Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3 , Pages 480-485 , March 2008

Comparing Performance of Manual Wheelchair Skills Using New and Conventional Rear Anti-Tip Devices: Randomized Controlled Trial

  • R. Lee Kirby, MD

      Affiliations

    • Division of Physical Medicine and Rehabilitation, Biostatistics, Dalhousie University, Halifax, NS, Canada
    • Corresponding Author InformationCorrespondence to R. Lee Kirby, MD, Div of Physical Medicine and Rehabilitation, Dept of Medicine, Dalhousie University, Halifax, NS B3H 4K4, Canada
  • ,
  • Casey G. Corkum, BSc

      Affiliations

    • School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada
  • ,
  • Cher Smith, BSc (OT)

      Affiliations

    • Department of Occupational Therapy, Queen Elizabeth II Health Sciences Centre, Nova Scotia Rehabilitation Centre Site, Halifax, NS, Canada
  • ,
  • Paula Rushton, MClSc (OT)

      Affiliations

    • Department of Occupational Therapy, Queen Elizabeth II Health Sciences Centre, Nova Scotia Rehabilitation Centre Site, Halifax, NS, Canada
  • ,
  • Donald A. MacLeod, MSc

      Affiliations

    • Clinical Locomotor Function Laboratory, Queen Elizabeth II Health Sciences Centre, Nova Scotia Rehabilitation Centre Site, Halifax, NS, Canada.
  • ,
  • Adam Webber, MSc

      Affiliations

    • Department of Medicine, Dalhousie University, Halifax, NS, Canada

  • Image Result

    C-RADs on a wheelchair.

    C-RADs on a wheelchair.

  • Image Result

    The new Arc-RAD design. The Arc-RADs (A) remain out of the way at rest but (B) permit moderate rear tip when they self-deploy because of ground contact.

    The new Arc-RAD design. The Arc-RADs (A) remain out of the way at rest but (B) permit moderate rear tip when they self-deploy because of ground contact.

  • Image Result

    CONSORT diagram for wheelchair-using participants. During the 289-day recruitment period, there were a total of 401 inpatients admitted to the rehabilitation center.

    CONSORT diagram for wheelchair-using participants. During the 289-day recruitment period, there were a total of 401 inpatients admitted to the rehabilitation center.

  • Image Result

    RAD-relevant percentage scores on the WST for the Arc-RAD and C-RAD groups. The horizontal lines in the middle of the boxes are the median values, the lower and upper ends of the boxes are the 25th an

    RAD-relevant percentage scores on the WST for the Arc-RAD and C-RAD groups. The horizontal lines in the middle of the boxes are the median values, the lower and upper ends of the boxes are the 25th and 75th percentiles, the whiskers extend to the furthest nonoutlier values, and outliers are displayed as dots.

 Supported in part by the Canadian Institutes of Health Research (grant no. 2004021TG-126560-DAI-CHAA-13681).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated. The principal investigator holds a patent (Anti-tip devices for wheeled conveyances including wheelchairs and method related thereto. US patent 6,530,598. 2003 Mar 11) on the device that is the focus of this study. It may be commercialized in the future.

 Reprints are not available from the authors.

PII: S0003-9993(07)01753-4

doi: 10.1016/j.apmr.2007.08.163

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 3 , Pages 480-485 , March 2008