OptiPush Wheelchair Training System

OptiPush 轮椅训练系统

• 批准号: 7857931
• 负责人: W MARK RICHTER
• 金额: $ 37.08万
• 依托单位: MAX MOBILITY, LLC
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-05 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7857931
• 关键词: Acute; Adverse effects; Affect; Area; Biofeedback; Body Weight; Body Weight decreased; British Columbia; Canada; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Certification; Clinical; Cumulative Trauma Disorders; Custom; Data; Ensure; Equipment; Evaluation; Exercise; Feedback; Fingers; Fitness Centers; Focus Groups; General Population; Goals; Guidelines; Hand; Health; Heart Diseases; Hospitals; Human Resources; Individual; Injury; Institution; Length; Life; Maintenance; Manual wheelchair; Marketing; Measures; Medical; Mind; Obesity; Operating System; Outcome Measure; Pain; Paraplegia; Performance; Phase; Population; Process; Public Health; Quadriplegia; Recruitment Activity; Rehabilitation Centers; Rehabilitation therapy; Risk; Risk Factors; Safety; Sample Size; Secondary to; Secure; Shoulder Pain; Site; Solutions; Speed; Stroke; Surveys; System; Techniques; Testing; Time; Training; Universities; Upper Extremity; Walking; Weight; Wheelchairs; Work; arm; design; expectation; experience; fitness; good diet; improved; innovation; instrument; instrumentation; member; preference; prevent; programs; prototype; public health relevance; response; satisfaction; skills; tool; usability

DESCRIPTION (provided by applicant): OptiPush Wheelchair Training System Wheelchair users are over twice as likely to be obese as people in the general population. The solution to obesity in the wheelchair user population is the same as it is in the general population, a healthy diet and regular exercise. The limited availability of wheelchair accessible cardiovascular exercise equipment may be contributing to lack of regular exercise in this population. Obesity among wheelchair users has led to secondary conditions such as heart disease and upper extremity (UE) pain and injury. Over half of the wheelchair user population has developed UE pain and injury. Body weight has been found to be a predictor of UE injury, with heavier users being more prone to injury. In addition to losing weight, training users such that they develop the strength and skills to push with less frequent, long, smooth strokes is currently recommended to help protect them from developing injuries. The OptiPush Wheelchair Training System (WTS) is a wheelchair-accessible treadmill that allows the wheelchair user to improve cardiovascular fitness, exercise capacity, strength and propulsion technique. In Phase I of the project, a proof of concept prototype was developed and evaluated by three wheelchair users during a 6-week exercise study. The wheelchair is secured to the treadmill by a dynamic tether system, which allows the wheelchair to move freely along the length of the treadmill but prevents it from tipping over, veering off course or rolling off the rear. Subjects were able to independently and safely use the OptiPush prototype and experienced significant improvements in cardiovascular health. The goals in Phase II of the project are to improve the design of the OptiPush treadmill and develop a commercial version that can be made available to individual users, gyms and rehabilitation centers. Push cadence and distance biofeedback will be provided to encourage users to use less frequent, long, smooth strokes. As a result of this project, wheelchair users will have increased access to cardiovascular fitness equipment and biofeedback training tools, enabling them to maintain cardiovascular health and improve their propulsion technique. PUBLIC HEALTH RELEVANCE: OptiPush Wheelchair Training System Relevance to Public Health Manual wheelchair users are at considerable risk of being obese, developing cardiovascular disease and developing upper limb overuse injuries. Two preventative measures are to exercise regularly and follow propulsion technique guidelines. This project will develop a wheelchair accessible treadmill with propulsion biofeedback that enables wheelchair users to independently and safely exercise while improving their propulsion technique.

描述（由申请人提供）：OptiPush 轮椅训练系统 轮椅使用者肥胖的可能性是一般人群的两倍以上。轮椅使用者人群肥胖的解决方法与一般人群相同，即健康饮食和定期锻炼。轮椅可用的心血管运动设备的供应有限可能是导致该人群缺乏定期锻炼的原因。轮椅使用者的肥胖会导致心脏病和上肢 (UE) 疼痛和损伤等继发性疾病。超过一半的轮椅使用者患有 UE 疼痛和损伤。体重已被发现是 UE 损伤的预测因素，较重的用户更容易受伤。除了减肥之外，目前还建议对使用者进行训练，以提高他们以较少频率、较长、平稳的击打动作的力量和技能，以帮助保护他们免受伤害。 OptiPush 轮椅训练系统 (WTS) 是一款适合轮椅使用者的跑步机，可让轮椅使用者改善心血管健康、运动能力、力量和推进技术。在该项目的第一阶段，三名轮椅使用者在为期 6 周的运动研究中开发并评估了概念验证原型。轮椅通过动态系绳系统固定在跑步机上，该系统允许轮椅沿着跑步机的长度自由移动，但防止其翻倒、偏离路线或从后部滚落。受试者能够独立、安全地使用 OptiPush 原型，并体验到心血管健康的显着改善。该项目第二阶段的目标是改进 OptiPush 跑步机的设计，并开发可供个人用户、健身房和康复中心使用的商业版本。将提供推击节奏和距离生物反馈，以鼓励用户使用不太频繁、较长、平滑的推击。通过该项目，轮椅使用者将有更多机会使用心血管健身设备和生物反馈训练工具，使他们能够保持心血管健康并提高推进技术。公众健康相关性：OptiPush 轮椅训练系统与公众健康的相关性 手动轮椅使用者面临肥胖、心血管疾病和上肢过度使用损伤的巨大风险。两项预防措施是定期锻炼和遵循推进技术指南。该项目将开发一种带有推进生物反馈功能的轮椅无障碍跑步机，使轮椅使用者能够独立、安全地锻炼，同时提高他们的推进技术。