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Fasipe G, Goršič M, Zabre EV, Rammer JR. Inertial Measurement Unit and Heart Rate Monitoring to Assess Cardiovascular Fitness of Manual Wheelchair Users during the Six-Minute Push Test. SENSORS (BASEL, SWITZERLAND) 2024; 24:4172. [PMID: 39000952 PMCID: PMC11243937 DOI: 10.3390/s24134172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 06/21/2024] [Accepted: 06/25/2024] [Indexed: 07/16/2024]
Abstract
Manual wheelchair users (MWUs) are prone to a sedentary life that can negatively affect their physical and cardiovascular health, making regular assessment important to identify appropriate interventions and lifestyle modifications. One mean of assessing MWUs' physical health is the 6 min push test (6MPT), where the user propels themselves as far as they can in six minutes. However, reliance on observer input introduces subjectivity, while limited quantitative data inhibit comprehensive assessment. Incorporating sensors into the 6MPT can address these limitations. Here, ten MWUs performed the 6MPT with additional sensors: two inertial measurement units (IMUs)-one on the wheelchair and one on the wrist together with a heart rate wristwatch. The conventional measurements of distance and laps were recorded by the observer, and the IMU data were used to calculate laps, distance, speed, and cadence. The results demonstrated that the IMU can provide the metrics of the traditional 6MPT with strong significant correlations between calculated laps and observer lap counts (r = 0.947, p < 0.001) and distances (r = 0.970, p < 0.001). Moreover, heart rate during the final minute was significantly correlated with calculated distance (r = 0.762, p = 0.017). Enhanced 6MPT assessment can provide objective, quantitative, and comprehensive data for clinicians to effectively inform interventions in rehabilitation.
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Affiliation(s)
- Grace Fasipe
- Department of Biomedical Engineering, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
| | - Maja Goršič
- Department of Biomedical Engineering, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
- Department of Biomedical Engineering, Marquette University, Milwaukee, WI 53233, USA
| | - Erika V Zabre
- Department of Biomedical Engineering, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
| | - Jacob R Rammer
- Department of Biomedical Engineering, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA
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Fasipe G, Goršič M, Rahman MH, Rammer J. Community mobility and participation assessment of manual wheelchair users: a review of current techniques and challenges. Front Hum Neurosci 2024; 17:1331395. [PMID: 38249574 PMCID: PMC10796510 DOI: 10.3389/fnhum.2023.1331395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2023] [Accepted: 12/11/2023] [Indexed: 01/23/2024] Open
Abstract
According to the World Health Organization, hundreds of individuals commence wheelchair use daily, often due to an injury such as spinal cord injury or through a condition such as a stroke. However, manual wheelchair users typically experience reductions in individual community mobility and participation. In this review, articles from 2017 to 2023 were reviewed to identify means of measuring community mobility and participation of manual wheelchair users, factors that can impact these aspects, and current rehabilitation techniques for improving them. The selected articles document current best practices utilizing self-surveys, in-clinic assessments, and remote tracking through GPS and accelerometer data, which rehabilitation specialists can apply to track their patients' community mobility and participation accurately. Furthermore, rehabilitation methods such as wheelchair training programs, brain-computer interface triggered functional electric stimulation therapy, and community-based rehabilitation programs show potential to improve the community mobility and participation of manual wheelchair users. Recommendations were made to highlight potential avenues for future research.
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Affiliation(s)
- Grace Fasipe
- Department of Biomedical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
| | - Maja Goršič
- Department of Biomedical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
| | - Mohammad Habibur Rahman
- Department of Biomedical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
- Department of Mechanical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
| | - Jacob Rammer
- Department of Biomedical Engineering, College of Engineering and Applied Science, University of Wisconsin-Milwaukee, Milwaukee, WI, United States
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Bartonek Å, Eriksson M. Physical function and activity, pain, and health status in adults with myelomeningocele after orthotic management from childhood: a descriptive study. BMC Musculoskelet Disord 2023; 24:545. [PMID: 37400860 DOI: 10.1186/s12891-023-06673-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 06/28/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND Individuals with myelomeningocele (MMC) exhibit neurological deficits below the lesion level involving both motor and sensory functions. Ambulation and functional outcomes in patients offered orthotic management since childhood were investigated. METHODS Physical function, physical activity, pain, and health status were assessed in a descriptive study. RESULTS Of 59 adults with MMC, aged 18-33 years, 12 were in the community ambulation (Ca), 19 in the household ambulation (Ha), six in the non-functional (N-f), and 22 in the non-ambulation (N-a) groups. Orthoses were used by 78% (n = 46), i.e., by 10/12 in the Ca, 17/19 in the Ha, 6/6 in the N-f, and 13/22 in the N-a groups. In the ten-metre walking test, the non-orthosis group (NO) walked faster than those wearing ankle-foot orthoses (AFOs) or free-articulated knee-ankle-foot orthoses (KAFO-Fs), the Ca group faster than the Ha and N-f groups, and the Ha group faster than the N-f group. In the six-minute walking test, the Ca group walked farther than the Ha group. In the five times sit-to-stand test, the AFO and KAFO-F groups required longer than the NO group, and the KAFO-F group longer than the foot orthosis (FO) group. Lower extremity function with orthoses was higher in the FO than the AFO and KAFO-F groups, higher in the KAFO-F than the AFO group, and higher in the AFO group than in those using trunk-hip-knee-ankle-foot orthoses. Functional independence increased with ambulatory function. Time spent in physical recreation was higher in the Ha than the Ca and N-a groups. There were no differences between the ambulation groups in rated pain or reported health status. CONCLUSION The physical function results in persons with MMC improve our understanding of this population's heterogeneity and shed light on the importance of individualized orthotic management. The similarities between the various ambulatory levels in physical activity, pain, and health status may mirror opportunities to achieve equal results regardless of disability level. A clinical implication of the study is that orthotic management is likely to be beneficial for the patient with MMC of which the majority used their orthoses for most time of the day.
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Affiliation(s)
- Åsa Bartonek
- Division of Paediatric Neurology, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Motoriklab QA: 27, Karolinska vägen 37 A, S-17176, Stockholm, Sweden.
| | - Marie Eriksson
- Division of Paediatric Neurology, Department of Women's and Children's Health, Karolinska Institutet, Karolinska University Hospital, Motoriklab QA: 27, Karolinska vägen 37 A, S-17176, Stockholm, Sweden
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Kable TJ, Leahy AA, Smith JJ, Eather N, Shields N, Noetel M, Lonsdale C, Hillman CH, Reeves P, Oldmeadow C, Kennedy SG, Boyer J, Stimpson L, Comis P, Roche L, Lubans DR. Time-efficient physical activity intervention for older adolescents with disability: rationale and study protocol for the Burn 2 Learn adapted (B2La) cluster randomised controlled trial. BMJ Open 2022; 12:e065321. [PMID: 35948376 PMCID: PMC9379534 DOI: 10.1136/bmjopen-2022-065321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Physical activity declines during adolescence, with the lowest levels of activity observed among those with disability. Schools are ideal settings to address this issue; however, few school-based interventions have been specifically designed for older adolescents with disability. Our aim is to investigate the effects of a school-based physical activity programme, involving high-intensity interval training (HIIT), on physical, mental and cognitive health in older adolescents with disability. METHODS AND ANALYSIS We will evaluate the Burn 2 Learn adapted (B2La) intervention using a two-arm, parallel group, cluster randomised controlled trial with allocation occurring at the school level (treatment or waitlist control). Secondary schools will be recruited in two cohorts from New South Wales, Australia. We will aim to recruit 300 older adolescents (aged 15-19 years) with disability from 30 secondary schools (10 in cohort 1 and 20 in cohort 2). Schools allocated to the intervention group will deliver two HIIT sessions per week during scheduled specialist support classes. The sessions will include foundational aerobic and muscle strengthening exercises tailored to meet student needs. We will provide teachers with training, resources, and support to facilitate the delivery of the B2La programme. Study outcomes will be assessed at baseline, 6 months (primary endpoint), and 9 months. Our primary outcome is functional capacity assessed using the 6 min walk/push test. Secondary outcomes include physical activity, muscular fitness, body composition, cognitive function, quality of life, physical literacy, and on-task behaviour in the classroom. We will also conduct economic and process evaluations to determine cost-effectiveness, programme acceptability, implementation, adaptability, and sustainability in schools. ETHICS AND DISSEMINATION This study has received approval from the University of Newcastle (H-2021-0262) and the New South Wales Department of Education (SERAP: 2021257) human research ethics committees. Findings will be published in peer-reviewed journals, and key stakeholders will be provided with a detailed report following the study. TRIAL REGISTRATION NUMBER Australian New Zealand Clinical Trials Registry Number: ACTRN12621000884808.
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Affiliation(s)
- Toby J Kable
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Centre for Active Living, University of Newcastle, Callaghan, New South Wales, Australia
| | - Angus A Leahy
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Centre for Active Living, University of Newcastle, Callaghan, New South Wales, Australia
| | - Jordan J Smith
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Centre for Active Living, University of Newcastle, Callaghan, New South Wales, Australia
| | - Narelle Eather
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Centre for Active Living, University of Newcastle, Callaghan, New South Wales, Australia
| | - Nora Shields
- La Trobe University, Melbourne, Victoria, Australia
| | - Michael Noetel
- School of Behavioural and Health Sciences, Australian Catholic University - Brisbane Campus, Banyo, Queensland, Australia
| | - Chris Lonsdale
- Institute for Positive Psychology and Education, Australian Catholic University - North Sydney Campus, North Sydney, New South Wales, Australia
| | - Charles H Hillman
- Department of Psychology, Northeastern University, Boston, Massachusetts, USA
- Department of Physical Therapy, Movement and Rehabilitation Sciences, Northeastern University, Boston, Massachusetts, USA
| | - Penny Reeves
- Health Research Economics, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
| | - Christopher Oldmeadow
- Clinical Research Design and Statistics, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
| | - Sarah G Kennedy
- School of Health Sciences, Western Sydney University, Kingswood, New South Wales, Australia
| | - James Boyer
- School Sport Unit, NSW Department of Education, Sydney, New South Wales, Australia
| | - Leisl Stimpson
- Special Olympics Australia, Sydney, New South Wales, Australia
| | - Pierre Comis
- Special Olympics Australia, Sydney, New South Wales, Australia
| | - Laura Roche
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
| | - David R Lubans
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Active Living Program, Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Centre for Active Living, University of Newcastle, Callaghan, New South Wales, Australia
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, New South Wales, Finland
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Kitchin PJ, Prieto J, Paramio-Salcines JL, Macbeth JL, Bloomer S. Ableism as a determinant of priorities for the development of disability football: a critique of European National Football Associations. MANAGING SPORT AND LEISURE 2021. [DOI: 10.1080/23750472.2021.1985595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - Jaime Prieto
- Faculty of Law and Social Sciences, Rey Juan Carlos University, Madrid, Spain
| | | | - Jessica L. Macbeth
- School of Sport and Health Sciences, University of Central Lancashire, Lancashire, UK
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