Controllability and physiological evaluation of three unilaterally-propelled wheelchairs for patients with hemiplegia

Journal of Rehabilitation Medicine

Volumn 39, Issue 9, 2007, Pages 693-697

  Tsai, Kuen Horng ^a   Yeh, Chun Yu ^b   Lo, Hsin Chang ^c   Lin, Shih Yun ^d  

^a NATIONAL UNIVERSITY OF TAINAN   (Taiwan)

^b CHUNG SHAN MEDICAL UNIVERSITY   (Taiwan)

^c NATIONAL CHENG KUNG UNIVERSITY   (Taiwan)

^d MINISTRY OF ECONOMIC AFFAIRS   (Taiwan)

Author keywords

Leg propelling; Rehabilitation; Stroke; Wheelchair

Indexed keywords

ADULT; ARTICLE; CEREBROVASCULAR ACCIDENT; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; FORCE; HEMIPLEGIA; HUMAN; KNEE; MALE; PATIENT MOBILITY; STROKE PATIENT; TAIWAN; TIME; WHEELCHAIR;

AGED; EXERTION; FEMALE; HEMIPLEGIA; HUMANS; LEG; MALE; MIDDLE AGED; STROKE; WHEELCHAIRS;

EID: 36849042004     PISSN: 16501977     EISSN: None     Source Type: Journal    
DOI: 10.2340/16501977-0108     Document Type: Article

References (26)

1. Gresham GE, Granger CV, Linn RT, Lulas MA. Status of functional outcomes for stroke survivors. Phys Med Rehabil Clin N Am 1999; 10: 957-966.
2. Barber SL, Bunzel R, Monga TN. Wheelchair utilization and satisfaction following cerebral vascular accident. J Rebabil Res Dev 2002; 39: 521-534.
3. Barker DJ, Reid D, Cott C. Acceptance meanings of wheelchair use in senior stroke survivors. Am J Occup Ther 2004; 58: 221-230.
4. Pentland WE, Twmey LT, The weight-bearing upper extremity in women with long term paraplegia. Paraplegia 1991; 29: 521-530.
5. Sie IH, Waters RL, Adkins RH, Gellman H. Upper extremity pain in the postrehabilitation spinal cord injured patient. Arch Phys Med Rehabil 1992; 73: 44-48.
6. Subbarao JV, Klopstein J, Turpin R. Prevalence and impact of wrist and shoulder pain in patients with spinal cord injury. J Spinal Cord Med 1995; 18: 9-13.
7. Romero RS, Bayes BD. Wheelchair hand propulsion apparatus. US patent 4,865,344. 1989.
8. Engel P, Seeliger K, Technological and physiological characteristics of a newly developed handlever drive system. J Rehabil Res Dev 1986; 23: 37-41.
9. Noyola R. Auxiliaty frame with propulsion and steering means for attachment to wheelchair. US patent 5,899,476.1999.
10. Parisi PJ. Wheelchair manual drive mechanism. US patent 5,037,120. 1991.
11. de Boer YA, Cambach W, Veeger HEJ, van der Woude LHV. Wheelchair prototype testing: a new lever-drive system in comparison with existing propulsion mechanisms. J Rehabil Sci 1992; 5: 39-44.
12. van der Woude LH, Botden E, Vriend I, Veeger D. Mechanical advantage in wheelchair lever propulsion: effect on physical strain and efficiency. J Rehabil Res Dev 1999; 34: 286-294.
13. van der Woude LH, Dallmeijer AJ, Janssen TW, Veeger D. Alternative modes of manual wheelchair ambulation: an overview. Am J Phys Med Rehabil 2001; 80: 765-777.
14. Kirby RL, Ethans KD, Duggan RE. Wheelchair propulsion: descriptive comparison of hemiplegic and two-hand patterns during selected activities. Am J Phys Med Rehabil 1999; 78: 131-135.
15. Stein RB, Chong SL, James KB, Bell GJ. Improved efficiency with a wheelchair propelled by the legs using voluntary activity or electric stimulation. Arch Phys Med Rehabil 2001; 82: 1198-1203.
16. Stein RB, Roetenberg D, Chong SL, James KB. A wheelchair modified for leg propulsion using voluntary activity or electrical stimulation. Med Eng Phys 2003; 25: 11-19.
17. Petrofsky JS, Glaser RM. Vehicle for the paralyzed. US patent 4,421,336. 1983.
18. Glaser RM, Petrofsky JS, DuFour HR. Wheelchair and drive system therefore. US patent 4,523,769. 1985.
19. Bloswick DS, Erickson J, Brown DR, Howell G, Mecham W. Maneuverability and usability analysis of three knee-extension propelled wheelchairs. Disabil Rehabil 2003; 25: 197-206.
20. Pomeroy VM, Mickelborough J, Hill E, Rodgers P, Giakas G, Barrett JA. A hypothesis: self-propulsion in a wheelchair early after stroke might not be harmful. Clin Rehabil 2003; 17: 174-180.
21. Kirby RL, Adams CD, MacPhee AH, Coolen AL, Harrison ER, Eskes GA, et al. Wheelchair-skill performance: controlled comparison between people with herniplegia and able-bodied people simulating herniplegia. Arch Phys Med Rehabil 2005; 86: 387-393.
22. Tsai KH, Yeh CY, Lo HC. Applications of concurrent systematic design on assistive technology - a new wheelchair design for stroke patients. FMBE Proceedings EMBEC '05, 3rd European Medical & Biological Engineering Conference 2005; 11: 28.
23. MacGregor J, editor. The Objective measurement of physical performance with long-term ambulatory physiological surveillance equipment (LAPSE). Proc 3rd Int Symp on Ambulatory Monitoring. London: Academic Press; 1979, p. 29-39.
24. Ahlborg G, Jensen-Urstad M. Metabolism in exercising arm vs. leg muscle. Clin Physiol 1991; 11: 459-468.
25. Aminoff T, Smolander J, Korhonen O, Louhevaara V. Prediction of acceptable physical workloads based on responses to prolonged arm and leg exercise. Ergonomics 1998; 41: 109-120.
26. Makino K, Wada F, Hachisuka K, Yoshimoto N, Ohmine S. Speed and physiological cost index of hemiplegic patients pedaling a wheelchair with both legs. J Rehabil Med 2005; 37: 83-86.