Suchergebnisse

Objective: The aim of this study was to determine how selected environmental factors affect transfers and to compare our results to the Americans with Disabilities Act Accessibility Guidelines (ADAAG). Background: Few data are available to support standards development related to transfers in the built environment. Method: Participants were 120 wheeled mobility device (WMD) users who transferred to and from a modular transfer station that consisted of a height-adjustable platform with a lateral grab bar, optional obstacle to the transfer, and an optional height-adjustable front grab bar. Maximum and minimum vertical heights of the transfer surface, maximum gap distance between the WMD and transfer surface, grab bar use, and WMD space needs were recorded. Results: The 95th percentile lowest and highest heights attained were similar to the median WMD seat-to-floor height (56 cm). We found that 42% (47/113) could not perform a transfer with the obstacle present. Participants transferred higher when the front grab bar was added to the setup ( p = .005) and higher and lower with the front grab bar than without it when the obstacle was present in the setup ( p = .003 and p = .005, respectively). We found that 95% of participants performed a transfer across an 8.9-cm gap. ADAAG recommendations fall short for the height and clear-space needs of the 50th-percentile WMD users. Conclusion: Revisions concerning transfer heights, gaps, clear spaces, and grab bar heights are necessary to make transfers more accessible to WMD users. Application: The data will be used to revise the guidelines related to transfers and to enable designers and engineers to create an environment that is more accessible.

Introduction: The study sought to examine the performance strategies of wounded, ill, and injured service members and Veterans who participate in the Warrior Games. Methods: The Test of Performance Strategies (TOPS) was completed by 23 men and 5 women participants on the first and last days of the Warrior Games. The participants were separated into 2 groups: those who had participated in organized sporting events for more than 1 year (experienced; n=14) and those who had less than 1 year of experience (novice; n=14). A mixed-model ANOVA was used to assess pre–post changes and the effect of experience on total TOPS scores. Results: Overall participation in the Warrior Games did not change the performance strategies used by the participants. However, experienced participants had higher post-competition sub-scale scores than novice participants in the categories of self-talk, goal setting, and activation ( p<0.05). Discussion: While participation in a single Warrior Games event did not appear to change participants' short-term psychological thought processes around competition and practice, more than 1 year of participation in organized sporting events was associated with improved skills.