I-Corps: The SPEC system: A System for Personalizing and Evaluating the Fit of Assistive Devices in a Clinical Setting (SPEC)

这个创新队（I-Corps）项目解决了与配置手动轮椅相关的问题。手动轮椅（WC）提供有效、低成本的活动，同时保持上肢力量、心血管调节、独立性和社区参与。目前，人工处方和拟合是一个反复的过程，高度依赖于临床医生的专业知识。不良结果会对患者的健康和福祉产生负面影响，并显著增加成本。临床医生需要处方和个性化个人手动轮椅的配置，使其适合于功能，特别是对于脊髓损伤的个人。功能需求包括姿势的维持、平衡的控制、压力的分配以及减轻个人肩部的有害负荷。该项目的个性化和评估辅助装置在临床环境中的适合性系统（SPEC）集成了低成本的新兴技术、广泛的临床专业知识和康复研究，以告知和个性化WC处方和安装过程。将SPEC系统成功集成到临床工作流程中，有望将临床实践转向更个性化的手动WC装配，同时最大限度地减少与WC处方、配置和意外次要后果相关的迭代和成本。迄今为止，I-Corps团队的访谈表明，临床医生需要一个快速可靠的流程，以减少与处方和个性化手动wc配置相关的试验和错误。作为I-Corps团队项目的一部分，该团队旨在调查受伤康复和人工WC生态系统中可能受益于SPEC系统的三个潜在客户群体。潜在的客户群体包括参与座椅的临床医生、手动轮椅制造商及其供应商和分销商，以及可能是使用SPEC系统的实际付款人的保险公司。收入结构和产品渠道可能对每个细分客户都是独一无二的。该项目的预期结果包括进一步描述客户细分价值主张和与SPEC系统集成到临床工作流程相关的收入流。更广泛的影响包括将基于研究的指南转化为针对不同客户群体的实践，个性化治疗干预措施，以及将专业知识传播到基于社区的实践中。

This Innovation Corps (I-Corps)project addresses issues related to configuring manual wheelchairs.Manual wheelchairs (WC) provide effective, low-cost mobility while preserving upper body strength, cardiovascular conditioning, independence and participation in the community. Currently, manual WC prescription and fitting are iterative processes and are highly dependent on the expertise of the clinician. Poor outcomes negatively impact the health and wellbeing of the patient as well as significantly increase costs. Clinicians need to prescribe and personalize the configuration of an individual's manual wheelchair so that the fit facilitates function, especially for individuals with spinal cord injury. Functional needs include maintenance of posture, control of balance, distribution of pressure, and mitigation of detrimental loading of the individual's shoulders. This project's System for Personalizing and Evaluating the Fit of Assistive Devices in a Clinical Setting (SPEC) integrates low-cost emerging technology, extensive clinical expertise, and rehabilitation research to inform and personalize the WC prescription and fitting process. Successful integration of the SPEC system into the clinical work-flow is expected to shift clinical practice toward more personalized manual WC fitting while minimizing iterations and costs associated with WC prescription, configuration, and unintended secondary consequences.This I-Corps team's interviews to date indicate that clinicians need a quick and reliable process that will reduce the trial and error associated with prescribing and personalizing the configuration of manual WCs. As part of the I-Corps Team project, the team aims to investigate three potential customer segments from the injury rehabilitation and manual WC ecosystem which could benefit from the SPEC system. Potential customer segments include clinicians involved in seating, manual wheelchair manufacturers and their suppliers and distributors, and insurance companies who might be the actual payers for utilization of the SPEC system. Revenue structures and product channels may be unique to each of these customer segments. Expected outcomes of this project include further delineation of customer segment value propositions and revenue streams associated with the integration of the SPEC system into the clinical workflow. Broader impact includes translation of research-based guidelines into practice for different customer segments, personalization of therapeutic interventions, and dissemination of expert knowledge into community based practices.