The effects of a positional feedback device on rollator walker use: a validation study
Autor: | Courtney Golembiewski Ms, Kimberly Edginton Bigelow, John Schultz Bs, Kurt Jackson Pt, Harold Merriman Pt, Timothy Reissman, Julie Walsh-Messinger |
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Rok vydání: | 2019 |
Předmět: |
musculoskeletal diseases
congenital hereditary and neonatal diseases and abnormalities 030506 rehabilitation Validation study medicine.medical_specialty Computer science Posture Physical Therapy Sports Therapy and Rehabilitation Walking Visual feedback environment and public health Walkers Walker use Feedback 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine Humans heterocyclic compounds Aged Rehabilitation Biomechanical Phenomena 0305 other medical science human activities 030217 neurology & neurosurgery |
Zdroj: | Assistive Technology. 33:318-325 |
ISSN: | 1949-3614 1040-0435 |
DOI: | 10.1080/10400435.2019.1637380 |
Popis: | According to clinical guidelines, rolling walker users should walk with their feet between the posterior wheels of the walker; however approximately 50% of users do not.To describe the development and effects of a custom device designed to attach to a walker and provide visual feedback to encourage improved user position.Fourteen older adults participated in this study to validate the effects of this device when a 10% decrease in the users' habitual distance away from the walker was encouraged via feedback. Users' relative distances were recorded using a non-contact distance sensor within the device, while kinematics were measured using commercial wearable wireless inertial sensors.Individuals were able to ambulate on average 20% closer or more to their walker when prescribed the visual feedback. This was primarily achieved through a reduction in shoulder flexion. Trunk and cervical postures were less generalizable as only small and variable changes were observed.These findings suggest that the device has promise, as individuals attended to the device and walked in a position closer to that recommended by clinical guidelines. The device did not appear to improve posture. Future work is needed to determine long-term effects. |
Databáze: | OpenAIRE |
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