Analyzing wheelchair mobility patterns of community-dwelling older adults.

This study determined and compared wheelchair mobility patterns for older adults during an organized sporting event and within their community. In July 2008, 39 veterans participating in the 28th National Veterans Wheelchair Games (Omaha, Nebraska) completed the study. Of these, 26 were manual wheelchair and 13 were power wheelchair users. We collected wheelchair-related mobility data using wheelchair data-logging devices. Participants were significantly more active using manual wheelchairs during the games than when using their wheelchairs in their homes in terms of distance traveled (4,466.2 vs 1,367.4 m, p < 0.001) and average speed of propulsion (0.76 vs 0.64 m/s, p < 0.001). The trend was the same for power wheelchair users, with respect to distance (7,306.2 vs 3,450.5 m, p = 0.004) and average speed (0.9 vs 0.7 m/s, p = 0.002). This study demonstrates an objective method of evaluating wheelchair use in community-dwelling older adults.

[1]  B. Belza,et al.  Actigraphy as a Measure of Physical Activity for Wheelchair Users With Spinal Cord Injury , 2004, Nursing research.

[2]  Richard W. Bohannon Comfortable and maximum walking speed of adults aged 20-79 years: reference values and determinants. , 1997, Age and ageing.

[3]  I. Olkin,et al.  Using pedometers to increase physical activity and improve health: a systematic review. , 2007, JAMA.

[4]  Allan Hackett Experiences with using a pedometer to encourage physical activity—A case study , 2006 .

[5]  James H Rimmer,et al.  Exercise and physical activity in persons aging with a physical disability. , 2005, Physical medicine and rehabilitation clinics of North America.

[6]  M. Boninger,et al.  Assessing mobility characteristics and activity levels of manual wheelchair users. , 2007, Journal of rehabilitation research and development.

[7]  C. Warms Physical Activity Measurement in Persons With Chronic and Disabling Conditions: Methods, Strategies, and Issues , 2006, Family & community health.

[8]  M H Granat,et al.  Objective assessment of mobility of the spinal cord injured in a free-living environment , 2008, Spinal Cord.

[9]  M. Hirvensalo,et al.  Mobility Difficulties and Physical Activity as Predictors of Mortality and Loss of Independence in the Community‐Living Older Population , 2000, Journal of the American Geriatrics Society.

[10]  Aaron L. Souza,et al.  Propulsion patterns and pushrim biomechanics in manual wheelchair propulsion. , 2002, Archives of physical medicine and rehabilitation.

[11]  Stephen Sprigle,et al.  Characterization of power wheelchair use in the home and community. , 2008, Archives of physical medicine and rehabilitation.

[12]  Frank DeRuyter,et al.  Powered Mobility for Middle-Aged and Older Adults: Systematic Review of Outcomes and Appraisal of Published Evidence , 2008, American journal of physical medicine & rehabilitation.

[13]  Å. Brandt,et al.  Older people's use of powered wheelchairs for activity and participation. , 2004, Journal of rehabilitation medicine.

[14]  Shirley G Fitzgerald,et al.  A Preliminary Study on the Impact of Pushrim-Activated Power-Assist Wheelchairs Among Individuals with Tetraplegia , 2008, American journal of physical medicine & rehabilitation.

[15]  W Jack Rejeski,et al.  Objective assessment of activity in older adults at risk for mobility disability. , 2007, Medicine and science in sports and exercise.

[16]  Rachid Aissaoui,et al.  Biomechanics of Manual Wheelchair Propulsion in Elderly: System Tilt and Back Recline Angles , 2002, American journal of physical medicine & rehabilitation.

[17]  M. Boninger,et al.  Driving characteristics of electric-powered wheelchair users: how far, fast, and often do people drive? , 2002, Archives of physical medicine and rehabilitation.

[18]  Rachid Aissaoui,et al.  Stroke pattern classification during manual wheelchair propulsion in the elderly using fuzzy clustering. , 2008, Journal of biomechanics.

[19]  Rory A Cooper,et al.  Quantifying Wheelchair Activity of Children: A Pilot Study , 2008, American journal of physical medicine & rehabilitation.