MiGo-Wheels: A comprehensive feedback system to help wheelchair users maintain a healthy lifestyle

MiGo-Wheels：帮助轮椅使用者保持健康生活方式的综合反馈系统

• 批准号: 10001364
• 负责人: Justin Rowe
• 金额: $ 22.5万
• 依托单位: FLINT REHABILITATION DEVICES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10001364
• 关键词: Acceleration; Accelerometer; Address; Algorithms; Apple watch; Behavior; Characteristics; Chronic; Clinical; Collaborations; Coupled; Cumulative Trauma Disorders; Data; Deterioration; Devices; Dimensions; Failure; Feedback; Goals; Gold; Habits; Health; Impairment; Incidence; Individual; Injury; Lead; Life Style; Light; Limb structure; Maintenance; Manual wheelchair; Measures; Modification; Monitor; Nature; Notification; Performance; Personal Satisfaction; Phase; Physical activity; Pilot Projects; Powered wheelchair; Public Health; Rehabilitation Centers; Research; Resistance; Rewards; Small Business Innovation Research Grant; Spinal cord injury; Stress; System; Technology; Testing; Time trend; Travel; United States; Upper Extremity; Walking; Wheelchairs; Wrist; actigraphy; active lifestyle; arm; commercialization; design; fitbit; healthy lifestyle; improved; motor impairment; prototype; sensor; skill acquisition; skills; smartphone Application; social; spatiotemporal; stroke survivor; success; tool; visual feedback; wearable device; wireless network

Maintaining a healthy lifestyle can be difficult for the estimated 2 million people in the United States who rely on manual wheelchairs for mobility and independence. Although the specific health challenges for every wheelchair user depend on the nature of their injury or impairment, some of the most common issues are: 1) complications due to reduced physical activity, 2) complications due to repetitive stress injuries, 3) complications arising from limited acquisition of wheelchair skills, and 4) complications due to wheelchair component failure or deterioration. Many of these complications can be managed through lifestyle adaptation and the formation of healthy habits. However, these complications are often tightly coupled, requiring users to form healthy habits in multiple dimensions in order to manage them over the long term. Technology could help wheelchair users form robust habits to stay physically active, avoid stress injuries, develop their wheelchair skills, and maintain their wheelchair, but no commercial product currently exists that addresses these interconnected health challenges. We propose in this Phase I SBIR to develop and pilot test a comprehensive wellness system for wheelchair users. MiGo-Wheels will provide users with activity goals, promote healthy propulsion habits, and reward wheelchair skill development. Finally, to maintain optimal wheelchair performance, it will detect and alert the user to potential wheelchair performance issues, similar to a check engine light in a car. MiGo-Wheels will consist of a wireless network of three devices: 1) a wrist-worn activity watch that will detect pushes, measure spatiotemporal push characteristics, and deliver visual feedback, 2) a wheelchair mounted sensor that will measure the wheelchair’s heading, tilt angle, and acceleration, and 3) a wheel-mounted sensor that will measure angular velocity of the wheelchair’s wheel. MiGo-Wheels will also include a smartphone app (developed in Phase II) to allow users to view performance trends over time, receive additional feedback and notifications, connect with other wheelchair users, and control device settings. Our hypothesis is that this comprehensive approach will enable wheelchair users to manage their health challenges in an integrated and sustainable manner, thus reducing the incidence of the broad range of negative health effects associated with wheelchair use. Feasibility testing will be performed in collaboration with the Rancho Los Amigos Rehabilitation Center. Aim 1: Develop prototype wheelchair and wheel-mounted sensor units (Months 1-3). Aim 2: Develop algorithms for monitoring a comprehensive set of wheelchair activity and maintenance data (Months 2-4). Aim 3: Perform in-lab pilot study (N=20 wheelchair users) to validate the feasibility of MiGo-Wheels (Months 5-6). If this project is successful, it will be the first step in developing a valuable new tool for helping wheelchair users improve their overall health.

对于美国估计的200万人来说，保持健康的生活方式可能很难 依靠手动轮椅用于机动性和独立性。尽管具体的健康挑战 对于每个轮椅的用户都取决于受伤或损害的性质，一些最常见的 问题是：1）由于体育锻炼减少而引起的并发症，2）重复压力引起的并发症 伤害，3）因轮椅技能的获得有限而引起的并发症，以及4）并发症。 轮椅组件故障或确定。这些并发症中的许多可以通过 生活方式适应和健康习惯的形成。但是，这些并发症通常紧紧 耦合，要求用户在多个维度上形成健康的习惯，以便通过 长期。技术可以帮助轮椅使用者养成坚固的习惯，以保持身体活跃，避免 压力损伤，发展轮椅技巧并保持轮椅，但没有商业产品 目前存在，可以解决这些相互联系的健康挑战。我们在这个阶段提出了建议 开发和试点测试轮椅用户的全面健康系统。 Migo-Wheels会 为用户提供活动目标，促进健康的推进习惯和奖励轮椅技能 发展。最后，为了保持最佳轮椅性能，它将检测并提醒用户 潜在的轮椅性能问题，类似于汽车中的检查引擎灯。 Migo-Wheels将组成 三个设备的无线网络的 时空推动特性，并提供视觉反馈，2）轮椅安装的传感器将 测量轮椅的标题，倾斜角度和加速度，以及3）一个将式的传感器 测量轮椅轮的角速度。 Migo-Wheels还将包括一个智能手机应用程序 （在第二阶段开发），允许用户随着时间的推移查看绩效趋势，收到其他反馈 并通知，与其他轮椅用户连接，并控制设备设置。我们的假设是 这种全面的方法将使轮椅用户能够在 综合和可持续的方式，从而减少了广泛的负面健康的事件 与轮椅使用相关的影响。可行性测试将与 Rancho Los Amigos康复中心。 AIM 1：开发原型轮椅并安装轮子 传感器单位（1-3个月）。 AIM 2：开发用于监视一套轮椅的算法 活动和维护数据（第2-4个月）。 AIM 3：执行LAB试验研究（n = 20轮椅使用者） 验证Migo-Wheels的可行性（5-6个月）。如果这个项目成功，这将是第一步 开发一种有价值的新工具，可帮助轮椅使用者改善其整体健康状况。