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Results for “WHEEL CHAIRS”

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At least 19 recordsLinked to original sources
PubMed2000

Evaluation of ambulatory performance of the arm propelled three-wheeled chair using heart rate as a control index.

PURPOSE: The Arm propelled three wheeled chair (APTWC) is in common use in the economically poor countries for outdoor ambulation, the propulsion force of which is exerted by arm cranking in asynchronous fashion. The purpose of the study was to assess the ambulatory performance of the users of the device using heart rate as a control index, at graded speeds. METHOD: Fifteen regular users of APTWC male with paraplegia and poliomyelitis were ambulated at seven different graded speeds in outdoor settings and the resting and ambulatory heart rate was measured during steady state and then physiological cost index and comfortable speed of propulsion was computed. RESULTS: The physiological strain, linear regression of the relationship between heart rate and speed with correlation coefficient of r = 0.86 (p < 0.001), polynomial regression of the relationship between physiological cost index (PCI) and speed with correlation coefficient of r = 0.83 (p < 0.001) and comfortable speed of propulsion (120 m/min) was reported. CONCLUSIONS: Heart rate can be used to evaluate the ambulatory performance of the device, quantifying energy economy for outcome evaluation and decision making for clinical recommendation.

Adult↗
PubMed2004

Arm-crank propelled three-wheeled chair: physiological evaluation of the propulsion using one arm and both arm patterns.

Disabled people in India frequently use the arm-crank propelled three-wheeled chair (ACWC) for outdoor transportation. Two models of these chairs are commercially available: one is powered by cranking using one arm (ACWC-1) and the other uses both arms (ACWC-2). The purpose of the study was to compare the efficiency of the two types of propulsion with respect to the standard physiological responses and, consequent upon the findings, to recommend the use of a suitable one. The energetics of locomotion of the users at their freely chosen speed (FCS) were measured and compared with changes in the physiological parameters in the within-subject groups. The study was conducted in outdoor settings to simulate the actual locomotive conditions encountered by the users in their practical life. 14 males, who had been regular and proficient users of both propulsion systems for more than last six years and who had a history of paraplegia (below the 10th thoracic vertebra, n=11) and poliomyelitis (n=3) participated in the study. The subjects were required to propel the test chair (a combination of both the propulsion systems built in a single model) on an oval track of 358 m circumference at their FCS for 5 min; ambulatory data were collected during last 3 min of exercise and averaged. The FCS (m/min), heart rates (bpm) and oxygen uptake (l/min) were measured. Physiological cost index (b/m) oxygen consumption (ml/kg/min), oxygen cost (ml/kg/m) and net locomotor energy cost (kcal/kg/km) of the two sets of observations were derived and compared using a t-test for the paired observations. The FCS was significantly higher and the physiological parameters were lower with the ACWC-2 than with ACWC-1, except for heart rate and oxygen consumption, where the difference was not significant . It is concluded that two-arm use is more efficient and less physically demanding than one-arm use in the arm-crank propulsion system and that the former is more suitable for efficient ambulation.

Adult↗
PubMed1949

Wheel chairs.

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Wheelchairs↗
PubMed1977

Wheel chair transfer techniques for the dental office.

With the use of these three techniques and variations when necessary, the immobile or partially immobile patient may be moved relatively easily in the dental office. The dentist and his auxiliaries should be able to make the wheel chair transfer a routine and uneventful procedure that will increase the chances of the patient's return in the future.

Dental Offices↗
PubMedDate not supplied

Wheel-chair stop.

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Humans↗