Advertisement

Development of a Wheelchair Stability Assessment System: Design Tools and Approaches

  • Louise MoodyEmail author
  • Paul Magee
  • Dimitar Stefanov
Chapter
Part of the Intelligent Systems Reference Library book series (ISRL, volume 167)

Abstract

This chapter describes how design has been applied to the development of a system for supporting the prescription of wheelchairs. With an ageing population there is likely to be a continued rise in wheelchair usage, as well as wheelchair modifications for specific needs such as specialist seating and the addition of assistive devices. Ensuring the ease of use, stability, safety and performance of wheelchairs both occupied by, and attended to by older adults is an important consideration. This chapter describes the design methods employed in the development of WheelSense®, a system for use by wheelchair prescribers to support the assessment, adaptation and tuning of wheelchairs to meet individual needs. The system development has required a multidisciplinary approach bringing together designers, engineers, human factors specialists, clinical specialists alongside end-users and stakeholders. The resulting WheelSense® system combines electronics and a weighing system in a folding platform. It is supported by a handheld device and graphic user interface (GUI) for guiding the prescription process, enabling data entry and to support education of the wheelchair user chair.

Keywords

Interdisciplinary design Stability assessment Wheelchair prescription Load-cell Optimising wheelchair performance User-centred design 

Notes

Acknowledgements

The Wheelchair Stability Assessment System (Wheel-SAS) project was funded by the National Institute for Health Research (NIHR) Invention for Innovation (i4i) stream (Grant II-AR-0209-10099.). The user needs, and design work was approved by the Coventry University Ethics committee and access to NHS premises and staff was given by the R&D departments of each participating NHS Trust. The system evaluation study was approved by the National Research Ethics Committee, the Research and Development Department of each of the participating NHS Trusts (Birmingham Community Healthcare NHS Trust, Kings College Hospital NHS Foundation Trust, and Abertawe Bro Morgannwg, South Wales), and the Coventry University Ethics Committee. All participants gave their informed consent prior to participation. We would like to thank those participants as well as our collaborating partners Simon Fielden, Mike Heelis, Paul Dryer, Nigel Shapcott, Jill Evans.

References

  1. 1.
    Martins, A., Pinheiro, J., Farias, B., Jutai, J.: Psychosocial impact of assistive technologies for mobility and their implications for active ageing. Technologies 4(3), 28 (2016)CrossRefGoogle Scholar
  2. 2.
    Gell, N.M., Wallace, R.B., Lacroix, A.Z., Mroz, T.M., Patel, K.V.: Mobility device use in older adults and incidence of falls and worry about falling: findings from the 2011–2012 National health and aging trends study. J. Am. Geriatr. Soc. 63(5), 853–859 (2015)CrossRefGoogle Scholar
  3. 3.
    Labbé, D., Mortenson, W.B., Rushton, P.W., Demers, L., Miller, W.C.: Mobility and participation among ageing powered wheelchair users: using a lifecourse approach. Ageing Soc., pp. 1–17 (2018)Google Scholar
  4. 4.
    Mortenson, W.B., Hammell, K.W., Luts, A., Soles, C., Miller, W.C.: The power of power wheelchairs: Mobility choices of community-dwelling, older adults. Scandinavian J. Occup. Ther. 22(5), 394–401 (2015)CrossRefGoogle Scholar
  5. 5.
    Giesbrecht, E.M., Miller, W.C., Jin, B.T., Mitchell, I.M., Eng, J.J.: Rehab on wheels: a pilot study of tablet-based wheelchair training for older adults. JMIR Rehab. Assistive Technol. 2(1), (2015)Google Scholar
  6. 6.
    World Health Organization: Fact sheet on wheelchairs (2010). Available from https://apps.who.int/iris/bitstream/handle/10665/205041/B4616.pdf?sequence=1&isAllowed=y. Accessed 15 Mar 2019
  7. 7.
    Gartz, R., Goldberg, M., Miles, A., Cooper, R., Pearlman, J., Schmeler, M., Jonassen Bittman, S., Hale, J.: Development of a contextually appropriate, reliable and valid basic wheelchair service provision test. Disability Rehab. Assistive Technol 12(4), 333–340 (2017)CrossRefGoogle Scholar
  8. 8.
    Kirby, R.L.: Wheelchair Skills Assessment and Training. CRC Press (2016)Google Scholar
  9. 9.
    Rice, L.A., Ousley, C., Sosnoff, J.J.: A systematic review of risk factors associated with accidental falls, outcome measures and interventions to manage fall risk in non-ambulatory adults. Disabil. Rehabil. 37(19), 1697–1705 (2015)CrossRefGoogle Scholar
  10. 10.
    Chen, W.Y., Jang, Y., Wang, J.D., Huang, W.N., Chang, C.C., Mao, H.F., Wang, Y.H.: Wheelchair-related accidents: relationship with wheelchair-using behavior in active community wheelchair users. Arch. Phys. Med. Rehabil. 92(6), 892–898 (2011)CrossRefGoogle Scholar
  11. 11.
    ISO 7176-1:2014: Wheelchairs—part 1: determination of static stability 60.60 ISO/TC 173/SC 1 4 (2014)Google Scholar
  12. 12.
    ISO 7176-2: Wheelchairs—part 2: determination of dynamic stability of electrically powered wheelchairs (2017). https://standards.globalspec.com/std/10188578/ISO%207176-2
  13. 13.
    Caldicott, S.J., Shapcott, N.: Validation of a software-based stability assessment system for wheelchairs and their occupants. J. Med. Eng. Technol. 32(6), 440–447 (2008)CrossRefGoogle Scholar
  14. 14.
    Stefanov, D., Fielden, S., Avtanski, A.: Mobility assistance vehicle stability assessment. U.S. Patent Application 14/903,863, Coventry University (2016)Google Scholar
  15. 15.
    Giacomin, J.: What is human centred design? Des. J. 17(4), 606–623 (2014)MathSciNetGoogle Scholar
  16. 16.
    Moody, L.: User-centred health design: reflections on D4D’s experiences and challenges. J. Med. Eng. Technol. 39(7), 395–403 (2015)CrossRefGoogle Scholar
  17. 17.
    Donetto, S., Pierri, P., Tsianakas, V., Robert, G.: Experience-based co-design and healthcare improvement: realizing participatory design in the public sector. Des. J. 18(2), 227–248 (2015)Google Scholar
  18. 18.
    Tsekleves, E., Cooper, R.: Emerging trends and the way forward in design in healthcare: An expert’s perspective. Des. J. 20(sup1), S2258–S2272 (2017)Google Scholar
  19. 19.
    Robert, G., Cornwell, J., Locock, L., Purushotham, A., Sturmey, G., Gager, M.: Patients and staff as codesigners of healthcare services. BMJ 350, g7714 (2015)CrossRefGoogle Scholar
  20. 20.
    Zuber, C.D., Moody, L.: Creativity and Innovation in Health Care. Nurs. Adm. Quart. 42(1), 62–75 (2018)CrossRefGoogle Scholar
  21. 21.
    Norman, D.A., Verganti, R.: Incremental and radical innovation: design research versus technology and meaning change. Des. Issues 30(1), 78–96 (2014)Google Scholar
  22. 22.
    Moody, L., Evans, J., Fielden, S., Heelis, M., Dryer, P., Shapcott, N., Magee, P., Stefanov, D.: Establishing user needs for a stability assessment tool to guide wheelchair prescription. Disabil. Rehabil. Assistive Technol. 12(1), 47–55 (2017)CrossRefGoogle Scholar
  23. 23.
    Moody, L., Woodcock, A., Heelis, M., Chichi, C., Fielden, S., Stefanov, D.: Improving wheelchair prescription: an analysis of user needs and existing tools. Work 41(Supplement 1), 1980–1984 (2012)Google Scholar
  24. 24.
    Magee, P., Fielden, S., Moody, L.: CUbe: an ideas generation tool demonstrated through multi-disciplinary development of a wheelchair stability assessment system. In: Recent Advances in Assistive Technology and Engineering (RAaTE) Conference. Coventry, UK (Poster) (2014)Google Scholar
  25. 25.
    Hall, D.: Fail fast, fail cheap Bloomsberg Businessweek (2007). Available from http://www.businessweek.com/stories/2007-06-24/fail-fast-fail-cheap. Accessed 22 Mar 2019
  26. 26.
    Stefanov, D., Avtanski, A., Shapcott, N., Magee, P., Dryer, P., Fielden, S., Heelis, M., Evans, J., Moody, L.: The development and testing of a system for wheelchair stability measurement. Med. Eng. Phys. 37(11), 1061–1069 (2015)CrossRefGoogle Scholar
  27. 27.
    Moody, L., Evans, J., Fielden, S., Heelis, M., Dryer, P., Shapcott, N., Magee, P., Stefanov, D.: (In preparation) The usability and acceptability of a novel wheelchair stability assessment systemGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Centre for Arts, Memory and Communities, Faculty of Arts and HumanitiesCoventry UniversityCoventryUK
  2. 2.Faculty of Health and Life SciencesCoventry UniversityCoventryUK
  3. 3.School of Science and TechnologyMiddlesex UniversityHendon, LondonUK

Personalised recommendations