| Community use of a pushrim activated power-assisted wheelchair by an individual with facioscapulohumeral muscular dystrophy. | |
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MedLine Citation:
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PMID: 16920679 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The purpose of this case study was to report data from a clinical evaluation of an individual with fascioscapulohumeral muscular dystrophy (FSHMD) while using a manual wheelchair versus the same wheelchair fitted with pushrim activated power-assisted wheelchair hubs (PAPAW). An individual with FSHMD was tested for change in heart rate (HR), rate of perceived exertion (RPE), propulsion speed (PS), time to completion (TC), and qualitative observation in a community-based environment. A modified Physiological Cost Index (mPCI) was calculated post hoc. Results indicate HR and mPCI for the PAPAW trials were lower; RPE was "Hard" for manual wheelchair propulsion and "Fairly or Very Light" for the PAPAW trials; PS was twice as fast in both conditions using the PAPAW; and TC was 53% faster with PAPAW than in the manual wheelchair. Qualitatively, the manual propulsion conditions had exaggerated trunk and hip flexion with simultaneous scapula elevation and upward rotation to initiate downward force on the hand rim more so than the PAPAW conditions. The data suggest that propulsion of a wheelchair enhanced by PAPAW is more energy efficient, biomechanically advantageous, and more timesaving than a manual wheelchair for the tested individual with FSHMD in his environment. |
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Authors:
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John A Love; Jennifer Benson |
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Publication Detail:
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Type: Case Reports; Clinical Trial; Comparative Study; Journal Article |
Journal Detail:
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Title: Physiotherapy theory and practice Volume: 22 ISSN: 0959-3985 ISO Abbreviation: Physiother Theory Pract Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-08-21 Completed Date: 2006-12-13 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 9015520 Medline TA: Physiother Theory Pract Country: England |
Other Details:
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Languages: eng Pagination: 207-18 Citation Subset: IM |
Affiliation:
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Health Science and Physical Therapy Department, Nazareth College of Rochester, Rochester, NY 14618, USA. jalove@frontiernet.net |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biomechanics Cost-Benefit Analysis Energy Metabolism Equipment Design Human Engineering* Humans Male Muscular Dystrophy, Facioscapulohumeral / rehabilitation* Physical Exertion United States Wheelchairs* / economics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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