Innovative Power Wheelchair Control Interface / Sandra L. WINKLER in American Journal of Occupational Therapy, Vol. 70/2 (mars-avril 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/2 (mars-avril 2016) Titre : Innovative Power Wheelchair Control Interface : A Proof-of-Concept Study Type de document : texte imprimé Auteurs : Sandra L. WINKLER ; Sergio ROMERO ; Emily PRATHER ; et al. Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Ergothérapie  Fauteuil roulant  Innovation technologique Résumé : Some people without independent mobility are candidates for powered mobility but are unable to use a traditional power wheelchair joystick. This proof-of-concept study tested and further developed an innovative method of driving power wheelchairs for people whose impairments prevent them from operating commercial wheelchair controls. Our concept, Self-referenced Personal Orthotic Omni-purpose Control Interface (SPOOCI), is distinguished by referencing the control sensor not to the wheelchair frame but instead to the adjacent proximal lower-extremity segment via a custom-formed orthosis. Using a descriptive case-series design, we compared the pre–post functional power wheelchair driving skill data of 4 participants, measured by the Power Mobility Program, using descriptive analyses. The intervention consisted of standard-care power wheelchair training during 12 outpatient occupational or physical therapy sessions. All 4 participants who completed the 12-wk intervention improved their functional power wheelchair driving skills using SPOOCI, but only 3 were deemed safe to continue with power wheelchair driving. Permalink : ./index.php?lvl=notice_display&id=43886 [article] Innovative Power Wheelchair Control Interface : A Proof-of-Concept Study [texte imprimé] / Sandra L. WINKLER ; Sergio ROMERO ; Emily PRATHER ; et al. . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/2 (mars-avril 2016) Mots-clés : Ergothérapie  Fauteuil roulant  Innovation technologique Résumé : Some people without independent mobility are candidates for powered mobility but are unable to use a traditional power wheelchair joystick. This proof-of-concept study tested and further developed an innovative method of driving power wheelchairs for people whose impairments prevent them from operating commercial wheelchair controls. Our concept, Self-referenced Personal Orthotic Omni-purpose Control Interface (SPOOCI), is distinguished by referencing the control sensor not to the wheelchair frame but instead to the adjacent proximal lower-extremity segment via a custom-formed orthosis. Using a descriptive case-series design, we compared the pre–post functional power wheelchair driving skill data of 4 participants, measured by the Power Mobility Program, using descriptive analyses. The intervention consisted of standard-care power wheelchair training during 12 outpatient occupational or physical therapy sessions. All 4 participants who completed the 12-wk intervention improved their functional power wheelchair driving skills using SPOOCI, but only 3 were deemed safe to continue with power wheelchair driving. Permalink : ./index.php?lvl=notice_display&id=43886

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Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke / John A. KAIRALLA in American Journal of Occupational Therapy, Vol. 70/1 (janvier-février 2016)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016) Titre : Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke Type de document : texte imprimé Auteurs : John A. KAIRALLA ; Sandra L. WINKLER ; Hua FENG Année de publication : 2016 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Dispositif  Organisation soins  Assistance Résumé : OBJECTIVE. The objective of this study was to determine whether facility-level, structural factors affect the provision of assistive devices and services. DESIGN. A retrospective design was used. Activities of daily living and mobility-related devices were categorized into 11 types. Logistic regression models were performed for each type of device, controlling for patient-level and facility-level covariates. RESULTS. Non–veteran-level factors significantly affect the provision of assistive devices, even after covariate adjustment. Increased rehabilitation clinician staffing by 1 full-time equivalent position was associated with increased provision odds of 1%–5% for 5 of 11 types of devices. Lower facility complexity was significantly associated with increased provision odds of 35%–59% for 3 types of devices and with decreased provision odds of 16%–69% for 3 types of devices. CONCLUSION. System-level factors, in addition to patient need, significantly affect the provision of assistive devices. Provision guidelines could assist clinicians in making decisions about device provision. Permalink : ./index.php?lvl=notice_display&id=42023 [article] Understanding the Provision of Assistive Mobility and Daily Living Devices and Service Delivery to Veterans After Stroke [texte imprimé] / John A. KAIRALLA ; Sandra L. WINKLER ; Hua FENG . - 2016. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016) Mots-clés : Accident cérébrovasculaire  Activités vie quotidienne  Dispositif  Organisation soins  Assistance Résumé : OBJECTIVE. The objective of this study was to determine whether facility-level, structural factors affect the provision of assistive devices and services. DESIGN. A retrospective design was used. Activities of daily living and mobility-related devices were categorized into 11 types. Logistic regression models were performed for each type of device, controlling for patient-level and facility-level covariates. RESULTS. Non–veteran-level factors significantly affect the provision of assistive devices, even after covariate adjustment. Increased rehabilitation clinician staffing by 1 full-time equivalent position was associated with increased provision odds of 1%–5% for 5 of 11 types of devices. Lower facility complexity was significantly associated with increased provision odds of 35%–59% for 3 types of devices and with decreased provision odds of 16%–69% for 3 types of devices. CONCLUSION. System-level factors, in addition to patient need, significantly affect the provision of assistive devices. Provision guidelines could assist clinicians in making decisions about device provision. Permalink : ./index.php?lvl=notice_display&id=42023

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