De rolstoel: het icoon voor handicap, dat ding waar je in ‘belandt’, meestal afgebeeld in zwaar roestvrijstalen uitvouwbare uitvoering, bedoeld om in voortgeduwd te worden. Die rolstoel, die interesseert ons niet! Welke dan wel? De rolstoel die de gebruiker zijn individuele vrijheid teruggeeft, en stimuleert tot bewegen. Bovendien, de rolstoel die de gebruiker de fysieke activiteit die nog inzetbaar is duurzaam laat gebruiken. Dat wil zeggen inspanning van het bovenlichaam zonder overbelasting en pijn.
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Wheelchair mobility skills (WMS) training is regarded by children using a manual wheelchair and their parents as an important factor to improve participation and daily physical activity. Currently, there is no outcome measure available for the evaluation of WMS in children. Several wheelchair mobility outcome measures have been developed for adults, but none of these have been validated in children. Therefore the objective of this study is to develop a WMS outcome measure for children using the current knowledge from literature in combination with the clinical expertise of health care professionals, children and their parents. Methods Mixed methods approach. Phase 1: Item identification of WMS items through a systematic review using the ‘COnsensus-based Standards for the selection of health Measurement Instruments’ (COSMIN) recommendations. Phase 2: Item selection and validation of relevant WMS items for children, using a focus group and interviews with children using a manual wheelchair, their parents and health care professionals. Phase 3: Feasibility of the newly developed Utrecht Pediatric Wheelchair Mobility Skills Test (UP-WMST) through pilot testing. Results Phase 1: Data analysis and synthesis of nine WMS related outcome measures showed there is no widely used outcome measure with levels of evidence across all measurement properties. However, four outcome measures showed some levels of evidence on reliability and validity for adults. Twenty-two WMS items with the best clinimetric properties were selected for further analysis in phase 2. Phase 2: Fifteen items were deemed as relevant for children, one item needed adaptation and six items were considered not relevant for assessing WMS in children. Phase 3: Two health care professionals administered the UP-WMST in eight children. The instructions of the UP-WMST were clear, but the scoring method of the height difference items needed adaptation. The outdoor items for rolling over soft surface and the side slope item were excluded in the final version of the UP-WMST due to logistic reasons. Conclusions The newly developed 15 item UP-WMST is a validated outcome measure which is easy to administer in children using a manual wheelchair. More research regarding reliability, construct validity and responsiveness is warranted before the UP-WMST can be used in practice.
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Within rehabilitation, there is a great need for a simple method to monitor wheelchair use, especially whether it is active or passive. For this purpose, an existing measurement technique was extended with a method for detecting self- or attendant-pushed wheelchair propulsion. The aim of this study was to validate this new detection method by comparison with manual annotation of wheelchair use. Twenty-four amputation and stroke patients completed a semi-structured course of active and passive wheelchair use. Based on a machine learning approach, a method was developed that detected the type of movement. The machine learning method was trained based on the data of a single-wheel sensor as well as a setup using an additional sensor on the frame. The method showed high accuracy (F1 = 0.886, frame and wheel sensor) even if only a single wheel sensor was used (F1 = 0.827). The developed and validated measurement method is ideally suited to easily determine wheelchair use and the corresponding activity level of patients in rehabilitation.
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The aim of this study was to develop and describe a wheelchair mobility performance test in wheelchair basketball and to assess its construct validity and reliability. To mimic mobility performance of wheelchair basketball matches in a standardised manner, a test was designed based on observation of wheelchair basketball matches and expert judgement. Forty-six players performed the test to determine its validity and 23 players performed the test twice for reliability. Independent-samples t-tests were used to assess whether the times needed to complete the test were different for classifications, playing standards and sex. Intraclass correlation coefficients (ICC) were calculated to quantify reliability of performance times. Males performed better than females (P < 0.001, effect size [ES] = −1.26) and international men performed better than national men (P < 0.001, ES = −1.62). Performance time of low (≤2.5) and high (≥3.0) classification players was borderline not significant with a moderate ES (P = 0.06, ES = 0.58). The reliability was excellent for overall performance time (ICC = 0.95). These results show that the test can be used as a standardised mobility performance test to validly and reliably assess the capacity in mobility performance of elite wheelchair basketball athletes. Furthermore, the described methodology of development is recommended for use in other sports to develop sport-specific tests. “This is an Accepted Manuscript of an article published by Taylor & Francis in "Journal of Sports Sciences" on 01/16/17, available online: https://doi.org/10.1080/02640414.2016.1276613. LinkedIn: https://www.linkedin.com/in/annemarie-de-witte-9582b154/ https://www.linkedin.com/in/moniqueberger/ https://www.linkedin.com/in/rienkvdslikke/
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De rol van technologie in de langdurige zorg neemt toe. Naast conventionele hulpmiddelen als hooglaagbedden en rolstoelen, zijn er diverse relevante vernieuwingen binnen de robotica (zoals elektronische gezelschapsdieren) en op het vlak van bouwkundige installaties, die hun weg vinden richting de ouderenzorg en verpleeghuiszorg. De werelden van zorg en technologie hebben elkaar veel te bieden, zoals op het gebied van informatietechnologie in het algemeen en, als onderdeel van dat domein, zorgdomotica in het bijzonder. In dit artikel gaan wij nader in op de rol van zorgdomotica in de ouderenzorg, en de achtergronden bij de inzet.
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Oftentimes these systems are only statically calibrated. However, wheelchair propulsion is dynamic by nature, requiring a dynamic validation process. The aim of the current project was to present a low-cost portable system for the dynamic metrological verification of wheelchair roller ergometers, based on an instrumented reference wheel. The tangential force on the roller is determined, along with its uncertainty, from the reference wheel properties, and compared with the force measured by the ergometer. Uncertainty of this reference wheel system was found to be lower than the one of the ergometer used, indicating that this novel approach can be used for the metrological verification of ergometers.
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Hoe kunnen we een rekenles beter laten aansluiten bij een kwalificatiedossier en het rekenexamen? Welk lesmateriaal is er al?
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De gezondheidstechnologie ontwikkelt zich snel. De Haagse Hogeschool doet veel onderzoek naar de toepassing van nieuwe technologieën als het gaat om vitality, cure en care. Deirdre Beneken genaamd Kolmer, lector Mantelzorg aan De Haagse Hogeschool, en Ineke van der Meule, directeur Centrum voor Lectoraten en Onderzoek, over de uitdaging om instrumentele en relationele paradigma's in elkaar te laten grijpen die van nature niet hand in hand gaan.
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Ageing in place is een veelvuldig genoemd concept. Echter, het is de vraag wat dit volgens de wetenschappelijke literatuur inhoudt. In dit artikel wordt het concept ageing in place in kaart gebracht aan de hand van de vijf hoofdthema’s zoals die uit de literatuur zijn gedestilleerd. Een meer eenduidig begrip van ageing in place zal professionals, beleidsmakers, onderzoekers en sociale netwerken kunnen helpen de veelzijdigheid van het concept te zien en toe te passen.
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