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DWM - Is It Worth the Weight?

How important is 3 lbs. on 200 lbs. system?

Arch Phys Med Rehabil. 2010 Aug;91(8):1248-54. doi: 10.1016/j.apmr.2010.05.011.

Effects of wheelchair mass on the physiologic responses, perception of

exertion, and performance during various simulated daily tasks.

Sagawa Y Jr

, Watelain E, Lepoutre FX, Thevenon A.

“Additional mass (up to 5kg) loaded on a

manual wheelchair does not seem to have any effect on

energy expenditure, heart rate, or performance”

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Dynamic Wheeled Mobility 1
ACKNOWLEDGEMENT 2
DISCLOSURES 3
DEFINITION 4
Tilt & Recline 5
Standing 5
History of 7
DWM 101: Rules 11
DWM 101: Applications 12
DWM 101: Theory 13
Clinical Practice Guidelines 15
Material 17
SEMICIRCULAR ARC PATTERN 19
Transfers to: 20
Transfers 21
Reaching 21
Other ADL’s 21
Context of Use." 22
Manual Wheelchair 22
Static Configuration: 24
Concessions and Trade-off’s 24
Designing Wheelchairs for 25
Functions Other Than 25
Propulsion 25
“Bouts of Mobility” 26
Daily Activities 27
DWM - Is It Worth the Weight? 29
Where is weight important? 31
DWM: Concepts 33
DWM – Modular Designs 34
MODULAR DESIGNS – Lasher BT-X 35
DWM – Add-On Components 36
 Clip-on handcycles 40
 Freewheel 41
 Wheelblades 43
DWM – DYNAMIC RECONFIGURATION 44
DWM Chair Examples 45
Modified Icon A1 46
Wheelbase Adjustability 49
Dynamic Seat Height 51
Dynamic Recline 52
E L E V A T I O N 53
Elevated seating stability 54
“lifting” side guards 54
Configurations 58
Conservation of Contextual 62
DWM Applications: Reach 68
That’s How! 71
EFFECTIVELY IMPLEMENT A CPG!! 72
FUNCTIONAL REACH 73
DWM Applications: Propulsion 74
4.8° (12:1) 75
7° (8:1) 75
CASE STUDY 76
17x16+0 85 Degree TiLite ZRc 77
Seat Slope = 14° 80
Effective 82
Analysis 83
14 SEAT slope (4” seat dump) 86
95 BACK recline 86
PROPULSION – LEVEL WHEELING 87
14 SEAT slope 88
0 SEAT slope (flat seat) 89
80 BACK decline 89
PROPULSION – DOWN HILL 90
18 SEAT slope (5” seat dump) 93
110 BACK recline 93
Shoulder vs Elbow Angle 95
HOW IT WORKS 98
(and with less skills needed 99
DWM Applications: Transfers 101
Dynamic Reconfiguration 102
TRANSFER ONE SETUP 102
TRANSFER TWO SETUP 103
AREC 2014 108
• Pressure re-distribution 109
Subject 4*Subject 3 110
Subject 2 110
Subject 1 110
CARDIOVASCULAR FUNCTION 113
DWM Applications: ADL’s 114
How do people use Elevation? 115
Employment 118
Children (Pediatrics) 119
Recreation 120
High reaching 121
Self care 122
“Low” setup 124
“High” setup 125
CP <48 cm> 126
SCI <41 cm> 126
Daily height chart – 2 people 127
= 0.77 (p < 0.05) - ASAP 128
= 0.57 (p = 0.14) - WhOM 128
Elevation + Freewheel 129
Future DWM? 130
Coming Soon 132

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Rio Mobility Firefly Bedienungsanleitung Seite 30

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