Wheelchair Users' Perceptions of and Experiences with Power Assist Wheels

Giacobbi PR, Jr, Levy CE, Dietrich FD, Winkler SH, Tillman MD, Chow JW: Wheelchair users' perceptions of and experiences with power assist wheels. Objective:To assess wheelchair users' perceptions of and experiences with power assist wheels using qualitative interview methods. Design:Qualitative evaluations were conducted in a laboratory setting with a focus on users' experiences using power assist wheel in their naturalistic environments. Participants consisted of seven women and 13 men (Mage = 42.75, SD = 14.68) that included one African American, one Hispanic, 17 whites, and one individual from Zambia. Qualitative interviews were conducted before, during, and after use of a power assist wheel. Main outcome measures included the wheelchair users' evaluations and experiences related to the use of power assist wheels. Results:The primary evaluations included wheeling on challenging terrains, performance of novel activities, social/family aspects, fatigue, and pain. These descriptions indicated that most participants perceived positive experiences with the power assist wheels, including access to new and different activities. Secondary evaluations indicated that the unit was cumbersome and prohibitive for some participants because of difficulties with transport in and out of a vehicle and battery life. Most participants felt that power assist wheels provided more independence and social opportunities. Conclusions:The power assist wheel seems to offer physical and social benefits for most wheelers. Clinicians should consider users' home environment and overall life circumstances before prescribing.

[1]  R. Waters,et al.  Energy cost of paraplegic locomotion. , 1985, The Journal of bone and joint surgery. American volume.

[2]  A. Strauss,et al.  Basics of qualitative research: Grounded theory procedures and techniques. , 1993 .

[3]  Shirley G Fitzgerald,et al.  Assessing the influence of wheelchair technology on perception of participation in spinal cord injury. , 2004, Archives of physical medicine and rehabilitation.

[4]  E. Guba,et al.  Paradigmatic Controversies, Contradictions, and Emerging Confluences. , 2005 .

[5]  Shirley G Fitzgerald,et al.  Effect of a pushrim-activated power-assist wheelchair on the functional capabilities of persons with tetraplegia. , 2005, Archives of physical medicine and rehabilitation.

[6]  M. Boninger,et al.  Evaluation of a pushrim-activated, power-assisted wheelchair. , 2001, Archives of physical medicine and rehabilitation.

[7]  Shirley G Fitzgerald,et al.  Impact of a pushrim-activated power-assisted wheelchair on the metabolic demands, stroke frequency, and range of motion among subjects with tetraplegia. , 2004, Archives of physical medicine and rehabilitation.

[8]  Peter R. Giacobbi,et al.  Methodological challenges confronting researchers of wheeled mobility aids and other assistive technologies , 2007, Disability and rehabilitation. Assistive technology.

[9]  Alicia M Koontz,et al.  Pushrim biomechanics and injury prevention in spinal cord injury: recommendations based on CULP-SCI investigations. , 2005, Journal of rehabilitation research and development.

[10]  Shirley G Fitzgerald,et al.  A Pilot Study on Community Usage of a Pushrim-Activated, Power-Assisted Wheelchair , 2003, Assistive technology : the official journal of RESNA.

[11]  D. Tate,et al.  Quality of life issues in individuals with spinal cord injury. , 2002, Archives of physical medicine and rehabilitation.

[12]  R. M. Glaser,et al.  Energy cost and cardiopulmonary responses for wheelchair locomotion and walking on tile and on carpet , 1981, Paraplegia.

[13]  Bonnie L. Johnson,et al.  Carpal tunnel syndrome in paraplegic patients , 1985, Paraplegia.

[14]  R A Cooper Wheelchairs and related technology for the millennium. , 2000, Journal of rehabilitation research and development.

[15]  John W Chow,et al.  Pushrim-activated power-assist wheelchairs: elegance in motion. , 2004, American journal of physical medicine & rehabilitation.

[16]  R. M. Glaser,et al.  Relative Stresses of Wheelchair Activityl , 1980 .

[17]  A. Strauss Basics Of Qualitative Research , 1992 .

[18]  Krista L Best,et al.  Comparison between performance with a pushrim-activated power-assisted wheelchair and a manual wheelchair on the Wheelchair Skills Test , 2006, Disability and rehabilitation.

[19]  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.

[20]  P W Axelson,et al.  Research on physical activity and health among people with disabilities: a consensus statement. , 1999, Journal of rehabilitation research and development.

[21]  William C Mann,et al.  Variable-ratio pushrim-activated power-assist wheelchair eases wheeling over a variety of terrains for elders. , 2004, Archives of physical medicine and rehabilitation.

[22]  J. H. Frey,et al.  The Interview: From Structured Questions to Negotiated Text , 2000 .