scholarly journals A mobile application to promote a healthy lifestyle in wheelchair users with spinal cord injury or lower limb amputation: a usability and feasibility study (Preprint)

2020 ◽  
Author(s):  
Dirk Hoevenaars ◽  
Jasmijn F M Holla ◽  
Leonie te Loo ◽  
Johan M Koedijker ◽  
Sarah Dankers ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Lower Limb ◽  
Healthy Lifestyle ◽  
Ease Of Use ◽  
Limb Amputation ◽  
Change Strategies ◽  
Mass Percentage ◽  
Wheelchair Users ◽  
Cord Injury

BACKGROUND Maintaining a healthy lifestyle is important for wheelchair users’ wellbeing, as it can have a major impact on their daily functioning. Mobile health (mHealth) applications can support a healthy lifestyle, however, are not suitable for wheelchair users with spinal cord injury or lower limb amputation. Therefore, a new mHealth application (called WHEELS) was developed, to promote a healthy lifestyle. OBJECTIVE The objective of this paper was to describe the development of the WHEELS mHealth application and explore its usability, feasibility and effectiveness. METHODS The WHEELS application was developed using the intervention mapping framework. Intervention goals were determined based on a needs assessment, after which behavior change strategies were selected to achieve these goals. These were applied in an application which was pre-tested on ease of use and satisfaction, followed by minor adjustments. Subsequently, a 12-week pilot study was performed to explore usability, feasibility and effectiveness of the application. Semi-structured interviews were thematically analyzed and questionnaires (System Usability Score [SUS] and Usefulness, Satisfaction, and Ease [USE]) were administered to investigate usability and feasibility. Effectiveness was determined by measuring outcomes on physical activity, nutrition, sleep quality (Pitssburgh Sleep Quality Index [PSQI]), body composition and other secondary outcomes, pre and post intervention. RESULTS Sixteen behavior change strategies were built into an app to change the physical activity, dietary, sleep and relaxation behavior of wheelchair users. Of the 21 participants included in the pilot study, fourteen participants completed the post measurements. The interviews and questionnaires showed a varied user experience. Participants scored 58.6 ± 25.2 on the SUS questionnaire and 5.4 ± 3.1 on ease of use, 5.2 ± 3.1 on satisfaction and 5.9 ± 3.7 on ease of learning. Positive developments in body composition were found on waist circumference (P = .015), fat mass percentage (P = .004) and fat free mass percentage (P = .004). Positive trends were found in body mass (P = .091), body mass index (P = .073), daily grams of fat consumed (P = .074) and sleep quality score (P = .063). CONCLUSIONS The WHEELS mHealth application was successfully developed. The interview outcomes and usability scores are reasonable. Although, there is room for improvement, the current application showed promising results and seems feasible to deploy on a larger scale.

scholarly journals Determinants of dietary behaviour in wheelchair users with spinal cord injury or lower limb amputation: Perspectives of rehabilitation professionals and wheelchair users

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0228465
Author(s):  
Jasmijn F. M. Holla ◽  
Lizanne E. van den Akker ◽  
Tessa Dadema ◽  
Sonja de Groot ◽  
Michael Tieland ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Dietary Behaviour ◽  
Limb Amputation ◽  
Wheelchair Users ◽  
Rehabilitation Professionals ◽  
Cord Injury

Validity of measures for life space mobility and physical activity in older adults with lower-limb amputation

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Elham Esfandiari ◽  
William C Miller ◽  
Gordon Tao ◽  
Bita Imam ◽  
Ehsan Misaghi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Life Space

scholarly journals Identifying physical activity type in manual wheelchair users with spinal cord injury by means of accelerometers

Spinal Cord ◽  
2015 ◽  
Vol 53 (10) ◽  
pp. 772-777 ◽  
Author(s):  
X García-Massó ◽  
P Serra-Añó ◽  
L M Gonzalez ◽  
Y Ye-Lin ◽  
G Prats-Boluda ◽  
...  
Keyword(s):  
Physical Activity ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Activity Type ◽  
Wheelchair Users ◽  
Manual Wheelchair ◽  
Cord Injury

scholarly journals Mental Practice for Relearning Locomotor Skills

2010 ◽  
Vol 90 (2) ◽  
pp. 240-251 ◽  
Author(s):  
Francine Malouin ◽  
Carol L. Richards
Keyword(s):  
Motor Imagery ◽  
Lower Limb ◽  
Clinical Work ◽  
Mental Practice ◽  
Limb Amputation ◽  
Imagery Ability ◽  
Healthy Individuals ◽  
Body Movements ◽  
Behavioral Studies ◽  
Cord Injury

Over the past 2 decades, much work has been carried out on the use of mental practice through motor imagery for optimizing the retraining of motor function in people with physical disabilities. Although much of the clinical work with mental practice has focused on the retraining of upper-extremity tasks, this article reviews the evidence supporting the potential of motor imagery for retraining gait and tasks involving coordinated lower-limb and body movements. First, motor imagery and mental practice are defined, and evidence from physiological and behavioral studies in healthy individuals supporting the capacity to imagine walking activities through motor imagery is examined. Then the effects of stroke, spinal cord injury, lower-limb amputation, and immobilization on motor imagery ability are discussed. Evidence of brain reorganization in healthy individuals following motor imagery training of dancing and of a foot movement sequence is reviewed, and the effects of mental practice on gait and other tasks involving coordinated lower-limb and body movements in people with stroke and in people with Parkinson disease are examined. Lastly, questions pertaining to clinical assessment of motor imagery ability and training strategies are discussed.

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