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普通人群的两倍。轮椅用户人群中肥胖的解决方案与普通人群，健康饮食和定期运动相同。轮椅可及的心血管运动器材的可用性有限可能导致该人群中缺乏定期运动。轮椅使用者之间的肥胖导致了继发性疾病，例如心脏病和上肢（UE）疼痛和损伤。轮椅用户人口的一半以上已经产生了疼痛和伤害。已经发现体重是UE损伤的预测因素，使用者更容易受伤。除了减肥之外，目前建议他们培训用户以不太频繁，长，平滑的速度推动力量和技能，以帮助保护他们免受伤害。 Optipush轮椅训练系统（WTS）是一款可容纳轮椅的跑步机，可让轮椅用户改善心血管健身，运动能力，力量和推进技术。在该项目的第一阶段，在为期6周的运动研究中，由三个轮椅使用者开发并评估了概念原型验证。轮椅由动态的系绳系统固定到跑步机上，这使轮椅可以沿跑步机的长度自由移动，但可以防止其倾斜，偏离路线或从后部滚下来。受试者能够独立，安全地使用Optipush原型，并在心血管健康方面取得了重大改善。该项目的第二阶段的目标是改善Optipush跑步机的设计，并开发可供单个用户，健身房和康复中心提供的商业版本。将提供推动节奏和距离生物反馈，以鼓励用户使用较不频繁，长，平滑的中风。该项目的结果是，轮椅使用者将增加获得心血管健身设备和生物反馈训练工具的机会，从而使他们能够保持心血管健康并改善其推进技术。公共卫生相关性：与公共卫生手动轮椅使用者相关的Optipush轮椅培训系统具有肥胖，患心血管疾病并发展上肢过度伤害的风险很大。两项预防措施是定期运动并遵循推进技术指南。该项目将通过推进生物反馈开发一个可访问轮椅的跑步机，使轮椅用户能够独立，安全地锻炼，同时改善其推进技术。