-by-side plates varying in designs and amounts of food. From each pair, participants were asked to select the plate that contained more food. Multilevel logistic regression examined the effects of rim width and coloring on perceived food portion size. Experiment 1: participants overestimated the diameter of food portions by 5% and the visual area of food portions by 10% on plates with wider rims compared with plates with very thin rims (P<0.0001). The effect of rim width was greater with larger food portion sizes. Experiment 2: participants overestimated the diameter of food portions by 1.5% and the visual area of food portions by 3% on plates with rim coloring compared with plates with no coloring (P=0.01). The effect of rim coloring was greater with smaller food portion sizes. The Delboeuf illusion applies to food on a plate. Participants overestimated food portion size on plates with wider and colored rims. These findings may help design plates to influence perceptions of food portion sizes.

  17. Visual illusions and plate design: The effects of plate rim widths and rim coloring on perceived food portion size

    PubMed Central

    McClain, Arianna; van den Bos, Wouter; Matheson, Donna; Desai, Manisha; McClure, Samuel M.; Robinson, Thomas N.

    2013-01-01

    OBJECTIVE The Delboeuf Illusion affects perceptions of the relative sizes of concentric shapes. This study was designed to extend research on the application of the Delboeuf illusion to food on a plate by testing whether a plate’s rim width and coloring influence perceptual bias to affect perceived food portion size. DESIGN AND METHODS Within-subjects experimental design. Experiment 1 tested the effect of rim width on perceived food portion size. Experiment 2 tested the effect of rim coloring on perceived food portion size. In both experiments, participants observed a series of photographic images of paired, side-by-side plates varying in designs and amounts of food. From each pair, participants were asked to select the plate that contained more food. Multi-level logistic regression examined the effects of rim width and coloring on perceived food portion size. RESULTS Experiment 1: Participants overestimated the diameter of food portions by 5% and the visual area of food portions by 10% on plates with wider rims compared to plates with very thin rims (P<0.0001). The effect of rim width was greater with larger food portion sizes. Experiment 2: Participants overestimated the diameter of food portions by 1.5% and the visual area of food portions by 3% on plates with rim coloring compared to plates with no coloring (P=0.01). The effect of rim coloring was greater with smaller food portion sizes. CONCLUSION The Delboeuf illusion applies to food on a plate. Participants overestimated food portion size on plates with wider and colored rims. These findings may help design plates to influence perceptions of food portion sizes. PMID:24005858

  18. Rear-impact neck protection devices for adult wheelchair users.

    PubMed

    Simms, Ciaran K; Madden, Brian; Fitzpatrick, David; Tiernan, John

    2009-01-01

    Many wheelchair users remain in their wheelchairs during transit. Safety research for wheelchair users has focused mainly on frontal impact. However, although they are generally less severe, rear-impact injuries are expensive and difficult to treat and whiplash injury protection for adult wheelchair users remains poorly understood. In this article, 10 g (16 km/h) rear-impact sled tests conducted with the Biofidelic Rear Impact Dummy II or BioRID-II (Denton ATD Inc and Chalmers University of Technology; Gothenburg, Sweden) seated in a rigid wheelchair with no head restraint showed that Abbreviated Injury Scale-score 1 neck injury risk evaluated with the neck injury criterion (NIC) and Nkm criterion is substantially above proposed threshold levels. A prototype wheelchair head restraint was developed and tested together with an existing commercial head restraint (Rolko; Borgholzhausen, Germany) in the same 10 g (16 km/h) rear impact. Both head restraints reduced the injury scores substantially. NIC test scores for the head restraints with no gap ranged from 18 to 24 (approximately 20%-30% chance of neck injury symptoms of duration >1 month) compared with test scores for no head restraints that ranged from 34 to 37 (approximately 95% chance of neck injury). The corresponding extension-posterior Nkm scores with no gap ranged from 0.30 to 0.35 (approximately 5% chance of neck injury) compared with no head restraint of 1.16 (approximately 45% chance of neck injury symptoms). However, the number of sled tests performed was small (three with no head restraint and six with a head restraint), and these results should be considered mainly trends. Preliminary results also showed that the horizontal gap between the head and the wheelchair head-restraint cushion should be as small possible.

  19. Respondent driven sampling of wheelchair users: A lack of traction?

    PubMed

    Bourke, John A; Schluter, Philip J; Hay-Smith, E Jean C; Snell, Deborah L

    2016-01-01

    Internationally, wheelchair users are an emerging demographic phenomenon, due to their increased prevalence and rapidly increasing life-span. While having significant healthcare implications, basic robust epidemiological information about wheelchair users is often lacking due, in part, to this population's 'hidden' nature. Increasingly popular in epidemiological research, Respondent Driven Sampling (RDS) provides a mechanism for generating unbiased population-based estimates for hard-to-reach populations, overcoming biases inherent within other sampling methods. This paper reports the first published study to employ RDS amongst wheelchair users. Between October 2015 and January 2016, a short, successfully piloted, internet-based national survey was initiated. Twenty seeds from diverse organisations were invited to complete the survey then circulate it to peers within their networks following a well-defined protocol. A predetermined reminder protocol was triggered when seeds or their peers failed to respond. All participants were entered into a draw for an iPad. Overall, 19 people participated (nine women); 12 initial seeds, followed by seven second-wave participants arising from four seeds . Completion time for the survey ranged between 7 and 36 minutes. Despite repeated reminders, no further people were recruited. While New Zealand wheelchair user numbers are unknown, an estimated 14% of people have physical impairments that limited mobility. The 19 respondents generated from adopting the RDS methodology here thus represents a negligible fraction of wheelchair users in New Zealand, and an insufficient number to ensure equilibrium required for unbiased analyses. While successful in other hard-to-reach populations, applying RDS methodology to wheelchair users requires further consideration. Formative research exploring areas of network characteristics, acceptability of RDS, appropriate incentive options, and seed selection amongst wheelchair users is needed.

  20. Wheelchair users' perceived exertion during typical mobility activities.

    PubMed

    Qi, L; Ferguson-Pell, M; Salimi, Z; Haennel, R; Ramadi, A

    2015-09-01

    Each participant performed a series of wheelchair exercises equivalent in intensity to minimal functional speed (1 m s(-1)), functional walking speed (1.3 m s(-1)), a relatively challenging speed (1.6 m s(-1)) and a self-selected speed. Each participant also completed a graded exercise test (GXT) to volitional exhaustion (VO2peak). The purpose of this study was (1) to assess the physical capacity of wheelchair users as they undertake typical mobility activities and (2) to investigate how closely the components of a differentiated model of perceived exertion mirror wheelchair users' own perception of exertion. Eleven (eight males and three females) spinal cord-injured or congenitally impaired wheelchair-dependent participants volunteered for the study. Differentiated ratings of perceived exertion (RPE_arm and RPE_respiration) and oxygen uptake (VO2) and heart rate were recorded during each exercise. The mean comfortable speed at which the participants propelled their own wheelchairs on the wheelchair ergometer was 1.1±0.2 m s(-1). Speeds of 1 m s(-1) and 1.3 m s(-1) are typical of everyday functional propulsion. The corresponding RPE_respiration and RPE_arm ranged from 7 to 13 on the Borg scale; the %VO2peak measured in these trials ranged from 37 to 80% VO2peak. For propulsion intensities used in the present study-low, moderate, high and graded exercise intensity-no difference could be observed between RPE_respiration and RPE_arm. There were no significant differences between RPE_arm and RPE_respiration at the termination of the GXT. The current study showed potential for the use of RPE to assess and monitor daily wheelchair propulsion intensity in individuals with paraplegia.

  1. Respondent driven sampling of wheelchair users: A lack of traction?

    PubMed Central

    Bourke, John A.; Schluter, Philip J.; Hay-Smith, E. Jean C.; Snell, Deborah L.

    2016-01-01

    Background: Internationally, wheelchair users are an emerging demographic phenomenon, due to their increased prevalence and rapidly increasing life-span. While having significant healthcare implications, basic robust epidemiological information about wheelchair users is often lacking due, in part, to this population’s ‘hidden’ nature. Increasingly popular in epidemiological research, Respondent Driven Sampling (RDS) provides a mechanism for generating unbiased population-based estimates for hard-to-reach populations, overcoming biases inherent within other sampling methods. This paper reports the first published study to employ RDS amongst wheelchair users. Methods: Between October 2015 and January 2016, a short, successfully piloted, internet-based national survey was initiated. Twenty seeds from diverse organisations were invited to complete the survey then circulate it to peers within their networks following a well-defined protocol. A predetermined reminder protocol was triggered when seeds or their peers failed to respond. All participants were entered into a draw for an iPad. Results: Overall, 19 people participated (nine women); 12 initial seeds, followed by seven second-wave participants arising from four seeds . Completion time for the survey ranged between 7 and 36 minutes. Despite repeated reminders, no further people were recruited. Discussion: While New Zealand wheelchair user numbers are unknown, an estimated 14% of people have physical impairments that limited mobility. The 19 respondents generated from adopting the RDS methodology here thus represents a negligible fraction of wheelchair users in New Zealand, and an insufficient number to ensure equilibrium required for unbiased analyses. While successful in other hard-to-reach populations, applying RDS methodology to wheelchair users requires further consideration. Formative research exploring areas of network characteristics, acceptability of RDS, appropriate incentive options, and seed

  2. Wheelchair ramp navigation in snow and ice-grit conditions.

    PubMed

    Lemaire, Edward D; O'Neill, Patricia A; Desrosiers, Marcel M; Robertson, D Gordon

    2010-10-01

    To explore manual wheelchair propulsion strategies for ramp ascent and descent in snow and snow-ice-grit conditions. Cross-sectional study. Climatic Engineering and Testing Chamber (Ottawa, Canada). Manual wheelchair users (N=11) who typically self-propel their wheelchair in winter. Ramp ascent and descent at 3 grades (1:10, 1:12, 1:16) and 2 winter conditions (packed snow, packed snow with a freezing rain cover, and traction grit). Type of ascent and descent strategy, success rate, number and severity of obstructions, average speed, and perceived ramp navigation rating. A questionnaire regarding the subject's past experiences with wheelchair propulsion in winter. Snow accumulation on ramps at 1:10 grade will render the ramp inaccessible for many wheelchair users who do not have external assistance. For snow conditions, the transition area from the level group to the first 2m of ramp incline were the most difficult to traverse for both ascent and descent. All subjects were able to ascend and descend the ramp for the ice-grit condition. Two-railing propulsion is a preferred strategy for ice-grit ramp navigation because of enhanced trajectory control and reducing the potential for wheel-slip problems. Backwards ramp ascent was a successful strategy for ascent in soft-snow conditions. The 1:16 grade is preferred for winter ramp navigation. Backwards ramp ascent for snow conditions should be considered for people with sufficient shoulder and trunk range of motion. Two handrails are recommended for exterior ramps for both propulsion and wheelchair extraction from ruts and other snow-related obstacles. For ice ramp navigation, the amount of grit required and the effective time (ie, time to when grit becomes embedded in snow-ice, becoming much less effective) should be addressed in further research. Front wheels typically available with manual wheelchairs are not appropriate for soft-snow conditions. Copyright © 2010 American Congress of Rehabilitation Medicine

  3. A conceptual framework to assess effectiveness in wheelchair provision

    PubMed Central

    Kankipati, Padmaja

    2017-01-01

    Background Currently, inadequate wheelchair provision has forced many people with disabilities to be trapped in a cycle of poverty and deprivation, limiting their ability to access education, work and social facilities. This issue is in part because of the lack of collaboration among various stakeholders who need to work together to design, manufacture and deliver such assistive mobility devices. This in turn has led to inadequate evidence about intervention effectiveness, disability prevalence and subsequent costeffectiveness that would help facilitate appropriate provision and support for people with disabilities. Objectives In this paper, we describe a novel conceptual framework that can be tested across the globe to study and evaluate the effectiveness of wheelchair provision. Method The Comparative Effectiveness Research Subcommittee (CER-SC), consisting of the authors of this article, housed within the Evidence-Based Practice Working Group (EBP-WG) of the International Society of Wheelchair Professionals (ISWP), conducted a scoping review of scientific literature and standard practices used during wheelchair service provision. The literature review was followed by a series of discussion groups. Results The three iterations of the conceptual framework are described in this manuscript. Conclusion We believe that adoption of this conceptual framework could have broad applications in wheelchair provision globally to develop evidence-based practices. Such a perspective will help in the comparison of different strategies employed in wheelchair provision and further improve clinical guidelines. Further work is being conducted to test the efficacy of this conceptual framework to evaluate effectiveness of wheelchair service provision in various settings across the globe. PMID:28936421

  4. Physiological responses of wheelchair athletes at percentages of top speed.

    PubMed Central

    Campbell, I G; Williams, C; Lakomy, H K

    1997-01-01

    OBJECTIVE: Wheelchair athletes often select a percentage of their top speed (%TS) to determine training intensity. The aim of the study was to determine whether choosing a %TS corresponds to the physiological concept of relative exercise intensity (% peak oxygen uptake: %VO2 peak) and to examine selected physiological and metabolic responses of a group of wheelchair athletes to 60 minutes' exercise at 80% TS. METHODS: 12 male wheelchair athletes (10 paraplegics and two tetraplegics) performed a series of tests on a motorised treadmill adapted for wheelchairs. The tests, which were undertaken on separate occasions, included the determination of VO2 peak, the determination of oxygen cost at a range of submaximal wheelchair propulsion speeds, and a 60 min exercise test at 80% TS. RESULTS: Wheelchair propulsion speeds equivalent to 60%, 70%, 80%, and 90% of each subject's TS were found to equate to 48.3 (SD13.8)%, 60.0(11.1)%, 70.6(9.8)%, and 82.7(9.6)% of VO2 peak, with a wide variation in the relative exercise intensities evident at each %TS. During the 1 h exercise test at 80% TS the physiological and metabolic responses measured were indicative of steady state exercise, with no signs of fatigue evident. CONCLUSIONS: The results of this study suggest that selecting a %TS is not an appropriate way of selecting a common relative exercise intensity. There may also be a need for the current training practises of some wheelchair road racers to be modified. Images Figure 1 PMID:9132209

  5. Relationship between Functional Classification Levels and Anaerobic Performance of Wheelchair Basketball Athletes

    ERIC Educational Resources Information Center

    Molik, Bartosz; Laskin, James J.; Kosmol, Andrzej; Skucas, Kestas; Bida, Urszula

    2010-01-01

    Wheelchair basketball athletes are classified using the International Wheelchair Basketball Federation (IWBF) functional classification system. The purpose of this study was to evaluate the relationship between upper extremity anaerobic performance (AnP) and all functional classification levels in wheelchair basketball. Ninety-seven male athletes…

  6. Aerobic, Anaerobic, and Skill Performance with Regard to Classification in Wheelchair Rugby Athletes

    ERIC Educational Resources Information Center

    Morgulec-Adamowicz, Natalia; Kosmol, Andrzej; Molik, Bartosz; Yilla, Abu B.; Laskin, James J.

    2011-01-01

    The purpose of the study was to examine the sport-specific performance of wheelchair rugby players with regard to their classification. A group of 30 male athletes from the Polish Wheelchair Rugby League participated in the study. The seven International Wheelchair Rugby Federation classes were collapsed into four groups. Standardized measures of…

  7. Relationship between Functional Classification Levels and Anaerobic Performance of Wheelchair Basketball Athletes

    ERIC Educational Resources Information Center

    Molik, Bartosz; Laskin, James J.; Kosmol, Andrzej; Skucas, Kestas; Bida, Urszula

    2010-01-01

    Wheelchair basketball athletes are classified using the International Wheelchair Basketball Federation (IWBF) functional classification system. The purpose of this study was to evaluate the relationship between upper extremity anaerobic performance (AnP) and all functional classification levels in wheelchair basketball. Ninety-seven male athletes…

  8. 49 CFR 37.91 - Wheelchair locations and food service on intercity rail trains.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... on each train a number of spaces— (1) To park wheelchairs (to accommodate individuals who wish to... providing intercity rail service shall provide on each train a number of spaces— (1) To park wheelchairs (to... providing intercity rail service may not provide more than two spaces to park wheelchairs nor more than...

  9. 49 CFR 37.91 - Wheelchair locations and food service on intercity rail trains.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Wheelchair locations and food service on intercity... Entities § 37.91 Wheelchair locations and food service on intercity rail trains. (a) As soon as practicable... on each train a number of spaces— (1) To park wheelchairs (to accommodate individuals who wish...

  10. 49 CFR 37.91 - Wheelchair locations and food service on intercity rail trains.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Wheelchair locations and food service on intercity... Entities § 37.91 Wheelchair locations and food service on intercity rail trains. (a) As soon as practicable... on each train a number of spaces— (1) To park wheelchairs (to accommodate individuals who wish...

  11. Wheelchair Use among Community-Dwelling Older Adults: Prevalence and Risk Factors in a National Sample

    ERIC Educational Resources Information Center

    Clarke, Philippa; Colantonio, Angela

    2005-01-01

    Older adults are the largest group of wheelchair users yet there are no peer-reviewed studies on the national profile of older wheelchair users in Canada. We investigated the characteristics of wheelchair users in a national sample of community-dwelling older adults from the Canadian Study of Health and Aging (CSHA-2). Questions on the use of…

  12. Aerobic, Anaerobic, and Skill Performance with Regard to Classification in Wheelchair Rugby Athletes

    ERIC Educational Resources Information Center

    Morgulec-Adamowicz, Natalia; Kosmol, Andrzej; Molik, Bartosz; Yilla, Abu B.; Laskin, James J.

    2011-01-01

    The purpose of the study was to examine the sport-specific performance of wheelchair rugby players with regard to their classification. A group of 30 male athletes from the Polish Wheelchair Rugby League participated in the study. The seven International Wheelchair Rugby Federation classes were collapsed into four groups. Standardized measures of…

  13. Developing product quality standards for wheelchairs used in less-resourced environments

    PubMed Central

    McCambridge, Matt; Reese, Norman; Schoendorfer, Don; Wunderlich, Eric; Rushman, Chris; Mahilo, Dave

    2017-01-01

    Background Premature failures of wheelchairs in less-resourced environments (LREs) may be because of shortcomings in product regulation and quality standards. The standards published by the International Organization for Standardization (ISO) specify wheelchair tests for durability, safety and performance, but their applicability to products used in the rugged conditions of LREs is unclear. Because of this, wheelchair-related guidelines published by the World Health Organization recommended developing more rigorous durability tests for wheelchairs. Objectives This study was performed to identify the additional tests needed for LREs. Methods First, a literature review of the development of ISO test standards, wheelchair standards testing studies and wheelchair evaluations in LREs was performed. Second, expert advice from members of the Standards Working Group of the International Society of Wheelchair Professionals (ISWP) was compiled and reviewed. Results A total of 35 articles were included in the literature review. Participation from LREs was not observed in the ISO standards development. As per wheelchair testing study evidence, wheelchair models delivered in LREs did not meet the minimum standards requirement. Multiple part failures and repairs were observed with reviewed field evaluation studies. ISWP experts noted that several testing factors responsible for premature failures with wheelchair parts are not included in the standards and accordingly provided advice for additional test development. Conclusion The study findings indicate the need to develop a wide range of tests, with specific tests for measuring corrosion resistance of the entire wheelchair, rolling resistance of castors and rear wheels, and durability of whole wheelchair and castor assemblies. PMID:28936410

  14. The Role of Parents and Caregivers in Providing Safe Transportation for Occupants Seated in Wheelchairs

    ERIC Educational Resources Information Center

    Schneider, Lawrence W.; Manary, Miriam; Bertocci, Gina

    2007-01-01

    The responsibility for providing safe transportation for travelers seated in wheelchairs is shared by many stakeholders, including wheelchair and tiedown/restraint manufacturers, vehicle modifiers and equipment installers, transit providers, rehabilitation technology suppliers, wheelchair/seating clinicians, and even informed and responsible…

  15. Wheelchair Use among Community-Dwelling Older Adults: Prevalence and Risk Factors in a National Sample

    ERIC Educational Resources Information Center

    Clarke, Philippa; Colantonio, Angela

    2005-01-01

    Older adults are the largest group of wheelchair users yet there are no peer-reviewed studies on the national profile of older wheelchair users in Canada. We investigated the characteristics of wheelchair users in a national sample of community-dwelling older adults from the Canadian Study of Health and Aging (CSHA-2). Questions on the use of…

  16. The Role of Parents and Caregivers in Providing Safe Transportation for Occupants Seated in Wheelchairs

    ERIC Educational Resources Information Center

    Schneider, Lawrence W.; Manary, Miriam; Bertocci, Gina

    2007-01-01

    The responsibility for providing safe transportation for travelers seated in wheelchairs is shared by many stakeholders, including wheelchair and tiedown/restraint manufacturers, vehicle modifiers and equipment installers, transit providers, rehabilitation technology suppliers, wheelchair/seating clinicians, and even informed and responsible…

  17. 49 CFR 37.91 - Wheelchair locations and food service on intercity rail trains.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Wheelchair locations and food service on intercity... Entities § 37.91 Wheelchair locations and food service on intercity rail trains. (a) As soon as practicable... on each train a number of spaces— (1) To park wheelchairs (to accommodate individuals who wish to...

  18. Shoulder pain: a comparison of wheelchair basketball players with trunk control and without trunk control.

    PubMed

    Yildirim, Necmiye Un; Comert, Esra; Ozengin, Nuriye

    2010-01-01

    The purpose of this study was to compare shoulder pain between wheelchair basketball players with trunk control and wheelchair basketball players without trunk control. Players were evaluated according the International Wheelchair Basketball Federation (IWBF) classification system. The study group comprised 60 wheelchair basketball players, who were rated according to the International Wheelchair Basketball Federation classification system. Players were divided into two groups according to their trunk control. Study participants completed an anonymous survey that included demographic data, medical history data, and the Wheelchair User's Shoulder Pain Index (WUSPI). There was no statistically significant difference between the two groups based on the number of years of wheelchair use, active sport years, weekly working hours, and weekly training hours (p> 0.05). Statistically significant differences were found between wheelchair basketball players with trunk control and wheelchair basketball players with trunk control with respect to the duration of their disability, the daily number of transfers made to wheelchair, and Performance Corrected Wheelchair User's Shoulder Pain Index (PC-WUSPI) score (p< 0.05). The total PC-WUSPI score was higher among players without trunk control (p< 0.05). Study findings suggest that the shoulder pain of wheelchair basketball players must be analyzed. Trunk stabilization is the key factor affecting the function of the shoulder and is of primary importance for appropriate loading of the shoulder joint's many forms of articulation.

  19. Reactions to an Advertisement Using a Model in a Wheelchair: Implications for Educators.

    ERIC Educational Resources Information Center

    Freeburg, Elizabeth W.; Workman, Jane E.

    1996-01-01

    One of two ads (either with a model in a wheelchair or a straight chair) was shown to 61 undergraduates. Their attitudes toward and social contact with persons in wheelchairs did not affect their reaction to the model, the clothing being promoted, or the ad. The ad with the wheelchair was evaluated more favorably than the other one. (SK)

  20. 14 CFR 382.65 - What are the requirements concerning on-board wheelchairs?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...-board wheelchairs? 382.65 Section 382.65 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF... TRAVEL Accessibility of Aircraft § 382.65 What are the requirements concerning on-board wheelchairs? (a...-board wheelchair. The Aerospatiale/Aeritalia ATR-72 and the British Aerospace Advanced Turboprop (ATP...

  1. Extreme face-to-face positioning for cataract surgery with patient seated upright in motorized wheelchair.

    PubMed

    Pajaujis, Mykolas; Injarie, Anas; Eke, Tom

    2013-05-01

    We present a case of extreme positioning for cataract surgery. The 68-year-old man was unable to lie flat and found it difficult to transfer from his motorized wheelchair. He had poor mobility due to a stroke, slept upright because of orthopnea, and his neck extension was poor. After the options and risks were discussed, surgery was performed under topical intracameral anesthesia using face-to-face positioning with the patient seated upright in his wheelchair. The operating microscope was rotated toward the horizontal, and the surgeon stood at the patient's side with the patient's face almost upright. The right-handed surgeon used a temporal corneal incision (0 degree) in the left eye and an inferior incision (270 degrees) in the right eye. Surgery and recovery were uneventful. Given a preexisting epiretinal membrane in the left eye, the patient was very happy with the uncorrected distance visual acuity outcome of 6/9 in the right eye and 6/18 in the left eye.

  2. Hand hygiene.

    PubMed

    Bolon, Maureen

    2011-03-01

    The toll of health care-associated infections on patients and the seeming ease of the procedure thought best able to prevent them have focused a spotlight onto hand hygiene performance. Poor performance of hand hygiene by health care workers inspires outrage in the general public. Much is understood regarding barriers to and motivators of hand hygiene performance. Guidelines encouraging use of alcohol-based hand hygiene agents have facilitated hand hygiene improvement efforts. These efforts and evidence that improved hand hygiene performance is associated with a reduction in health care-associated infections should encourage those in the hand hygiene campaigns.

  3. CO observations towards bright-rimmed clouds

    NASA Astrophysics Data System (ADS)

    Morgan, L. K.; Urquhart, J. S.; Thompson, M. A.

    2009-12-01

    Bright-rimmed clouds (BRCs) appear to be sites of triggered star formation induced through the propagation of shocks initiated by the expansion of nearby HII regions. Our main aim is to establish support for observations of star-forming activity within a sample of BRCs. A secondary aim is to establish a plausible link between such star formation and observed external influences. We have conducted CO (J = 2-1) observations using the James Clerk Maxwell Telescope to probe the environments of a sample of star-forming BRCs associated with embedded protostellar cores. Local thermodynamic equilibrium analysis allows the determination of the physical properties of these protostars and investigation of the structure and kinematic motions within the molecular gas. Using a combination of archival radio and mid-infrared data, and submillimeter observations, we have refined the Sugitani, Fukui and Ogura (SFO) catalogue, excluding 18 BRCs that do not show any evidence of photoionization induced collapse. Of the remaining 26 clouds that are being photoionized, we find 20 that are associated with embedded protostars. These 20 clouds are excellent candidates with which to further investigate the radiatively driven implosion mode of triggered star formation. Comparing the physical parameters of the triggered and untriggered samples, we find that the surface temperatures of the potentially triggered clouds are significantly higher (by ~10 K) than those in which triggering is considered unlikely. The higher surface temperatures found towards the sample of potentially triggered clouds are consistent with the hypothesis that these clouds are being externally heated through their exposure to the HII region.

  4. A Frosty Rim In False Color

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site]

    The theme for the weeks of 1/17 and 1/24 is the north polar region of Mars as seen in false color THEMIS images. Ice/frost will typically appear as bright blue in color; dust mantled ice will appear in tones of red/orange.

    Our final image combines the features of the past two days, with a dust covered frosty crater rim and the bluer sand dunes of the north polar region.

    Image information: VIS instrument. Latitude 70.1, Longitude 351.8 East (8.2 West). 40 meter/pixel resolution.

    Note: this THEMIS visual image has not been radiometrically nor geometrically calibrated for this preliminary release. An empirical correction has been performed to remove instrumental effects. A linear shift has been applied in the cross-track and down-track direction to approximate spacecraft and planetary motion. Fully calibrated and geometrically projected images will be released through the Planetary Data System in accordance with Project policies at a later time.

    NASA's Jet Propulsion Laboratory manages the 2001 Mars Odyssey mission for NASA's Office of Space Science, Washington, D.C. The Thermal Emission Imaging System (THEMIS) was developed by Arizona State University, Tempe, in collaboration with Raytheon Santa Barbara Remote Sensing. The THEMIS investigation is led by Dr. Philip Christensen at Arizona State University. Lockheed Martin Astronautics, Denver, is the prime contractor for the Odyssey project, and developed and built the orbiter. Mission operations are conducted jointly from Lockheed Martin and from JPL, a division of the California Institute of Technology in Pasadena.

  5. 14 CFR 382.103 - May a carrier leave a passenger unattended in a wheelchair or other device?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... in a wheelchair or other device? 382.103 Section 382.103 Aeronautics and Space OFFICE OF THE... leave a passenger unattended in a wheelchair or other device? As a carrier, you must not leave a... enplaning, deplaning, or connecting assistance in a ground wheelchair, boarding wheelchair, or other device...

  6. Rare diseases: matching wheelchair users with rare metabolic, neuromuscular or neurological disorders to electric powered indoor/outdoor wheelchairs (EPIOCs).

    PubMed

    De Souza, Lorraine H; Frank, Andrew O

    2016-08-01

    To describe the clinical features of electric powered indoor/outdoor wheelchair (EPIOC) users with rare diseases (RD) impacting on EPIOC provision and seating. 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. Fifty-four (27 male) EPIOC users, mean age 37.3 (SD 18.6, range 11-70) with RDs were identified and reviewed a mean of 64 (range 0-131) months after receiving their wheelchair. Diagnoses included 27 types of RDs including Friedreich's ataxia, motor neurone disease, osteogenesis imperfecta, arthrogryposis, cerebellar syndromes and others. Nineteen users had between them 36 comorbidities and 30 users had 44 ACFs likely to influence the prescription. Tilt-in-space was provided to 34 (63%) users and specialised seating to 17 (31%). Four users had between them complex control or interfacing issues. The complex and diverse clinical problems of those with RDs present unique challenges to the multiprofessional wheelchair team to maintain successful independent mobility and community living. Implications for Rehabilitation Powered mobility is a major therapeutic tool for those with rare diseases enhancing independence, participation, reducing pain and other clinical features. The challenge for rehabilitation professionals is reconciling the physical disabilities with the individual's need for function and participation whilst allowing for disease progression and/or growth. Powered wheelchair users with rare diseases with a (kypho) scoliosis require a wheelchair system that balances spine stability and movement to maximise residual upper limb and trunk function. The role of

  7. Rare diseases: matching wheelchair users with rare metabolic, neuromuscular or neurological disorders to electric powered indoor/outdoor wheelchairs (EPIOCs)

    PubMed Central

    De Souza, Lorraine H.; Frank, Andrew O.

    2016-01-01

    Abstract 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. Results: Fifty-four (27 male) EPIOC users, mean age 37.3 (SD 18.6, range 11–70) with RDs were identified and reviewed a mean of 64 (range 0–131) months after receiving their wheelchair. Diagnoses included 27 types of RDs including Friedreich’s ataxia, motor neurone disease, osteogenesis imperfecta, arthrogryposis, cerebellar syndromes and others. Nineteen users had between them 36 comorbidities and 30 users had 44 ACFs likely to influence the prescription. Tilt-in-space was provided to 34 (63%) users and specialised seating to 17 (31%). Four users had between them complex control or interfacing issues. Conclusions: The complex and diverse clinical problems of those with RDs present unique challenges to the multiprofessional wheelchair team to maintain successful independent mobility and community living.Implications for RehabilitationPowered mobility is a major therapeutic tool for those with rare diseases enhancing independence, participation, reducing pain and other clinical features.The challenge for rehabilitation professionals is reconciling the physical disabilities with the individual’s need for function and participation whilst allowing for disease progression and/or growth.Powered wheelchair users with rare diseases with a (kypho) scoliosis require a wheelchair system that balances spine stability and movement to maximise

  8. An evaluation of the taxi service available to wheelchair users.

    PubMed

    Cooney, M; Walsh, D; Gannon, S

    2007-06-01

    Adverse accounts of wheelchair user's experience of the taxi service have been reported. It is not clear whether these experiences are "once off" or reflect those of the user group. Wheelchair users living in cities throughout Ireland were surveyed. Of 306 questionnaires a response rate of 40.3% was achieved. Nearly 50% felt they had been refused a taxi because of their condition. Fifty one percent felt inadequately secured in a taxi with 35% rating driver's knowledge of handling as poor or very poor. Eight people (7%) had been injured as a result of unsafe handling by the taxi driver. Thirty percent said the modifications to the vehicles were inadequate and 45% said further modifications were needed. The results suggest that wheelchair users do not have access to a reliable, safe taxi service. The most important finding of the study was that that taxi driver's lack knowledge of how to handle and secure wheelchairs and people are being injured as a result. This study illustrates two things; the need to educate taxi drivers and the need to revisit the specifications for wheelchair accessible taxis to ensure modifications are adequate for users needs.

  9. A sports wheelchair for low-income countries.

    PubMed

    Authier, Erica L; Pearlman, Jon; Allegretti, Ana L; Rice, Ian; Cooper, Rory A

    Appropriate wheelchairs for basic mobility needs are still not commonly available in low-income countries, although several organizations are working toward this goal. After basic mobility is secured it is important to provide more diverse assistive technology to allow people with disabilities to more completely participate in society and live healthy lives. Our goal was to design an affordable sports wheelchair that would allow individuals in low-income countries to participate in basketball. Design requirements established for the sports wheelchair included: removable anti-tippers, adjustable tension backrest, 24'' wheels, adjustable seat dump, variable camber, 4'' casters, fore-aft axle position, removable bumpers, height adjustable footrest, four wheels, single anti-tipper (pivot), cost less than $125 without wheels, 16'' seat width and backrest height, and nylon upholstery. The wheelchair was designed using 3D modeling, standard materials, and standard tools. An affordable wheelchair, versatile enough to be used for a variety of sports and even everyday use, was designed and prototyped successfully. Documentation for the design including step-by-step directions, engineering drawings, and photographs are available at the Human Engineering Research Laboratories website (http://www.herlpitt.org/intw.htm). Future work on the prototype should include design refinement including adaptations for other sports, and standards testing.

  10. Comparing handrim biomechanics for treadmill and overground wheelchair propulsion

    PubMed Central

    Kwarciak, Andrew M.; Turner, Jeffrey T.; Guo, Liyun; Richter, W. Mark

    2010-01-01

    Study design Cross-sectional study. Objectives To compare handrim biomechanics recorded during overground propulsion to those recorded during propulsion on a motor-driven treadmill. Setting Biomechanics laboratory. Methods Twenty-eight manual wheelchair users propelled their own wheelchairs, at a self-selected speed, on a low-pile carpet and on a wheelchair accessible treadmill. Handrim biomechanics were recorded with an OptiPush instrumented wheelchair wheel. Results Across the two conditions, all handrim biomechanics were found to be similar and highly correlated (r > 0.85). Contact angle, peak force, average force, and peak axle moment differed by 1.6% or less across the two conditions. While not significant, power output and cadence tended to be slightly higher for the treadmill condition (3.5% and 3.6%, respectively), due to limitations in adjusting the treadmill grade. Conclusion Based on the results of this study, a motor-driven treadmill can serve as a valid surrogate for overground studies of wheelchair propulsion. PMID:21042332

  11. An approach to measure wheelchair stability. Concept and benefits.

    PubMed

    Stefanov, Dimitar H; Pasco, Damien

    2014-01-01

    Wheelchair stability is dependent on user's body characteristics that can shift significantly the original center of mass in the cases of limb amputation, severe skeletal deformities or obesity. The center of gravity may change with the installation of additional devices such as oxygen cylinders or ventilators on the wheelchair. Therefore, quantitative evaluation and prediction of the behavior of the user-wheelchair system in a variety of static and dynamic situations is essential for user's safety and for the optimal tuning of the human-wheelchair system. In this paper we discuss an approach for wheelchair stability assessment that only requires two inclinations and weight measurements. We also discuss the algorithm associated to the procedure based on the use of the reaction forces in the contact points of the wheels measured by the load cells. Further, the paper includes an analysis of the influence of the errors in measurement of the input parameters on the output results and demonstrates that the proposed approach possesses high accuracy. The advantage of the proposed approach is the use of a reliable procedure based on three simple steps and five weight measurements with four independent load scales which may lead to the design of an affordable and accurate measurement system.

  12. Sports Injuries in Wheelchair Rugby – A Pilot Study

    PubMed Central

    Bauerfeind, Joanna; Koper, Magdalena; Wieczorek, Jacek; Urbański, Piotr; Tasiemski, Tomasz

    2015-01-01

    The aim of the study was to analyze etiology and the incidence of sports injuries among wheelchair rugby players. Moreover, we verified if the levels of aggressiveness and anger presented by the athletes and their roles in the team influenced the incidence and severity of the injuries. The study involved 14 male players, members of the Polish National Wheelchair Rugby Team. During a 9-month period, the athletes participated in up to 9 training camps and 4 Wheelchair Rugby tournaments. The study was based on the Competitive Aggressiveness and Anger Scale, registry of sports injuries consulted and non-consulted with a physician and a demographic questionnaire. The following observations were made during the 9-month period corresponding to a mean of 25 training and tournament days: 1) wheelchair rugby players experienced primarily minor injuries (n=102) that did not require a medical intervention, 2) only four injuries needed to be consulted by a physician, 3) sports injuries occurred more frequently among offensive players than in defensive players, 4) offensive players showed a tendency to higher levels of anger and aggressiveness than defensive players. It can be concluded that wheelchair rugby is a discipline associated with a high incidence of minor injuries that do not require a medical intervention. The incidence rate of injuries during the analyzed period was 0.3 per athlete per training day. PMID:26834880

  13. Performance testing of collision-avoidance system for power wheelchairs.

    PubMed

    Lopresti, Edmund F; Sharma, Vinod; Simpson, Richard C; Mostowy, L Casimir

    2011-01-01

    The Drive-Safe System (DSS) is a collision-avoidance system for power wheelchairs designed to support people with mobility impairments who also have visual, upper-limb, or cognitive impairments. The DSS uses a distributed approach to provide an add-on, shared-control, navigation-assistance solution. In this project, the DSS was tested for engineering goals such as sensor coverage, maximum safe speed, maximum detection distance, and power consumption while the wheelchair was stationary or driven by an investigator. Results indicate that the DSS provided uniform, reliable sensor coverage around the wheelchair; detected obstacles as small as 3.2 mm at distances of at least 1.6 m; and attained a maximum safe speed of 4.2 km/h. The DSS can drive reliably as close as 15.2 cm from a wall, traverse doorways as narrow as 81.3 cm without interrupting forward movement, and reduce wheelchair battery life by only 3%. These results have implications for a practical system to support safe, independent mobility for veterans who acquire multiple disabilities during Active Duty or later in life. These tests indicate that a system utilizing relatively low cost ultrasound, infrared, and force sensors can effectively detect obstacles in the vicinity of a wheelchair.

  14. An Investigation of Bilateral Symmetry During Manual Wheelchair Propulsion.

    PubMed

    Soltau, Shelby L; Slowik, Jonathan S; Requejo, Philip S; Mulroy, Sara J; Neptune, Richard R

    2015-01-01

    Studies of manual wheelchair propulsion often assume bilateral symmetry to simplify data collection, processing, and analysis. However, the validity of this assumption is unclear. Most investigations of wheelchair propulsion symmetry have been limited by a relatively small sample size and a focus on a single propulsion condition (e.g., level propulsion at self-selected speed). The purpose of this study was to evaluate bilateral symmetry during manual wheelchair propulsion in a large group of subjects across different propulsion conditions. Three-dimensional kinematics and handrim kinetics along with spatiotemporal variables were collected and processed from 80 subjects with paraplegia while propelling their wheelchairs on a stationary ergometer during three different conditions: level propulsion at their self-selected speed (free), level propulsion at their fastest comfortable speed (fast), and propulsion on an 8% grade at their level, self-selected speed (graded). All kinematic variables had significant side-to-side differences, primarily in the graded condition. Push angle was the only spatiotemporal variable with a significant side-to-side difference, and only during the graded condition. No kinetic variables had significant side-to-side differences. The magnitudes of the kinematic differences were low, with only one difference exceeding 5°. With differences of such small magnitude, the bilateral symmetry assumption appears to be reasonable during manual wheelchair propulsion in subjects without significant upper-extremity pain or impairment. However, larger asymmetries may exist in individuals with secondary injuries and pain in their upper extremity and different etiologies of their neurological impairment.

  15. Towards an intelligent wheelchair system for users with cerebral palsy.

    PubMed

    Montesano, Luis; Díaz, Marta; Bhaskar, Sonu; Minguez, Javier

    2010-04-01

    This paper describes and evaluates an intelligent wheelchair, adapted for users with cognitive disabilities and mobility impairment. The study focuses on patients with cerebral palsy, one of the most common disorders affecting muscle control and coordination, thereby impairing movement. The wheelchair concept is an assistive device that allows the user to select arbitrary local destinations through a tactile screen interface. The device incorporates an automatic navigation system that drives the vehicle, avoiding obstacles even in unknown and dynamic scenarios. It provides the user with a high degree of autonomy, independent from a particular environment, i.e., not restricted to predefined conditions. To evaluate the rehabilitation device, a study was carried out with four subjects with cognitive impairments, between 11 and 16 years of age. They were first trained so as to get acquainted with the tactile interface and then were recruited to drive the wheelchair. Based on the experience with the subjects, an extensive evaluation of the intelligent wheelchair was provided from two perspectives: 1) based on the technical performance of the entire system and its components and 2) based on the behavior of the user (execution analysis, activity analysis, and competence analysis). The results indicated that the intelligent wheelchair effectively provided mobility and autonomy to the target population.

  16. Sports Injuries in Wheelchair Rugby - A Pilot Study.

    PubMed

    Bauerfeind, Joanna; Koper, Magdalena; Wieczorek, Jacek; Urbański, Piotr; Tasiemski, Tomasz

    2015-11-22

    The aim of the study was to analyze etiology and the incidence of sports injuries among wheelchair rugby players. Moreover, we verified if the levels of aggressiveness and anger presented by the athletes and their roles in the team influenced the incidence and severity of the injuries. The study involved 14 male players, members of the Polish National Wheelchair Rugby Team. During a 9-month period, the athletes participated in up to 9 training camps and 4 Wheelchair Rugby tournaments. The study was based on the Competitive Aggressiveness and Anger Scale, registry of sports injuries consulted and non-consulted with a physician and a demographic questionnaire. The following observations were made during the 9-month period corresponding to a mean of 25 training and tournament days: 1) wheelchair rugby players experienced primarily minor injuries (n=102) that did not require a medical intervention, 2) only four injuries needed to be consulted by a physician, 3) sports injuries occurred more frequently among offensive players than in defensive players, 4) offensive players showed a tendency to higher levels of anger and aggressiveness than defensive players. It can be concluded that wheelchair rugby is a discipline associated with a high incidence of minor injuries that do not require a medical intervention. The incidence rate of injuries during the analyzed period was 0.3 per athlete per training day.

  17. Wheelchair use: a physical sign in gastroenterological practice.

    PubMed

    Chiotakakou-Faliakou, E; Dave, U; Forbes, A

    1996-09-01

    Diagnosis of functional abdominal pain requires exclusion of organic causes, and many patients undergo considerable investigation. A positive physical sign supporting a functional diagnosis could therefore be of benefit. Wheelchair use specifically for abdominal symptoms was suspected to represent such a sign. Review of 300 consecutive new referrals to a gastroenterology clinic revealed 10 wheelchair users. In four women the chair was used because of the abdominal condition. The final diagnosis (with follow-up to at least 12 months) was functional abdominal pain in each of these cases. All four had had surgery without symptom relief, and all had used their chairs intermittently (mainly for social occasions and hospital visits) for at least 12 months. They believed that normal walking was rendered impossible by abdominal pain whereas the other six wheelchair users gave a clear account of lower limb pain or weakness. Secondary gain with reinforcement of the 'sick role' was felt to be the probable explanation for wheelchair use in the former group. Wheelchair attendance at the gastroenterology clinic, in the absence of lower limb symptoms, is a rare observation but one that may usefully be added to criteria for diagnosis of a functional disorder.

  18. Treadmill performance and selected physiological characteristics of wheelchair athletes.

    PubMed Central

    Lakomy, H K; Campbell, I; Williams, C

    1987-01-01

    The purpose of this study was to examine selected physiological characteristics and pushing performance over a distance of five kilometres (5 km) in twelve wheelchair athletes (10 paraplegics and 2 tetraplegics). The physiological tests and 5 km wheelchair time trials were performed on a motorised treadmill adapted for use by wheelchairs. The maximum oxygen uptake (VO2 max) and %VO2 max utilised at a fixed speed equivalent to a blood lactate concentration of 4 mmol.l-1, identified as being of importance in successful able-bodied endurance performance, were also found to correlate highly with 5 km performance in wheelchair athletes. Low correlations were found between performance and mean %VO2 max utilised over the whole distance and between performance and oxygen uptake at a standard speed. The results also showed that the tetraplegics had lower physiological reserves than the paraplegics, with a much reduced maximum heart rate and ventilation. The findings indicate that a combination of physiological characteristics influence pushing performance in wheelchair athletes. PMID:3676640

  19. Manual Wheelchair Use: Bouts of Mobility in Everyday Life

    PubMed Central

    Sonenblum, Sharon Eve; Sprigle, Stephen; Lopez, Ricardo A.

    2012-01-01

    Background. This study aimed to describe how people move about in manual wheelchairs (MWCs) during everyday life by evaluating bouts of mobility or continuous periods of movement. Methods. A convenience sample of 28 MWC users was recruited. Participants' everyday mobility was measured using a wheel-mounted accelerometer and seat occupancy switch for 1-2 weeks. Bouts of mobility were recorded and characterized. Results. Across 29,200 bouts, the median bout lasted 21 seconds and traveled 8.6 m at 0.43 m/s. 85% of recorded bouts lasted less than 1 minute and traveled less than 30 meters. Participants' daily wheelchair activity included 90 bouts and 1.6 km over 54 minutes. Average daily occupancy time was 11 hours during which participants wheeled 10 bouts/hour and spent 10% of their time wheeling. Spearman-Brown Prophecy analysis suggested that 7 days were sufficient to achieve a reliability of 0.8 for all bout variables. Conclusions. Short, slow bouts dominate wheelchair usage in a natural environment. Therefore, clinical evaluations and biomechanical research should reflect this by concentrating on initiating movement, maneuvering wheelchairs, and stopping. Bouts of mobility provide greater depth to our understanding of wheelchair use and are a more stable metric (day-to-day) than distance or time wheeled. PMID:22848837

  20. DETAIL OF THE GROOVED RIM ON TOP FACE OF CHAMBER ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    DETAIL OF THE GROOVED RIM ON TOP FACE OF CHAMBER SHELL, ALTITUDE CHAMBER L, FACING SOUTHWEST - Cape Canaveral Air Force Station, Launch Complex 39, Altitude Chambers, First Street, between Avenue D and Avenue E, Cape Canaveral, Brevard County, FL

  1. OUTER RIM OF CIRCLE, WITH LIVE OAK TREE AT LEFT ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    OUTER RIM OF CIRCLE, WITH LIVE OAK TREE AT LEFT FOREGROUND AND CEMETERY SECTION 25 IN BACKGROUND. VIEW TO WEST. - Barrancas National Cemetery, Naval Air Station, 80 Hovey Road, Pensacola, Escambia County, FL

  2. Super Rapid Scan Imagery of the California Rim Fire

    NASA Image and Video Library

    The GOES-14 provided many SRSOR loops of the California Rim Fire. A sequence of these GOES-14 SRSOR 0.63 µm visible channel images showed that the initial northward motion of the smoke plume began ...

  3. Rover Tracks in Northward View Along West Rim of Endeavour

    NASA Image and Video Library

    2014-09-09

    This scene from the Pancam on NASA Mars Exploration Rover Opportunity looks back toward part of the west rim of Endeavour Crater that the rover drove along, heading southward, during the summer of 2014.

  4. Rover Tracks in Stereo View Along Rim of Endeavour Crater

    NASA Image and Video Library

    2014-09-09

    This stereo 3D scene from the Pancam on NASA Mars Exploration Rover Opportunity looks back toward part of the west rim of Endeavour Crater that the rover drove along, heading southward, during the summer of 2014.

  5. Small Odyssey Crater on Rim of Huge Endeavour Crater

    NASA Image and Video Library

    2011-08-10

    NASA Mars Exploration Rover Opportunity arrived at the rim of Endeavour crater on Aug. 9, 2011, after a trek of more than 13 miles 21 kilometers lasting nearly three years since departing the rover previous major destination, Victoria crater.

  6. Bright and Dark at West Rim of Marcia Crater

    NASA Image and Video Library

    2012-03-21

    The interplay of bright and dark material at the rim of Marcia crater on Vesta is visible in this image mosaic taken by NASA Dawn spacecraft. The bright and dark material appear to be exposed from weathering.

  7. Chester Lake Bedrock on Rim of Endeavour Crater False Color

    NASA Image and Video Library

    2011-09-14

    An outcrop informally named Chester Lake is the second rock on the rim of Endeavour crater to be approached by NASA Mars Exploration Rover Opportunity for close inspection. Chester Lake is about 3 feet 1 meter across.

  8. 12. HALEMAUMAUUWEKAHUNA ROAD AT SOUTHWEST RIM OF KILAUEA CRATER, SHOWING ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    12. HALEMAUMAU-UWEKAHUNA ROAD AT SOUTHWEST RIM OF KILAUEA CRATER, SHOWING HEAVY FILL AND ROCK BANK. LOOKING EAST. FROM SUPERINTENDENT'S MONTHLY REPORT, JANUARY 1934. - Mauna Loa Road, Volcano, Hawaii County, HI

  9. View of Santa Maria Crater from Western Rim, Sol 2454

    NASA Image and Video Library

    2011-01-13

    This 360-degree mosaic of images from the navigation camera on NASA Mars Exploration Rover Opportunity shows the view from the western rim of Santa Maria crater. South is at the center, north at both ends.

  10. 19. Detail of original leveraction rim lock, downstairs door between ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    19. Detail of original lever-action rim lock, downstairs door between central hall and southwest room, looking northwest - Merkel Farmstead, House, 8570 Louella Lane, south side of U.S. Route 64, Shiloh, St. Clair County, IL

  11. Effect of Tire Pressure to Physical Workload at Operating a Manual Wheelchair.

    PubMed

    Booka, Masayuki; Yoneda, Ikuo; Hashizume, Tsutomu; Lee, Hokyoo; Oku, Hidehisa; Fujisawa, Shoichiro

    2015-01-01

    It is often experienced that low tire pressure of the wheelchair not only increases running resistance, but also reduces parking brake performance. In this study, the required driving forces for different tire pressures were experimentally measured and evaluated. It was indicated from the result that the wheelchair with proper tire pressure could be run with less workload of wheelchair-user. Then it was also indicated that the wheelchair with a lower tire pressure needed more workload of wheelchair-user even on hard level surface.

  12. Lower-Rim Substituted Calixarenes and Their Applications

    PubMed Central

    Jose, Princy; Menon, Shobana

    2007-01-01

    This review discusses in detail “calixarenes” since their discovery as by-products of the phenol formaldehyde bakelites till the present scenario wherein calixarene has assumed a new dimension in the field of supramolecular chemistry. Extensive literature exists for calixarenes; but herein we have tried to concentrate on the different lower-rim modified calixarenes with their potential applications. An attempt has also been made to critically evaluate the synthesis procedures for different lower-rim substituted calixarenes. PMID:17611612

  13. Rimmed and edge thickened stodola shaped flywheel. [Patent application

    DOEpatents

    Kulkarni, S.V.; Stone, R.G.

    1980-09-24

    A flywheel is described that is useful for energy storage in a hybrid vehicle automotive power system or in some stationary applications. The flywheel has a body composed of essentially planar isotropic high strength material. The flywheel body is enclosed by a rim of circumferentially wound fiber embedded in resin. The rim promotes flywheel safety and survivability. The flywheel has a truncated and edge thickened Stodola shape designed to optimize system mass and energy storage capability.

  14. Modeling the growth of chondrule rims with molecular dynamics

    NASA Astrophysics Data System (ADS)

    Xiang, Chuchu; Matthews, Lorin; Carballido, Augusto; Morris, Melissa; Hyde, Truell

    2017-06-01

    We present a method to investigate the structure of dust rims formed around chondrules as the latter sweep up dust in the nebula gas. We use an N-body code to investigate growth of a chondrule rim through the collision of micron-sized aggregates with a mm-sized spherical body. The code models the detailed collision processes of micron-sized aggregates, taking into account the aggregate morphology, trajectory, and orientation of the colliding grains. The aggregates are formed from silicate spheres with a power law distribution in radius. In each iteration, a dust aggregate is shot towards the chondrule, with the relative velocity between the dust aggregate and chondrule determined by coupling of the particles to the turbulent gas environment. The possible collision outcomes are sticking at the point of contact, bouncing, or rolling on the surface, which results in compaction, as determined by the critical bouncing velocity and critical rolling energy. The resulting chondrule rim is divided into layers for analysis. Preliminary results show that the innermost layer has the highest compactness factor, and the porosity increases with distance from the chondrule center. The size distribution of monomers in each layer shows that the outer layers tend to have a higher ratio of large monomers to small monomers. As the porosity of the dust rim plays an important role in the collision between chondrules, these results provide useful information for predicting compound object growth. As cosmic dust becomes charged in the radiative plasma environment, we will also present results comparing the formation of rims from neutral aggregates and rims formed in an environment where the chondrule and aggregates are charged. Our results will be compared with data from disaggregation of rimmed chondrules in CV chondrites (Paque & Cuzzi 1997), which show a near-linear relation between chondrule radius and rim thickness.

  15. Dynamics of squeezing fluids: Clapping wet hands

    NASA Astrophysics Data System (ADS)

    Gart, Sean; Chang, Brian; Slama, Brice; Goodnight, Randy; Um, Soong Ho; Jung, Sunghwan

    2013-08-01

    Droplets splash around when a fluid volume is quickly compressed. This phenomenon has been observed during common activities such as kids clapping with wet hands. The underlying mechanism involves a fluid volume being compressed vertically between two objects. This compression causes the fluid volume to be ejected radially and thereby generate fluid threads and droplets at a high speed. In this study, we designed and performed laboratory experiments to observe the process of thread and drop formation after a fluid is squeezed. A thicker rim at the outer edge forms and moves after the squeezing, and then becomes unstable and breaks into smaller drops. This process differs from previous well-known examples (i.e., transient crown splashes and continuous water bells) in aspects of transient fluid feeding, expanding rim dynamics, or sparsely distributed drops. We compared experimental measurements with theoretical models over three different stages; early squeezing, intermediate sheet-expansion, and later break-up of the liquid thread. In the earlier stage, the fluid is squeezed and its initial velocity is governed by the lubrication force. The outer rim of the liquid sheet forms curved trajectories due to gravity, inertia, drag, and surface tension. At the late stage, drop spacing set by the initial capillary instability does not change in the course of rim expansion, consequently final ejected droplets are very sparse compared to the size of the rim.

  16. Schiaparelli Crater Rim and Interior Deposits

    NASA Technical Reports Server (NTRS)

    1998-01-01

    A portion of the rim and interior of the large impact crater Schiaparelli is seen at different resolutions in images acquired October 18, 1997 by the Mars Global Surveyor Orbiter Camera (MOC) and by the Viking Orbiter 1 twenty years earlier. The left image is a MOC wide angle camera 'context' image showing much of the eastern portion of the crater at roughly 1 km (0.6 mi) per picture element. The image is about 390 by 730 km (240 X 450 miles). Shown within the wide angle image is the outline of a portion of the best Viking image (center, 371S53), acquired at a resolution of about 240 m/pixel (790 feet). The area covered is 144 X 144 km (89 X 89 miles). The right image is the high resolution narrow angle camera view. The area covered is very small--3.9 X 10.2 km (2.4 X 6.33 mi)--but is seen at 63 times higher resolution than the Viking image. The subdued relief and bright surface are attributed to blanketing by dust; many small craters have been completely filled in, and only the most recent (and very small) craters appear sharp and bowl-shaped. Some of the small craters are only 10-12 m (30-35 feet) across. Occasional dark streaks on steeper slopes are small debris slides that have probably occurred in the past few decades. The two prominent, narrow ridges in the center of the image may be related to the adjustment of the crater floor to age or the weight of the material filling the basin.

    Malin Space Science Systems (MSSS) and the California Institute of Technology built the MOC using spare hardware from the Mars Observer mission. MSSS operates the camera from its facilities in San Diego, CA. The Jet Propulsion Laboratory's Mars Surveyor Operations Project operates the Mars Global Surveyor spacecraft with its industrial partner, Lockheed Martin Astronautics, from facilities in Pasadena, CA and Denver, CO.

  17. Southern rim of Isidis Planitia basin

    NASA Technical Reports Server (NTRS)

    2002-01-01

    (Released 11 April 2002) The Science This image, crossing the southern rim of the Isidis Planitia basin, displays the contrasting morphologies of the relatively rough highland terrain (in the lower portion of the image) and the relatively smooth materials of the basin (at top). Upon closer viewing, the basin materials display an extensive record of cratering, including a small cluster of craters just north and west of the two prominent craters in the upper part of the image. This cluster of craters may represent what are called 'secondary' craters, which are craters that form as a result of the ejection of debris from a nearby impact. Alternatively, these craters may have formed simultaneously by the impact of many pieces of a larger meteoroid that broke up upon entry into Mars' atmosphere. The large craters in the image are approximately 800 meters (875 yards) in diameter. Also visible in the image are dark streaks on the east-facing side of the north-south trending ridge. These streaks are likely the result of debris movement down slope. A dark patch of material is visible at the left of the image; dark materials are typically mobile sands, and linear dune forms are apparent within the dark patch. The Story Battered and beaten up, the surface of Mars reads like a history book to geologists, who want to study what has happened to the red planet over its geological history. Look for two larger craters diagonal from one another in the northern part of this image, and then for the smattering of tinier craters near them. How did these smaller craters come to be? Did a large meteoroid streak in through the Martian atmosphere and get broken up as it passed through, pummeling Mars moments later with its smaller, scattered pieces? Or were rocks and dirt blasted off the surface when the two larger craters were formed, only to rain down again on Mars shortly afterwards? No one quite knows for sure.... Another enigmatic-looking feature is near the left center of this image

  18. Motion analysis of wheelchair propulsion movements in hemiplegic patients: effect of a wheelchair cushion on suppressing posterior pelvic tilt.

    PubMed

    Kawada, Kyohei; Matsuda, Tadamitsu; Takanashi, Akira; Miyazima, Shigeki; Yamamoto, Sumiko

    2015-03-01

    [Purpose] This study sought to ascertain whether, in hemiplegic patients, the effect of a wheelchair cushion to suppress pelvic posterior tilt when initiating wheelchair propulsion would continue in subsequent propulsions. [Subjects] Eighteen hemiplegic patients who were able to propel a wheelchair in a seated position participated in this study. [Methods] An adjustable wheelchair was fitted with a cushion that had an anchoring function, and a thigh pad on the propulsion side was removed. Propulsion movements from the seated position without moving through three propulsion cycles were measured using a three-dimensional motion analysis system, and electromyography was used to determine the angle of pelvic posterior tilt, muscle activity of the biceps femoris long head, and propulsion speed. [Results] Pelvic posterior tilt could be suppressed through the three propulsion cycles, which served to increase propulsion speed. Muscle activity of the biceps femoris long head was highest when initiating propulsion and decreased thereafter. [Conclusion] The effect of the wheelchair cushion on suppressing pelvic posterior tilt continued through three propulsion cycles.

  19. VARIABILITY OF PEAK SHOULDER FORCE DURING WHEELCHAIR PROPULSION IN MANUAL WHEELCHAIR USERS WITH AND WITHOUT SHOULDER PAIN

    PubMed Central

    Moon, Y.; Chandrasekaran, J.; Hsu, I.M.K.; Rice, I.M.; Hsiao-Wecksler, E.T.; Sosnoff, J.J.

    2013-01-01

    Background Manual wheelchair users report a high prevalence of shoulder pain. Growing evidence shows that variability in forces applied to biological tissue is related to musculoskeletal pain. The purpose of this study was to examine the variability of forces acting on the shoulder during wheelchair propulsion as a function of shoulder pain. Methods Twenty-four manual wheelchair users (13 with pain, 11 without pain) participated in the investigation. Kinetic and kinematic data of wheelchair propulsion were recorded for three minutes maintaining a constant speed at three distinct propulsion speeds (fast speed of 1.1 m/s, a self-selected speed, and a slow speed of 0.7 m/s). Peak resultant shoulder forces in the push phase were calculated using inverse dynamics. Within individual variability was quantified as the coefficient of variation of cycle to cycle peak resultant forces. Findings There was no difference in mean peak shoulder resultant force between groups. The pain group had significantly smaller variability of peak resultant force than the no pain group (p < 0.01, η2 = 0.18). Interpretation The observations raise the possibility that propulsion variability could be a novel marker of upper limb pain in manual wheelchair users. PMID:24210512

  20. Development, construct validity and test-retest reliability of a field-based wheelchair mobility performance test for wheelchair basketball.

    PubMed

    de Witte, Annemarie M H; Hoozemans, Marco J M; Berger, Monique A M; van der Slikke, Rienk M A; van der Woude, Lucas H V; Veeger, Dirkjan H E J

    2017-01-16

    The aim of this study was to develop and describe a wheelchair mobility performance test in wheelchair basketball and to assess its construct validity and reliability. To mimic mobility performance of wheelchair basketball matches in a standardised manner, a test was designed based on observation of wheelchair basketball matches and expert judgement. Forty-six players performed the test to determine its validity and 23 players performed the test twice for reliability. Independent-samples t-tests were used to assess whether the times needed to complete the test were different for classifications, playing standards and sex. Intraclass correlation coefficients (ICC) were calculated to quantify reliability of performance times. Males performed better than females (P < 0.001, effect size [ES] = -1.26) and international men performed better than national men (P < 0.001, ES = -1.62). Performance time of low (≤2.5) and high (≥3.0) classification players was borderline not significant with a moderate ES (P = 0.06, ES = 0.58). The reliability was excellent for overall performance time (ICC = 0.95). These results show that the test can be used as a standardised mobility performance test to validly and reliably assess the capacity in mobility performance of elite wheelchair basketball athletes. Furthermore, the described methodology of development is recommended for use in other sports to develop sport-specific tests.