Time and force required for attendants boarding wheelchair users onto aircraft

Ensuring equal opportunity to all transport modes, including air travel, allows disabled people the same freedom of travel available to the rest of the population. However, boarding of wheelchair users onto airplanes is physically demanding for attendant airline or airport personal whom assist and time consuming and costly for airlines. This paper presents a comparison between two methods of boarding wheelchair users, measuring the forces required and the duration taken. Participants were asked to act as attendants and to board weighted wheelchairs onto simulated aircraft vestibules using two different manoeuvre methods (“going forwards” and “going backwards”), with two different loadings (“light” and “heavy”) in two different access scenarios (“level access” and “sloped access”) between the jet-way/scissor-lift and the aircraft. The results reveal that the “going backwards” technique is a slightly faster manoeuvre method but no difference in the forces required exist between the two methods. The weight of the wheelchair affected the forces required to complete the boarding and exceeded health and safety guidelines for attendants. Reducing the height of the step between the aircraft and the jet-way or scissor-lift is recommended. Relevance to Industry: The research highlights the juxtaposition between the need to board wheelchair users and the excessive force required by the attendants propelling the wheelchair

“But, I Don’t Want/Need a Power Wheelchair”: Toward Accessible Power Assistance for Manual Wheelchairs

Power assist devices help manual wheelchair users to propel their wheelchair thus increasing their independence and reducing the risk of upper limb injuries due to excessive use. These benefits can be invaluable for people that already have upper limb joint pain and reduced muscular strength. However, it is not clear if the way that assistance is provided by such devices is what manual wheelchair users need and expect. 12 manual wheelchair users were interviewed to understand: the situations in which they find it difficult to propel their wheelchairs; situations they considered paramount to have power assistance; their experience or knowledge of power assist devices; and likes and dislikes of commercially available power assist devices. Finally, they were asked to comment on their ideal form factor of a power assist device. Users have suggested improvements of the devices' accessibility and visualized new ways in which they could interact with the technology. These interactions involve "chairable" devices independent from, but not excluding, wearable devices and mobile applications. We have identified the need of monitoring emotions and the need for designing an open source do-it-yourself wheelchair propelling assistance device which we believe is required equally in developed and in developing countries

Use of a Low Cost, Chest-Mounted Accelerometer to Evaluate Transfer Skills of Wheelchair Users During Everyday Activities

BACKGROUND: Transfers are an important skill for many wheelchair users. However, they have also been related to the risk of falling or developing upper limb injuries. Transfer abilities are usually evaluated in clinical settings or biomechanics laboratories and these methods of assessment are poorly suited to evaluation in real and unconstrained world settings where transfers take place. OBJECTIVE: The objective of this paper is to develop a strategy to enable transfer quality evaluation and improve the predictive accuracy of transfer detection using a single wearable low cost accelerometer. METHODS: We collected data from nine wheelchair users wearing tri-axial accelerometer on their chest while performing transfers to and from car seats and home furniture. We then extracted significant features from accelerometer data based on biomechanical considerations and previous relevant literature and used machine learning algorithms to evaluate the performance of wheelchair transfers and detect their occurrence from a continuous time series of data. RESULTS: Results show that the best predictive accuracy for Automatic Transfer Quality Evaluation was obtained with Support Vector Machine (SVM) classifiers when determining use of head-hip relationship (75.93%) and smoothness of landing (79.62%), when the start and end of the transfer are known. Automatic Transfer Detection reaches an accuracy of 87.8% using Multinomial Logistic Regression (MLR) classifiers, which is in line with the state of the art in this context. However, we achieve these results using only a single sensor and collecting data in a more ecological manner. CONCLUSIONS: The use of a single chest-placed accelerometer shows a predictive accuracy of over 75% for algorithms applied independently to both transfer evaluation and monitoring. This points to the opportunity for designing ubiquitous technology for personalized skill development interventions targeting wheelchair users. However, monitoring transfers still requires the use of external inputs or extra sensors to identify start and end of the transfer, which are needed to perform an accurate evaluation

Palaeoclimate constraints on the impact of 2 °C anthropogenic warming and beyond

Over the past 3.5 million years, there have been several intervals when climate conditions were warmer than during the pre-industrial Holocene. Although past intervals of warming were forced differently than future anthropogenic change, such periods can provide insights into potential future climate impacts and ecosystem feedbacks, especially over centennial-to-millennial timescales that are often not covered by climate model simulations. Our observation-based synthesis of the understanding of past intervals with temperatures within the range of projected future warming suggests that there is a low risk of runaway greenhouse gas feedbacks for global warming of no more than 2 °C. However, substantial regional environmental impacts can occur. A global average warming of 1–2 °C with strong polar amplification has, in the past, been accompanied by significant shifts in climate zones and the spatial distribution of land and ocean ecosystems. Sustained warming at this level has also led to substantial reductions of the Greenland and Antarctic ice sheets, with sea-level increases of at least several metres on millennial timescales. Comparison of palaeo observations with climate model results suggests that, due to the lack of certain feedback processes, model-based climate projections may underestimate long-term warming in response to future radiative forcing by as much as a factor of two, and thus may also underestimate centennial-to-millennial-scale sea-level rise