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Author: U. S. Department of Health and Human Services Publisher: CreateSpace ISBN: 9781484076965 Category : Medical Languages : en Pages : 54
Book Description
Wheeled mobility or wheelchair use in the U.S. is at an all-time high and growing. A 2005 survey of noninstitutionalized Americans estimated that approximately 3.3 million people (1.4 % of the population) 15 years of age and older used a wheelchair or similar device. Of those 3.3 million, approximately 1.8 million were 65 years and older (5.2 % of that population). Among children under 15 years of age, an estimated 83,000 used a wheelchair or similar device (0.2 % of that population). A similar survey conducted in 2002 estimated use at 1.2 % of the population 15 years and older, 4.5 % of the population 65 years and older, and 0.2 % of the population under 15 years of age. An earlier survey (1994–1995 data) of noninstitutionalized individuals in the U.S. estimated that there were 1.6 million (0.6 %) wheelchair users of all ages including 88,000 under age 18 years (0.12 %) and 897,000 (2.87 %) 65 years of age and older. Of the total group of wheelchair users, 1.5 million used manual wheelchairs and 155,000 used electric wheelchairs. The leading conditions associated with wheelchair use included stroke, osteoarthritis, multiple sclerosis, absence or loss of lower extremity, paraplegia, orthopedic impairment of lower extremity, heart disease, cerebral palsy, rheumatoid arthritis, and diabetes. At the same time that the population of mobility-impaired individuals is growing, advances have been made in mobility device and component technology. Although difficult to quantify, there appears to be increased use of power mobility devices, including power wheelchairs and scooters or power-operated vehicles. Advances in wheeled mobility offer enhanced functionality. Mobility devices have been shown to increase the activity, participation, and quality of life of individuals with mobility limitations. The degree to which these wheeled mobility devices and components (notably postural seating and positioning systems) contribute to quality of life depends on the appropriateness of the wheeled mobility device selected for the patient and their utilization of the device. However, inappropriate mobility devices may result in harms (including overuse or repetitive strain injuries, pressure sores, falls, and accidents), equipment abandonment, and underutilization. Interest in identifying an evidence-based wheeled mobility service delivery process that could guide decisionmaking regarding coverage for individually configured mobility equipment and associated services, often referred to as Complex Rehab Technology (CRT), prompted the nomination of this topic. Evidence based guidelines for best practice might address areas such as critical components of the assessment and followup, selection of appropriate equipment based on patient needs, essential members of the service delivery team, provider qualifications, and frequency of reassessment. To address this need, we prepared a Technical Brief to identify and describe the literature and expert opinion regarding the process of wheelchair service delivery for long-term wheelchair users with complex rehabilitation needs (i.e., individuals with a primary diagnosis resulting from a congenital disorder, progressive or degenerative neuromuscular disease, or from certain types of injury or trauma who will require a wheelchair for mobility beyond a period of rehabilitation). The Brief provides background information on the wheeled mobility service delivery process for stakeholders interested in wheelchair service delivery, including researchers, patients, providers, suppliers, and payers of wheeled mobility. It also identifies patient, provider, supplier, and payer issues that may impact the service delivery process. We recognize that consumers may obtain wheeled mobility devices from a variety of sources. We have focused on service delivery for individuals whose complex rehabilitation needs most likely will require contributions from physicians, therapists, suppliers, and technicians.
Author: U. S. Department of Health and Human Services Publisher: CreateSpace ISBN: 9781484076965 Category : Medical Languages : en Pages : 54
Book Description
Wheeled mobility or wheelchair use in the U.S. is at an all-time high and growing. A 2005 survey of noninstitutionalized Americans estimated that approximately 3.3 million people (1.4 % of the population) 15 years of age and older used a wheelchair or similar device. Of those 3.3 million, approximately 1.8 million were 65 years and older (5.2 % of that population). Among children under 15 years of age, an estimated 83,000 used a wheelchair or similar device (0.2 % of that population). A similar survey conducted in 2002 estimated use at 1.2 % of the population 15 years and older, 4.5 % of the population 65 years and older, and 0.2 % of the population under 15 years of age. An earlier survey (1994–1995 data) of noninstitutionalized individuals in the U.S. estimated that there were 1.6 million (0.6 %) wheelchair users of all ages including 88,000 under age 18 years (0.12 %) and 897,000 (2.87 %) 65 years of age and older. Of the total group of wheelchair users, 1.5 million used manual wheelchairs and 155,000 used electric wheelchairs. The leading conditions associated with wheelchair use included stroke, osteoarthritis, multiple sclerosis, absence or loss of lower extremity, paraplegia, orthopedic impairment of lower extremity, heart disease, cerebral palsy, rheumatoid arthritis, and diabetes. At the same time that the population of mobility-impaired individuals is growing, advances have been made in mobility device and component technology. Although difficult to quantify, there appears to be increased use of power mobility devices, including power wheelchairs and scooters or power-operated vehicles. Advances in wheeled mobility offer enhanced functionality. Mobility devices have been shown to increase the activity, participation, and quality of life of individuals with mobility limitations. The degree to which these wheeled mobility devices and components (notably postural seating and positioning systems) contribute to quality of life depends on the appropriateness of the wheeled mobility device selected for the patient and their utilization of the device. However, inappropriate mobility devices may result in harms (including overuse or repetitive strain injuries, pressure sores, falls, and accidents), equipment abandonment, and underutilization. Interest in identifying an evidence-based wheeled mobility service delivery process that could guide decisionmaking regarding coverage for individually configured mobility equipment and associated services, often referred to as Complex Rehab Technology (CRT), prompted the nomination of this topic. Evidence based guidelines for best practice might address areas such as critical components of the assessment and followup, selection of appropriate equipment based on patient needs, essential members of the service delivery team, provider qualifications, and frequency of reassessment. To address this need, we prepared a Technical Brief to identify and describe the literature and expert opinion regarding the process of wheelchair service delivery for long-term wheelchair users with complex rehabilitation needs (i.e., individuals with a primary diagnosis resulting from a congenital disorder, progressive or degenerative neuromuscular disease, or from certain types of injury or trauma who will require a wheelchair for mobility beyond a period of rehabilitation). The Brief provides background information on the wheeled mobility service delivery process for stakeholders interested in wheelchair service delivery, including researchers, patients, providers, suppliers, and payers of wheeled mobility. It also identifies patient, provider, supplier, and payer issues that may impact the service delivery process. We recognize that consumers may obtain wheeled mobility devices from a variety of sources. We have focused on service delivery for individuals whose complex rehabilitation needs most likely will require contributions from physicians, therapists, suppliers, and technicians.
Author: U.S. Department of Health and Human Services Publisher: CreateSpace ISBN: 9781502907158 Category : Languages : en Pages : 54
Book Description
This report is based on research conducted by the Minnesota Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-07-10064-1). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.
Author: Publisher: ISBN: Category : Languages : en Pages :
Book Description
BACKGROUND: Wheeled mobility service delivery is the process by which mobility impaired individuals are matched to wheeled mobility devices and provided service. Matching patients with mobility limitations with the most appropriate wheeled mobility device, avoiding under- and over-prescribing, is important for functional ability and quality of life, especially for patients with complex rehabilitation needs (i.e., long-term wheelchair users with complex medical conditions). PURPOSE: To describe the wheeled mobility service delivery process for patients with complex rehabilitation needs, survey the available literature on service delivery, and identify issues and areas for future research. METHODS: A search of published, peer-reviewed and grey literature and interviews with selected Key Informants. An evidence map was developed with characteristics of studies pertaining to the wheeled mobility service process identified in the bibliographic databases through March 2011. FINDINGS: Based on textbooks, guidelines, and published literature, the recommended service delivery process typically includes patient evaluation, equipment selection and delivery, and postdelivery training and followup. However, there is a lack of research on the effectiveness of the recommended approaches. Existing studies are primarily observational, exploratory studies designed to determine consumer use of and satisfaction with the wheeled mobility service delivery process. Additional research is needed on the topic of wheeled mobility service delivery to establish an evidence base that will allow for the development of standards and guidelines necessary for evidence-based service delivery.
Author: Michelle L. Lange Publisher: Taylor & Francis ISBN: 1040137652 Category : Medical Languages : en Pages : 979
Book Description
Seating and Wheeled Mobility: A Clinical Resource Guide presents clinical assessment considerations when working with a person with a disability who may need wheelchair seating for postural support, skin integrity, or a wheelchair base to best meet dependent or independent mobility needs. Michelle L. Lange and Jean Minkel have designed this text to support occupational and physical therapists, complex rehabilitation technology suppliers, and even third-party payers who are interested in wheelchair seating and mobility assessment and applications. Seating and Wheeled Mobility provides a wide spectrum of information from foundational information for those practitioners who are new to the field to in-depth, population-specific information for practitioners who perhaps have not worked with a particular population in the past. Information sharing, opportunities for demonstration and trial, and patience on the part of the clinician working with the person with a disability are all critical precursors to the actual process of making equipment recommendations. Seating and Wheeled Mobility is divided into sections, each addressing a different area of clinical practice. The first section is an in-depth presentation of the assessment process and the critical understanding of pressure management needed by the clinical team when working with a client population who rely on wheeled mobility. The second section focuses on postural support. Also included is a completely updated method to measure and describe the seated person and related support surfaces needed when recommending a device. The third section lays the foundation for clinical decision making around the assessment for and application of the most appropriate wheeled mobility device. The fourth section provides in-depth clinical applications for each category of mobility devices. Also addressed is proper documentation to assist in the funding of these devices. The fifth section provides population-specific information regarding the clinical application of position, pressure management, and functional mobility as it applies to the pediatric, geriatric, and bariatric populations, as well as persons with both degenerative and complex neuromuscular impairments. The last section presents additional considerations when working with persons who are aging with a disability, environmental assessments, transportation, and the application of standards. Seating and Wheeled Mobility: A Clinical Resource Guide provides the depth and breadth of the clinical practice of wheelchair seating and mobility to both those who are new to the field, as well as seasoned professionals.
Author: World Health Organization, WHO Publisher: ISBN: 9789241547482 Category : Developing countries Languages : en Pages : 127
Book Description
The guidelines focus on manual wheelchairs and the needs of long-term wheelchair users. The recommendations are targeted at those involved in wheelchair services, ranging from design and planning, to providing or supplying wheelchairs and their maintenance.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 030945784X Category : Medical Languages : en Pages : 503
Book Description
The U.S. Census Bureau has reported that 56.7 million Americans had some type of disability in 2010, which represents 18.7 percent of the civilian noninstitutionalized population included in the 2010 Survey of Income and Program Participation. The U.S. Social Security Administration (SSA) provides disability benefits through the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. As of December 2015, approximately 11 million individuals were SSDI beneficiaries, and about 8 million were SSI beneficiaries. SSA currently considers assistive devices in the nonmedical and medical areas of its program guidelines. During determinations of substantial gainful activity and income eligibility for SSI benefits, the reasonable cost of items, devices, or services applicants need to enable them to work with their impairment is subtracted from eligible earnings, even if those items or services are used for activities of daily living in addition to work. In addition, SSA considers assistive devices in its medical disability determination process and assessment of work capacity. The Promise of Assistive Technology to Enhance Activity and Work Participation provides an analysis of selected assistive products and technologies, including wheeled and seated mobility devices, upper-extremity prostheses, and products and technologies selected by the committee that pertain to hearing and to communication and speech in adults.
Author: World Health Organization Publisher: World Health Organization ISBN: 924007452X Category : Medical Languages : en Pages : 108
Book Description
These Wheelchair provision guidelines aim to support improved accessto appropriate wheelchairs, for all those in need, including children, older persons, people with mobility disabilities, and those with chronic health conditions. They are relevant for all countries and apply to all wheelchair users and types of wheelchairs. They emphasize that the best outcomes in wheelchair access occur when wheelchair users have the benefit of an individual process of assessment, fitting, training and follow up, provided by trained personnel. Their purpose is to ensure that wheelchair users have timely access through wheelchair services that are people-centred and responsive to their needs. Target audiences are those with a role in planning, delivery, monitoring and evaluation of wheelchair provision. This includes policy-makers, wheelchair service personnel, and wheelchair user representative organizations.
Author: Philip Santos Requejo Publisher: Frontiers Media SA ISBN: 288919938X Category : Biotechnology Languages : en Pages : 93
Book Description
For the manual wheelchair (MWC) user, loss of lower extremity function often places the burden for mobility and activities of daily living on the upper extremities. This e-book on Wheeled Mobility Biomechanics contains current research that provides insights into the mechanical demands and performance techniques during tasks associated with MWC. Our intent was to contribute to advancing the knowledge regarding the variables that promote or hinder an individual’s capacity to handle the daily manual wheeled mobility demands and gain greater insights into upper extremity loading consequences, predictors of pain onset and injury, and ultimately identify strategies for preserving health and functional mobility for the MWC user.
Author: Christopher John Stanfill Publisher: ISBN: Category : Languages : en Pages : 334
Book Description
The World Health Organization estimates that nearly twice as many people in the developing world are in need of wheelchairs compared to other mobility aids (e.g., prosthetics). Wheelchairs currently being manufactured in less resourced areas are rarely designed to withstand rural conditions with poor infrastructure, which leads to increased rates of product failure and/or abandonment. Global recognition of the need for more durable and efficient wheelchairs created a movement in evaluating how patients in these settings interact with various designs. This growing body of literature focuses primarily on the impact of wheelchair models in terms of performance and perception. Performance measures are often defined by physiological and biomechanical testing, while user perception outcomes are generated through feedback assessments, surveys, and interviews. Although the results from this literature suggests a preference toward tested wheelchairs compared to locally manufactured counterparts, it is necessary to expand on methodologies that can uncover further detail on product effectiveness. For example, wheeled mobility is a new effectiveness measure that has yet to be applied in less resourced settings. Additionally, it is important to continue implementing mixed methods study designs as these approaches yield the most comprehensive information about the relationship between performance and perception. In this series of studies, I expand upon the existing literature on wheelchair use in the developing world utilizing the mixed method approach and our purpose is threefold. The first study is an objective evaluation of previous work in the field that summarizes the brief history of this research and reveals the quality level of each respective piece of literature. In the second study, wheeled mobility is used to test the effect of different wheelchair designs that each feature different propulsion systems. Finally, the third study is an investigation of perceived quality of life among wheelchair users in rural areas of the Lao PDR with the use of semi-structured interviews. The combination of outcomes from these studies highlight the importance of mixed methods approaches when evaluating patients' interactions with wheelchairs and assistive technologies as a whole. This research also serves as a reminder of the complexities associated with working in less resourced settings, but provides a framework of strategies that can guide improvements in global wheelchair service delivery.
Author: Dr. Rory Cooper, PhD Publisher: Demos Medical ISBN: 9781888799187 Category : Medical Languages : en Pages : 464
Book Description
This is the definitive text for everyone concerned with wheelchair selection, including physical and occupational therapists, physiatrists, and other health care providers involved with helping patients to achieve optimal seating. Chapters discuss wheelchair measurement, engineering fundamentals, biomechanics, electronics, and standards. Various types of wheelchairs are considered, including manual, powered, specialized, and sports chairs the selection of seat cushions and specialized seating systems are considered in depth, and assessment and intervention are reviewed. The audience for this book includes undergraduate and graduate students studying occupational therapy, physical therapy, rehabilitation science, and rehabilitation engineering. It also is a suitable reference for professionals in engineering and the health professions. It assumes that the reader has a working knowledge of human anatomy, human physiology, and physics. Some exposure to clinical practice also is beneficial. Each chapter opens with a set of goals that orient the reader to the material covered. For example, the goals of the chapter Wheelchair Engineering Fundamentals are: To understand mechanical and material properties To understand the relationship between technology and its environment To know how to problem-solve and integrate technical and functional information To understand the roles, constraints, and perspectives of designers and fabricators Extensive illustrations guide the reader through all concepts of wheelchair design and prescription. "
Author: U. S. Department of Health and Human Services
Author: U. S. Department of Health and Human Services
Author: U.S. Department of Health and Human Services
Author: 
Author: Michelle L. Lange
Author: World Health Organization, WHO
Author: National Academies of Sciences, Engineering, and Medicine
Author: World Health Organization
Author: Philip Santos Requejo
Author: Christopher John Stanfill
Author: Dr. Rory Cooper, PhD