Comparison of activities of daily living in two different one arm drive wheelchairs: a controlled trial

Abstract

Aims. This pilot study measured activities of daily living (ADLs) in users propelling both a standard dual handrim Action 3 wheelchair and a standard Action 3 wheelchair with a Neater Uni-Wheelchair (NUW) kit attachment. The kit consists of a steerable front castor and a single pushrim propelling both rear wheels via a differential.

Hypothesis. There would be a difference in the efficiency of ADL skill performance, speed and heart rate.

Methods. Twenty non-disabled participants simulating hemiplegia were used in a cross over, repeated measures trial. Assessment of Motor and Process Skills (AMPS) of users undertaking making a bed and laying a table ‘Swedish style’, tasks, were measured. Heart rate at rest and post-task and time taken to complete each task were recorded.

Results. Heart rate when laying the table was lower in the NUW (p < 0.005) and task completion time was quicker (p < 0.0001). There was no difference in motor and process ability skills.

Conclusion. ADL tasks in the NUW were completed more efficiently with no loss in quality of motor and process skills performance. This suggests that the NUW is a viable alternative to current one arm drive provision.

Keywords:

• Activities of daily living
• ergonomic efficiency

Note

1 The research was undertaken as a DoH funded collaboration between Neater Solutions and the University of Brighton. There is no financial, commercial or conflict of interest between any of the parties. There is no financial relationship between any of the authors and Neater Solutions.