Comparison of activities of daily living in two different one arm drive wheelchairs: a controlled trial

Bashton, Daisy; Mandy, Anne; Haines, David; Cameron, Josh

doi:10.3109/17483107.2011.574247

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Many elderly individuals with multiple comorbidities such as cardiovascular disease, hypertension, arthritis, and peripheral neuropathies that affect their physical capacity propel with all 4 extremities for maximum benefit. The typical MWC user with hemiplegia propels their wheelchair using their unaffected arm and leg [201-205]. The seat height must be low enough and their pelvis stable on a supportive cushion to prevent sliding out of the seat in an attempt to use their leg for propulsion and steering [203].…”

Section: Optimize User–wheelchair Interface For Propulsion and Functionmentioning

confidence: 99%

Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users

Requejo

Furumasu

Mulroy

2015

Topics in Geriatric Rehabilitation

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Elderly and aging manual wheelchair (MWC) users have increased risk for accelerated loss of function and mobility that greatly limits independence and affects quality of life. This review paper addresses important issues for preserving function and mobility for elderly and aging individuals who use a MWC by presenting the current available evidence and recommendations. These include recommendations for maximizing function, by decreasing pain, improving the ability to self-propel, and prolonging mobility and endurance through ergonomics, individualized wheelchair selection and configuration, and adaptations for increasing the capacity to handle the daily mobility demands through training, strengthening, and exercise. Each recommendation is supported by current research in each relevant area.

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Section: Optimize User–wheelchair Interface For Propulsion and Functionmentioning

confidence: 99%

Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users

Requejo

Furumasu

Mulroy

2015

Topics in Geriatric Rehabilitation

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“…Commonly used one arm drive manual wheelchairs include the lever-drive mechanism, the dual handrim mechanism both of which are inefficient and difficult to manoeuvre. The Neater Uniwheelchair (NUW) is a recent development, designed specifically for hemiplegic users which has been extensively researched [Mandy et al 7,8,9,10,11]. It is an Action 3 wheelchair to which a novel propulsion and steering kit is attached.…”

Section: Introductionmentioning

confidence: 99%

Shoulder EMG activity in three different one arm drive wheelchairs

Redhead¹,

Mandy²

2015

TAD

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BACKGROUND: There is limited research exploring shoulder activity in different one arm drive wheelchairs. OBJECTIVE: To compare EMG activity in six muscles surrounding the shoulder joint during propulsion of three different modified Action3 manual one arm drive wheelchairs. Surface EMG was measured during dynamic propulsion of each wheelchair during propulsion around an indoor obstacle course. METHODS: Seventeen non-disabled users were randomly assigned to each wheelchair in turn. The EMG data was measured using the biometrics data link system v 7.5. Total activity levels for each muscle were calculated per user per wheelchair. RESULTS: The NuDrive produced the highest levels of activity in triceps muscle in straight running and also in biceps and pectoralis major over mats and around corners. The Neater produced the lowest levels of activity in biceps and pectoralis major over mats and around corners. There was no significant difference in activity in the other muscles in the different wheelchairs. CONCLUSIONS: The results indicate that fatigue could result from propelling certain one arm drive wheelchairs. They will also help to inform clinical decision making in the prescription of wheelchairs in this group. The contribution of findings would support the need to replicate the study in a user population

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“…In addition the kits can be attached to either side for use by either right- or left-handed users (insert Figures 1 and 2) and can include both components or only the steering mechanism. The body of work to date, comparing the NUW to existing provision, suggests that the NUW is ergonomically more efficient to drive and preferred by users in a laboratory setting [11, 12], in their own homes [12, 13], and in simulated activities of daily living setting [14]. These studies suggested that NUW could meet the unmet needs of the hemiplegic user group and provide them with additional choice in their wheelchair provision.…”

Section: Introductionmentioning

confidence: 99%

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

Mandy

Redhead

Michaelis³

2014

BioMed Research International

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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.

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Comparison of activities of daily living in two different one arm drive wheelchairs: a controlled trial

Abstract: ADL tasks in the NUW were completed more efficiently with no loss in quality of motor and process skills performance. This suggests that the NUW is a viable alternative to current one arm drive provision.

Cited by 6 publications

References 20 publications

Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users

Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users

Shoulder EMG activity in three different one arm drive wheelchairs

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

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