The Symmetric Nature of the Position Distribution of the Human Body Center of Gravity during Propelling Manual Wheelchairs with Innovative Propulsion Systems

Objective: The main objective of the tests conducted was to analyze the position variability of the human body’s center of gravity during propelling the wheelchair, and to demonstrate the properties enabling the description of this variability by means of plane figures with a symmetry axis. A secondary objective was to show the impact of the used manual propulsion type and the wheelchair inclination angle in relation to the plane on the dimensions of the position variability areas of the center of gravity. Method and materials: Three patients participated in the research representing 50 centiles of anthropometric dimensions. Each patient carried out fifteen measurement tests on three wheelchairs for three inclination angles of the wheelchair frame in relation to the level. Each measurement test consisted of five propulsion cycles for which the positions of the center of gravity were determined with the sampling frequency of 100 Hz. The measured positions of the center of gravity were approximated with ellipses containing 95.4% of the measurements conducted, assuming their dimension scaling basis in the form of the double value of standard deviation defined based on the registered results. Results: Based on the measurements conducted, the average values of five ellipses parameters were determined for nine cases in which a variable was the type of wheelchair propulsion and its inclination angle in relation to the level. The area of the highest variability of the position of the center of gravity was measured for the wheelchair with a multispeed transmission. The average dimensions of the ellipse semi-axis amounted to 108.53 mm for the semi-axis a and 29.75 for the semi-axis b, the average position of the ellipse center amounted to x = 114.51 mm and y = −10.53 mm, and the average inclination angle of the ellipse α amounted to −6.92°. The area of the lowest variability of the position of the center of gravity was measured for the wheelchair with a hybrid transmission. In this case, the average dimensions of the ellipse semi-axis amounted to 64.07 mm for the semi-axis a and 33.85 for the semi-axis b; whereas, the average position of the ellipse center amounted to x = 245.13 mm and y = −28.24 mm, and the average inclination angle of the ellipse α amounted to −0.56°.

Impact of a Hybrid Assisted Wheelchair Propulsion System on Motion Kinematics during Climbing up a Slope

Overcoming terrain obstacles presents a major problem for people with disabilities or with limited mobility who are dependent on wheelchairs. An engineering solution designed to facilitate the use of wheelchairs are assisted-propulsion systems. The objective of the research described in this article is to analyze the impact of the hybrid manual–electric wheelchair propulsion system on the kinematics of the anthropotechnical system when climbing hills. The tests were carried out on a wheelchair ramp with an incline of 4°, using a prototype wheelchair with a hybrid manual–electric propulsion system in accordance with the patent application P.427855. The test subjects were three people whose task was to propel the wheelchair in two assistance modes supporting manual propulsion. The first mode is hill-climbing assistance, while the second one is assistance with propulsion torque in the propulsive phase. During the tests, several kinematic parameters of the wheelchair were monitored. An in-depth analysis was performed for the amplitude of speed during a hill climb and the number of propulsive cycles performed on a hill. The tests performed showed that when propelling the wheelchair only using the hand rims, the subject needed an average of 13 ± 1 pushes on the uphill slope, and their speed amplitude was 1.8 km/h with an average speed of 1.73 km/h. The climbing assistance mode reduced the speed amplitude to 0.76 km/h. The torque-assisted mode in the propulsive phase reduced the number of cycles required to climb the hill from 13 to 6, while in the climbing assistance mode the number of cycles required to climb the hill was reduced from 12 to 10 cycles. The tests were carried out at various values of assistance and assistance amplification coefficient, and the most optimally selected parameters of this coefficient are presented in the results. The tests proved that electric propulsion assistance has a beneficial and significant impact on the kinematics of manual wheelchair propulsion when compared to a classic manual propulsion system when overcoming hills. In addition, assistance and assistance amplification coefficient were proved to be correlated with operating conditions and the user’s individual characteristics.

Impact of a Hybrid Assisted Wheelchair Propulsion System on Motion Kinematics during Climbing Up a Slope

Overcoming terrain obstacles presents a major problem for people with disabilities or with limited mobility who are dependent on wheelchairs. An engineering solution designed to facilitate the use of wheelchairs are assisted propulsion systems. The objective of the research described in this article is to analyse the impact of the hybrid manual-electric wheelchair propulsion system on the kinematics of the anthropotechnical system when climbing hills. The tests were carried out on a wheelchair ramp with an incline degree of 4°, using a prototype wheelchair with a hybrid manual-electric propulsion system in accordance with the patent application P.427855. The test subjects were three people whose task was to propel the wheelchair in two assistance modes supporting manual propulsion. The first mode is hill climbing assistance, while the second one is assistance with propulsion torque in the propulsive phase. During the tests, a number of kinematic parameters of the wheelchair were monitored. An in-depth analysis was performed for the amplitude of speed during a hill climb and the number of propulsive cycles performed on a hill. The tests performed showed that when propelling the wheelchair only using the hand rims, the subject needed an average of 13 pushes on the uphill slope, and their speed amplitude was 1.8 km/h with an average speed of 1.73 km/h. The climbing assistance mode reduced the speed amplitude to 0.76 km/h, while the torque assisted mode in the propulsive phase reduced the number of cycles required to climb the hill from 13 to 6. The tests were carried out at various values of assistance and assistance amplification coefficient, and the most optimally selected parameters of this coefficient were presented in the results. The tests proved that electric propulsion assistance has a beneficial and significant impact on the kinematics of manual wheelchair propulsion when compared to a classic manual propulsion system when overcoming hills. In addition, assistance and assistance amplification coefficient were proved to be correlated to operating conditions and the user's individual characteristics.

PRESSURE DISTRIBUTION ON WHEELCHAIR CUSHIONS IN STATIC SITTING AND DURING MANUAL PROPULSION

Quantification of biomechanical parameters by describing interactions between a wheelchair user and his cushion is important to prevent pressure sores in a better way and to match the needs of the subjects in terms of comfort and mobility. This paper presents the method and the results of a biomechanical analysis through the pressure maps at the body–seat interface of a antidecubitus wheelchair cushion on a group of eight patients (affected by SCI or Multiple Sclerosis) during autonomous wheelchair propulsion. In general, our results confirm that mobility is an important factor for ulcer prevention because passing from the static sitting posture to propulsion the mean pressure decreases and there is a redistribution of the load at lower pressure values. Moreover this represents a useful approach for the customized choice and adaptation of the antidecubitus aids.