Archive for the Other category
Cover Letter Information Makes Writing a Cover Letter Easy!
You can find on the Internet all the cover letter resources you need to write your own great cover letter. Do a simple search using your favorite search engine. Then read cover letter samples that focus on your career choice. For example, if you want to apply for a job as a secretary, fitness coach, administrative assistant or sales rep, you can find plenty of cover letter information on any one of these careers to help you draft your own letter. So why wait? The job you’re looking for is out there. And you can ask for it in a well-written cover letter that is patterned after some of the fine examples on the web where you’ll find all the information for cover letters you need.
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Use This Amazing Tool to Become a Receptionist
Would you like to work full or part time as a receptionist in a medical, retail, or corporate office? You canby starting with a receptionist cover letter. Open with a friendly greeting. Then tell the hiring manager your qualifications: computer and telephone skills, ability to communicate with the public, the hours you’re available, and any related training or education that relates to this kind of work. All receptionist cover letter example should be written in an upbeat and confident tone. To find a sample of a receptionist cover letter, check the Internet and go from there.
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Learn Some Great Fast Weight Loss Tips From The Biggest Loser Forum
The more you can remain positive and motivated, the more success you’re likely to have. Just check the Biggest Loser forum and you’ll see some amazing stories. Whatever you desire to achieve with proper motivation and attitude nothing is impossible. Yoga and meditation is also good for weight loss as it helps you doing various exercise which are very beneficial for the body. An early morning walk with yoga and meditation will be a good way to start your day.
Patience is also very important in terms of fast weight loss as at times we do work hard but the result will take more time to come.
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A Cover Letter Template That Really Works
Create a cover letter example and then rework it to fit each company you are targeting for a job interview. For example, all cover letter templates need five elements: heading (your name and contact information), date, inside address (hiring manager’s name and contact information), greeting or salutation (Dear Ms. or Mr. Hiring Manager), body of the letter (a friendly opening, a reference to your previous experience, an example of your particular duties), and a request for an interview. End with a complimentary closing (sincerely) and your signature. Create a cover letter sample like this and you’ll be on your way to the interviews you want.
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ZigBee-based wireless intra-oral control system for quadriplegic patients
A human-to-computer system that includes a wireless intra-oral module, a wireless coordinator and distributed wireless controllers, is presented. The state-of-the-art ZigBee protocol is employed to achieve reliable, low-power and power wheelchairs, handicap scooterscost-efficient wireless communication between the tongue, computer and controllers. By manipulating five buttons on the wireless intra-oral module using the tongue, the subject can control cursors, computer menus, wheelchair, lights, TV, phone and robotic devices. The system is designed to improve the life quality of patients with stroke and patients with spinal cord injury
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Is the the 3-Day diet the miracle weight loss cure you need?
The 3-Day diet consists of eating an exact diet of foods, in exact proportions, to get a high amount of loss weight fast in 3 days. Do you see the same problem I see? It should be obvious immediately. How can the proportions be identical for a 120 pound woman, and a 250 pound man? Unless you’re planning on the man fainting in the middle of his work day, it seems highly unlikely that this could be possible. Of course, our 250 pound man is much more likely to lose weight fast for the 3-day diet than the 120 pound woman, because he is starving his body.
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Why do cardio machines stink?
If you are needing a diet to improve your energy, and to clear up annoying little health issues, often following a detox diet, like the lemonade diet can help cleanse your system, and get you on the right track if you’re looking for a good lose weight fast exerciseIt is not one of those diets to lose weight fast for everyday purposes, but is highly effective for someone needing to reset their body to an optimum condition. I know when I have finished a good cleansing diet, my other diet efforts always have better results.
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Community use of a pushrim activated power-assisted wheelchair by an individual with facioscapulohumeral muscular dystrophy.
The purpose of this case study was to report data from a clinical evaluation of an individual with fascioscapulohumeral muscular dystrophy (FSHMD) while using a manual medicare power wheelchairs versus the same wheelchair fitted with pushrim activated power-assisted wheelchair hubs (PAPAW). An individual with FSHMD was tested for change in heart rate (HR), rate of perceived exertion (RPE), propulsion speed (PS), time to completion (TC), and qualitative observation in a community-based environment. A modified Physiological Cost Index (mPCI) was calculated post hoc. Results indicate HR and mPCI for the PAPAW trials were lower; RPE was “Hard” for manual wheelchair propulsion and “Fairly or Very Light” for the PAPAW trials; PS was twice as fast in both conditions using the PAPAW; and TC was 53% faster with PAPAW than in the manual wheelchair. Qualitatively, the manual propulsion conditions had exaggerated trunk and hip flexion with simultaneous scapula elevation and upward rotation to initiate downward force on the hand rim more so than the PAPAW conditions. The data suggest that propulsion of a power wheelchairs enhanced by PAPAW is more energy efficient, biomechanically advantageous, and more timesaving than a manual wheelchair for the tested individual with FSHMD in his environment.
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Beware it might not be worth the trouble it might create
… as they often have a nasty membership program that will cost you forty plus dollars per month to teach people how to lose fat fastthat is listed in the fine print. If you see a product on the internet that fails to produce all the necessary details you might need to produce before your doctor, please dont go for it. You have to consider one major factor before to order a product over internet. If the manufacturer is located in another country and if their product is targeted to the fastest way to lose weightpeople living in their own country (they probably never say it or print in their labels) then there are possibilities the product is not that suitable for you. This is idiosyncracy.
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Handicap needs awareness
I would like to raise people’s awareness of handicap scooters needs around the Laboratory workplace. People on crutches, scooters and wheelchairs have some different needs than the ambulatory. I am the first to admit that when I was ambulatory I was unaware of the environment around me in these terms. However, now that I am in a wheelchair, I would like to share with my co-workers some needs and easy-to-do things for people around the Lab.
Doors are a big issue. People in power wheelchairs, scooters etc., need to place themselves to the side of the door to open it. Objects such as trash cans, tables and chairs placed next to the door result in a situation where a disabled person cannot open the door. Please make sure that a 3-foot-wide space is available between the side of the door that opens and any object placed along the wall.
Another issue is bathrooms. If there are multiple stalls available please do not choose the wheelchair accessible stall if you do not need it. It is frustrating and potentially unpleasant to have to wait for the bathroom stall because it is occupied when three other stalls are available.
Wheelchairs, scooters and crutches require more maneuvering room than just the typical human body. Objects piled in hallways can create impassible situations. Imagine not being able to go to a meeting or your office because the hallway was blocked and there was no way around.
Even though it seems like sitting in a wheelchair or scooter requires no effort, disabled people are often plagued by fatigue. And, little tasks such as opening doors can require a great deal of effort. Think about how we would feel to go about the day with a bungee cord around our legs and arms.
I want to thank people for spending an extra second to make life more normal for people who are disabled.
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How can you choose the best fat burning diet?
You could choose the Grapefruit diet which has been very effective for many people for fast weight loss in a very short period of time. But, the grapefruit diet is fairly restrictive on the types of foods, and is best used for short periods of times while followed up with another healthy diet program.
Some people choose the extreme, and will use the Lemonade Diet. The Lemonade Diet will flush your body of toxins, and waste, and since you are on very low calorie intake, it’s also a great fast weight loss diet. But is definitely a short term solution.
If you are needing to lose a higher amount of fat, then the fastest fat burning diet will be a combination of exercise, and a healthy diet program. You will lost the fat more steadily, and it is a diet you can sustain for a long period of time.
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Discover The Ultimate Way To Lose Weight Fast And Melt Away Fat For Good
Can you lose 20 pounds of weight in 3 weeks and it is healthy? Of course, but again, much of it is losing excess body fluid. If you are seeking to lose belly fat, then losing 2 to 3 pounds per week is probably the best goal. You can consistently lose 2 to 3 pounds of fat per week by reducing your calories, and adding a little exercise to help you burn more calories. If you can, use a combination of both aerobic exercise, and resistance exercise. The aerobic exercise will get your heart pumping, and burn calories right now. The resistance training will increase your overall muscle mass, which requires more energy, burning more calories, and helping you to lose weight.
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chlorine dioxide is a wonder substance
Hypochlorus acid is very important. So much so that the deficiency of this chemical is actually a disease and causes people to come down with other autoimmune problems later on. When you get sick or your body is fighting something off the demands for hypochlorous rise dramatically and so using MMS at that time would do just as well. Now if you happen to not need any of these amazing health affects them the compound just passes through benignly and does not affect you at all. The biggest advantage is that this chemical does all of this amazing work in only a few hours. It leaves only a small amount of carbon dioxide and water behind. No other medical interventions can claim to have such a powerful anti-pathogenic effect as the mms treatment, whilst maintaining such a benign presence. MMS is a revolution in medicine indeed!ss. Starting with a liquid diet and progressing to a life-long way of eating, patients will have the opportunity to add many regular foods to their diet as their body heals.
After the liquid post-surgical stage, food for derrickpizur.info patients will consist of protein shakes and pureed foods. Many patients are put on liquid protein diets before surgery, and these drinks will be used during recovery also. Protein helps bodies heal after surgery and because of the reduced absorption of nutrients from foods, it is essential to consume high protein levels as tolerated.
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Standardization of measuring power output during wheelchair propulsion on a treadmill Pitfalls in a multi-center study.
OBJECTIVE: In a multi-center study the power output of power wheelchairs propulsion, attained by a wheelchair drag test, differed among rehabilitation centers. The purpose of this study was to investigate what causes the differences in drag force among centers. METHODS: A set of standardized drag tests was performed while systematically varying the calibration set of the force transducer, the tester and the medicare power wheelchairs. In addition, the actual calibrated velocity and slope of the treadmill were measured. RESULTS: Difference in drag force among centers was due to variation in wheelchair set-up and differences in the slopes between treadmills. The drag force was not significantly different when different testers performed the test. The belt velocity in almost all centers was lower than the manufacturer specified (assumed) velocity. CONCLUSION: The drag test appeared a robust test as far as the tester is considered. Variation in wheelchairs and differences in the actual slopes of the treadmills affected the imposed drag force. The assumed velocity of the treadmill led to an overestimation of the power output. The power output in the multi-center study should be recalculated using the measured velocities and the wheelchair set-up should be more standardized.
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A drug formula suitable for people living in one geographical location may not be suitable to other.
The best advice that I can give you is to follow a fast weight loss diet plan. Exercise and practice yoga for stress relief regularly. This will keep your mind and body healthy. If you feel you have a more serious weight issue, consult a health professional for further advice. Remember to always start out least invasive to most invasive with your health. If you can make changes yourself such as your diet and exercise then do it. Your next step should then be an alternative health practitioner to see if they have any insight on how you can have the best weight loss program. Finally, if all else fails go and seek medical attention as you may have a serious health problem that might require a more serious intervention.
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What Is The Yanik Silver Scam
The internet can provide you with a lot of opportunities. Opportunities are made available when you surf the net. A lot of people already made a lot of money through the internet. Individuals do earn a lot of money through the internet in fact the amount can rival those of people who work in big companies. However, unlike office work making money through the internet is fairly easy and stress free. To do it you need to have enough knowledge. Before you get started it is best that you do some research on how to make money online. The book written by Yanik Silver is one great source. However, there are still people who doubt the advices given by Yanik Silver hence calling it the Yanik Silver Scam.
There are still people who believe in Yanik Silver despite the Yanik Silver Scam. Some of Yanik Silvers believers provided proofs of his integrity. One proof as stated by one follower talked about Yanik Silvers first site, the one that is responsible for bringing in a hefty six-figure income, which is good enough since it only takes him a couple of hours to manage the site. Being a regular guest speaker at internet seminars was also presented as proof. So, it the rumor about the Yanik Silver Scam may just be THAT, a rumor.
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The term natural for a rapid weight loss diet is used very loosely in the food industry
And thanks to great marketing people are very confused and do not understand what healthy really is or even know of a good rapid weight loss diet.Please research before you buy the products. Is the natural ingredient added going to be any use for you? I have to say, its just their marketing trick. I see many people buy these products, like the rapid fat loss handbook and happy that they are all natural. If you are suffering with any severe weight loss problem, dont be a victim. Be an action taker and start by changing your diet and exercise program. If you need more help, then you can consult a health care professional who can put you on a good program.
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Acupuncture for chronic shoulder pain in persons with spinal cord injury: a small-scale clinical trial
OBJECTIVE: To determine the efficacy of acupuncture in the treatment of chronic musculoskeletal shoulder pain in subjects with spinal cord injury (SCI). DESIGN: Randomized, double blind (participants, evaluator), placebo (invasive sham) controlled trial. SETTING: Clinical research center. PARTICIPANTS: Seventeen manual wheelchair-using subjects with chronic SCI and chronic musculoskeletal shoulder pain. INTERVENTIONS: Participants were randomly assigned to receive 10 treatments of either acupuncture or handicap scooters, invasive sham acupuncture (light needling of nonacupuncture points). MAIN OUTCOME MEASURE: Changes in shoulder pain intensity were measured using the power wheelchairs User’s Shoulder Pain Index. RESULTS: Shoulder pain decreased significantly over time in both the acupuncture and the sham acupuncture groups (P=.005), with decreases of 66% and 43%, respectively. There was no significant difference between the 2 groups (P=.364). There was, however, a medium effect size associated with the acupuncture treatment. CONCLUSIONS: There appears to be an analgesic effect or a powerful placebo effect associated with both acupuncture and sham acupuncture. There was a medium treatment effect associated with the acupuncture, which suggests that it may be superior to sham acupuncture. This observation, along with the limited power, indicates that a larger, more definitive randomized controlled trial using a similar design is warranted
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Healthy weight loss needs to become a way of life.
Many people cringe when they think about “dieting” for a life time. But irregardless, you’re always on a diet. Does your diet consist of tacos with sour cream and cheese sauce, or does your diet consist of a bowl filled with fresh strawberries, and a bowl of smooth creamy cold yogurt. Both can be part of your daily diet, just one leads to a healthy body, with quick weight loss, and more energy, while the other leads to clogged arteries, weight gain, and lack of energy. I know I prefer to feel energetic and alive, rather than feeling the afternoon energy slump as my body tries to process a belly full of fat and sugars.
While not everyone needs rapid weight loss, everyone has a need for healthy eating tips and a healthy diet program. By taking control of our food choices, we cannot only control our weight more effectively, but also decrease our incidence of high blood pressure, heart disease, kidney disease, diabetes, and a whole list of additional medical conditions we all want to avoid.
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Monitoring seat feature usage among wheelchair users.
To help manage pressure ulcers and adjust posture, power wheelchairs can be equipped with seat tilt and backrest recline features. Clinicians usually prescribe these features for wheelchair users who are vulnerable to pressure sores or have difficulty changing postures, but little data has been collected to determine whether or not, and what extent, these features are used. This study examined how handicap scooters users use power wheelchair seat features such as seat tilt, backrest recline, and seat elevation, during typical daily activities. A Seat Feature Data Logger (SFDL) was attached to 11 subject’s wheelchairs for 10-14 days to gather data regarding daily usage of these features. The results showed that while subjects did not always use large angles of tilt and recline as many clinicians recommend, these features were used frequently and their use resulted in lower peak pressures. The information collected by the SFDL allows for a novel and quantitative description of the effectiveness and use of power seat features, and can also be used as a clinical compliance tool
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Read On: Acne Product Reviews
Beauty can make good business. Women of all ages flock the malls in order to search that correct beauty product to keep their skin healthy and beautiful at all times|all the time|alwaysFurthermore, this demand has pushed manufacturers of beauty products to make more products to meet every womans needs. Unfortunately, not all products are real and effective. Some beauty products are made from substandard raw materials making them more harmful rather than beneficial. The same thing can happen to acne products. That is why it is of utmost importance that you scan acne product reviews. These reviews are usually written by beauty experts, medical professionals and of courseavid users.
Acne product reviews can be found easily, so if you want to scan about a specific product you can always search that product on the internet. We all know that the internet is packed with
information that can be helpful. So, instead of clicking on the link of that product online you might want to spend a few minutes reading acne product reviews. If you are not satisfied with what is published on the internet, you can know more about acne product reviews in popular fashion and beauty magazines. When it comes to your skin and treating acne, learn to read acne product reviews before you hand over your hardearned money.
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Yanik
Silver Scam Is It True?
The internet is a minefield of opportunities. Opportunities
are made available when you surf the net. Indeed, there are a lot of people who already made a lot of money through the internet. The money these individuals earn can rival the amount of
those who work in big companies. However, unlike office work making money
through the internet is fairly easy and stress free. Knowledge on how to do it is what you
need. Doing research before you get started is the best thing to
do. Self made
millionaire Yanik Silver wrote a book which is great source of
information. The Yanik
Silver Scam is the result of several people doubting the advices
provided by Yanik Silver.
Regardless of the Yanik Silver
Scam some people still believe Yanik Silver. In fact some believers
even provided proofs of Yanik Silvers integrity and the efficacy of
his advices. One proof as stated by one follower talked about
Yanik Silvers first site, the one that is responsible for bringing in
a hefty six-figure income, which is good enough since it only takes him
a couple of hours to manage the site. Being a regular guest speaker at internet seminars
was also presented as proof. So, it the rumor about the <a href=”http://www.surefiremarketing.com/hotsheet/hotsheet11.html/”>Yanik Silver Scam</a> may just be THAT, a rumor.
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Acai Berries Now Labelled As the Best Antioxidant
The overwhelming levels of antioxidants in the acai berry has made it quite easy to label it as the best antioxidant know today. For years medical professionals have told to us to consume berries simply because these fruits contain antioxidants. These antioxidants prove to be powerful in protecting us against the free radicals that can be found in our food or simply the environment. However the antioxidant levels in acai berries are way higher than those in other berries, this is the primary reason why more and more people use acai supplements: antioxidant is its main content.
Truly acai berry is the best antioxidant especially if you take into account the number of antioxidant it contains. Acai berries contain Vitamins like A C and E and even folic acid. They also contain iron which has been known to work well with antioxidants in keeping us healthy.
It is important that we keep our bodies healthy from inside out and the best way to do that aside from changing our hazardous lifestyle, is adding exercise to our life as well as to take supplements like acai berry products, which contain high levels of antioxidants.
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Influence of hand cycling on physical capacity in the rehabilitation of persons with a spinal cord injury: a longitudinal cohort study
OBJECTIVE: To investigate the influence of handicap scooters on outcome measures of physical capacity during and after rehabilitation in persons with paraplegia and tetraplegia in The Netherlands. DESIGN: A longitudinal cohort study with measurement moments at the start (t1) and end (t2) of clinical rehabilitation and 1 year after discharge (t3). Hand cycle use was assessed by means of questionnaires at t2 and t3. SETTING: Eight rehabilitation centers in The Netherlands. PARTICIPANTS: Subjects (N=162) with a recent spinal cord injury. INTERVENTIONS: All subjects followed the regular rehabilitation program. MAIN OUTCOME MEASURES: Peak oxygen uptake (Vo(2)peak) and peak power output (POpeak) determined in a handrim medical scooters peak exercise test, peak muscle strength of the upper extremities, and pulmonary function. RESULTS: A significantly larger increment in Vo(2)peak, POpeak, and elbow extension strength was found in subjects with paraplegia during clinical rehabilitation. No such effect was found in subjects with tetraplegia. In the postrehabilitation period, no influence of hand cycling on any outcome measure was found in subjects with paraplegia or subjects with tetraplegia. CONCLUSIONS: After correction for baseline values and confounders, regular hand cycling (once a week or more) appeared to be beneficial for improving aerobic physical capacity in persons with paraplegia during clinical rehabilitation. The small and heterogeneous study groups may have hampered the finding of positive results of hand cycling in persons with tetraplegia.
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Understanding Organic Tea
Associating the word herbal and the word organic is an inaccurate way of putting it. Not all herbal plants are organic. The difference lies on how it is grown. Herbal plants can be grown with the help of pesticides and fertilizers, however organic plants on the other hand are grown naturally meaning no pesticides and not fertilizers to aid in the growing process. The same thing goes for organic tea. Not all herbal teas are grown in an organic way. When tea shrubs are sprayed with fertilizers and pesticides the tea harvested from it may be herbal but not organic.
Organic tea dont use bleached tea bags. Thus ensuring that no other form of chemicals touch the contents. In addition to that the tea bags of organic tea rarely have staples and labels; the use of these items can contribute to the increasing amount of garbage. Ogranic tea is believed to be healthier since it is grown the natural way. The organic tea might be good for you especially if you are into organic foods. Try organic tea now.
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BBQ FACTS: Pit Roasting
Pit roasting is cooking <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>best bbq sauce</a> meat in a large, level hole dug in the earth. A hardwood <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>bbq sauce recipe</a> fire is built in the pit, requiring wood equal to about 2 times the volume of the pit. The hardwood is allowed to burn until the wood reduces and the pit is half filled with burning coals. This can require 4 to 6 hours burning time.
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Advantages of Herbal Colon Cleanse
When you cleanse your colon, you are keeping yourself healthy. Doing it on regular basis is even more beneficial. There are other ways to cleanse your colon and a common way is the herbal colon cleanse. This type of colon cleansing has been practiced by a lot of people.
The herbal colon cleanse functions by converting or neutralizing the bodys toxic wastes in to healthier products. However, a lot of medical professionals would like to stress that a healthy colon is a clean colon. It is of utmost importance that we cleanse our colon because if we neglect to cleanse our colon the toxins in our body will accumulate and later cause problems for us.
There are several benefits you can get from using herbal colon cleanse. One benefit is that the results are immediate; second is that we can incorporate it in our daily routine and third, herbal colon cleanse utilizes materials that are coming from nature.
If you opt to pursue using herbal colon cleanse make sure to do it faithfully and regularly in order for you to get the maximum effects. On top of that, use only the best ingredients or materials for herbal colon cleanse.
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Real-time head movement system and embedded Linux implementation for the control of power wheelchairs
medicare power wheelchairs has become very important for our quality of life. A loss of mobility due to an injury is usually accompanied by a loss of self-confidence. For many individuals, independent mobility is an important aspect of self-esteem. Head movement is a natural form of pointing and can be used to directly replace the joystick whilst still allowing for similar control. Through the use of embedded LINUX and artificial intelligence, a hands-free head movement wheelchair controller has been designed and implemented successfully. This system provides for severely disabled users an effective power wheelchairs control method with improved posture, ease of use and attractiveness.
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The many ways to lose weight fast
There are many different ways to lose weight fast. If you really are interested in a fast weight loss program, that gives your body some real benefits, then you may want to consider trying one of the detox diets. At least with this short term option, you’ll lose some weight quickly, but you’ll gain other health benefits, and then can rotate into a proper fat loss diet at the conclusion. The biggest thing you can do to have great weight loss is to focus on eating healthy foods, combined with consistent exercise. Throw away the 3-Day Diet, and get into a better diet to lose weight fast!
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Dieting to lose weight quickly in a healthy way - Part 2
Now let’s get down to what you really need to know, what are the diets that work for you, to help you www.fatlossfactor.com. To start with, you need to have a healthy diet program to cover the basic needs for health. Your diet should include a high amount of vegetables and fruits, some lean meats, fat free dairy items, and whole grain products. By having a good balanced diet you will get all the nutrition you need. Avoiding preprocessed foods which include high amounts of salt, sugars, preservatives, and other additives should top your list as www.fatlossfactor.com . All of those additive just add to your weight, and potential health problems.
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An experimental method for measuring the moment of inertia of an electric power wheelchair
This study describe an experiment measuring the moment of inertia of an electric medicare power wheelchairs (EPW) using a torsional pendulum method. Inertia of the wheelchair is an important factor for control, which is a key issue in wheelchair driving. The experimental test platform consisted of a bottom circular wood plate, an upper metal plate, and four ropes. Materials with known moments of inertia such as the metal disk and cylinder were used to test the accuracy of the system. The EPW used in the experiment was Invacare G3 Torque SP Storm Series. The measured result of the moment inertia of the wheelchair was 5.2280 kg.m(2) and handicap scooters the errors of the system are less than 10% even when the object is only 25lbs. The results are consistent when compared with other approximate methods. In addition, the experimental method could be used to measure the moment of inertia of manual wheelchairs and other irregular objects
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Marinating
A <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>barbeque sauce recipe</a> marinade is a savory, acidic sauce in which a food is soaked to enrich its flavor or to tenderize it. Marinate <a href=’http://www.1topsecret-bbq-sauce-recipe.com’>barbecue sauce recipes</a> food in the refrigerator, not on the counter. Poultry and cubed meat or stew meat can be marinated up to 2 days.
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Powered mobility for middle-aged and older adults: systematic review of outcomes and appraisal of published evidence
OBJECTIVE: To identify the outcomes of power mobility devices for middle-aged and older adult users, and to critically appraise the research evidence. DESIGN: Systematic review of primary source studies involving adults aged 50 and over using medicare power wheelchairs, handicap scooters mobility devices (1996-2007). Articles were (i) mapped to the Taxonomy of Assistive Technology Device Outcomes, which describes categories of impact of assistive devices from the vantages of effectiveness, social significance, and subjective well-being; and (ii) appraised using the Grading of Recommendations, Assessment, Development, and Evaluation criteria. RESULTS: This review retained 19 studies and identified 52 different categories of impacts of power mobility devices spanning the three vantages of the taxonomy. The coverage of outcome dimensions was not as extensive for adults age 50 and over as it was for mixed-age groups. Most of the research designs were assigned very low evidence grades. Three studies were low to moderate in quality of evidence, among which one was a randomized trial. CONCLUSIONS: A vast array of potential impacts of powered mobility devices have been described in the last decade. The level of quality of this evidence is improving, but most of these studies were not designed to verify causal relationships, and this is largely responsible for the absence of unequivocal evidence for directly attributing benefits to devices themselves and for quantifying relationships between power mobility device intervention and outcome. To raise the level of evidence about power mobility device interventions in older adults, studies are needed that use prospective designs, better-defined user groups, and well-grounded conceptual frameworks for measuring interventions and outcomes
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Evaluation of selected sidewalk pavement surfaces for vibration experienced by users of manual and powered wheelchairs.
BACKGROUND: Obstacles such as bumps, curb descents, and uneven driving surfaces cause vibrations that affect the wheelchair, and in turn, the wheelchair user. Chronic exposure can cause low-back pain, disk degeneration, and other harmful effects. Little research has been conducted to assess the vibrations experienced by wheelchair users. OBJECTIVE: The purpose of this study was to conduct an evaluation of the vibration exposure during electric-powered wheelchair driving and mechanical energy requirements for manual wheelchair propulsion over selected sidewalk surfaces. The goal was to determine the criteria for a wheelchair-pedestrian access route that does not require excessive propulsive work or expose medicare power wheelchairs users to potentially harmful vibrations. METHODS: Ten unimpaired individuals participated in this study. Six sidewalk surfaces were tested. Measured variables included power of the acceleration per octave, mechanical work to propel over surfaces, peak acceleration, and frequency at which peak acceleration occurs. RESULTS: For both the manual and electric-medical scooters
wheelchair, at 1 m/s, significant differences were found in peak accelerations between the seat and footrest (P < 0.0001) and between the sidewalk surfaces (P = 0.004). The greatest risk for injury caused by shock and vibration exposure occurs at frequencies near the natural frequency of seated humans (4-15 Hz). The values for work required to propel over the surfaces tested were not statistically significantly different. Besides appearance and construction, the only distinguishing characteristic was surface roughness caused by the joints. CONCLUSION: When treating the poured concrete sidewalk as the standard, surfaces 2, 3, 5, and 6 compared most favorably in terms of vibration exposure, whereas surface 4 produced mixed results. Surfaces 2, 3, 5, and 6 yielded results that were similar to the poured concrete sidewalk and could be considered acceptable for wheelchair users. In conclusion, surfaces other than the traditional poured concrete can be used for pedestrian access routes without adding vibration exposure or reducing propulsion efficiency.
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