title: Comparison of activities of daily living in two different one arm drive wheelchairs: a controlled trial.
abstract: OBJECTIVE
  This pilot study measured activities of daily living (ADLs) in users propelling both a standard dual handrim Action 3 wheelchair and a standard Action 3 wheelchair with a Neater Uni-Wheelchair (NUW) kit attachment. The kit consists of a steerable front castor and a single pushrim propelling both rear wheels via a differential.
  
  
  OBJECTIVE
  There would be a difference in the efficiency of ADL skill performance, speed and heart rate.
  
  
  METHODS
  Twenty non-disabled participants simulating hemiplegia were used in a cross over, repeated measures trial. Assessment of Motor and Process Skills (AMPS) of users undertaking making a bed and laying a table 'Swedish style', tasks, were measured. Heart rate at rest and post-task and time taken to complete each task were recorded.
  
  
  RESULTS
  Heart rate when laying the table was lower in the NUW (p < 0.005) and task completion time was quicker (p < 0.0001). There was no difference in motor and process ability skills.
  
  
  CONCLUSIONS
  ADL tasks in the NUW were completed more efficiently with no loss in quality of motor and process skills performance. This suggests that the NUW is a viable alternative to current one arm drive provision.
authors.affiliation: Hackney NHS Trust, Community Learning Disabilities Service, London, UK.
authors.forename: Daisy
authors.initials: D
authors.lastname: Bashton
authors.forename: Anne
authors.initials: A
authors.lastname: Mandy
authors.forename: David
authors.initials: D
authors.lastname: Haines
authors.forename: Josh
authors.initials: J
authors.lastname: Cameron
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D018592:Cross-Over Studies; D004185:Disability Evaluation; D006804:Ergonomics; D005260:Female; D006339:Heart Rate; D006429:Hemiplegia / Q000534:rehabilitation*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009043:Motor Activity / Q000502:physiology; D010865:Pilot Projects; D012146:Rest; D013647:Task Performance and Analysis; D014910:Wheelchairs; D055815:Young Adult