NDLI: Feasibility of a bimanual, lever-driven wheelchair for people with severe arm impairment after stroke

Content Provider	IEEE Xplore Digital Library
Author	Smith, B.W. Zondervan, D.K. Lord, T.J. Chan, V. Reinkensmeyer, D.J.
Copyright Year	2014
Description	Author affiliation: Depts. of Mech. & Aerosp. Eng. & Anatomy & Neurobiol., Univ. of California, Irvine, Irvine, CA, USA (Smith, B.W.; Zondervan, D.K.; Lord, T.J.; Chan, V.; Reinkensmeyer, D.J.)
Abstract	Individuals with severe arm impairment after stroke are thought to be unable to use a manual wheelchair in the conventional bimanual fashion, because they cannot grip and push the pushrim with their impaired hand. Instead, they are often taught to propel a wheelchair with their good arm and leg, a compensatory strategy that encourages disuse and may cause asymmetric tone. Here, we show that four stroke survivors (9, 27 50 and 16 months post stroke) with severe arm impairment (upper extremity Fugl Meyer scores of 21, 17, 16 and 15 of 66 respectively) were able to propel themselves overground during ten, 3.3 meter movement trials, using a specially designed lever-driven wheelchair adapted with a splint and elastic bands. Their average speed on the tenth trial was about 0.1 m/sec. These results suggest that individuals with stroke could use bimanual wheelchair propulsion for mobility, both avoiding the problems associated with good-arm/good-leg propulsion and increasing the number of daily arm movements they achieve, which may improve arm movement recovery.
Sponsorship	IEEE Eng. Med. Biol. Soc.
Starting Page	5292
Ending Page	5295
File Size	969202
Page Count	4
File Format	PDF
ISBN	9781424479290
ISSN	1557170X
DOI	10.1109/EMBC.2014.6944820
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	2014-08-26
Publisher Place	USA
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Wheelchairs Propulsion Wheels Manuals Extremities Prototypes Resonant frequency
Content Type	Text
Resource Type	Article
Subject	Signal Processing Biomedical Engineering Health Informatics Computer Vision and Pattern Recognition

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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