Detecting destabilizing wheelchair conditions for maintaining seated posture.

Purpose:The purpose of this study was to detect and classify potentially destabilizing conditions encountered by manual wheelchair users with spinal cord injuries (SCI) to dynamically increase stability and prevent falls. Methods:A volunteer with motor complete T11 paraplegia repeatedly propelled hi...

Descripción completa

Detalles Bibliográficos
Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 13; no. 2; pp. 178 - 186
Autores principales: Crawford, Anna, Armstrong, Kiley, Loparo, Kenneth, Audu, Musa, Triolo, Ronald
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2018
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126756849&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 126756849
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        17483107
        1X04
      jtl: Disability & Rehabilitation: Assistive Technology
      issn: 17483107
      maglogo: Y
    pubinfo:
      dt: 2018
      vid: 13
      iid: 2
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        126756849
        126756849
        126756849
        10.1080/17483107.2017.1300347
        126756849
      ppf: 178
      ppct: 8
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Detecting destabilizing wheelchair conditions for maintaining seated posture.
      aug:
        au:
          Crawford, Anna
          Armstrong, Kiley
          Loparo, Kenneth
          Audu, Musa
          Triolo, Ronald
        affil: Motion Study Laboratory, Louis Stokes Cleveland, Affairs Medical Center, Cleveland, OH, USA
      sug:
        subj:
          Spinal Cord Injuries Rehabilitation
          Wheelchairs
          Adaptive Seating
          Balance, Postural
          Equipment Design
          Product Evaluation
          Human
          Kinematics
          Funding Source
          Acceleration
          Accidental Falls Prevention and Control
          Algorithms
          Descriptive Statistics
          Quality of Life
          Activities of Daily Living
          Repeated Measures
          Motion
          Wheelchair Control Devices
          Wheelchair Fitting
      ab: Purpose:The purpose of this study was to detect and classify potentially destabilizing conditions encountered by manual wheelchair users with spinal cord injuries (SCI) to dynamically increase stability and prevent falls. Methods:A volunteer with motor complete T11 paraplegia repeatedly propelled his manual wheelchair over level ground and simulated destabilizing conditions including sudden stops, bumps and rough terrain. Wireless inertial measurement units attached to the wheelchair frame and his sternum recorded associated accelerations and angular velocities. Algorithms based on mean, standard deviation and minimum Mahalanobis distance between conditions were constructed and applied to the data off-line to discriminate between events. Classification accuracy was computed to assess effects of sensor position and potential for automatically selecting a dynamic intervention to best stabilize the wheelchair user. Results:The decision algorithm based on acceleration signals successfully differentiated destabilizing conditions and level over-ground propulsion with classification accuracies of 95.8, 58.3 and 91.7% for the chest, wheelchair and both sensors, respectively. Conclusion:Mahalanobis distance classification based on trunk accelerations is a feasible method for detecting destabilizing events encountered by wheelchair users and may serve as an effective trigger for protective interventions. Incorporating data from wheelchair-mounted sensors decreases the false negative rate. Implications for RehabilitationSCI has a significant impact on quality of life, compromising the ability to participate in social or leisure activities, and complete other activities of daily living for an independent lifestyle.Using inertial measurement units to build an event classifier for control the actions of a neuroprosthetic device for maintaining seated posture in wheelchair users.Varying muscle activation increases user stability reducing the risk of injury.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N