A comparison of vertical reaction forces during propulsion of three different one-arm drive wheelchairs by hemiplegic users

@article{Mandy2014ACO,
  title={A comparison of vertical reaction forces during propulsion of three different one-arm drive wheelchairs by hemiplegic users},
  author={Anne Mandy and Lucy Redhead and Carol McCudden and Jon Michaelis},
  journal={Disability and Rehabilitation: Assistive Technology},
  year={2014},
  volume={9},
  pages={242 - 247}
}
Abstract Purpose: The aim of this pilot study was to compare the vertical reaction forces (N) generated in three different Action 3 manual one-arm drive wheelchairs: dual handrim, a lever drive and a Neater Uni-wheelchair (NUW). A CONFORmat® Pressure measurement mat, placed on top of the users’ prescribed cushion, measured vertical force at the buttock/seat interface on both hemiplegic and non-hemiplegic sides in each wheelchair. Methods: Fifteen hemiplegic users were randomly assigned each… 
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9 Citations

9 Citations

Citation Type

Citation Type

Position and Movement of Centre of Force During Propulsion of 3 Different one Arm Drive Wheelchairs by Hemiplegic Users
TLDR
The dual handrim wheelchair produced the greatest movement of centre of force and the lever wheelchairproduced the least, which may be indicative of the symmetry and stability of seated posture in hemiplegic one arm drive wheelchair users.
Measurement of Hand/Handrim Grip Forces in Two Different One Arm Drive Wheelchairs
TLDR
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.
Shoulder EMG activity in three different one arm drive wheelchairs
TLDR
The results indicate that fatigue could result from propelling certain one arm drive wheelchairs and will help to inform clinical decision making in the prescription of wheelchairs in this group.
Physiological parameters depending on two different types of manual wheelchair propulsion
TLDR
The lever wheelchair propulsion movement is less demanding than hand rim wheelchair propulsion and longer distances can be achieved by the user and there is a need to check lever wheelchair transportation in different types of field tests.
Rehabilitation professional and user evaluation of an integrated push-pull lever drive system for wheelchair mobility.
TLDR
Improvements in adjustability, reversal methods, and operation options to appeal to a wider range of consumers are needed before lever-drive devices are suitable to replace or supplement current wheeled mobility devices.
Scoping review of propelling aids for manual wheelchairs
TLDR
The findings suggest an overall positive influence of PA on various ICF domains/subdomains, but initial findings should be interpreted with caution.
The Effect of Padded Adhesive Dressing and Static Body Position on Sacral Interface Pressure.
TLDR
Padded adhesive bandages did not reduce interface pressure in any position, and sacral pressure was highest in the supine position and was not specifically affected by BMI.
Evidence-Based Strategies for Preserving Mobility for Elderly and Aging Manual Wheelchair Users
TLDR
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 are presented.
Prescription Wheelchairs: Seating and Mobility Systems

References

SHOWING 1-10 OF 18 REFERENCES
Wheelchair propulsion: descriptive comparison of hemiplegic and two-hand patterns during selected activities.
TLDR
Wheelchair users who use the hemiplegic pattern experience more difficulties than those using two hands, some of which may be amenable to improvements in wheelchair prescription and training.
Effect of handrim velocity on mechanical efficiency in wheelchair propulsion.
TLDR
It is concluded that the use of handrims with a lower mechanical advantage will increase wheelchair propulsion efficiency and an ineffective direction of forces on the rims might be responsible for the low ME and for a decrease in ME in relation to tangential handrim velocity.
Mechanical advantage in wheelchair lever propulsion: effect on physical strain and efficiency.
TLDR
The results suggest that the implementation of a range of MAs on a lever-propelled wheelchair may accommodate different external conditions and different user groups more readily, which may improve the social radius of action and freedom of mobility of individuals confined to wheelchairs.
Measures of energy expenditure and comfort in an ESP wheelchair: a controlled trial using hemiplegic users'
  • A. Mandy, S. Lesley
  • Medicine, Psychology
    Disability and rehabilitation. Assistive technology
  • 2009
TLDR
The ESP conversion kit transforms a standard Sunrise Breezy wheelchair into one that is ergonomically more efficient and comfortable for hemiplegic subjects, and turns it into a novel ergonomic self-propelled steering (ESP) mechanism kit.
Seat interface pressures of individuals with paraplegia: influence of dynamic wheelchair locomotion compared with static seated measurements.
Pelvic movement and interface pressure distribution during manual wheelchair propulsion.
Energy expenditure, and comfort in a modified wheelchair for people with hemiplegia: A controlled trial
TLDR
The ESP conversion kit transforms a standard Sunrise Breezy Wheelchair into one that is ergonomically more efficient and comfortable for non-disabled subjects, and transforms it into a novel ergonomic self propelled steering (ESP) mechanism kit.
User evaluation of the Neater Uni- wheelchair in the home environment: an exploratory pilot study
TLDR
This pilot study would support the notion that the Neater Uniwheelchair is a viable alternative to those that are currently available to hemiplegic users and support the need for a larger study.
Alternative Modes of Manual Wheelchair Ambulation: An Overview
TLDR
It is substantiated that the frequent use of these alternative propulsion mechanisms may help prevent some of the secondary impairments that are seen among today’s wheelchair-user population.
Shoulder pain: a comparison of wheelchair athletes and nonathletic wheelchair users.
TLDR
Promotion of active exercise for wheelchair users is encouraged to decrease shoulder pain, resulting in more functional, pain-free years.
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