Manual wheelchair users with upper limb impairments or upper limb complaints. Manuele rolstoel gebruikers met beperkte arm-hand functie of aandoeningen aan de bovenste extremiteit.
Conditions
Interventions
The applied intervention is a set of power assist wheels which we place on the participants own manual wheelchair for four weeks.
Sponsors
Roessingh Research and Development b.v.
Eligibility
Inclusion criteria
Inclusion criteria: 1. Manual wheelchair user for at least one year due to a neurological disorder; 2. Medically and physically stable, judged by subjects own physician; 3. The upper limbs might be affected; however, they should be able to propel a manual wheelchair bimanually; 4. Able to maintain posture (trunk stability); 5. Age 18 to 65; 6. Subjects should be able to use their usual mode of transportation with the power assisted wheels; 7. Their wheelchair fitted with power assist wheels.
Exclusion criteria
Exclusion criteria: 1. Use of any type of power assisted wheelchairs; 2. Extreme shoulder pain, contractures upper extremity and/or spasticity which made manual wheelchair propulsion for the duration of the measurements impossible; 3. Cognitive or communicative impairments which made cooperation with the study protocol compromised.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess if the forces and moments acting on the shoulder are lower during power assisted wheelchair propulsion compared to manual wheelchair propulsion, related to perceived load of the upper extremity (VAS-score) and objectively measured with the oxygen uptake within six minutes. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the differences between power assisted wheelchair and manual wheelchair propulsion on the three levels of the ICF model: 1. ICF: Body functions and structure: A. Is the intensity, frequency and influence of shoulder pain on daily activities different during four weeks of power assisted wheelchair use compared to four weeks of manual wheelchair use? 2. ICF: Activity: A. Is the use of a wheelchair during a day (travelled distance, time, and velocity) different during four weeks power assisted wheelchair use compared to four weeks manual wheelchair use? B. Are wheelchair skills influenced by the power assisted wheelchair, compared to the manual wheelchair? 3. ICF: Participation: A. Is community participation and self efficacy different during four weeks power assisted wheelchair use compared to four weeks manual wheelchair use? B. Are the participants satisfied with the power assisted wheelchair? | — |
Contacts
Public ContactMarieke Kloosterman
Postbus 310
Outcome results
None listed