Nothing Special   »   [go: up one dir, main page]

skip to main content
10.1145/3132525.3132529acmconferencesArticle/Chapter ViewAbstractPublication PagesassetsConference Proceedingsconference-collections
research-article

"But, I Don't Want/Need a Power Wheelchair": Toward Accessible Power Assistance for Manual Wheelchairs

Published: 19 October 2017 Publication History

Abstract

Power assist devices help manual wheelchair users to propel their wheelchair thus increasing their independence and reducing the risk of upper limb injuries due to excessive use. These benefits can be invaluable for people that already have upper limb joint pain and reduced muscular strength. However, it is not clear if the way that assistance is provided by such devices is what manual wheelchair users need and expect. 12 manual wheelchair users were interviewed to understand: the situations in which they find it difficult to propel their wheelchairs; situations they considered paramount to have power assistance; their experience or knowledge of power assist devices; and likes and dislikes of commercially available power assist devices. Finally, they were asked to comment on their ideal form factor of a power assist device. Users have suggested improvements of the devices' accessibility and visualized new ways in which they could interact with the technology. These interactions involve "chairable" devices independent from, but not excluding, wearable devices and mobile applications. We have identified the need of monitoring emotions and the need for designing an open source do-it-yourself wheelchair propelling assistance device which we believe is required equally in developed and in developing countries.

Supplementary Material

ZIP File (fp014.zip)
This supplementary folder contains one file which displays a table showing the images of power assist devices for manual wheelchairs.

References

[1]
Akbar, M., et al., Prevalence of Rotator Cuff Tear in Paraplegic Patients Compared with Controls. The Journal of Bone & Joint Surgery, 2010. 92(1): p. 23-30.
[2]
Algood, S.D., et al., Impact of a pushrim-activated power-assisted wheelchair on the metabolic demands, stroke frequency, and range of motion among subjects with tetraplegia. Archives of Physical Medicine and Rehabilitation, 2004. 85(11): p. 1865-1871.
[3]
Algood, S.D., et al., Effect of a pushrim-activated power-assist wheelchair on the functional capabilities of persons with tetraplegia. Archives of Physical Medicine and Rehabilitation, 2005. 86(3): p. 380-386.
[4]
Apple Inc. Physical and Motor Skill Accessibility - Apple Watch. 2017 {cited 2017 8th January}; Available from: http://www.apple.com/uk/accessibility/watch/physical-and-motor-skills/.
[5]
Arva, J., et al., Mechanical efficiency and user power requirement with a pushrim activated power assisted wheelchair. Medical Engineering & Physics, 2001. 23(10): p. 699-705.
[6]
Asheghan, M., et al., The prevalence of carpal tunnel syndrome among long-term manual wheelchair users with spinal cord injury: A cross-sectional study. The Journal of Spinal Cord Medicine, 2016. 39(3): p. 265-271.
[7]
Batec Mobility S.L. Batec Mobility - Add-on handbikes for wheelchairs: manual and power handbikes easy to attach to the wheelchair. Revolutionary anchoring system. {cited 2017 8th January}; Available from: http://batec-mobility.com/en.
[8]
Braun, V. and V. Clarke, Using thematic analysis in psychology. Qualitative Research in Psychology, 2006. 3(2): p. 77-101.
[9]
Buehler, E., et al., Sharing is Caring: Assistive Technology Designs on Thingiverse, in Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems. 2015, ACM: Seoul, Republic of Korea. p. 525-534.
[10]
Carrington, P., A. Hurst, and S.K. Kane, Wearables and chairables: inclusive design of mobile input and output techniques for power wheelchair users, in Proceedings of the 32nd annual ACM conference on Human factors in computing systems. 2014, ACM: Toronto, Ontario, Canada. p. 3103-3112.
[11]
Chow, J.W., et al., Longitudinal stroke cycle characteristics of pushrim-activated power-assisted wheelchair propulsion. Journal of Biomechanics, 2007. 40(Suplement 2): p. S468.
[12]
Cooper, R.A., et al., Evaluation of a pushrim-activated, power-assisted wheelchair. Archives of Physical Medicine and Rehabilitation, 2001. 82(5): p. 702-708.
[13]
Dalyan, M., D. Cardenas, and B. Gerard, Upper extremity pain after spinal cord injury. Spinal Cord, 1999. 37(3): p. 191-195.
[14]
de Groot, S., et al., Consequence of feedback-based learning of an effective hand rim wheelchair force production on mechanical efficiency. Clinical Biomechanics, 2002. 17(3): p. 219-226.
[15]
Empatica Inc. Real time physiological signals - E4 EDA/GSR sensor wirstband. 2017 {cited 2017 8th January}; Available from: https://www.empatica.com/e4-wristband.
[16]
Fitbit Inc. Fitbit Official Site for Activity Trackers and More. 2017 {cited 2017 8th January}; Available from: https://www.fitbit.com/uk.
[17]
Fullerton, H.D., J.J. Borckardt, and A.P. Alfano, Shoulder Pain: A Comparison of Wheelchair Athletes and Nonathletic Wheelchair Users. Medicine & Science in Sports & Exercise, 2003. 35(12): p. 1958-1961.
[18]
Giacobbi, P.R.J., et al., Wheelchair Users' Perceptions of and Experiences with Power Assist Wheels. American Journal of Physical Medicine & Rehabilitation, 2010. 89(3): p. 225-234.
[19]
Guarisco, M., F. Gao, and d. Paire, Autonomy and User Experience Enhancement Control of an Electrically Assisted Bicycle With Dual-Wheel Drive. IEEE Transactions on Industry Applications, 2017. 53(2): p. 1476-1484.
[20]
Guillon, B., et al., Evaluation of 3 Pushrim-Activated Power-Assisted Wheelchairs in Patients With Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation, 2015. 96(5): p. 894-904.
[21]
Gupta, M., et al. A comparison between smartphone sensors and bespoke sensor devices for wheelchair accessibility studies. in 2015 IEEE Tenth International Conference on Intelligent Sensors, Sensor Networks and Information Processing (ISSNIP). 2015.
[22]
Haubert, L.L., et al., Comparison of Energy Expenditure and Propulsion Characteristics in a Standard and Three Pushrim-Activated Power- Assisted Wheelchairs. Topics in Spinal Cord Injury Rehabilitation Fall, 2005. 11(2): p. 64-73.
[23]
Holloway, C., et al. Street rehab: Linking accessibility and rehabilitation. in 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2016.
[24]
Holloway, C.S., et al. Linking wheelchair kinetics to glenohumeral joint demand during everyday accessibility activities. in 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). 2015.
[25]
Howarth, S.J.a., et al., Use of a geared wheelchair wheel to reduce propulsive muscular demand during ramp ascent: Analysis of muscle activation and kinematics. Clinical Biomechanics, 2010. 25(1): p. 21-28.
[26]
Hubbard, S., et al., Poster 27: Characterizing Successful Pushrim-Activated Power-Assist Wheelchair Users. Archives of Physical Medicine and Rehabilitation, 2007. 88(10): p. e13.
[27]
Hurst, A. and S. Kane, Making "making" accessible, in Proceedings of the 12th International Conference on Interaction Design and Children. 2013, ACM: New York, New York, USA. p. 635-638.
[28]
Jervis, R., et al., Design of a miniature flow cell for in situ x-ray imaging of redox flow batteries. Journal of Physics D: Applied Physics, 2016. 49(43): p. 434002.
[29]
Karmarkar, A., et al., Evaluation of Pushrim-Activated Power-Assisted Wheelchairs Using ANSI/RESNA Standards. Archives of Physical Medicine and Rehabilitation, 2008. 89(6): p. 1191-1198.
[30]
Kloosterman, M.G.M., et al., Exploration of shoulder load during hand-rim wheelchair start-up with and without power-assisted propulsion in experienced wheelchair users. Clinical Biomechanics, 2016. 34 Supplement(C): p. 1-6.
[31]
Kloosterman, M.G.M., et al., A systematic review on the pros and cons of using a pushrim-activated power-assisted wheelchair. Clinical Rehabilitation, 2013. 27(4): p. 299-313.
[32]
Kloosterman, M.G.M., et al., Effect of power-assisted hand-rim wheelchair propulsion on shoulder load in experienced wheelchair users: A pilot study with an instrumented wheelchair. Medical Engineering & Physics, 2015. 37(10): p. 961-968.
[33]
Kloosterman, M.G.M.a., et al., Comparison of shoulder load during power-assisted and purely hand-rim wheelchair propulsion. Clinical Biomechanics, 2012. 27(5): p. 428-435.
[34]
Levy, C.E., et al., Variable-ratio pushrim-activated power-assist wheelchair eases wheeling over a variety of terrains for elders. Archives of Physical Medicine and Rehabilitation, 2004. 85(1): p. 104-112.
[35]
Levy, C.E.M.D., et al., Use of Power Assist Wheels Results in Increased Distance Traveled Compared with Conventional Manual Wheeling. American Journal of Physical Medicine & Rehabilitation, 2010. 89(8): p. 625-634.
[36]
Lighthall-Haubert, L., et al., Comparison of Shoulder Muscle Electromyographic Activity During Standard Manual Wheelchair and Push-Rim Activated Power Assisted Wheelchair Propulsion in Persons With Complete Tetraplegia. Archives of Physical Medicine and Rehabilitation, 2009. 90(11): p. 1904-1915.
[37]
LTM Consortium. Light.Touch.Matters | The product is the interface. {cited 2017 11th January}; Available from: http://www.light-touch-matters-project.eu/index.php?tag=home.
[38]
MAX Mobility. PushTracker - MAX Mobility. 2016 {cited 2017 8th January}; Available from: http://www.max-mobility.com/pushtracker. 39} Mercer, J.L., et al., Shoulder joint kinetics and pathology in manual wheelchair users. Clinical Biomechanics, 2006. 21(8): p. 781-789.
[39]
Meyers, A.R., et al., Barriers, facilitators, and access for wheelchair users: sbstantive and methodologic lessons from a pilot study of environmental effects. Social Science & Medicine, 2002. 55(8): p. 1435-1446.
[40]
MEYRA GmbH. Servomatic, MEYRA. 2017 {cited 2017 24th March}; Available from: https://www.meyra.de/hmv-suche/hmv-details/product-446/.
[41]
Milgate, N., Current issues of the SmartDrive MX2 and Pushtracker, M.R. Dafne Zuleima, Editor. 2017, Equipment for the Physically Challenged (EPC) Wheelchairs Ltd.: London, United Kingdom.
[42]
Nash, M.S., et al., Power-Assisted Wheels Ease Energy Costs and Perceptual Responses to Wheelchair Propulsion in Persons With Shoulder Pain and Spinal Cord Injury. Archives of Physical Medicine and Rehabilitation, 2008. 89(11): p. 2080-2085.
[43]
Pavlidou, E., et al., Rolling resistance and propulsion efficiency of manual and power-assisted wheelchairs. Medical Engineering & Physics, 2015. 37(11): p. 1105-1110.
[44]
Raspberri Pi Foundation. Raspberry Pi - Teach, Learn and Make with Raspberry Pi. 2017 {cited 2017 8th January}; Available from: https://www.raspberrypi.org/.
[45]
Rimmer, J.H., et al., Physical activity participation among persons with disabilities. American Journal of Preventive Medicine, 2004. 26(5): p. 419-425.
[46]
Sabick, M.B., B.R. Kotajarvi, and K.-N. An, A new method to quantify demand on the upper extremity during manual wheelchair propulsion1. Archives of Physical Medicine and Rehabilitation, 2004. 85(7): p. 1151-1159.
[47]
Shinohara, K. and J.O. Wobbrock, Self-Conscious or Self-Confident? A Diary Study Conceptualizing the Social Accessibility of Assistive Technology. ACM Trans. Access. Comput., 2016. 8(2): p. 1-31.
[48]
Shinohara, K. and J.O. Wobbrock, In the shadow of misperception: assistive technology use and social interactions, in Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2011, ACM: Vancouver, BC, Canada. p. 705-714.
[49]
Slowik, J.S., et al., The influence of wheelchair propulsion hand pattern on upper extremity muscle power and stress. Journal of Biomechanics, 2016. 49(9): p. 1554-1561.
[50]
Stein, R.B., et al., Improved efficiency with a wheelchair propelled by the legs using voluntary activity or electric stimulation. Archives of Physical Medicine and Rehabilitation, 2001. 82(9): p. 1198-1203.
[51]
Sunrise Medical LLC. WheelDrive wheelchair power assist. 2016 {cited 2017 8th January}; Available from: http://www.sunrisemedical.eu/wheelchairs/quickie/wheelchair-power-assist-wheeldrive.
[52]
Sunrise Medical LLC. Quickie Xtender Power Assist Wheelchair Accessory. 2016 {cited 2017 8th January}; Available from: http://www.sunrisemedical.com/manual-wheelchairs/quickie/manual-power-assist/xtender.
[53]
Ulrich Alber GmbH. Wheelchair Drives. 2017 {cited 2017 8th January}; Available from: https://www.alber.de/en/products/wheelchair-drive.html.
[54]
Weed, M., Capturing the essence of grounded theory: the importance of understanding commonalities and variants. Qualitative Research in Sport, Exercise and Health, 2017. 9(1): p. 149-156.
[55]
Wheelchair Leadership Alliance. NHS England - Improving wheelchair services. 2017 {cited 2017 26th April}; Available from: https://www.england.nhs.uk/ourwork/pe/wheelchair-services/.
[56]
World Health Organization. Assistive Technology, Fact Sheet. 2016 {cited 2017 11th April}; Available from: http://www.who.int/mediacentre/factsheets/assistive-technology/en/.
[57]
World Health Organization, International Society for Prosthetics and Orthotics, and United States Agency International Development, Guidelines on the provision of manual wheelchairs in less-resourced settings. 2008, Geneva, Switzerland. 131.

Cited By

View all
  • (2024)WheelSkills: Prototyping Manual Wheelchair Training through Immersive Visual FeedbackExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3651396(1-8)Online publication date: 11-May-2024
  • (2024)Navigating Daily Life: Insights from Powered Wheelchair Users on Assistive Technologies and Caregiver SupportExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650863(1-7)Online publication date: 11-May-2024
  • (2023)Understanding Wheelchair Users’ Preferences for On-Body, In-Air, and On-Wheelchair GesturesProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580929(1-16)Online publication date: 19-Apr-2023
  • Show More Cited By

Recommendations

Comments

Please enable JavaScript to view thecomments powered by Disqus.

Information & Contributors

Information

Published In

cover image ACM Conferences
ASSETS '17: Proceedings of the 19th International ACM SIGACCESS Conference on Computers and Accessibility
October 2017
450 pages
ISBN:9781450349260
DOI:10.1145/3132525
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

Sponsors

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 19 October 2017

Permissions

Request permissions for this article.

Check for updates

Author Tags

  1. accessibility
  2. assistive technology
  3. human-centered
  4. interaction design
  5. interviews
  6. manual wheelchair
  7. participatory design
  8. power assist device

Qualifiers

  • Research-article

Funding Sources

Conference

ASSETS '17
Sponsor:

Acceptance Rates

ASSETS '17 Paper Acceptance Rate 28 of 126 submissions, 22%;
Overall Acceptance Rate 436 of 1,556 submissions, 28%

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • Downloads (Last 12 months)77
  • Downloads (Last 6 weeks)12
Reflects downloads up to 29 Nov 2024

Other Metrics

Citations

Cited By

View all
  • (2024)WheelSkills: Prototyping Manual Wheelchair Training through Immersive Visual FeedbackExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3651396(1-8)Online publication date: 11-May-2024
  • (2024)Navigating Daily Life: Insights from Powered Wheelchair Users on Assistive Technologies and Caregiver SupportExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650863(1-7)Online publication date: 11-May-2024
  • (2023)Understanding Wheelchair Users’ Preferences for On-Body, In-Air, and On-Wheelchair GesturesProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580929(1-16)Online publication date: 19-Apr-2023
  • (2023)"I am the follower, also the boss": Exploring Different Levels of Autonomy and Machine Forms of Guiding Robots for the Visually ImpairedProceedings of the 2023 CHI Conference on Human Factors in Computing Systems10.1145/3544548.3580884(1-22)Online publication date: 19-Apr-2023
  • (2022)Methodological Standards in Accessibility Research on Motor Impairments: A SurveyACM Computing Surveys10.1145/354350955:7(1-35)Online publication date: 15-Dec-2022
  • (2022)Understanding Interactions for Smart Wheelchair Navigation in CrowdsProceedings of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491102.3502085(1-16)Online publication date: 29-Apr-2022
  • (2022)Accessibility-Related Publication Distribution in HCI Based on a Meta-AnalysisExtended Abstracts of the 2022 CHI Conference on Human Factors in Computing Systems10.1145/3491101.3519701(1-28)Online publication date: 27-Apr-2022
  • (2022)The differences in demographics, fear of falling, transfer quality and participation enfranchisement between manual and power wheelchair users with multiple sclerosis and spinal cord injuryDisability and Rehabilitation: Assistive Technology10.1080/17483107.2022.213899819:3(1003-1008)Online publication date: 27-Oct-2022
  • (2021)The Impact of Spinal Cord Injury on Participation in Human-Centered ResearchProceedings of the 2021 ACM Designing Interactive Systems Conference10.1145/3461778.3462122(1902-1914)Online publication date: 28-Jun-2021
  • (2021)Evaluation of two power assist systems for manual wheelchairs for usability, performance and mobility: a pilot studyDisability and Rehabilitation: Assistive Technology10.1080/17483107.2021.2001063(1-13)Online publication date: 22-Nov-2021
  • Show More Cited By

View Options

Login options

View options

PDF

View or Download as a PDF file.

PDF

eReader

View online with eReader.

eReader

Media

Figures

Other

Tables

Share

Share

Share this Publication link

Share on social media