title: Comparison of activities of daily living (ADLs) in two different one arm drive wheelchairs: a study of individuals/participants with hemiplegia.
abstract: OBJECTIVE
  This pilot study measured activities of daily living performance in individuals/participants with hemiplegia propelling both a standard dual handrim Action 3 wheelchair and a standard Action 3 wheelchair with a Neater Uni-Wheelchair kit attachment. The kit consists of a steerable front.
  
  
  OBJECTIVE
  Does the use of the NUW affect the performance quality of activities of daily living in individuals/participants with hemiplegia. Is there a difference in the motor and process skills during activities of daily living performance, and in the time taken to complete the activities.
  
  
  METHODS
  Four individuals/participants with hemiplegia were used in a cross over, repeated measures trial. Assessment of Motor and Process Skills of users undertaking making a bed and laying a table "Swedish style", tasks were measured and time taken to complete each task were recorded.
  
  
  RESULTS
  Bed making completion time was quicker in the Neater Uni-wheelchair (p < 0.03). Motor skills were significantly higher than the process ability skills (p < 0.05).
  
  
  CONCLUSIONS
  Activities of daily living tasks in the Neater Uni-wheelchair were completed more efficiently with no loss in quality of motor and process skills performance. This suggests that the Neater Uni-wheelchair is a viable alternative to current one arm drive provision. Implications for Rehabilitation Inappropriate wheelchair provision can result in capacity limitation and poorer quality of ADL motor skill as well-lowered process performance skill. AMPS can help to explain motor and process skill differences in complex activities.
authors.affiliation: Clinical Research Centre, University of Brighton , Eastbourne , UK .
authors.forename: Anne
authors.initials: A
authors.lastname: Mandy
authors.forename: Claire
authors.initials: C
authors.lastname: Walton
authors.forename: Jon
authors.initials: J
authors.lastname: Michaelis
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D018592:Cross-Over Studies; D004867:Equipment Design; D005260:Female; D006429:Hemiplegia / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills; D010865:Pilot Projects; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation; D014910:Wheelchairs
keywords: Activities of daily living; assessment of motor and process skills; ergonomic efficiency