Getting a Manual Wheelchair Over a Threshold Using the Momentum Method: A Descriptive Study of Common Errors

Lawati, Zainab Al; Kirby, R. Lee; Smith, Cher; MacKenzie, Diane; Theriault, Chris; Matheson, Kara

doi:10.1016/j.apmr.2017.04.023

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…The discrepancy of focus between slopes/ground types and curbs/cross-slopes cannot possibly be explained by the lack of cross-slopes or curbs encountered during MWC locomotion in urban areas, since the uneven ground usually encountered may present such environmental barriers, albeit of low grades [ 2 ]. Similarly, descending slopes and curbs, or technically challenging situations such as crossing a door threshold with or without a ramp [ 6 ] deserve to be studied. For some of these environmental situations, a task analysis could also be considered by separating start-up, propulsion, braking, and turning.…”

Section: Discussionmentioning

confidence: 99%

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

et al. 2022

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During manual wheelchair (MWC) locomotion, the user’s upper limbs are subject to heavy stresses and fatigue because the upper body is permanently engaged to propel the MWC. These stresses and fatigue vary according to the environmental barriers encountered outdoors along a given path. This study aimed at conducting a systematic review of the literature assessing the biomechanics of MWC users crossing various situations, which represent physical environmental barriers. Through a systematic search on PubMed, 34 articles were selected and classified according to the investigated environmental barriers: slope; cross-slope; curb; and ground type. For each barrier, biomechanical parameters were divided into four categories: spatiotemporal parameters; kinematics; kinetics; and muscle activity. All results from the different studies were gathered, including numerical data, and assessed with respect to the methodology used in each study. This review sheds light on the fact that certain situations (cross-slopes and curbs) or parameters (kinematics) have scarcely been studied, and that a wider set of situations should be studied. Five recommendations were made at the end of this review process to standardize the procedure when reporting materials, methods, and results for the study of biomechanics of any environmental barrier encountered in MWC locomotion: (i) effectively reporting barriers’ lengths, grades, or heights; (ii) striving for standardization or a report of the approach conditions of the barrier, such as velocity, especially on curbs; (iii) reporting the configuration of the used MWC, and if it was fitted to the subject’s morphology; (iv) reporting rotation sequences for the expression of moments and kinematics, and when used, the definition of the musculoskeletal model; lastly (v) when possible, reporting measurement uncertainties and model reconstruction errors.

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Section: Discussionmentioning

confidence: 99%

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

et al. 2022

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Effectiveness of the Wheelchair Skills Training Program: a systematic review and meta-analysis

Keeler

Kirby

Parker

et al. 2018

Disability and Rehabilitation: Assistive Technology

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There is moderate quality evidence that the WSTP is a safe intervention that has a clinically meaningful effect on WST/WST-Q capacity scores and some other outcomes. Implications for rehabilitation A systematic review and meta-analysis of 13 randomized controlled trials on a total of 581 participants, using the Wheelchair Skills Training Program (WSTP) as the intervention, found that the WSTP increased Wheelchair Skills Test (WST) and WST Questionnaire (WST-Q) total capacity scores by 21.2% relative to baseline. Subgroup analyses showed that training was more effective for new wheelchair users. The WSTP was found to have positive effects on some other outcomes and no serious adverse events were reported. The WSTP warrants cautious implementation in clinical and educational settings.

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Getting a Manual Wheelchair Over a Threshold Using the Momentum Method: A Descriptive Study of Common Errors

Cited by 2 publications

References 22 publications

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

Manual wheelchair biomechanics while overcoming various environmental barriers: A systematic review

Effectiveness of the Wheelchair Skills Training Program: a systematic review and meta-analysis

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