1,222 research outputs found

    Technical Note:A Novel Servo-Driven Dual-Roller Handrim Wheelchair Ergometer

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    The measurement of handrim wheelchair propulsion characteristics and performance in the field is complicated due to the non-stationary nature of wheelchair driving. In contrast, the laboratory provides a constrained and standardisable environment to conduct measurements and experiments. Apart from wheelchair treadmills, dynamometers or ergometers for handrim wheelchairs are often custom-made, one-of-a-kind, expensive, and sparsely documented in the research literature. To facilitate standardised and comparable lab-based measurements in research, as well as in clinical settings and adapted sports, a new wheelchair ergometer was developed. The ergometer with instrumented dual rollers allows for the performance analysis of individuals in their personal handrim wheelchair and facilitates capacity assessment, training and skill acquisition in rehabilitation or adapted sports. The ergometer contains two servomotors, one for each rear wheel roller, that allow for the simulation of translational inertia and resistive forces as encountered during wheelchair propulsion based on force input and a simple mechanical model of wheelchair propulsion. A load cell configuration for left and right roller enables the measurement of effective user-generated torque and force on the handrim and the concomitant timing patterns. Preliminary results are discussed

    The implementation of a physical activity counseling program in rehabilitation care:findings from the ReSpAct study

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    Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients? physical activity outcomes. Methods: This prospective cohort study was conducted in 18 rehabilitation institutions. Data were collected using surveys completed by professionals (n= ?70) and patients (n?=?1719). Implementation was evaluated using different process outcomes: reach, dosage, satisfaction, maintenance. Patients? physical activity outcomes included changes in total minutes/week of physical activity. Latent class analyses were conducted to identify profiles of received counseling characteristics and multilevel models were used to investigate associations with physical activity outcomes. Results: 5873 Patients were provided with motivational interviewing-based counseling after rehabilitation. Professionals and patients were positive about the program. Sixteen institutions (89%) formally agreed to continue the program. The four identified profiles of counseling characteristics illustrate a large variation in received counseling among patients. No substantial differences in physical activity outcomes were found between profiles. Conclusion: After a three-year program period, the physical activity counseling centers were sustainably implemented in Dutch rehabilitation care. This study illustrated an innovative approach to assess heterogeneity in implementation outcomes (e.g., counseling profiles) in relation to program outcomes (e.g., physical activity)

    The Parallel Persistent Memory Model

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    We consider a parallel computational model that consists of PP processors, each with a fast local ephemeral memory of limited size, and sharing a large persistent memory. The model allows for each processor to fault with bounded probability, and possibly restart. On faulting all processor state and local ephemeral memory are lost, but the persistent memory remains. This model is motivated by upcoming non-volatile memories that are as fast as existing random access memory, are accessible at the granularity of cache lines, and have the capability of surviving power outages. It is further motivated by the observation that in large parallel systems, failure of processors and their caches is not unusual. Within the model we develop a framework for developing locality efficient parallel algorithms that are resilient to failures. There are several challenges, including the need to recover from failures, the desire to do this in an asynchronous setting (i.e., not blocking other processors when one fails), and the need for synchronization primitives that are robust to failures. We describe approaches to solve these challenges based on breaking computations into what we call capsules, which have certain properties, and developing a work-stealing scheduler that functions properly within the context of failures. The scheduler guarantees a time bound of O(W/PA+D(P/PA)log1/fW)O(W/P_A + D(P/P_A) \lceil\log_{1/f} W\rceil) in expectation, where WW and DD are the work and depth of the computation (in the absence of failures), PAP_A is the average number of processors available during the computation, and f1/2f \le 1/2 is the probability that a capsule fails. Within the model and using the proposed methods, we develop efficient algorithms for parallel sorting and other primitives.Comment: This paper is the full version of a paper at SPAA 2018 with the same nam

    Shoulder load during synchronous handcycling and handrim wheelchair propulsion in persons with paraplegia

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    Objective: To compare the shoulder load during handcycling and wheelchair propulsion under similar conditions of external power in persons with spinal cord injury. Design: Cross-sectional. Subjects: Eight men with spinal cord injury. Methods: Kinetics and kinematics were measured during handbike and wheelchair propulsion at 25, 35, 45 and 55 W on a treadmill. Shoulder load (glenohumeral contact forces, relative muscle forces) was calculated with the Delft Shoulder and Elbow Model. Results: At all power output levels, glenohumeral contact forces were significantly lower during handcycling compared with wheelchair propulsion (p < 0.001). At 55 W, the mean glenohumeral contact force was 345 N for handcycling, whereas it was 585 N for wheelchair propulsion. Also, relative muscle forces were lower during handcycling. The largest differences between handbike and wheelchair propulsion were found in the supraspinatus (4.5% vs. 20.7%), infraspinatus (3.7% vs. 16.5%) and biceps (5.0% vs. 17.7%). Conclusion: Due to continuous force application in handcycling, shoulder load was lower compared with wheelchair propulsion. Furthermore, muscles that are prone to overuse injuries were less stressed during handcycling. Therefore, handcycling may be a good alternative for outdoor mobility and may help prevent overuse injuries of the shoulder complex. © 2012 The Authors

    Postural threat during walking:Effects on energy cost and accompanying gait changes

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    Background: Balance control during walking has been shown to involve a metabolic cost in healthy subjects, but it is unclear how this cost changes as a function of postural threat. The aim of the present study was to determine the influence of postural threat on the energy cost of walking, as well as on concomitant changes in spatiotemporal gait parameters, muscle activity and perturbation responses. In addition, we examined if and how these effects are dependent on walking speed. Methods: Healthy subjects walked on a treadmill under four conditions of varying postural threat. Each condition was performed at 7 walking speeds ranging from 60-140% of preferred speed. Postural threat was induced by applying unexpected sideward pulls to the pelvis and varied experimentally by manipulating the width of the path subjects had to walk on. Results: Results showed that the energy cost of walking increased by 6-13% in the two conditions with the largest postural threat. This increase in metabolic demand was accompanied by adaptations in spatiotemporal gait parameters and increases in muscle activity, which likely served to arm the participants against a potential loss of balance in the face of the postural threat. Perturbation responses exhibited a slower rate of recovery in high threat conditions, probably reflecting a change in strategy to cope with the imposed constraints. The observed changes occurred independent of changes in walking speed, suggesting that walking speed is not a major determinant influencing gait stability in healthy young adults. Conclusions: The current study shows that in healthy adults, increasing postural threat leads to a decrease in gait economy, independent of walking speed. This could be an important factor in the elevated energy costs of pathological gait

    Design of a manually propelled wheelchair: optimizing a wheelchair-user combination

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