scholarly journals The Provision of Powered Mobility Devices in Italy: Linking Process with Outcomes

Technologies ◽  
2016 ◽  
Vol 4 (3) ◽  
pp. 31 ◽  
Author(s):  
Lorenzo Desideri ◽  
Devis Trioschi ◽  
Roberta Agusto ◽  
Martina Bizzarri ◽  
Gianantonio Spagnolin ◽  
...  
Keyword(s):  
Mobility Devices

Development of an Electronic Exchange of Medical Documentation for Power Mobility Devices

2021 ◽  
Vol 12 (02) ◽  
pp. 348-354
Author(s):  
Brad E. Dicianno ◽  
Madalyn Gottschalk ◽  
Elizabeth Benton ◽  
Mark Caro ◽  
David Pajer
Keyword(s):  
Product Information ◽  
Insurance Coverage ◽  
Leisure Activities ◽  
Pilot Project ◽  
Medical Documentation ◽  
Clinical Team ◽  
Electronic Prescription ◽  
Electronic Submission ◽  
Document Delivery ◽  
Mobility Devices

Abstract Objectives Power mobility devices (PMDs) such as power wheelchairs and scooters are crucial for mobility, self-care, employment, and leisure activities. The documentation process for insurance coverage is complex and requires communication and document delivery among multiple stakeholders. The objective of this project was to develop an electronic submission process for medical documentation of PMDs submitted for prior authorization to a Medicare Administrative Contractor (MAC) and implement a standardized means of communication between providers and payers. Methods A protocol was developed to create and securely transmit an electronic prescription and several documents that outline medical necessity from a clinical team using EpicCare to a MAC via a Health Information Handler. A Rehabilitation Technology Supplier (RTS) added detailed product information and specifications to the electronic package during transmission. Setting The setting involved in the study was University-based outpatient assistive technology clinic. Results The protocol demonstrated successful transmission of an order, medical documentation, and request for signature. Results were transcribed to a readable format for the clinical team and RTS. A set of quality metrics for use in future projects was also identified. Conclusion This pilot project demonstrated successful electronic exchange and transmission of medical documentation for durable medical equipment from the electronic health record to a MAC.

scholarly journals Older Adults’ Adoption of Mobility Devices: Interplay of Predisposing Factors and Precipitating Health Events

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 484-485
Author(s):  
Farhanaz Sharmin ◽  
Laura Sands
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Chronic Conditions ◽  
High School Education ◽  
Living Alone ◽  
Mobility Limitations ◽  
Chi Square ◽  
Health Events ◽  
Mobility Devices ◽  
History Of

Abstract Existing mobility limitations and chronic conditions increase likelihood of adopting mobility-related devices such as canes and walkers. Prior research has not considered how recent acute events such as falls and hospitalizations contribute to the adoption of mobility devices. We studied 4,592 older adults who responded to the 2015 and 2016 National Health and Aging Trends Study surveys, and classified adoption of mobility devices as: (i) Never users (did not use mobility devices either year) and (ii) New users (started using mobility devices in 2016). We determined through chi-square tests, that predisposing characteristics from 2015 that were significantly associated with being a New User in 2016 were: being female, aged 80+, minority race, having a high-school education or lower, living alone, being obese, and having a history of dementia, arthritis, stroke, mobility difficulties, falls, and hospitalization (all P’s<0.05). We used logistic regression to determine the contribution of recent precipitating events on the adoption of mobility devices among older adults after controlling for 2015 characteristics that were significantly associated with being a New user. Precipitating events were significantly associated with being a New user of mobility equipment. Specifically, older adults who, between the 2015 and 2016 interviews, experienced a fall (OR=1.7; 95% CI=1.1-2.9), hospitalization (OR=3.7; 95% CI=2.3-5.9) or increase in mobility difficulties (OR=3.7; 95% CI=2.3-5.9) were more likely to be New users. Study findings reveal the importance precipitating events on the adoption of mobility devices, signaling the importance of assessing for need for mobility devices after these events.

scholarly journals Patterns of orthopaedic injury among hospitalised personal mobility device users and bicycle riders: a comparative study

2021 ◽  
Author(s):  
TSD Koh ◽  
YL Woo ◽  
TH Wong ◽  
MH Tan
Keyword(s):  
Orthopaedic Surgery ◽  
Surgical Intervention ◽  
High Energy ◽  
Open Fractures ◽  
Inpatient Stay ◽  
Injury Patterns ◽  
Prolonged Hospitalisation ◽  
Personal Mobility ◽  
Mobility Devices ◽  
Mobility Device

Introduction: Personal mobility devices (PMDs), such as electronic scooters or motorised bicycles, are efficient modes of transportation. Their recent popularity has also resulted in an increase in PMD-related injuries. We aimed to characterise and compare the nature of injuries sustained by PMD users and bicycle riders. Methods: This retrospective study compared injury patterns among PMD and bicycle users. 140 patients were admitted between November 2013 and September 2018. Parameters studied included patients’ demographics (e.g. age, gender and body mass index), type of PMD, nature of injury, surgical intervention required, duration of hospitalisation and time off work. Results: Of 140 patients, 46 (32.9%) patients required treatment at the department of orthopaedic surgery. 19 patients were PMD users while 27 were bicycle riders. 16 (84.2%) patients with PMD-related injuries were men. PMD users were significantly younger (mean age 45 ± 15 years) when compared to bicycle riders (mean age 56 ±17 years; p < 0.05). A quarter (n = 5, 26.3%) of PMD users sustained open fractures and over half (n = 10, 52.6%) required surgical intervention. Among 27 bicycle users, 7.4% (n = 2) of patients sustained open fractures and 70.4% (n = 19) required surgical intervention. Both groups had comparable inpatient stay duration and time off work. Conclusion: PMD-related orthopaedic traumas are high-energy injuries, with higher rates of open fractures, when compared to bicycle injuries. In addition, PMD users are significantly younger and of economically viable age. Prolonged hospitalisation and time off work have socioeconomic implications. Caution should be exercised when using PMDs.

scholarly journals Improved Ability Multi Keyword Search System on Cloud Web Server

2019 ◽  
Vol 8 (6) ◽  
pp. 2421-2425
Keyword(s):  
Mobile Devices ◽  
Keyword Search ◽  
Cell Phones ◽  
Web Server ◽  
Calculation Procedure ◽  
Search System ◽  
Mobility Devices ◽  
Major Stage

The movement of clients from desktop to mobility devices, made a major stage in the portable trade. All the up and coming advancements, parts, delicate products are very composed by the portable. As versatility is unavoidable prerequisite by the clients, the outline of programming with less battery utilization are generally invited. The calculation procedure is relative to the battery utilization. The calculation at the cell phones genuinely influences the series of the portable. Hence making the calculation at the cloud has an awesome arrangement in diminishing the battery utilization. The delegate calculation inquiry is a productive approach to safeguard the battery of the mobile devices. Indeed, even the encryption/unscrambling of records takes control so proposing IOPE for scrambling the document which is a basic plan

The adaptability of assistive mobility devices and the role of the internet of medical things: A literature review (Preprint)

2021 ◽  
Author(s):  
Daniel OLADELE ◽  
Elisha Didam Markus ◽  
Adnan M. Abu-Mahfouz
Keyword(s):  
Sensor Fusion ◽  
Autonomous Navigation ◽  
The Internet ◽  
Training Time ◽  
Mobility Devices ◽  
The Status ◽  
Internet Of Medical Things ◽  
And Performance ◽  
Human Device

UNSTRUCTURED With the projected upsurge in the percentage of persons with some form of disability, there is a significant increase in the need for assistive mobility devices. However, these mobility aids are hardly effective without their ability to adapt to the user’s needs. This is achieved by improving the confidence of the information used or interaction between the user and his device also referred to as adaptation. In the recent past, there has been little effort to provide literature reviews on the adaptability of assistive mobility devices (AMDs). This paper systematically reviews the recent assistive mobility technologies, over the past decade, according to their adaptation and the role that the Internet of Medical Things (IoMT) has played in the adaptability of these technologies. The information gathered in the study provides awareness of the status of adaptive mobility technology and serves as a source and reference of information to healthcare professionals, and researchers. The paper starts by highlighting recent technologies according to the user system interface (human/device interface), then presents some recent technologies in perception and sensor fusion (autonomous navigation) for adaptability, and finally, IoMT frameworks for AMDs. Some notable limitations are also discussed. The findings of the review reveal that an improvement in the adaptation of assistive mobility systems would require a reduction in the training time and avoidance of cognitive overload. Furthermore, sensor fusion and classification accuracy are critical to achieving real-world testing requirements. Finally, the trade-off between cost and performance needs to be considered in the commercialization of these devices.

Smartphone-Based Ecological Momentary Assessment as the New Standard Measure for Post-Stroke Functioning (Preprint)

2021 ◽  
Author(s):  
Quoc Bui ◽  
Katherine J. Kaufman ◽  
Vy Pham ◽  
Eric J. Lenze ◽  
Jin-Moo Lee ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Functional Disability ◽  
Longitudinal Research ◽  
Everyday Functioning ◽  
Post Stroke ◽  
Home Based ◽  
Mobility Devices ◽  
Ecological Momentary ◽  
Cognitive Problems ◽  
Momentary Assessment

BACKGROUND Functional disability is common after stroke. To inform new treatments, better measures are needed to advance our understanding of post-stroke functioning. Ecological momentary assessment (EMA) provides a putatively valid measure of everyday functioning by assessing patients during their lived experiences. OBJECTIVE This study aims to validate the smartphone-based EMA to characterize post-stroke everyday functioning and symptoms. METHODS Participants (N=212) with mild to moderate stroke were assessed five times daily for 14 days with EMA surveys to appraise mental, somatic, and cognitive symptoms, and what, with whom, and where participants were doing activities. Participants also completed standardized assessments during lab visits. RESULTS Most participants (median age = 60 years) were ischemic stroke (90%) and neurologically mild (median NIHSS = 2). Total 14,140 EMA surveys were analyzed. Participants were home 78% of the time and primarily participated in passive, unproductive activities, especially watching television and resting. EMA was sensitive to indicators of post-stroke disability; unemployed participants reported fewer vocational activities (W =12183.5, P < .001) but more activities of daily living (ADL) (W =6995, P < .001) and passive activities (W =7499.5, P =.003) than employed counterparts. Users of mobility devices and participants with cognitive problems spent significantly less time on vocational activities (W =2717, P< .0001 for mobility devices; W =7278, P= .03 for cognitive problems) and more on ADL (W =4807.5, P= .010 for mobility devices; W =9516.5, P< .001 for cognitive problems) than non-users and those without cognitive problems. Our data supported the validity of EMA methods in stroke, with small-to-moderate correlations of EMA with in-lab measures of daily functioning and very large correlations between EMA and in-lab measures of symptoms, especially those measuring the same constructs. CONCLUSIONS Our findings reveal that EMA tracked post-stroke functioning precisely. EMA may be beneficial in examining post-stroke functional recovery, monitoring patients for home-based interventions, and for longitudinal research. CLINICALTRIAL NA

Major Metrics, Concerns, and Assessment Strategy for Mobility Assistive Devices

2020 ◽  
pp. 171-203
Author(s):  
Yiannis Koumpouros
Keyword(s):  
Literature Review ◽  
The Elderly ◽  
Assistive Devices ◽  
Daily Activities ◽  
Assistive Device ◽  
Mobility Devices ◽  
Mobility Aids ◽  
Environmental Causes ◽  
Elderly Mobility

The ageing of the population is one of the major societal and financial problems. The prevalence of disability increases dramatically by age. The loss of mobility can be devastating to the elderly. Mobility aids are a one-way street to maintain independent mobility. The performance of daily activities is restrained by a series of factors related to the assistive device limitations, or the ones emerged from environmental causes. A literature review reveals minimal tools for assessing mobility assistive devices able to capture users' satisfaction. The chapter presents an assessment methodology in order to investigate assistive mobility devices' limitations, dissatisfaction reasons, and identifies the most appropriate tools to study such limitations and conclude in valid outcomes. One of the valuable characteristics of the study presented in its generalizability since it is not disease oriented. A summary of the results from both the literature review and the real case study on a mixed group of end users are presented in the chapter.

Full paper: Co-adaptation of assistive mobility devices and residential functions

2012 ◽  
Vol 11 (2) ◽  
Author(s):  
T. Bock ◽  
T. Linner ◽  
C. Georgoulas
Keyword(s):  
Full Paper ◽  
Mobility Devices
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