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Independent Wheelchair Transfers in the Built Environment: How Transfer Setup Impacts Performance Phase 2: Final Report

Effect of Handhelds on Transfer Height

Participant preference for grab bars and backrest heights for protocols B through E are shown in Table 17. For all protocols the tall grab bars were preferred. For protocol C the medium and short back rests were almost equally preferred. Although the participants selected a grab bar and backrest height, not all participants used them when they were on the station. The numbers and percentages of participants that actually used the grab bars are shown in Table 18. Only a few people used the backrests during the transfers. For transferring higher one participant used the backrest with their trailing arm on the way back to their WMD seat after having obtained the transfer. Two participants used the backrest for the minimum height transfers. They used the backrest by their trailing arm moving back to their mobility device seat.

Table 17. Grab bar and backrest preferences for protocols B through E

 

 

Protocol

Tall Grab Bar
 (6.00 in)

Short Grab Bar (2.75in)

Tall Backrest (20.0in)

Medium Backrest (17.0in)

Short Backrest (14.0in)

Protocol B
Highest Height:

n = 54
(76%)

n = 17
(24%)

NA

NA

NA

Protocol B
Lowest Height:

n = 54
(77%)

n = 16
(23%)

NA

NA

NA

Protocol C
Highest Height:

n = 53
(75%)

n = 18
(25%)

n = 3
(5%)

n = 33
(46%)

n = 35
(49%)

Protocol C
Lowest Height:

n = 53
(77%)

n = 16
(23%)

n = 3
(4%)

n = 33
(48%)

n = 33
(48%)

Protocol D
Level to Highest Height

n = 52
(81%)

n = 12
(19%)

NA

NA

NA

Protocol D
Level to Lowest Height

n = 53
(83%)

n = 11
(17%)

NA

NA

NA

Protocol E
Level to Highest Height

n = 53
(83%)

n = 11
(17%)

NA

NA

NA

Protocol E
Level to Lowest Height

n = 52
(83%)

n = 11
(17%)

NA

NA

NA

 Table 18. The use of grab bars for protocols B through E

 

 

 

 

 

Protocol

Leading Arm TO

Trailing Arm TO

Leading Arm FROM

Trailing Arm FROM

TO Second Platform Leading

TO Second Platform Trailing

FROM Second Platform Leading

FROM Second Platform Leading

Protocol B (n=72)
Highest Height:

n = 56
(78%)

n = 15
(21%)

n = 5
(7%)

n = 56
(78%)

NA

NA

NA

NA

Protocol B (n=71)
Lowest Height:

n = 49
(70%)

n = 15
(21%)

n = 2
(3%)

n = 47
(66%)

NA

NA

NA

NA

Protocol C (n=72)
Highest Height:

n = 54
(75%)

n = 12
(17%)

n = 4
(6%)

n = 55
(76%)

NA

NA

NA

NA

Protocol C (n=71)
Lowest Height:

n = 51
(72%)

n = 12
(17%)

n = 1
(1%)

n = 47
(66%)

NA

NA

NA

NA

Protocol D (n=64)
Level to Highest Height

n = 43
(67%)

n = 12
(19%)

n = 0
(0%)

n = 46
(72%)

n = 60
(94%)

n =58
(91%)

n = 59
(92%)

n = 58
(91%)

Protocol D (n=64)
Level to Lowest Height

n = 43
(67%)

n = 15
(23%)

n = 4
(6%)

n = 35
(55%)

n = 58
(91%)

n =58
(91%)

n = 55
(86%)

n = 51
(80%)

Protocol E(n=64)
Level to Highest Height

n = 46
(72%)

n = 16
(25%)

n = 5
(8%)

n = 40
(63%)

n = 55
(86%)

n =53
(83%)

n = 52
(81%)

n = 51
(80%)

Protocol E (n=63)
Level to Lowest Height

n = 44
(70%)

n = 17
(27%)

n = 3
(5%)

n = 32
(51%)

n = 54
(86%)

n =53
(84%)

n = 51
(81%)

n = 51
(81%)

The repeated measures ANOVA showed that there was a significant difference between the transfer heights when grab bars were on the station (protocols B and C) compared to when there were no grab bars or a backrest on the station (protocol A). Participants were able to transfer higher and lower with the presence of the grab bars. The results from this test are shown in Table 19.

Table 19. Repeated measures results for protocols A, B and C

 

 

Protocol A
No Grab Bars/No Backrest

Protocol B
Grab Bars/ No Backrest

Protocol C
Grab Bar and Backrest

Highest Height Attained

Mean

28.7ǂ

29.6ǂ

29.3

Highest Height Attained

Std. Deviation

3.9

4.2

3.5

Highest Height Attained

Median

28.0

29.0

29.0

Lowest Height Attained

Mean

14.5*+

13.6*

13.6+

Lowest Height Attained

Std. Deviation

4.2

4.1

4.1

Lowest Height Attained

Median

14

12.3

12.3

ǂ Significant difference between A and B, p=0.001
*Significant difference between A and B, p= 0.016
+Significant difference between A and C, p=0.017 

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