Adjustable Prone Trolley Design for People Suffering from Spinal Cord Injuries in Nepal

For people suffering from spinal cord injuries, it is important to stay active. However, with spinal cord injuries, the use of a wheelchair isn’t feasible. These patients require a prone trolley. A prone trolley is a horizontal pad with four wheels that a patient can maneuver and control while lying in a prone position. Our partner, International Nepal Fellowship (INF), deals directly with patients who suffer from spinal cord injuries on a daily basis. INF, a Christian, medical organization, manages a hospital in Pokhara, Nepal which specializes in treating patients with spinal cord injuries. The Nepal Prone Trolley Team’s goal is to provide our partner with a sustainable prone trolley design and create the required manufacturing documentation to enable them to produce the prone trolleys in country at their Green Pastures hospital. The team began our work by researching what a prone trolley is, how it functions and what is currently available. During the research, the team discovered that there weren’t many examples of a manually powered prone trolley or critical dimensions for ergonomics for manually powered trolleys. This drove the team to develop testing methods and preliminary designs specifically for INF. Various basic designs were considered, but, through communication with INF, a single design was chosen. Computer modeling of this design was used to decrease the overall weight of the trolley and simplify the frame. With most of the design finalized, the team is ready to begin prototyping next semester.https://mosaic.messiah.edu/engr2021/1012/thumbnail.jp

Adjustable Prone Trolley Design for People Suffering from Spinal Cords Injuries in Nepal

For people who suffer from spinal cord injuries in Nepal, rehabilitation and care are often difficult to receive, especially for those for whom fewer resources are available. Thankfully, International Nepal Fellowship (INF), a non-profit serving Nepal for nearly 70 years, aids patients with spinal cord injuries at Green Pastures Hospital and Rehabilitation Centre in Pokhara, Nepal. A crucial part of any rehabilitation is adequate exercise to improve circulation and prevent sores and muscular atrophy. Yet, due to the nature of the injury, using a traditional wheelchair is not an option to fulfill this need for those with spinal cord injuries. Therefore, Green Pastures uses prone trolleys so that these patients can exercise. A prone trolley is a horizontal cushioned board where the patient lies flat on their stomach and is able to move themselves using the wheels attached to the cushioned board. Despite the importance of the prone trolley, the trolleys at Green Pastures Hospital have a few critical issues. The major issue is that the prone trolleys are internationally imported, which not only means that delivery can take months, but also that the trolleys are also difficult to repair when damaged. Both these factors severely hamper Green Pastures Hospital’s ability to provide spinal cord injured patients with the care they need. The Nepal Prone Trolley team, a part of Messiah University Collaboratory, seeks to develop and design a fundamentally better prone trolley for INF. The goal of our project is to design a prone trolley that can be fabricated by the INF staff with locally sourced materials. The advantage of this new design is that it will be easier to obtain and can easily be repaired when needed. After creating a design that satisfies our goal and fulfills the criteria of a functional prone trolley as defined by INF, we were able to fabricate a prototype of the prone trolley using resources and techniques available in Pokhara. Moving forward, we will conduct testing and redesign the trolley so that our finalized prone trolley design will be able to transform how Green Pastures Hospital aids their spinal cord injury patients. Funding for this work provided by The Collaboratory for Strategic Partnerships and Applied Research.https://mosaic.messiah.edu/engr2022/1011/thumbnail.jp