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EN2313 – Engenharia de Reabilitação
WheelchairsChapter 8, An introduction to rehabilitation engineering
Agenda
► Why do we need to know about
wheelchairs?
► Types of wheelchair
► Manual Wheelchairs
► Basic components and important characteristics
► Wheelchair propulsion biomechanics
► SmartWheel
► Standards By: Kristy A. Godoy JaimesBiomedical Engineer
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
► An estimated 1% of the world's population, or just over 74 million people, need a
wheelchair. [1]
► In 2003, 20 million people requiring a wheelchair for mobility did not have one. [1]
► Around 14 million Brazilians suffer some kind of motor disability, and 40% of those need a
wheelchair (around 5 million people). [2]
Motivation
[1] http://www.who.int/disabilities/publications/technology/wheelchairguidelines/en/[2] COSTA H. Modelagem e simulação da propulsão de cadeiras de rodas manuais. Dissertação. 2015. São Paulo [3] http://www.freewheelchairmission.org/whywheelchairs
Wheelchairs provide mobility, and mobility changes everything;
Mobility means independence, the ability to participate in society and earn a living;
It means dignity, leaving behind the days of living on the ground. [3]
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
WheelchairsElectric power wheelchairs (EPW)
Power-assisted wheelchairs
Manual wheelchairs
Indicated for individuals:
• With severe sensory motor impairments:
• High level tetraplegia.
• Advance multiple sclerosis.
• Severe cerebral palsy.
Advantages
• Technological advances of programmability , special seating systems and
integrated control units = wider potential users
• SmartDrive
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Manual wheelchair
Principal conditions and abilities
• Upper body strength.
• Function.
• Endurance, resistance.
• Self-propeled
Some pathological conditions:
• Spinal cord injury at 1st thoracic level or below and some at
6th or 7th cervical level injury
• Spina bifida
• Multiple sclerosis, early stages
• Lower limb amputation
• Postpolio affecting lower extremity
• Arthritis
• Stroke
• Age
• Cardiopulmonary disease
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
Wheelchair should be designed specifically.
• Standard wheelchairs not for long-term use.
• Heavy duty or bariatric wheelchairs overweight
individuals (136-454 kg).
• Children.
• Sports (lightweight, maneuverable, adjusting the
axle position and camber angles).
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Manual wheelchair assessment
• List of Problems and Aims, as identified by the patient
• Medical
• Social/Functional/Environmental
• Transfers
• Physical Measurements
• Postural Assessment
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Manual wheelchair assessment
• Postural Assessment
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
• Frame: chrome, aluminum, steel tubing,
titanium, besides stainless steel. Affects the
overall weight, durability, transportability and
storage.
• Seat height: leg length, footrest high to avoid
obstacles, the right height for tables, counters
and sinks height
• Seat depth: support for thighs
• Seat width
• Back height: depends on postural support,
affects the range of motion for propulsion.
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
• Seat and back angles
• Armrest and footrest:
• Letting the arm lie parallel to the ground.
• Can affect neck and shoulder.
• Affects the width of the wheelchair.
• Footrest can be adjustable or removable.
• Wheels and tires:
• Typically 2 large rear wheels and 2 small front
wheels (casters).
• Casters 5 to 20 cm in diameter
• Rear wheels 60.96 cm (24”), spoked
Basic structural components
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
http://www.wheelchairnet.org/wcn_wcu/SlideLectures/MS/5WCBiomech.pdf
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
• Rear wheel camber:
• Inclination of the rear wheel, where the
upper part is closer, and, thus, the
bottom part is further from the midline.
• Up to 8° of camber.
• >8° of camber in sports wheelchairs.
• Affects wheelchair width.
http://www.streetsie.com/manual-wheelchair-design-production/
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
• Rear axle position:
• Can be adjusted Horizontally and vertically.
• Weight distribution between rear wheels and casters.
• If more weight proportion falls into the caster the
greater the rolling resistance.
• If rear wheels are in a rearward position, the length of the
wheelbase is greater and the turning radius is increased.
• If the rear wheels are in rearward position, is less likely to
tip backwards.
• Lowering the seat height improves stability, but it affects
the arms abduction.
http://www.clinical-corner.com/2014/01/centre-of-gravity-and-manual-wheelchairs/
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Basic structural components
http://www.wheelchairnet.org/wcn_wcu/SlideLectures/MS/5WCBiomech.pdf
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Stability
http://web.mit.edu/sp.784/www/DOCUMENTS/Wheelchair%20Manual-Final.pdf
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Wheelchair propulsion
• Kinematics:
• Main interest: arms and trunk.
• Kinetics:
• Forces and moments applied to the pushrim.
• Joint forces and moments.
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
http://ebm.ufabc.edu.br/wp-content/uploads/2014/06/NBR-06440.pdf
ABNTNBR ISO 6440
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
ABNT NBR 9050
Accessibility to buildings, furniture,
spaces and urban facilities
EN2313 – Engenharia de Reabilitação 2-2016 - Wheelchairs
Obrigado!