Development and efficacy of an online wheelchair maintenance training program for wheelchair personnel

Muñera, Sara; Pearlman, Jonathan; Toro, Maria Luisa; Worobey, Lynn A.; Boninger, Michael L.; Cooper, Rory A.

doi:10.1080/10400435.2019.1619632

Cited by 8 publications

(3 citation statements)

References 16 publications

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“…Similarly, in a randomized control trial, a wheelchair maintenance intervention with 216 wheelchair users found that maintenance significantly reduced breakdown incidence [72]. To support preventative maintenance, training programs have been developed for both in-person and remote training and proven effective in increasing the ability for service providers, wheelchair users and their caregivers to perform preventative maintenance [72,73]. While these efforts have been fruitful in developing standardized training packages that can support and help to promote routine maintenance, if the wheelchair is poorly designed, it will break down, sometimes catastrophically, regardless of the maintenance performed.…”

Section: Key Positionsmentioning

confidence: 98%

“…For instance, a study of 95 wheelchair users found that lack of routine maintenance was associated with a 10-fold increase in the likelihood of a wheelchair breakdown [71]. Similarly, in a randomized control trial, a wheelchair maintenance intervention with 216 wheelchair users found that maintenance significantly reduced breakdown incidence [72]. To support preventative maintenance, training programs have been developed for both in-person and remote training and proven effective in increasing the ability for service providers, wheelchair users and their caregivers to perform preventative maintenance [72,73].…”

Section: Key Positionsmentioning

confidence: 99%

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Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper

Gowran

Bray

Goldberg

et al. 2021

IJERPH

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Introduction: Appropriate wheelchairs are often essential for the health and wellbeing of people with mobility impairments to enhance fundamental freedoms and equal opportunity. To date, provision has mainly focused on just delivering the wheelchair instead of following an evidence-based wheelchair service delivery process. In addition, many governments have not committed to a national wheelchair provision policy. Approach: To prepare this position paper, a systemic development model, founded on the sustainable human security paradigm, was employed to explore the global challenges to accessing appropriate wheelchairs. Positions: I: Consideration of key perspectives of wheelchair provision across the life course is essential to meet the needs to children, adults, older people and their families; II: Comprehensive wheelchair service delivery processes and a competent workforce are essential to ensure appropriate wheelchair service provision; III: Evaluations on wheelchair product quality development, performance and procurement standards are key as wheelchair product quality is generally poor; IV: Understanding the economic landscape when providing wheelchairs is critical. Wheelchair funding systems vary across jurisdictions; V: Establishing wheelchair provision policy is a key priority, as specific policy is limited globally. Conclusion: The vision is to take positive action to develop appropriate and sustainable wheelchair service provision systems globally, for me, for you, for us.

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Section: Key Positionsmentioning

confidence: 98%

Section: Key Positionsmentioning

confidence: 99%

Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper

Gowran

Bray

Goldberg

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, this study will potentially identify design and maintenance strategies to optimize RR during wheelchair use and that can be used to refine existing maintenance procedures. 24 , 25 In addition, the outcomes will help clarify if environmental factors add risk for repetitive strain injuries (RSI). Our research question is to explore if wear and tear on wheelchair casters due to environmental factors impact RR over time.…”

Section: Introductionmentioning

confidence: 99%

Rolling resistance of casters increases significantly after two years of simulated use

Wilson-Jene

Mhatre

Ott

et al. 2021

Journal of Rehabilitation and Assistive Technologies Engineerin

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Introduction Manual wheelchair propulsion is associated with upper limb pain and injury, and clinical guidelines recommend minimizing propulsive force to lower health risks. One of the strategies to reduce propulsive force is by minimizing rolling resistance (RR). Product testing studies suggest that RR of casters is affected by wear and tear which could have implications on the health risk of wheelchair users. The study will investigate the relationship between caster RR and environmental exposure using standard testing protocols. Methods RR of ten casters representing a range of diameters for different models of wheelchairs were measured before and after environmental exposure that includes corrosion, shock and abrasion simulating two years of community use. Results Four casters exhibited failures during durability testing, one catastrophically. Increases to RR after corrosion, shock and abrasion exposure were statistically significant using mixed-effects modeling, and four casters had increased RR greater than 20%. Conclusions Many of the casters evaluated exhibited increased RR forces and failure after environmental exposure. Improved caster design and use of corrosion resistant materials may reduce these failures. In addition, modification of the provision process could include replacement casters to reduce failures and avoid breakdowns that leave manual wheelchair users stranded or injured.

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Effectiveness of Group Wheelchair Maintenance Training for People with Spinal Cord Injury: A Randomized Controlled Trial

Worobey

McKernan

Toro

et al. 2022

Archives of Physical Medicine and Rehabilitation

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Development and efficacy of an online wheelchair maintenance training program for wheelchair personnel

Cited by 8 publications

References 16 publications

Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper

Understanding the Global Challenges to Accessing Appropriate Wheelchairs: Position Paper

Rolling resistance of casters increases significantly after two years of simulated use

Effectiveness of Group Wheelchair Maintenance Training for People with Spinal Cord Injury: A Randomized Controlled Trial

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