scholarly journals A mobile application to promote a healthy lifestyle in wheelchair users with spinal cord injury or lower limb amputation: a usability and feasibility study (Preprint)

10.2196/24909 ◽  
2020 ◽  
Author(s):  
Dirk Hoevenaars ◽  
Jasmijn F M Holla ◽  
Leonie te Loo ◽  
Johan M Koedijker ◽  
Sarah Dankers ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Feasibility Study ◽  
Lower Limb ◽  
Mobile Application ◽  
Healthy Lifestyle ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Wheelchair Users ◽  
Cord Injury

scholarly journals Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0228465
Author(s):  
Jasmijn F. M. Holla ◽  
Lizanne E. van den Akker ◽  
Tessa Dadema ◽  
Sonja de Groot ◽  
Michael Tieland ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Dietary Behaviour ◽  
Limb Amputation ◽  
Wheelchair Users ◽  
Rehabilitation Professionals ◽  
Cord Injury

Lower-limb exoskeletons for individuals with chronic spinal cord injury: findings from a feasibility study

2015 ◽  
Vol 30 (1) ◽  
pp. 73-84 ◽  
Author(s):  
Ian Benson ◽  
Kirsten Hart ◽  
Dot Tussler ◽  
Joost J van Middendorp
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Feasibility Study ◽  
Lower Limb ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury

scholarly journals A mobile application to promote a healthy lifestyle in wheelchair users with spinal cord injury or lower limb amputation: a usability and feasibility study (Preprint)

2020 ◽  
Author(s):  
Dirk Hoevenaars ◽  
Jasmijn F M Holla ◽  
Leonie te Loo ◽  
Johan M Koedijker ◽  
Sarah Dankers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Lower Limb ◽  
Healthy Lifestyle ◽  
Ease Of Use ◽  
Limb Amputation ◽  
Change Strategies ◽  
Mass Percentage ◽  
Wheelchair Users ◽  
Cord Injury

BACKGROUND Maintaining a healthy lifestyle is important for wheelchair users’ wellbeing, as it can have a major impact on their daily functioning. Mobile health (mHealth) applications can support a healthy lifestyle, however, are not suitable for wheelchair users with spinal cord injury or lower limb amputation. Therefore, a new mHealth application (called WHEELS) was developed, to promote a healthy lifestyle. OBJECTIVE The objective of this paper was to describe the development of the WHEELS mHealth application and explore its usability, feasibility and effectiveness. METHODS The WHEELS application was developed using the intervention mapping framework. Intervention goals were determined based on a needs assessment, after which behavior change strategies were selected to achieve these goals. These were applied in an application which was pre-tested on ease of use and satisfaction, followed by minor adjustments. Subsequently, a 12-week pilot study was performed to explore usability, feasibility and effectiveness of the application. Semi-structured interviews were thematically analyzed and questionnaires (System Usability Score [SUS] and Usefulness, Satisfaction, and Ease [USE]) were administered to investigate usability and feasibility. Effectiveness was determined by measuring outcomes on physical activity, nutrition, sleep quality (Pitssburgh Sleep Quality Index [PSQI]), body composition and other secondary outcomes, pre and post intervention. RESULTS Sixteen behavior change strategies were built into an app to change the physical activity, dietary, sleep and relaxation behavior of wheelchair users. Of the 21 participants included in the pilot study, fourteen participants completed the post measurements. The interviews and questionnaires showed a varied user experience. Participants scored 58.6 ± 25.2 on the SUS questionnaire and 5.4 ± 3.1 on ease of use, 5.2 ± 3.1 on satisfaction and 5.9 ± 3.7 on ease of learning. Positive developments in body composition were found on waist circumference (P = .015), fat mass percentage (P = .004) and fat free mass percentage (P = .004). Positive trends were found in body mass (P = .091), body mass index (P = .073), daily grams of fat consumed (P = .074) and sleep quality score (P = .063). CONCLUSIONS The WHEELS mHealth application was successfully developed. The interview outcomes and usability scores are reasonable. Although, there is room for improvement, the current application showed promising results and seems feasible to deploy on a larger scale.

scholarly journals Pain and its impact on functioning and disability in manual wheelchair users with spinal cord injury: a protocol for a mixed-methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e044152
Author(s):  
Mokgadi Kholofelo Mashola ◽  
Elzette Korkie ◽  
Diphale Joyce Mothabeng
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
South African ◽  
Phase 1 ◽  
Pain Medication ◽  
Self Management ◽  
Medication Misuse ◽  
Wheelchair Users ◽  
Manual Wheelchair ◽  
Cord Injury

IntroductionApproximately 80% of people with spinal cord injury experience clinically significant chronic pain. Pain (whether musculoskeletal or neuropathic) is consistently rated as one of the most difficult problems to manage and negatively affects the individual’s physical, psychological and social functioning and increases the risk of pain medication misuse and poor mental health. The aim of this study is to therefore determine the presence of pain and its impact on functioning and disability as well as to develop a framework for self-management of pain for South African manual wheelchair users with spinal cord injury.Methods and analysisCommunity-dwelling participants with spinal cord injury will be invited to participate in this three-phase study. Phase 1 will use a quantitative, correlational design to determine factors related to pain such as pectoralis minor length, scapular dyskinesis, wheelchair functioning, physical quality of life, community reintegration and pain medication misuse. Demographic determinants of pain such as age, gender, type of occupation, completeness of injury and neurological level of injury will also be investigated. Participants with pain identified in phase 1 will be invited to partake in a qualitative descriptive and contextually designed phase 2 to explore their lived experience of pain through in-depth interviews. The results of phases 1 and 2 will then be used with the assistance from experts to develop a framework for self-management of pain using a modified Delphi study. Data analysis will include descriptive and inferential statistics (quantitative data) and thematic content analysis (qualitative data).Ethics and disseminationApproval for this study is granted by the Faculty of Health Sciences Research Ethics Committee of the University of the Pretoria (approval number 125/2018). This study is registered with the South African National Health Research Database (reference GP201806005). This study’s findings will be shared in academic conferences and published in scientific peer-reviewed journals.

Improving sit-to-stand transition by the saddle-assistive device in the spinal cord injury: A case study

2021 ◽  
pp. 095441192110033
Author(s):  
Akbar Hojjati Najafabadi ◽  
Saeid Amini ◽  
Farzam Farahmand
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Reaction Force ◽  
Assistive Device ◽  
Limb Weakness ◽  
Sit To Stand ◽  
Lower Limb Weakness ◽  
Wide Range ◽  
Cord Injury

Physical problems caused by fractures, aging, stroke, and accidents can reduce foot power; these, in the long term, can dwindle the muscles of the waist, thighs, and legs. These conditions provide the basis for the invalidism of the harmed people. In this study, a saddle-walker was designed and evaluated to help people suffering from spinal cord injury and patients with lower limb weakness. This S-AD works based on body weight support against the previously report designs. This saddle-walker consisted of a non-powered four-wheel walker helping to walk and a powered mechanism for the sit-to-stand (STS) transfer. A set of experiments were done on the STS in the use of the standard walker and the saddle-assistive device(S-AD). A comparison of the results showed that this device could reduce the vertical ground reaction force (GRF) of the legs up to 70%. Using this device could help a wide range of patients with lower limb weakness and SCI patients in changing from sitting to standing.

scholarly journals Effect of service dogs on manual wheelchair users with spinal cord injury: A pilot study

2013 ◽  
Vol 50 (3) ◽  
pp. 341 ◽  
Author(s):  
Geoffroy Hubert ◽  
Michel Tousignant ◽  
Fran�ois Routhier ◽  
H�l�ne Corriveau ◽  
No�l Champagne
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Pilot Study ◽  
Service Dogs ◽  
Wheelchair Users ◽  
Manual Wheelchair ◽  
Cord Injury

scholarly journals Massive Edema of the Lower Limbs in Patients after Spinal Cord Injury—One Picture, Different Diagnoses

2021 ◽  
Vol 18 (8) ◽  
pp. 4219
Author(s):  
Magdalena Mackiewicz-Milewska ◽  
Małgorzata Cisowska-Adamiak ◽  
Katarzyna Sakwińska ◽  
Iwona Szymkuć-Bukowska ◽  
Iwona Głowacka-Mrotek
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Heterotopic Ossification ◽  
Lower Limb ◽  
Bone Fractures ◽  
Lower Limbs ◽  
University Hospital ◽  
Pain Sensation ◽  
Vein Thrombosis ◽  
Cord Injury

Diagnosis of the cause of massive edema of the lower limbs in patients after spinal cord injury (SCI) can be difficult because of loss of pain sensation, commonly occurring in this group of patients. This paper reviews several different pathologies that can lead to lower-limb edema and the associated diagnostic difficulties. We present four cases of patients with massive edemas of lower limbs at different times after SCI undergoing treatment in the Department of Rehabilitation, University Hospital in Bydgoszcz, Poland. All patients had a lack of pain sensation in the lower limbs and significantly elevated levels of D-dimer. In two cases, deep vein thrombosis (DVT) and intramuscular hematomas (IHs) were diagnosed. IHs were probably a consequence of antithrombotic treatments implemented due to the occurrence of DVT. Heterotopic ossification (HO) was diagnosed in a third case, and, in another patient, who was hospitalized for the longest period after injury, we found humeral bone fractures. Heterotopic ossification, intramuscular haematomas, and bone fractures of the lower limb can mimic DVT. Careful observation of the edema evolution is recommended, as the onset of new symptoms may indicate a different cause of edema from that initially established.

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