Quantifying Wheelchair Activity of Children: A Pilot Study

Cooper RA, Tolerico M, Kaminski BA, Spaeth D, Ding D, Cooper R: Quantifying wheelchair activity of children: a pilot study. Am J Phys Med Rehabil 2008;87:977–983. Objective:The purpose of this study was to investigate mobility-related wheelchair activity of children in their community setting. Design:Mobility-related wheelchair activity data from 18 community- dwelling children (9 manual and 9 electric powered) were collected using custom-designed data logging devices. The children were between 8 and 17 yrs of age and independently used a wheelchair as their primary means of mobility. A data logging device was installed on their wheelchair for 7 days. However, because the device was attached and removed at different times of the day, the first and last days of the study period were not analyzed. Therefore, a total of 5 days of data were used to investigate wheelchair activity. Results:Overall, the children who used manual wheelchairs traveled on an average of 1602.31 m/day (SD, 976.78) at a speed of 0.67 m/sec (SD, 0.12), and the children who used electric-powered wheelchairs drove 1752.42 m/day (SD, 835.14) at a speed of 0.75 m/sec (SD, 0.35). It was also calculated that the average daily number of starts/ stops per thousand meters the manual and electric-powered wheelchair users completed were 166.77 (SD, 64.32) and 112.53 (SD, 62.27), respectively. A comparison of mobility-related wheelchair activity revealed a significant (P = 0.008) difference in the average daily distance traveled between genders, with the boys traveling further than the girls. Conclusions:The mobility data obtained from the children wheelchair users suggest that one possible factor of variability among wheelchair activity is between genders. The data collected provide us with direction for future research in this area.

[1]  Garrett Grindle,et al.  A perspective on intelligent devices and environments in medical rehabilitation. , 2008, Medical engineering & physics.

[2]  R. Abresch,et al.  Utility of a step activity monitor for the measurement of daily ambulatory activity in children. , 2005, Archives of physical medicine and rehabilitation.

[3]  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.

[4]  H. Stam,et al.  Energy cost and physical strain of daily activities in adolescents and young adults with myelomeningocele , 2007, Developmental medicine and child neurology.

[5]  P. Freedson,et al.  Age and gender differences in objectively measured physical activity in youth. , 2002, Medicine and science in sports and exercise.

[6]  C. Butler.  EFFECTS OF POWERED MOBILITY ON SELF‐INITIATED BEHAVIORS OF VERY YOUNG CHILDREN WITH LOCOMOTOR DISABILITY , 1986, Developmental medicine and child neurology.

[7]  R. Washburn,et al.  Assessing Physical Activity during Wheelchair Pushing: Validity of a Portable Accelerometer , 1999 .

[8]  E. Bleck,et al.  Locomotor Prognosis in Cerebral Palsy , 1975, Developmental medicine and child neurology.

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

[10]  H J Stam,et al.  Validity of the detection of wheelchair propulsion as measured with an Activity Monitor in patients with spinal cord injury , 2005, Spinal Cord.

[11]  Rory A. Cooper,et al.  Relationship Between Quality of Wheelchair and Quality of Life , 2008 .

[12]  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.

[13]  J. Agre,et al.  Physical activity capacity in children with myelomeningocele. , 1987, Archives of physical medicine and rehabilitation.

[14]  L. V. D. van der Woude,et al.  Physical strain in daily life of wheelchair users with spinal cord injuries. , 1994, Medicine and science in sports and exercise.

[15]  J. Collinger,et al.  Shoulder ultrasound abnormalities, physical examination findings, and pain in manual wheelchair users with spinal cord injury. , 2008, Archives of physical medicine and rehabilitation.

[16]  S. Trost,et al.  Physical activity in overweight and non-overweight pre-school children , 2002 .

[17]  T. Burns,et al.  Tracking of activity and sedentary behaviors in childhood: the Iowa Bone Development Study. , 2005, American journal of preventive medicine.

[18]  Brad E Dicianno,et al.  Rehabilitation and Medical Management of the Adult with Spina Bifida , 2008, American journal of physical medicine & rehabilitation.

[19]  P. London.  Injury , 1969, Definitions.

[20]  P. Wollmer,et al.  Daily physical activity in Swedish children aged 8–11 years , 2006, Scandinavian journal of medicine & science in sports.

[21]  J. Deitz,et al.  Powered mobility and preschoolers with complex developmental delays. , 2002, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[22]  K. Bjornson,et al.  Use of the StepWatch Activity Monitor for Characterization of Normal Activity Levels of Children , 2006, Journal of pediatric orthopedics.

[23]  E. Ferretti,et al.  Assessing the Influence of Wheelchair On Individuals with Spinal Cord Injury Using a Measure of Participation , 2007 .

[24]  Assessment of physical activity in inactive populations. , 1985, Medicine and science in sports and exercise.

[25]  ENERGY COST OF WALKING AND OF WHEELCHAIR PROPULSION BY CHILDREN WITH MYELODYSPLASIA: COMPARISON WITH NORMAL CHILDREN , 1983, Developmental medicine and child neurology.