MiGo-Wheels: A comprehensive feedback system to help wheelchair users maintain a healthy lifestyle

MiGo-Wheels：帮助轮椅使用者保持健康生活方式的综合反馈系统

• 批准号: 10001364
• 负责人: Justin Rowe
• 金额: $ 22.5万
• 依托单位: FLINT REHABILITATION DEVICES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10001364
• 关键词: Acceleration; Accelerometer; Address; Algorithms; Apple watch; Behavior; Characteristics; Chronic; Clinical; Collaborations; Coupled; Cumulative Trauma Disorders; Data; Deterioration; Devices; Dimensions; Failure; Feedback; Goals; Gold; Habits; Health; Impairment; Incidence; Individual; Injury; Lead; Life Style; Light; Limb structure; Maintenance; Manual wheelchair; Measures; Modification; Monitor; Nature; Notification; Performance; Personal Satisfaction; Phase; Physical activity; Pilot Projects; Powered wheelchair; Public Health; Rehabilitation Centers; Research; Resistance; Rewards; Small Business Innovation Research Grant; Spinal cord injury; Stress; System; Technology; Testing; Time trend; Travel; United States; Upper Extremity; Walking; Wheelchairs; Wrist; actigraphy; active lifestyle; arm; commercialization; design; fitbit; healthy lifestyle; improved; motor impairment; prototype; sensor; skill acquisition; skills; smartphone Application; social; spatiotemporal; stroke survivor; success; tool; visual feedback; wearable device; wireless network

Maintaining a healthy lifestyle can be difficult for the estimated 2 million people in the United States who rely on manual wheelchairs for mobility and independence. Although the specific health challenges for every wheelchair user depend on the nature of their injury or impairment, some of the most common issues are: 1) complications due to reduced physical activity, 2) complications due to repetitive stress injuries, 3) complications arising from limited acquisition of wheelchair skills, and 4) complications due to wheelchair component failure or deterioration. Many of these complications can be managed through lifestyle adaptation and the formation of healthy habits. However, these complications are often tightly coupled, requiring users to form healthy habits in multiple dimensions in order to manage them over the long term. Technology could help wheelchair users form robust habits to stay physically active, avoid stress injuries, develop their wheelchair skills, and maintain their wheelchair, but no commercial product currently exists that addresses these interconnected health challenges. We propose in this Phase I SBIR to develop and pilot test a comprehensive wellness system for wheelchair users. MiGo-Wheels will provide users with activity goals, promote healthy propulsion habits, and reward wheelchair skill development. Finally, to maintain optimal wheelchair performance, it will detect and alert the user to potential wheelchair performance issues, similar to a check engine light in a car. MiGo-Wheels will consist of a wireless network of three devices: 1) a wrist-worn activity watch that will detect pushes, measure spatiotemporal push characteristics, and deliver visual feedback, 2) a wheelchair mounted sensor that will measure the wheelchair’s heading, tilt angle, and acceleration, and 3) a wheel-mounted sensor that will measure angular velocity of the wheelchair’s wheel. MiGo-Wheels will also include a smartphone app (developed in Phase II) to allow users to view performance trends over time, receive additional feedback and notifications, connect with other wheelchair users, and control device settings. Our hypothesis is that this comprehensive approach will enable wheelchair users to manage their health challenges in an integrated and sustainable manner, thus reducing the incidence of the broad range of negative health effects associated with wheelchair use. Feasibility testing will be performed in collaboration with the Rancho Los Amigos Rehabilitation Center. Aim 1: Develop prototype wheelchair and wheel-mounted sensor units (Months 1-3). Aim 2: Develop algorithms for monitoring a comprehensive set of wheelchair activity and maintenance data (Months 2-4). Aim 3: Perform in-lab pilot study (N=20 wheelchair users) to validate the feasibility of MiGo-Wheels (Months 5-6). If this project is successful, it will be the first step in developing a valuable new tool for helping wheelchair users improve their overall health.

对于美国约 200 万人来说，保持健康的生活方式可能很困难 尽管存在特定的健康挑战，但仍依赖手动轮椅来实现行动和独立。 对于每个使用者来说，轮椅取决于他们受伤或损伤的性质，一些最常见的 问题是：1) 由于体力活动减少而导致的并发症，2) 由于重复性压力而导致的并发症 伤害，3) 由于轮椅技能获得有限而引起的并发症，以及 4) 由于以下原因引起的并发症 许多这些并发症可以通过轮椅部件故障或恶化来解决。 然而，生活方式的适应和健康习惯的形成往往与这些并发症紧密相关。 耦合，要求用户形成多维度的健康习惯，才能进行全程管理 从长远来看，技术可以帮助轮椅使用者养成保持身体活跃、避免运动的良好习惯。 压力损伤，发展他们的轮椅技能，并维护他们的轮椅，但没有商业产品 目前存在解决这些相互关联的健康挑战的方法。我们在第一阶段 SBIR 中提出建议。 为轮椅使用者开发和试点测试综合健康系统。 为用户提供活动目标，促进健康的推进习惯，并奖励轮椅技能 最后，为了保持最佳的轮椅性能，它将检测并提醒用户。 潜在的轮椅性能问题，类似于汽车中的检查引擎灯。 由三个设备组成的无线网络：1) 腕戴式活动手表，可检测推动、测量 时空推动特性，并提供视觉反馈，2）安装在轮椅上的传感器，它将 测量轮椅的航向、倾斜角度和加速度，以及 3) 一个安装在轮子上的传感器，它将 MiGo-Wheels 还将包括一个智能手机应用程序，用于测量轮椅轮子的角速度。 （在第二阶段开发）允许用户查看一段时间内的性能趋势，接收额外的反馈 和通知、与其他轮椅使用者联系以及控制设备设置。 这种综合方法将使轮椅使用者能够以一种更有效的方式应对他们的健康挑战 综合和可持续的方式，从而减少广泛的负面健康的发生率 将与轮椅使用相关的影响进行可行性测试。 Rancho Los Amigos 康复中心目标 1：开发原型轮椅和轮式轮椅。 传感器单元（第 1-3 个月）。目标 2：开发用于监控全套轮椅的算法。 活动和维护数据（第 2-4 个月）：进行实验室试点研究（N=20 名轮椅使用者）。 验证 MiGo-Wheels 的可行性（第 5-6 个月） 如果该项目成功，这将是迈出的第一步。 开发一种有价值的新工具来帮助轮椅使用者改善他们的整体健康。