Effect of wheelchair design on wheeled mobility and propulsion efficiency in less-resourced settings

African Journal of Disability

 
 
Field Value
 
Title Effect of wheelchair design on wheeled mobility and propulsion efficiency in less-resourced settings
 
Creator Stanfill, Christopher J. Jensen, Jody L.
 
Subject Disability studies; global health; health systems Wheelchair; disability; access; mobility
Description Background: Wheelchair research includes both qualitative and quantitative approaches, primarily focuses on functionality and skill performance and is often limited to short testing periods. This is the first study to use the combination of a performance test (i.e. wheelchair propulsion test) and a multiple-day mobility assessment to evaluate wheelchair designs in rural areas of a developing country.Objectives: Test the feasibility of using wheel-mounted accelerometers to document bouts of wheeled mobility data in rural settings and use these data to compare how patients respond to different wheelchair designs.Methods: A quasi-experimental, pre- and post-test design was used to test the differences between locally manufactured wheelchairs (push rim and tricycle) and an imported intervention product (dual-lever propulsion wheelchair). A one-way repeated measures analysis of variance was used to interpret propulsion and wheeled mobility data.Results: There were no statistical differences in bouts of mobility between the locally manufactured and intervention product, which was explained by high amounts of variability within the data. With regard to the propulsion test, push rim users were significantly more efficient when using the intervention product compared with tricycle users.Conclusion: Use of wheel-mounted accelerometers as a means to test user mobility proved to be a feasible methodology in rural settings. Variability in wheeled mobility data could be decreased with longer acclimatisation periods. The data suggest that push rim users experience an easier transition to a dual-lever propulsion system.
 
Publisher AOSIS
 
Contributor
Date 2017-09-08
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Quasi-experimental
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/ajod.v6i0.342
 
Source African Journal of Disability; Vol 6 (2017); 9 pages 2226-7220 2223-9170
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://ajod.org/index.php/ajod/article/view/342/688 https://ajod.org/index.php/ajod/article/view/342/687 https://ajod.org/index.php/ajod/article/view/342/689 https://ajod.org/index.php/ajod/article/view/342/686
 
Coverage Laos 2013-2015 Age; wheelchair type
Rights Copyright (c) 2017 Christopher J. Stanfill, Jody L. Jensen https://creativecommons.org/licenses/by/4.0
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