The power of power wheelchairs: Mobility choices of community-dwelling, older adults

Mortenson, W. Ben; Hammell, Karen Whalley; Luts, Anneli; Soles, Chelsea; Miller, William C.

doi:10.3109/11038128.2015.1049289

Cited by 27 publications

(20 citation statements)

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“…Equipment use after stroke has been associated with personal factors (Scherer et al., 2011) and the timing of the introduction of equipment. For instance, three distinct stages of equipment use have been proposed in relation to the optimal timing of powered mobility aids: reluctant use, strategic use and essential use (Mortenson et al., 2015). It has also been suggested that the relationship between how someone with a disability views themselves and their abilities, as well as their equipment, impacts on equipment use (Lund and Nygard, 2003).…”

Section: Introductionmentioning

confidence: 99%

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

Boland

Levack

Perry

et al. 2016

British Journal of Occupational Therapy

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The aim of this scoping review was to examine and synthesise literature on adaptive equipment use for personal care and mobility after stroke. Method: We searched databases including Medline, EMBASE, AMED, CINAHL and Scopus to February 2016. Two authors independently screened 789 titles, identifying 28 studies for inclusion in the review. Results: Findings were grouped into four themes: (1) stroke-specific impairments and consequences for equipment use and training; (2) meaning of equipment for people with stroke; (3) cost of equipment after stroke; and (4) conflicts between equipment provision and models of stroke rehabilitation. Conclusion: The wide range of impairments after stroke increases complexity of how people use equipment. Nonetheless, training needs and the relationship between social context, identity and equipment use are increasingly better understood,. The findings highlight a tension between practice that seeks to retrain function by 'normal' movement without equipment and restoration of function by using compensation strategies involving use of equipment. However, there is no evidence that compensation strategies impede recovery of physical abilities. High-quality evidence about costs of equipment after stroke, which could inform policy decisions, is urgently needed.

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Section: Introductionmentioning

confidence: 99%

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

Boland

Levack

Perry

et al. 2016

British Journal of Occupational Therapy

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“…These barriers include poorly maintained footpath infrastructure, difficult road crossings and the threat of embarrassment (Blaylock et al, 2015;Brouwer et al, 2008;Gallagher et al, 2011;McGrath et al, 2017;Montarzino et al, 2007). The need to improve community mobility conditions seems obvious, and is also supported by a range of other studies into the experiences of pedestrians with visual impairment, powered mobility device users and older pedestrians (Blaylock et al, 2015;Brouwer et al, 2008;Fomiatti et al, 2014;Gallagher et al, 2011;McGrath et al, 2017;May et al, 2010;Montarzino et al, 2007;Mortenson et al, 2015;Wilton and Davey, 2007).…”

Section: Key Resultsmentioning

confidence: 98%

“…They also suggest that occupational therapists have the necessary skills for comprehensive scooter assessment considering the range of suggested prerequisite skills (Townsend and Watson, 2013), and undoubtedly such a role is a natural progression from well-established roles in assessment of vehicle driving and wheelchair prescription. Occupational therapists are researching scooter use, as shown by studies from Australia (Maywald and Stanley, 2015), Canada (Mortenson et al., 2015) and the Netherlands (Cordes et al., 2018). As occupational therapists develop their role regarding scooters, evidence-based practice is essential to ensure decision-making is supported and consistent, especially for novice occupational therapists working in scooter prescription (Maywald and Stanley, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Although self-regulation is not usually applied to scooter use, it can be seen that common strategies occur across both driving and scooter use. For example, both drivers and scooter users may choose a quieter time of day to go out, they may increase levels of concentration, and restrict travel to familiar routes (Donorfio et al., 2008; Fomiatti et al., 2014; May et al., 2010; Mortenson et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

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Self-regulation when using a mobility scooter: The experiences of older adults with visual impairments

McMullan

Butler

2019

British Journal of Occupational Therapy

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Introduction: Individuals with visual impairment may choose to use a mobility scooter for meaningful community mobility. This study investigated what self-regulation strategies older adults with visual impairment employed to ensure effective mobility scooter use. Method: This interpretive description study used multiple methods, including participant observation and semi-structured interviews. Among the 15 participants, a variety of visual impairments was represented. Results: Participants described the various reasons for getting a scooter. They also detailed risks and barriers that warranted self-regulation strategies including the environment, the visual impairment and the attitudinal approaches. Conclusion: Barriers to community participation are common for people with visual impairment. This study adds detailed accounts of strategies for the competent management of such barriers using self-regulation practices. These practices can be applied in the community to maintain/improve infrastructure accessibility, address public understanding of scooter use and educate individuals with visual impairment of strategies to improve their scooter use.

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“…The design of wheelchair for users of a developed country might be inadequate in comparison to a developing country such as India because the users' needs are completely different. A number of studies have been performed to understand the technological needs and desires of users of wheelchair [6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Comprehensive Needs Assessment Study and Deployment of QFD Targeted at New Wheelchair Design

Desai¹,

Mantha²,

Phalle³

2017

IRJ

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Objectives: Extensive use of wheelchair increases caregiver dependency, risk of bedsores, risk of injury during transfer, and so on, and it effectively decreases quality of life, safety, and comfort of the people with disability. Therefore, improving the design of wheelchairs is highly essential in promoting the quality of life and level of participation among people with disability. The design of wheelchair for users of a developed country might be inadequate in comparison to a developing country such as India because the users' needs and driving conditions are completely different. Therefore, the primary objective of this study was to understand the perspective of Indian wheelchair users through comprehensive needs assessment study and to recognize the primary design parameters and to prioritize them for evidence-based design solution.Methods: A preliminary analysis was conducted through direct surveillance of wheelchairs (manual and electric) and deliberations with the healthcare professionals. Observations of this analysis were used to guide the design of the research questionnaire and interview guide. Comprehensive quantitative and qualitative data related to the design of the wheelchair were provided by a sample of 115 wheelchair users. The assessment of needs and expectations was performed by using the framework approach and with SPSS tool. Then, the data were further analyzed using Quality Function Deployment (QFD) design through House of Quality (HoQ) tool to recognize and prioritize design parameters for evidence-based design targeted at enhancement of quality of life of people with disability.Results: Four key themes emerged: 1. Difficulties in transfer from wheelchair to and from bed; 2. Difficulty to stand from seating position; 3. Problems in using commode; and 4. Risk of bedsores due to extensive use of wheelchair. Furthermore, QFD-based analysis revealed that out of 11 design parameters recommended by cross-functional team based on needs assessment study the following parameters received the highest technical importance: 1. Sit to stand transfer feature (13.90%); 2. Bedsore prevention feature (12.60%); 3. Sit to sleep transfer feature (12.00%); and 4. Adjustable backrest with multi-posture adjustment feature (11.20%). Discussion:The results of this study are useful in understanding the perspective of Indian wheelchair users' needs toward evidence-based wheelchair design. The design parameters with high absolute and relative technical importance can be selected to design new wheelchairs for Indian users in order to enhance the quality of life, comfort, and safety of people with disability.

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The power of power wheelchairs: Mobility choices of community-dwelling, older adults

Abstract: Background-Power wheelchairs are purported to have a positive effect on health, occupation, and quality of life. However, there is limited knowledge about what factors shape power wheelchair use decisions.

Cited by 27 publications

References 20 publications

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

Equipment provision after stroke: A scoping review of the use of personal care and mobility aids in rehabilitation

Self-regulation when using a mobility scooter: The experiences of older adults with visual impairments

Comprehensive Needs Assessment Study and Deployment of QFD Targeted at New Wheelchair Design

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