Evaluating the Functionality and Usability of Two Novel Wheelchair Anti‐Rollback Devices for Ramp Ascent in Manual Wheelchair Users With Spinal Cord Injury

Deems-Dluhy, Susan; Jayaraman, Chandrasekaran; Green, Steve; Albert, Mark V.; Jayaraman, Arun

doi:10.1016/j.pmrj.2016.09.007

Cited by 5 publications

(7 citation statements)

References 25 publications

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“…Figure 6 shows the pooled prevalence of wrist pain in wheelchair users, following the meta-analysis of four available studies [ 11 , 25 , 29 , 31 ]. The pooled prevalence was 23% (95% CI 10–47%).…”

Section: Resultsmentioning

confidence: 99%

“…Elbow [ 11 , 12 , 25 , 29 ], forearm [ 25 ], wrist [ 11 , 25 , 29 , 31 ] and hand pain [ 11 , 25 , 29 ] occurs as a result of overuse during propulsion.…”

Section: Resultsmentioning

confidence: 99%

“…7 Forest plot of the prevalence of neck musculoskeletal pain amongst wheelchair users Fig. 8 Forest plot of the prevalence of hand musculoskeletal pain amongst wheelchair users Figure 6 shows the pooled prevalence of wrist pain in wheelchair users, following the meta-analysis of four available studies [11,25,29,31]. The pooled prevalence was 23% (95% CI 10-47%).…”

Section: Prevalencementioning

confidence: 99%

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Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

et al. 2021

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Introduction: Wheelchair users are at a high risk of experiencing non-neuropathic pain of musculoskeletal origin as a result of being wheelchair-bound. The aim of this systematic review was to establish the prevalence of musculoskeletal pain in wheelchair users that is attributable to wheelchair use, and to describe the different pain syndromes and discuss risk factors and management options. Methods: After a systematic MEDLINE search, we identified 40 papers eligible for inclusion. Results: The pooled prevalence of musculoskeletal pain at any location was 50% (95% CI 33-67%). The most common pain syndrome was shoulder pain (pooled prevalence 44%, 95% CI 36-52%). Wheelchair users were 5.8 times as likely to suffer from shoulder pain as controls (95% CI 2.7-12.2, p \ 0.0001). Other pain syndromes included neck, elbow, wrist, hand and low back pain.Older age and increased duration of wheelchair use were the most significant determinants of pain in wheelchair users. Conclusions: Musculoskeletal pain as a result of wheelchair use is very common amongst wheelchair users. Management of pain should follow national and international guidelines. Optimal adjustment of seating position may prevent pain, and is important to be taken into consideration.

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Section: Resultsmentioning

confidence: 99%

“…Elbow [ 11 , 12 , 25 , 29 ], forearm [ 25 ], wrist [ 11 , 25 , 29 , 31 ] and hand pain [ 11 , 25 , 29 ] occurs as a result of overuse during propulsion.…”

Section: Resultsmentioning

confidence: 99%

Section: Prevalencementioning

confidence: 99%

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Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

et al. 2021

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“…Wheelchairs facilitate access by users in the community. However, according to the 2011 Wheelchair Safety Accident Survey Report, 65.2% of users reported that they experienced pressure sores due to sitting for a long time [6].…”

Section: Introductionmentioning

confidence: 99%

Pressure distribution in tilting and reclining wheelchairs with an air cushion: A pilot study

Choi

Lee

Choi

et al. 2021

Biomedical Human Kinetics

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Study aim: The aim of this study was to determine the optimal angle for maximizing pressure distribution in two types of wheelchairs (tilting and reclining) while using a ROHO cushion, which offers relatively effective pressure distribution. Material and methods: This study enrolled 28 male and female college students who understood the purpose of the study and agreed to participate. This study aimed to determine the optimal angle for tilting and reclining wheelchairs when using a ROHO cushion at angles of 10°, 20°, and 30° with tilted wheelchairs and 90°, 110°, and 130° with reclining wheelchairs. Results: The analysis showed that an improved pressure distribution when a tilting wheelchair was used versus a reclining one. A reclining position of ≥110° and a tilt angle of ≥20° led to significant pressure-reducing effects. Conclusion: The results of this study will help wheelchair users or their guardians to select the optimal wheelchair angle when changing their posture to prevent bedsores. Although no slippage was observed in our study, it is important to remember the proper back position to prevent unnecessary slippage.

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“…The Quebec User Evaluation of Satisfaction with Assistive Technology obtains user feedback on their satisfaction with any assistive device (Demers et al 2002 ). It can and has been used in comparative effectiveness studies assessing user satisfaction with assistive technology (Deems-Dluhy et al 2016 ; Sadiya, Pattnaik & Mohanty 2016 ). However, it is not a physical performance measure and does not supply information specific to wheelchair mobility.…”

Section: Introductionmentioning

confidence: 99%

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

Rispin¹,

Hamm²,

Wee³

2017

Afr. j. disabil.

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BackgroundComparative 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.ObjectivesThe 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.MethodParticipants 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.ResultsThe protocol demonstrated the ability to discriminate changes in mobility of individuals because of wheelchair type.ConclusionComparative effectiveness studies with this protocol can enable beneficial change. This is illustrated by design alterations by wheelchair manufacturers in response to results.

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Evaluating the Functionality and Usability of Two Novel Wheelchair Anti‐Rollback Devices for Ramp Ascent in Manual Wheelchair Users With Spinal Cord Injury

Abstract: IV.

Cited by 5 publications

References 25 publications

Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

Musculoskeletal Pain Due to Wheelchair Use: A Systematic Review and Meta-Analysis

Pressure distribution in tilting and reclining wheelchairs with an air cushion: A pilot study

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

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