The development and testing of a system for wheelchair stability measurement.

Wheelchair stability has an impact on safety as well as wheelchair performance, propulsion and manoeuvrability. Wheelchair stability is affected by the addition of life-supporting heavy equipment, e.g. ventilators and oxygen cylinders, as well as the characteristics of the user e.g. limb amputations, obesity. The aim of the research described here was to develop and test a stability assessment system that would guide and support the adjustment of wheelchairs to individual needs, characteristics and lifestyles. The resulting system provides assessment of centre of gravity and wheelchair stability and calculates the wheelchair tipping angles. The system consists of a force platform that senses the weight distribution of the wheelchair and calculates the centres of the contact points of the wheels and the distances between them. The measurement data are transferred via a WiFi connection to a portable tablet computer where wheelchair stability parameters are calculated. A touchscreen GUI provides visualization of the stability results and navigation through the measurement modes. The developed new concept has been evaluated through technical laboratory-based testing to determine the validity of the data collected. Initial testing has been undertaken within the clinical setting in 3 large hospitals in the UK. Initial results suggest that Wheelsense® provides a valuable tool to support clinical judgement.

[1]  Angelo Fabbri,et al.  Static Measurement of the Centre of Gravity Height on Narrow-track Agricultural Tractors , 2004 .

[2]  P Rabischong,et al.  Balance and stabilization capability of paraplegic wheelchair athletes. , 1994, Journal of rehabilitation research and development.

[3]  R L Kirby,et al.  Clinical measurement of the static rear stability of occupied wheelchairs. , 1999, Archives of physical medicine and rehabilitation.

[4]  Alicia M Koontz,et al.  Impact of surface type, wheelchair weight, and axle position on wheelchair propulsion by novice older adults. , 2009, Archives of physical medicine and rehabilitation.

[5]  R L Kirby,et al.  WHEELCHAIR-RELATED ACCIDENTS CAUSED BY TIPS AND FALLS AMONG NONINSTITUTIONALIZED USERS OF MANUALLY PROPELLED WHEELCHAIRS IN NOVA SCOTIA , 1994, American journal of physical medicine & rehabilitation.

[6]  John Stewart,et al.  Increases in wheelchair use and perceptions of disablement , 2005 .

[7]  R L Kirby,et al.  Wheelchair stability: effect of body position. , 1995, Journal of rehabilitation research and development.

[8]  R L Kirby,et al.  Effects of rear-wheel camber on wheelchair stability. , 1997, Archives of physical medicine and rehabilitation.

[9]  R L Kirby,et al.  Adding loads to occupied wheelchairs: effect on static rear and forward stability. , 1996, Archives of physical medicine and rehabilitation.

[10]  Cathy Craig,et al.  Assessing and training standing balance in older adults: a novel approach using the 'Nintendo Wii' Balance Board. , 2011, Gait & posture.

[11]  S J Caldicott,et al.  Validation of a software-based stability assessment system for wheelchairs and their occupants , 2008, Journal of medical engineering & technology.

[12]  Andree Woodcock,et al.  Improving wheelchair prescription: an analysis of user needs and existing tools. , 2012, Work.

[13]  Jill Evans,et al.  A novel system for wheelchair stability assessment design and initial results , 2014, 2014 IEEE International Symposium on Medical Measurements and Applications (MeMeA).

[14]  Rory A. Cooper,et al.  Rehabilitation Engineering Applied to Mobility and Manipulation , 1995 .

[15]  J D Tomlinson,et al.  Managing maneuverability and rear stability of adjustable manual wheelchairs: an update. , 2000, Physical therapy.

[16]  G. A. Smith,et al.  Wheelchair related injuries treated in US emergency departments , 2006, Injury Prevention.

[17]  George Boiadzjiev,et al.  Powered wheelchair control based on the dynamical criteria of stability , 2002 .

[18]  U Boenick,et al.  [The dynamic stability of wheelchairs]. , 1987, Biomedizinische Technik. Biomedical engineering.

[19]  R A Cooper,et al.  Racing wheelchair roll stability while turning: a simple model. , 1992, Journal of rehabilitation research and development.

[20]  Gail Powell-Cope,et al.  Wheelchair‐related Falls: Current Evidence and Directions for Improved Quality Care , 2005, Journal of nursing care quality.

[21]  R L Kirby,et al.  Influence of seat position on the static and dynamic forward and rear stability of occupied wheelchairs. , 1993, Archives of physical medicine and rehabilitation.