Influence of hand-rim wheelchairs with rear suspension on seat forces and head acceleration during curb descent landings

Investigating the Impact of Carbon Fiber as a Wheelchair Frame Material on Its Ability to Dissipate Kinetic Energy and Reduce Vibrations

Using a wheelchair over uneven terrain generates vibrations of the human body. These vibrations result from mechanical energy impulses transferred from the ground through the wheelchair components to the user's body, which may negatively affect the quality of the wheelchair use and the user's health. This energy can be dissipated through the structure of the wheelchair frame, such as polymer and carbon fiber composites. This article aims to compare a wheelchair with an aluminum alloy frame and a carbon fiber frame in terms of reducing kinematic excitation acting on the user's body. Three wheelchairs were used in the study, one with an aluminum alloy frame (reference) and two innovative ones with composite frames. The user was sitting in the tested wheelchairs and had an accelerometer attached to their forehead. The vibrations were generated by applying impulses to the rear wheels of the wheelchair. The obtained results were analyzed and compared, especially regarding differences in the damping decrement. The research shows that using modern materials in the wheelchair frame has a beneficial effect on vibration damping. Although the frame structure and material did not significantly impact the reduction in the acceleration vector, the material and geometry had a beneficial effect on the short dissipation time of the mechanical energy generated by the kinematic excitation. Research has shown that modern construction materials, especially carbon fiber-reinforced composites, may be an alternative to traditional wheelchair suspension modules, effectively damping vibrations.

Vibration Transmission during Manual Wheelchair Propulsion: A Systematic Review

Manual wheelchair (MWC) propulsion can expose the user to significant vibration. Human body exposure to certain vibrations can be detrimental to health, and a source of discomfort and fatigue. Therefore, identifying vibration exposure and key parameters influencing vibration transmissibility during MWC propulsion is crucial to protect MWC users from vibration risks. For that purpose, a systematic review using PRISMA recommendations was realized to synthesize the current knowledge regarding vibration transmissibility during MWC propulsion. The 35 retrieved articles were classified into three groups: Vibration content, parameters influencing vibration transmission, and vibration transmission modeling. The review highlighted that MWC users experience vibration in the frequency range detrimental/uncomfortable for human vibration transmission during MWC propulsion depends on many parameters and is still scarcely studied and understood. A modeling and simulation approach would be an interesting way to assist physicians in selecting the best settings for a specific user, but many works (modeling, properties identification, etc.) must be done before being effective for clinical and industrial purposes.

Effect of Rear Wheel Suspension on Tilt-in-Space Wheelchair Shock and Vibration Attenuation

BACKGROUND

Suspension systems are designed to reduce shock and vibration exposure. An aftermarket rear-wheel suspension system is now available for manual tilt-in-space wheelchairs.

OBJECTIVE

To compare quantifiable shock and vibration on a rigid manual tilt-in-space wheelchair to published data on manual wheelchairs and to determine whether aftermarket rear suspension system will significantly decrease shock exposure when traversing common obstacles.

DESIGN

Cross-sectional.

SETTING

Research laboratory.

PARTICIPANTS

Ten healthy non-wheelchair users.

METHODS

Subjects seated in a manual tilt-in-space wheelchair were pushed over 4 different obstacles (an exterior door threshold, truncated domes, 2-cm descent, and 2-cm ascent) with the chair as manufactured and with the suspension system installed.

MAIN OUTCOME MEASUREMENTS

Superior/inferior and anterior/posterior accelerations were assessed at the seat pan with and without the use of ISO 2631-1 standards. Peak accelerations were analyzed from the door threshold, 2-cm descent and 2-cm ascent. Root mean square acceleration (RMSa) values were analyzed from the truncated domes, and vibration dose value (VDV) was analyzed for all surfaces.

RESULTS

There were no differences in time spent over the 4 obstacles between rigid and suspended conditions (P≥.064). Suspension decreased the peak acceleration at the rear wheel when it initially impacted the door threshold, and when the rear wheel traversed the 2-cm descent and ascent (P≤.043). ISO 2631-1 frequency weighting, placing emphasis on frequencies most harmful to humans, also supports suspension reducing peak accelerations at the rear wheel both when it initially impacted and left the door threshold, and when the rear wheel descended 2 cm (P≤.049). Suspension also reduced the truncated dome RMSa as well as the door threshold, 2-cm descent, and total VDV (P≤.041).

CONCLUSIONS

The results indicate that rigid manual tilt-in-space wheelchairs respond to rough surfaces in a similar fashion to previously studied rigid wheelchairs. Furthermore, the aftermarket suspension system reduces some aspects of shock and vibration exposure, also consistent with previously studied suspension systems.

LEVEL OF EVIDENCE

NA.

Modeling Wheelchair-Users Undergoing Vibrations

A procedure for modeling wheelchair-users undergoing vibrations was developed. Experimental data acquired with a wheelchair simulator were used to develop a model of a seated wheelchair user. Maximum likelihood estimation procedure was used to determine the model complexity required to characterize wheelchair-user's response. It was determined that a two segment rotational link model is adequate for characterization of vibratory response. The parameters of the proposed model were identified using the experimental data and verified using additional experimental results. The proposed approach can be used to develop subject-specific design criteria for wheelchair seating and suspension.

Effect of wheelchair frame material on users' mechanical work and transmitted vibration

Wheelchair propulsion exposes the user to a high risk of shoulder injury and to whole-body vibration that exceeds recommendations of ISO 2631-1:1997. Reducing the mechanical work required to travel a given distance (WN-WPM, weight-normalized work-per-meter) can help reduce the risk of shoulder injury, while reducing the vibration transmissibility (VT) of the wheelchair frame can reduce whole-body vibration. New materials such as titanium and carbon are used in today's wheelchairs and are advertised to improve both parameters, but current knowledge on this matter is limited. In this study, WN-WPM and VT were measured simultaneously and compared between six folding wheelchairs (1 titanium, 1 carbon, and 4 aluminium). Ten able-bodied users propelled the six wheelchairs on three ground surfaces. Although no significant difference of WN-WPM was found between wheelchairs (P < 0.1), significant differences of VT were found (P < 0.05). The carbon wheelchair had the lowest VT. Contrarily to current belief, the titanium wheelchair VT was similar to aluminium wheelchairs. A negative correlation between VT and WN-WPM was found, which means that reducing VT may be at the expense of increasing WN-WPM. Based on our results, use of carbon in wheelchair construction seems promising to reduce VT without increasing WN-WPM.