Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles / Brian Abraham in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 443-451 Titre : Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles Type de document : texte imprimé Auteurs : Brian Abraham ; Rob I. Davidson ; Garth R. Johnson Année de publication : 2013 Article en page(s) : p. 443-451 Langues : Anglais (eng) Mots-clés : Activities of daily living  caregiver  architecture Résumé : Introduction: No research-based guidelines for adaptation planning for shower chairs and other vehicles with four casters exist, despite the manual handling nature of the manoeuvring task and the occupational therapy responsibility to plan for such vehicles. Method: It was determined from theory that changes in direction for these vehicles, such as from a passageway through a door, could be represented by 13 manoeuvres. Participants (n = 17) carried out 11 (maximum) manoeuvres based on this theory, each with the maximum comfortable occupant weight of their choice (weights represented the occupant). Findings: The maximum occupant weight selected as comfortable varied substantially between some of the 11 manoeuvres: there was a 100% difference between the lowest and highest weight selections. This indicated that four-caster vehicles (such as shower chairs) should not be treated as omni-directional for high occupant weights, or for floor materials with high motion resistance, because the manoeuvre direction substantially affects maximum comfortable weight selection. Conclusion: The manoeuvre with the highest weight selection is proposed as a guideline when manual handling concerns exist for these vehicles. The guideline can be modified for individual vehicles sizes, occupant and carer anatomy. Permalink : ./index.php?lvl=notice_display&id=103233 [article] Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles [texte imprimé] / Brian Abraham ; Rob I. Davidson ; Garth R. Johnson . - 2013 . - p. 443-451. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 443-451 Mots-clés : Activities of daily living  caregiver  architecture Résumé : Introduction: No research-based guidelines for adaptation planning for shower chairs and other vehicles with four casters exist, despite the manual handling nature of the manoeuvring task and the occupational therapy responsibility to plan for such vehicles. Method: It was determined from theory that changes in direction for these vehicles, such as from a passageway through a door, could be represented by 13 manoeuvres. Participants (n = 17) carried out 11 (maximum) manoeuvres based on this theory, each with the maximum comfortable occupant weight of their choice (weights represented the occupant). Findings: The maximum occupant weight selected as comfortable varied substantially between some of the 11 manoeuvres: there was a 100% difference between the lowest and highest weight selections. This indicated that four-caster vehicles (such as shower chairs) should not be treated as omni-directional for high occupant weights, or for floor materials with high motion resistance, because the manoeuvre direction substantially affects maximum comfortable weight selection. Conclusion: The manoeuvre with the highest weight selection is proposed as a guideline when manual handling concerns exist for these vehicles. The guideline can be modified for individual vehicles sizes, occupant and carer anatomy. Permalink : ./index.php?lvl=notice_display&id=103233

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A best space for assisted wheelchair users / Brian Abraham in The British Journal of Occupational Therapy, Vol.80 Issue 3 (March 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 163-172 Titre : A best space for assisted wheelchair users Type de document : texte imprimé Auteurs : Brian Abraham ; Rob I. Davidson Année de publication : 2017 Article en page(s) : p. 163-172 Langues : Anglais (eng) Mots-clés : chaise roulante Résumé : Introduction Occupational therapists lack manual-handling sensitive tools to assist individual adaptation specifications for assisted wheelchair users, for example, corridor-room turns for extra-long wheelchairs. Method Engineering-based methods identified an experimental set-up. This provided a useful representation of possible manoeuvres in five tasks and proposed a turn difficulty order. Experienced wheelchair assistants (n = 22) selected their maximum comfortable wheelchair weight for each turn. Results Some participants (3/22) were insensitive to turning-space but all other participants (19/22) chose their lowest maximum comfortable weight for the tightest turning-space and 17/19 chose their highest weights for space permitting a slow turn. Mean percentage weight increased by 30% from tight to slow turning-space. Results are statistically significant and clinically important. Experimental set-up was similar to assisting in confined spaces; participants were experienced in working in spacious environments and had recent manual-handling training so results are supported by good manual-handling practice. Assistant-size impact on easiest (highest weight) turning-space is small. Results are applicable to all floor coverings and wheelchair sizes but not to self-propelling wheelchair users. Results are incorporated into a tool, demonstrated by case study. Conclusion Tool-use specifies a best adaptation. Permalink : ./index.php?lvl=notice_display&id=48270 [article] A best space for assisted wheelchair users [texte imprimé] / Brian Abraham ; Rob I. Davidson . - 2017 . - p. 163-172. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 3 (March 2017) . - p. 163-172 Mots-clés : chaise roulante Résumé : Introduction Occupational therapists lack manual-handling sensitive tools to assist individual adaptation specifications for assisted wheelchair users, for example, corridor-room turns for extra-long wheelchairs. Method Engineering-based methods identified an experimental set-up. This provided a useful representation of possible manoeuvres in five tasks and proposed a turn difficulty order. Experienced wheelchair assistants (n = 22) selected their maximum comfortable wheelchair weight for each turn. Results Some participants (3/22) were insensitive to turning-space but all other participants (19/22) chose their lowest maximum comfortable weight for the tightest turning-space and 17/19 chose their highest weights for space permitting a slow turn. Mean percentage weight increased by 30% from tight to slow turning-space. Results are statistically significant and clinically important. Experimental set-up was similar to assisting in confined spaces; participants were experienced in working in spacious environments and had recent manual-handling training so results are supported by good manual-handling practice. Assistant-size impact on easiest (highest weight) turning-space is small. Results are applicable to all floor coverings and wheelchair sizes but not to self-propelling wheelchair users. Results are incorporated into a tool, demonstrated by case study. Conclusion Tool-use specifies a best adaptation. Permalink : ./index.php?lvl=notice_display&id=48270

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