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Does the setting matter? Observing wheelchair transfers across different environmental conditions

Barbareschi, G; Sonenblum, S; Holloway, C; Sprigle, S; (2020) Does the setting matter? Observing wheelchair transfers across different environmental conditions. Assistive Technology 10.1080/10400435.2020.1818328. (In press). Green open access

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Abstract

The setting in which wheelchair transfers are performed can affect difficulty and the risks associated with completion. This article presents results from an observational study involving 13 wheelchair users performing independent transfers across four settings. The aim is to understand how the environment affects how different types of independent transfers are performed. Descriptive analysis was performed alongside an objective assessment using the Transfer Assessment Instrument (TAI). The perceived difficulty reported after each transfer was also collected. Two participants exhibited radically different transferring techniques in different scenarios. Additionally, the transferring scenario was found to significantly affect the perceived difficulty of sitting transfers (toilet 2.17 ± .88; bed 1.47 ± .65, p = .001; car 1.63 ± .82, p = .012) and standing transfers (car 3.5 ± .71; bed 1 ± 0, p = .03; toilet 1 ± 0, p = .03), and the TAI score attributed to sitting pivot with use of a transfer board (couch 4.3 ± .88; bed 6.93 ± 1.29, p = .022; car 7.13 ± 1.32, p = .018) . Overall, environmental constraints, can lead to major technique changes and, more often, to different positioning of hands and feet which could impact the transfer’s biomechanics.

Type: Article
Title: Does the setting matter? Observing wheelchair transfers across different environmental conditions
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/10400435.2020.1818328
Publisher version: https://doi.org/10.1080/10400435.2020.1818328
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Wheelchair users, wheelchair transfers, upper limb injury, activities of daily living
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Computer Science
URI: https://discovery.ucl.ac.uk/id/eprint/10110228
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