Academic literature on the topic 'Wheelchair and seating service provision'
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Journal articles on the topic "Wheelchair and seating service provision"
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White, Elizabeth, and Bill Lemmer. "Effectiveness in Wheelchair Service Provision." British Journal of Occupational Therapy 61, no. 7 (July 1998): 301–5. http://dx.doi.org/10.1177/030802269806100702.
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Services that provide wheelchairs to permanently disabled people have undergone fundamental changes following the recommendations of the McColl report in 1986. The devolution of centralised wheelchair services to the National Health Service (NHS) health districts in 1991 coincided with the implementation of the government's proposals for NHS reforms and community care initiatives. This paper describes a four-part research study, undertaken to identify and investigate key factors which propose effectiveness in the post-devolution wheelchair service. The sample comprised 125 wheelchair therapists as service providers and a total of 130 service users. The user sample consisted of 84 people issued with NHS manual wheelchairs, 27 indoor powered wheelchair users and 19 special seating users. An integrated methodology was employed, including questionnaires, interviews, participant observation and case studies. The research identified the development of client-centred referral and assessment procedures for wheelchairs and seating, and highlighted the need for increased therapist training. Close links between wheelchair services and local therapists were found, providing greater access to assessment for wheelchair users. An increased demand for wheelchairs outside the NHS range and a rising number of referrals for elderly people were recorded, although the management of finite resources resulted in eligibility criteria designed to control supply and provision variations between districts.
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Cox, Diane L. "Wheelchair Needs for Children and Young People: A Review." British Journal of Occupational Therapy 66, no. 5 (May 2003): 219–23. http://dx.doi.org/10.1177/030802260306600506.
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This work was commissioned by a charity, the Physical Disability and Sensory Impairment Forum, owing to local parental concerns relating to the assessment for and provision of mobility equipment. The project was set up as a preliminary investigation to consider those concerns. A literature review was carried out in order to establish current practice in the National Health Service wheelchair service in England, the role of the wheelchair in children's mobility, the wheelchair and seating needs of children and the met and unmet need. A questionnaire was distributed to children and their parents to gain their views. The response rate was disappointingly poor and, therefore, the results are not presented. However, the full report is available from the author.
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Ham, RO. "Monitoring wheelchair and seating provision." Clinical Rehabilitation 7, no. 2 (May 1993): 139–45. http://dx.doi.org/10.1177/026921559300700208.
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White, Elizabeth A. "Wheelchair special seating: need and provision." British Journal of Therapy and Rehabilitation 6, no. 6 (June 1999): 285–89. http://dx.doi.org/10.12968/bjtr.1999.6.6.13970.
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Barnes, Michael P. "Standards in Neurological Rehabilitation, June 1997." Behavioural Neurology 10, no. 2-3 (1997): 1–7. http://dx.doi.org/10.1155/1997/467394.
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The European Federation of Neurological Societies (EFNS) Scientific Panel on Neurorehabilitation established a Task Force on standards in neurological rehabilitation in June 1996. The remit for the Task Force was to: (1) produce a report on the state of neurological rehabilitation across Europe; and (2) recommend standards for the provision of neurological services for disabled people. The main conclusions of the Task Force were as follows: (1) A questionnaire circulated to each European member country has indicated a significant lack of adequate neurological rehabilitation facilities across Europe. Very few countries have any established network of neurological rehabilitation centres. Few countries have adequately trained neurological rehabilitation physicians, therapists or nurses. Such poor facilities should be seen in the context of the large numbers and increasing prevalence of people with neurological disabilities. (2) The Task Force has summarized the significant benefits that can follow from the establishment of a dedicated and cost effective neurological rehabilitation service including functional improvement, reduction of unnecessary complications, better coordination and use of limited resources, improved opportunities for education, training and research and a clear point of contact for the disabled person. (3) The Task Force recommends minimum standards for the prevention of neurological disability including access to health education, genetic counselling and emergency resources. The Task Force also encourages governments to invest in improved legislation for accident prevention. (4) The Task Force has outlined some minimum standards for the staffing of a neurological rehabilitation service including improved training both for neurologists and rehabilitation physicians. Such training could include a cross-national training programme both for physicians and other health care staff. (5) The Task Force supports a two-tier system of neurological services. We believe that disabled individuals should have access to a regional specialist service as well as a local community service. The regional specialist service would cater for people with more complicated and severe disabilities, including spinal injury and severe brain injury. The regional centres would provide specialist expertise for wheelchairs and special seating, orthotics, continence and urological services, aids and equipment including communication aids and environmental controls, prosthetics and driving assessment. The Task Force additionally endorses the development of local and community based rehabilitation teams with clear links to the regional centre. (6) The Task Force recognizes the limited amount of rehabilitation research and encourages individuals, universities and governments to invest more in rehabilitation research. Such investment should produce benefits for disabled people and their carers and in the long term benefits for the national economy. (7) The Task Force realizes that neurological rehabilitation is poorly developed both in Europe and the world as a whole. We firmly endorse international co-operation in this field and are happy to co-operate with any international organization in order to develop such links for clinical, educational or research initiatives. (8) The Task Force encourages individual countries to produce a document summarizing their own situation with regard to these standards and to produce a timetable for action to improve their situation. The EFNS Task Force would be pleased to assist in the publication of such deliberations or to act as a focus for international education and research or for sharing of examples of good practice.
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Dolan, Michael John, and Graham Iain Henderson. "Patient and equipment profile for wheelchair seating clinic provision." Disability and Rehabilitation: Assistive Technology 9, no. 2 (June 19, 2013): 136–43. http://dx.doi.org/10.3109/17483107.2013.807441.
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Ross, E. Van. "Pushchairs." Prosthetics and Orthotics International 15, no. 1 (April 1991): 46–50. http://dx.doi.org/10.3109/03093649109164274.
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Pushchairs for adults are used by two distinct groups: the high dependency users who cannot walk or use a self-propelling chair and the occasional users who may be able to walk indoors but are unable to walk significant distances outdoors. In the past, both disparate groups were provided with similiar wheelchairs described as Model 9 or Model 10 in the United Kingdom. For the high dependency user the wheelchair may be individually adapted to accept specialized supportive seating and pressure relief cushions. The standard wheelchair without adaptation is supplied to the occasional user. For disabled children, the UK wheelchair service provides about 1200 pushchairs and buggies. About 400 of those are the more specialized type such as the Avon, while the rest are standard children's buggies, openly available at a High Street shop. The continued free supply of the standard buggy through the UK Wheelchair Service is questionable. A recent survey carried out by the UK Wheelchair Service showed that prescribers were not aware of the importance of lightness. foldability and appearance to parents and carers and conversely that parents often did not understand the necessity for supportive seating. The prevention of deformities in children by providing correctly supportive wheelchair seating is accepted. The Disablement Services Authority in the UK is investigating the possibilities of producing children's wheelchairs that will satisfy the requirements of user, parent and prescriber.
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Kenny, Siobhan, and Rosemary Joan Gowran. "Outcome Measures for Wheelchair and Seating Provision: A Critical Appraisal." British Journal of Occupational Therapy 77, no. 2 (February 2014): 67–77. http://dx.doi.org/10.4276/030802214x13916969447119.
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Barlow, Ingrid G., Lili Liu, and Angela Sekulic. "Wheelchair Seating Assessment and Intervention: A Comparison between Telerehabilitation and Face-to-Face Service." International Journal of Telerehabilitation 1, no. 1 (September 4, 2009): 17–28. http://dx.doi.org/10.5195/ijt.2009.868.
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This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10) and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural). Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete. Keywords: Telerehabilitation, Telehealth, Videoconferencing, Wheelchair Seating, Outcomes, Rehabilitation
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Trefler, E., and S. J. Taylor. "Prescription and positioning: Evaluating the physically disabled individual for wheelchair seating." Prosthetics and Orthotics International 15, no. 3 (December 1991): 217–24. http://dx.doi.org/10.3109/03093649109164291.
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Within the past 10 years, technology has provided members of the seating team with new approaches in dealing with severely physically disabled children and adults. Positioning is often the first step in overall provision of technical aids. Before physically disabled individuals can operate augmentative communication devices, computer keyboards or other assistive or rehabilitative devices, they should be provided with the optimum seated posture from which to operate. The proximal stability provided by a therapeutically designed seating system will enhance motor potential. Presently, there are many approaches to providing dynamic seating. A thorough evaluation, with input from all team members including the client and his family is necessary to define clearly the goals for the seating device. Once these goals are defined, the team can investigate the possible technical solutions. Thorough ongoing re-evaluation and follow-up of both the client's needs and the possible technical solutions will ensure that persons with physical disabilities will be in the best possible posture to perform the tasks of daily living.
Dissertations / Theses on the topic "Wheelchair and seating service provision"
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Maximo, Tulio P. dos Santos. "Not just the right for a wheelchair but the right wheelchair : a multi-site study of the wheelchair public service provision in Belo Horizonte city, Brazil." Thesis, Loughborough University, 2018. https://dspace.lboro.ac.uk/2134/31843.
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For decades the care of disabled population in Brazil has been neglected by the government and was provided largely by the charitable institutions. It was as only recently, as in the year 2011 that Brazilian government created the national plan for the rights of the disabled people. The plan articulates policies regarding social inclusion, access to education, accessibility and health care. The last section of the plan includes the provision of wheelchairs free of cost to the Brazilians citizens, who are in need of a wheelchair. It is common knowledge that a wrong wheelchair specification can lead to physical damage for the user and the carer; the abandonment of device, and wastage of time and resources involved in the wheelchair provision. The World Health Organization has propounded several good practices and training material with reference to wheelchair services towards enabling of right wheelchair fit to the user characteristics. Though, there is no evidence that the service provided in Brazil adheres to these guidelines or any other wheelchair service good practice. This research reviews the wheelchair service provision in Belo Horizonte city, Brazil with the aim to understand the functionality of these services in order to provide context-specific interventions and recommendations to improve the design of current services. Herein, three main studies were conducted using a mix of methods: A first exploratory study was conducted to assess the Belo Horizonte assistive technology services and identify a research focus. A second study was conducted to develop an in-depth insight on the understanding of the wheelchair service provided and to collect the necessary information towards creating a context-based and collaborative designed intervention. A third study was conducted to evaluate and improve the proposed interventions. A total of sixty-six interviews were conducted (n=66) with service stakeholders and two hundred and fifty user care observed (n=250) from which ninety-five (n=95) tested the proposed interventions.
Books on the topic "Wheelchair and seating service provision"
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Donnelly, Brian. Code of Practice for Disability Equipment, Wheelchair and Seating Services: A Quality Framework for Procurement and Provision of Services. Troubador Publishing Limited, 2018.
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Donnelly, Brian. Code of Practice for Disability Equipment, Wheelchair and Seating Services: A Quality Framework for Procurement and Provision of Services. Troubador Publishing Limited, 2015.
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Donnelly, Brian. Code of Practice for Disability Equipment, Wheelchair and Seating Services: A Quality Framework for Procurement and Provision of Services, United Kingdom. Troubador Publishing Limited, 2019.
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Douglas, Gordon C. C. Individualizing Civic Responsibility. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190691332.003.0003.
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Chapter 3 demonstrates that DIY urban designers are largely motivated by failings they perceive in urban policy and planning. Placing them in this context is essential for interpreting the phenomenon. While do-it-yourselfers respond to the problems they see in creative ways, their individualistic tactics of doing so introduce problems of their own. The chapter focuses on bus stops to consider the lack of sidewalk seating in many cities, the privatization of street furniture, and concerns with local service provision. In trying to correct problems they see, do-it-yourselfers always impart their own personal and cultural values, and some DIY alterations can be selfish and anti-social in impact. The chapter interrogates DIY urbanism in the context of the “neoliberalized” city, arguing that even as the practices aim to counter the ill effects of market-driven planning, they can also reinforce an individualistic, undemocratic logic in placemaking.
Book chapters on the topic "Wheelchair and seating service provision"
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Sivan, Manoj, Margaret Phillips, Ian Baguley, and Melissa Nott. "Wheelchairs and seating." In Oxford Handbook of Rehabilitation Medicine, edited by Manoj Sivan, Margaret Phillips, Ian Baguley, and Melissa Nott, 305–18. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198785477.003.0022.
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Freedom of movement is an essential component of independence and mobility is closely associated with quality of life. People who have difficulty with independent walking often require a wheelchair to assist with mobility. The International Classification of Functioning, Disability and Health model can be used to guide the provision of wheelchairs and seating through consideration of the individual personal factors and preferences, environmental limitations, the person’s desired activities and participation in life roles, as well as the person’s health condition or impairments of body structure and function. This chapter describes the steps in prescribing a wheelchair, types of manual and powered wheelchairs, and specialized seating and positioning components.
Conference papers on the topic "Wheelchair and seating service provision"
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Hunter-Zaworski, K. M., Uwe Rutenberg, and Melissa Shurland. "Recommendations for the PRIIA Specifications on the Next Generation of Accessible Passenger Rail Cars." In 2013 Joint Rail Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/jrc2013-2554.
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The recommendations for the new PRIIA specifications of the Next Generation of Accessible Passenger rail cars take access by people with disabilities to a new level of inclusion. The recommendations under consideration are more responsive to changes in population demographics and reflect the changes in wheeled mobility devices technologies. The new recommendations are evidence based on research, and the development process involves a broad cross section of the passenger rail industry as well as federal agencies responsible for accessibility. The recommendations focus on making the next generation of passenger rail cars more inclusive and accessible. The recommendations incorporate changes in population demographics and wheeled mobility technologies and go above and beyond current Americans with Disabilities Act regulations that were written over twenty years ago. Specifically that the US population is getting older and more obese. In most US states between 20 and 30% of the population show a Body Mass Index (BMI) of 30. Some examples of the new recommendations include the following; the wheelchair lift minimum payload will be increased from 600 to 800 pounds, the lift platform will be extended in length from 30 × 48 to 30 × 54 inches, and the maneuvering and accessible seating location is increased to 32 inches wide by 59 inches long. A new recommendation for making the rail car vestibule more accessible for a 90 degree turn includes increasing the vestibule width from 42 to 44 inches. These recommendations will make passenger rail cars accessible to about 90 percent of the current users of wheeled mobility devices. Currently the passenger rail vehicles can only accommodate approximately 50 percent of wheeled mobility devices. There are also provisions in the new recommendations for improving the accessible restroom and its components, even though some of the current passenger rail vehicles have reasonably accessible lavatories. The new recommendations include space for dependent and independent transfers in the restroom and will provide a more consistent level of accessibility for all the new passenger rail cars. Space is recommended for the accommodation of service animal in each car. The new recommendations also include enhanced provisions for passengers who are deaf or hard of hearing. At a minimum the recommendations incorporate current technologies that are used in transit vehicles for dual mode communication, and also include suggestions for accessible real time passenger information and communication systems, and making information accessible on personal mobile media. The new recommendations are in the validation and approval process. As a first step, the recommendations will be approved by the PRIIA Section 305 Next Generation Equipment Committee.
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O. Medola, Fausto, Suzana Gamac, Valeria M.C.Eluic, Luis C. Paschoarelliab, and Carlos A. Fortuland. "Users’ Perceptions on Mobility, Comfort and Usability of Manual Wheelchairs." In Applied Human Factors and Ergonomics Conference. AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1001337.
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The objective of this study was to assess the users’ perceptions on the extent to which the wheelchair meet their mobility needs and overall satisfaction. Fifteen manual wheelchair users were interviewed with a questionnaire comprising questions about their perceptions on aspects of the daily wheelchair usage such as comfort and mobility. The results show that, in general, users experience seating and mobility problems related to their wheelchair. Participants reported problems to move independently in ramps, steps and with wheelchair transfers. Moreover, discomfort and pain were also reported as problems resulting from the prolonged use of wheelchairs. For the majority of the subjects, their wheelchairs are not ideally suitable to them, suggesting problems in the wheelchair prescription and provision. The results demonstrate that, from the users’ point of view, both mobility and comfort problems affect users’ experience with the wheelchair in daily usage. Such problems evidence the existing problems with the current design of manual wheelchairs. Designers and manufacturers may benefit from this knowledge when designing and producing wheelchairs that are most suitable to users’ characteristics, needs and expectations.