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Journal ArticleDOI: 10.1080/10400435.2019.1595789

Scoping review of propelling aids for manual wheelchairs

04 Mar 2021-Assistive Technology (Taylor & Francis)-Vol. 33, Iss: 2, pp 72-86
Abstract: Manual wheelchair (MWC) users face a variety of obstacles limiting their participation. Different MWC models and new add-on components intended to improve propulsion may impact users’ function and ...

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Journal ArticleDOI: 10.1249/01.MSS.0000322901.99108.88
Abstract: This study examined time efficiency in wheelchair locomotive activities among four different wheelchairs propelled by elders with arms and/or legs. Sixteen elder manual wheelchair users propelled her/his own wheelchair and three wheelchairs (the main drive-axis wheels positioning in front, middle, and rear, respectively) in the test of seven wheelchair locomotive activities of daily living. A Mixed-Model ANOVA and Bonferroni post hoc test (p < .05) were employed to determine the time efficiency among four wheelchairs and three groups. The results demonstrated better time efficiency resulted from propelling the mid drive-axis and/or rear drive-axis wheelchairs; using arms and legs simultaneously propelling wheelchairs was more time efficient than using the arms or legs only in the selected locomotive activities.

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4 Citations


Journal ArticleDOI: 10.1016/J.CLINBIOMECH.2019.12.022
Abstract: Background Many manual wheelchair users with a spinal cord injury are at risk of developing secondary upper extremity musculoskeletal impairments. The use of a mobility assistance dog may represent a way to mitigate this risk. This study aims to compare upper extremity muscular effort in this population when propelling a manual wheelchair on tiled and carpeted surfaces with and without the assistance of a dog. Method Thirteen adults with a spinal cord injury propelled their manual wheelchairs at a self-selected natural speed over a 10-meter distance on tiled abrasive and carpeted floors with and without their mobility assistance dog. Surface electromyography of the pectoralis major, anterior deltoid, biceps, and triceps was recorded and normalized against its maximal value extracted from maximal voluntary contractions. Time needed to perform each task was also computed. Findings The forward pull provided by the dog significantly and meaningfully reduced the muscular effort when propelling on the tiled floor and, even more so, on carpeted surfaces for the pectoralis major (−27.0% and −59.2%), the anterior deltoid (−54.8% and −92.4%), the biceps (−53.9% and −57.6%), and the triceps (−45.7% and −67.3%). The time needed to travel the 10-meter distance was also significantly and meaningfully reduced on the tiled and carpeted surfaces (−21.9% and −30.3%, respectively). Interpretation The provision of a mobility assistance dog represents a viable rehabilitation alternative to minimizing upper extremity muscular effort while also optimizing speed during propulsion in manual wheelchair users with a spinal cord injury.

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Topics: Wheelchair (52%), Population (50%)

2 Citations



Open access
07 Nov 1966-
Topics: Brake shoe (72%), Brake (68%)

1 Citations


Proceedings ArticleDOI: 10.5220/0005510401960201
21 Jul 2015-
Abstract: We have developed a pair of step-climbing units that can be installed in a standard manual wheelchair. We aim to enable manual wheelchair users to establish an independent life that they can lead without assistance. This mechanism is simpler because it uses the capabilities of the wheelchair user. Each unit comprises two actuators and has two degrees of freedom: telescopic motion and rotational motion. We mainly discuss a step-climbing motion using this system. Experimental results obtained when ascending the step of 15 cm height confirm the design's effectiveness.

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Topics: Wheelchair (62%)

1 Citations


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Open accessJournal ArticleDOI: 10.1080/1364557032000119616
Hilary Arksey1, Lisa O'Malley1Institutions (1)
Abstract: This paper focuses on scoping studies, an approach to reviewing the literature which to date has received little attention in the research methods literature. We distinguish between different types of scoping studies and indicate where these stand in relation to full systematic reviews. We outline a framework for conducting a scoping study based on our recent experiences of reviewing the literature on services for carers for people with mental health problems. Where appropriate, our approach to scoping the field is contrasted with the procedures followed in systematic reviews. We emphasize how including a consultation exercise in this sort of study may enhance the results, making them more useful to policy makers, practitioners and service users. Finally, we consider the advantages and limitations of the approach and suggest that a wider debate is called for about the role of the scoping study in relation to other types of literature reviews.

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Topics: Systematic review (53%)

10,345 Citations


Open accessJournal ArticleDOI: 10.1186/1748-5908-5-69
Abstract: Scoping studies are an increasingly popular approach to reviewing health research evidence. In 2005, Arksey and O'Malley published the first methodological framework for conducting scoping studies. While this framework provides an excellent foundation for scoping study methodology, further clarifying and enhancing this framework will help support the consistency with which authors undertake and report scoping studies and may encourage researchers and clinicians to engage in this process. We build upon our experiences conducting three scoping studies using the Arksey and O'Malley methodology to propose recommendations that clarify and enhance each stage of the framework. Recommendations include: clarifying and linking the purpose and research question (stage one); balancing feasibility with breadth and comprehensiveness of the scoping process (stage two); using an iterative team approach to selecting studies (stage three) and extracting data (stage four); incorporating a numerical summary and qualitative thematic analysis, reporting results, and considering the implications of study findings to policy, practice, or research (stage five); and incorporating consultation with stakeholders as a required knowledge translation component of scoping study methodology (stage six). Lastly, we propose additional considerations for scoping study methodology in order to support the advancement, application and relevance of scoping studies in health research. Specific recommendations to clarify and enhance this methodology are outlined for each stage of the Arksey and O'Malley framework. Continued debate and development about scoping study methodology will help to maximize the usefulness and rigor of scoping study findings within healthcare research and practice.

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4,856 Citations


Open accessJournal ArticleDOI: 10.1111/J.1471-1842.2009.00848.X
Maria J. Grant1, Andrew Booth2Institutions (2)
Abstract: Background and objectives : The expansion of evidence-based practice across sectors has lead to an increasing variety of review types. However, the diversity of terminology used means that the full potential of these review types may be lost amongst a confusion of indistinct and misapplied terms. The objective of this study is to provide descriptive insight into the most common types of reviews, with illustrative examples from health and health information domains. Methods : Following scoping searches, an examination was made of the vocabulary associated with the literature of review and synthesis (literary warrant). A simple analytical framework—Search, AppraisaL, Synthesis and Analysis (SALSA)—was used to examine the main review types. Results : Fourteen review types and associated methodologies were analysed against the SALSA framework, illustrating the inputs and processes of each review type. A description of the key characteristics is given, together with perceived strengths and weaknesses. A limited number of review types are currently utilized within the health information domain. Conclusions : Few review types possess prescribed and explicit methodologies and many fall short of being mutually exclusive. Notwithstanding such limitations, this typology provides a valuable reference point for those commissioning, conducting, supporting or interpreting reviews, both within health information and the wider health care domain.

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3,774 Citations


Journal ArticleDOI: 10.1016/S0003-9993(99)90285-X
Abstract: Objective: To compare the prevalence and intensity of shoulder pain experienced during daily functional activities in individuals with tetraplegia and individuals with paraplegia who use manual wheelchairs. Design: Self-report survey. Setting: General community. Participants: Fifty-five women and 140 men, 92 subjects with tetraplegia and 103 subjects with paraplegia who met inclusion criteria of 3 hours per week of manual wheelchair use and at least 1 year since onset of spinal cord injury. Main Outcome Measures: Respondents completed a demographic and medical history questionnaire and the Wheelchair User's Shoulder Pain Index (WUSPI), a measure of pain during typical daily activities. Results: More than two thirds of the sample reported shoulder pain since beginning wheelchair use, with 59% of the subjects with tetraplegia and 42% of the subjects with paraplegia reporting current pain. Performance-corrected WUSPI scores were significantly higher in subjects with tetraplegia than in subjects with paraplegia. Conclusions: Both the prevalence and intensity of shoulder pain was significantly higher in subjects with tetraplegia than in subjects with paraplegia. Efforts to monitor and prevent shoulder pain should continue after rehabilitation.

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Topics: Tetraplegia (62%), Paraplegia (58%), Spinal cord injury (50%) ... show more

386 Citations


Journal ArticleDOI: 10.1016/S0003-9993(99)90082-5
Michael L. Boninger1, Rory A. Cooper1, M A Baldwin1, S.D. Shimada2  +1 moreInstitutions (2)
Abstract: Objectives: Individuals who use manual wheelchairs are at high risk for median nerve injury and subsequent carpal tunnel syndrome (CTS) To gain a better understanding of the mechanism behind CTS in manual wheelchair users, this study examined the relation between (1) pushrim biomechanics and function of the median nerve, (2) pushrim biomechanics and subject characteristics, and (3) median nerve function and subject characteristics Design: Case series Setting: Biomechanics laboratory and an electromyography laboratory Participants: Thirty-four randomly recruited individuals with paraplegia who use a manual wheelchair for mobility Intervention: Subjects propelled their own wheelchair on a dynamometer at 09m/sec and 18m/sec Bilateral biomechanical data were obtained using a force- and moment-sensing pushrim and a motion analysis system Bilateral nerve conduction studies focusing on the median nerve were also completed Main Outcome Measures: Pearson's correlation coefficients between subject characteristics, median nerve conduction studies, and propulsion biomechanics; a regression model of nerve conduction studies incorporating subject characteristics and pushrim biomechanics Results: Subject weight was significantly related to median nerve latency ( r = 36, p = 03) and median sensory amplitude ( r = −43, p = 01) Height was also significantly related to median sensory amplitude ( r = −58, p = 01) Subject weight was significantly related to the peak resultant force applied to the pushrim ( r = 59, p r = 63, p r = 54, p Conclusion: This study found subject weight to be related to pushrim forces and median nerve function Independent of subject weight, pushrim biomechanics were also related to median nerve function Through weight loss and changes in pushrim biomechanics, it may be possible to prevent median nerve injury in manual wheelchair users

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Topics: Electromyography (53%), Carpal tunnel syndrome (52%), Median nerve (50%)

254 Citations


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