- Wheelchair Football Training Video
- Focus on Secondary Condition Prevention: Promoting Enabling and Empowering Fitness Environments to Increase Exercise and Improve Health for People with Multiple Sclerosis
- Program Spotlight: 29th Annual National Veterans Wheelchair Games
- Focus on Secondary Condition Prevention: Walking Program to Reduce Secondary Conditions in Adolescents with Autism
- Table Tennis
- Wheelchair Basketball
- Focus on Secondary Condition Prevention: Using Evidence-Based Physical Activity Guidelines to Reduce Secondary Conditions in People with Spinal Cord Injury
- New Food Pyramid Misses Mark for People with Disabilities
- FreeWheeling in my Wheelchair!
- Sports for Children and Youth with Disabilities
- Focus on Secondary Condition Prevention
- Rise in Scooters and Power Wheelchairs Could Increase Risk of Obesity
- Response to Last Month's Column on Use of Power Mobility Devices
- Wheelchair Softball
- Football (American)
- Wheelchair Tennis
- Exerstrider Fitness for People Who Use Wheelchairs
- Wheelchair skills training for community-based manual wheelchair users: A randomized controlled trial
- Community Voice: The Importance of Mentoring - An Interview with Jean Driscoll
- Comparison of cardiovascular adaptations to long-term arm and leg exercise in wheelchair athletes versus long-distance runners.
Article Review: Koontz, et al. (2006). Investigation of the Performance of an Ergonomic Handrim as a Pain-Relieving Intervention for Manual Wheelchair Users. Assistive Technology, 18 (2), 123-143. Pittsburgh, PA.
|Jennifer Rowland, Ph.D.|
Three related studies were conducted to determine the effect of an ergonomic wheelchair handrim on hand and wrist pain reduction and improved ability to function for manual wheelchair users. The handrim tested was the 'Natural-Fit' and included the following design features:
- Contoured slot for the thumb that improves grip for propulsion
- High friction coating on propulsion surface that enhances propulsion efficiency
- Expanded smooth surface for braking without pinching
- Ergonomic grip reduces pressure on the carpal tunnel and reduces forces necessary to stabilize the hand on the rim
- Larger overall surface area eliminates need for a pinch grip, removes need to grip tire, and avoids awkward postures
Results from the three studies indicated that pain decreased and functional outcomes increased across three populations of manual wheelchair users who were testing the device. Therefore, the implications of using assistive technology to alleviate pain can potentially provide a means of adaptations to prevent a common and extremely limiting secondary condition.
To readers: if you use assistive technology that has been helpful in reducing secondary conditions for you, let me know and I may feature it in an upcoming column.
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I encourage you to write to me with suggestions for future column topics or to comment on the information provided in this column. You can reach me by e-mail at firstname.lastname@example.org.