New portable voice guidance device for the manual wheelchair transfer: a pilot study in patients with hemiplegia.

Purpose: Older and/or cognitively impaired patients require verbal guidance to prevent accidents during wheelchair operation, thus increasing the burden on caregivers. This study aimed to develop a new portable voice guidance device for manual wheelchairs and examine its clinical usefulness.Method:...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 12; no. 4; pp. 411 - 417
Autores principales: Yoshida, Taiki, Otaka, Yohei, Osu, Rieko, Kita, Kahori, Sakata, Sachiko, Kondo, Kunitsugu
Formato: algorithm pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2017
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.3109/17483107.2016.1167261
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        atl: New portable voice guidance device for the manual wheelchair transfer: a pilot study in patients with hemiplegia.
      aug:
        au:
          Yoshida, Taiki
          Otaka, Yohei
          Osu, Rieko
          Kita, Kahori
          Sakata, Sachiko
          Kondo, Kunitsugu
        affil: Tokyo Bay Rehabilitation Hospital, Chiba, Japan
      sug:
        subj:
          Hemiplegia
          Hemiplegia Embryology
          Transfer Techniques
          Human
          Descriptive Statistics
          Aged
          Aged, 80 and Over
          Questionnaires
          Stroke Patients
          Caregiver Burden
          Psychological Tests
          Scales
          Aged: 65+ years
          Aged, 80 & over
      ab: Purpose: Older and/or cognitively impaired patients require verbal guidance to prevent accidents during wheelchair operation, thus increasing the burden on caregivers. This study aimed to develop a new portable voice guidance device for manual wheelchairs and examine its clinical usefulness.Method: We developed a portable voice guidance device to monitor the statuses of wheelchair brakes and footrests and automatically provide voice guidance for operation. The device comprises a microcomputer, four magnets and magnetic sensors, speaker and battery. Device operation was assessed during the transfer from a wheelchair to bed six times per day over three days for a total of 90 transfers in five stroke patients (mean age: 79.6 years) who required verbal guidance to direct wheelchair operation. Device usability was also assessed using a questionnaire.Results: The device performed perfectly during all attempted transfers (100%). To ensure safety, the assessor needed to add verbal guidance during 33 of 90 attempted transfers (36.6%). Overall, the device usability was favourable. However, some assessors were unsatisfied with the volume of the device voice, guidance timing and burden reduction.Conclusions: Our device could facilitate wheelchair operation and might potentially be used to reduce fall risk in stroke patients and the burden on caregivers. Implications for RehabilitationThe acquisition of transfer independence is an important step in the rehabilitation of patients with mobility issues.Many patients require supervision and guidance regarding the operation of brakes and footrests on manual wheelchairs.This newly developed voice guidance device for manual wheelchair transfers worked well in patients with hemiplegia and might be helpful to reduce the fall risks and the burden of care.
      pubtype: Academic Journal
      doctype:
        algorithm
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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