Engelsk titel: WHEEL-I: development of a wheelchair propulsion laboratory for rehabilitation
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Författare:
de Groot, Sonja
;
Vegter, Riemer
;
Vuijk, Coen
;
van Dijk, Frank
;
Plaggenmarsch, Corien
;
Sloots, Maurits
;
Stolwijk-Swüste, Janneke M
;
Woldring, Ferry
;
Tepper, Marga
;
van Der Woude, Lucas H V
Email: s.d.groot@reade.nl
Språk: Eng
Antal referenser: 39
Dokumenttyp:
Artikel
UI-nummer: 15029323
Sammanfattning
OBJECTIVE: To describe the enabling factors and barriers experienced in the Wheelchair Expert
Evaluation Laboratory – implementation (WHEEL-i) project, in which scientific knowledge, tools and
associated systematic analyses of hand-rim wheelchair propulsion technique, user’s wheelchair
propulsion capacity, wheelchair-user interface, and wheelchair mechanics were implemented in 2
rehabilitation centres.
DESIGN: Implementation project.
Patients: Spinal cord injury.
METHODS: In this implementation project standardized tests were performed: wheelchair skills tests,
2 questionnaires, and
a steady-state exercise test on a treadmill in which propulsion technique (forces and torques) and
physical strain (oxygen uptake, heart rate and mechanical efficiency) were measured.
RESULTS: Good interpretation of the test outcomes was the most important barrier. In order to
discuss individual wheelchair performance results with patients and clinicians, reference data were
developed, smallest detectable differences were calculated and software was developed to
simultaneously show video recordings and force and torque signals.
CONCLUSION: Based on pilot results, the greatest barrier to systematic monitoring of the individual
wheelchair fitting and learning process in rehabilitation with, among others, instrumented
measurement wheels, was interpretation of outcomes. For proper interpretation of individual
outcomes, the availability of reference data, smallest detectable differences and visualization of
outcomes is of utmost importance.