Should I stay or should I go? An exploratory study comparing wheelchair-adapted rowing at home vs. in community gyms.

Purpose: Wheelchair users experience many barriers to physical activity as affordable and accessible exercise equipment options are limited. Thus, the home-based adapted rower (aROW) and gym-based aROW were developed. The objectives were to determine: 1) wheelchair users' preferences, perspectives, facilitators, and barriers to using the home-based versus the gym-based aROW, 2) perceived usability of the home and gym aROWs, and 3) recommendations to adapt the aROW further for home and community use.

Technology Management as a Core Component of a Client-centric Prosthetic Orthotic Practice Model.

Technological innovation has transformed how we communicate, work, and conduct business. Over the next decade how we experience health care both as health care professionals and as client-patients will also change significantly. This presents both an opportunity and a challenge to medical clinical professionals that are device-focused, including prosthetists orthotists, as they consider how best to adapt.

Editorial Opinion: Value Within the Prosthetic and Orthotic Provision Process.

This Editorial presents an overview of the uptake of clinical outcome measures in the prosthetics and orthotics sector and considers how the use of objective measures contribute to demonstrating value provided. A decade ago, payors began to demand objective data to document costs vs. benefits from prosthetic and orthotic providers.

Editor's Perspective on Health Economics in Prosthetics and Orthotics.

There is a scarcity of literature exploring Health Economics in Prosthetics and Orthotics (P&O). The P&O sector has, over the past decades, moved to a Bachelor's or Masters Degree level as the requirement for entry to practice and, with that, there has been a growing body of research and knowledge generation focusing primarily on clinical aspects and engineering advances. No corresponding body of research has emerged on the economic aspects of P&O, creating a fundamental weakness in both technical and clinical research efforts to advance this field within an economically sustainable framework.

Temporal variations in COVID-19: an epidemiological discussion with a practical application.

Objective: We aimed to characterize the temporal variation in coronavirus disease 2019 (COVID-19) infection and mortality as a possible tool to monitor and control the spread of this disease.

Methods: We analyzed cyclicity and synchronicity in cases of COVID-19 infection and time series of deaths using Fourier transform, its inverse method, and statistical treatments. Epidemiological indices (e.

Ecological fallacy as a novel risk factor for poor translation in neuroscience research: A systematic review and simulation study.

Background: Translational neuroscience is largely concerned with establishing causal links between biological processes and functional outcomes. Exciting new methods have emerged and top-tier biomedical journals are placing increasingly high demand for experiments that link outcomes. One pitfall to making these connections is the "ecological fallacy"-establishing a relationship between outcomes based on aggregate (averaged) results (a distinct issue from correlation vs causation).

Dynamic wheelchair seating positions impact cardiovascular function after spinal cord injury.

Background: Innovative wheelchairs allow individuals to change position easily for comfort and social situations. While these wheelchairs are beneficial in multiple ways, the effects of position changes on blood pressure might exacerbate hypotension and cerebral hypoperfusion, particularly in those with spinal cord injury (SCI) who can have injury to autonomic nerves that regulate cardiovascular control. Conversely, cardiovascular benefits may be obtained with lowered seating.

How to Evaluate Mobile Health Applications: A Scoping Review.

Evaluating mobile health applications requires specific criteria. Research suggests evaluation grids and online web sites are available to provide a quick sense of ease for the health care professional wanting to use a mobile application without worrying about the quality, efficacy, and safety of the mobile application. This article will present a scoping review and explore the available resources for health care professionals.

Optimal scaling of weight and waist circumference to height for adiposity and cardiovascular disease risk in individuals with spinal cord injury.

Study Design: Observational cross-sectional study.

Objectives: Body mass index (BMI), measured as a ratio of weight (Wt) to the square of height (Wt/Ht(2)), waist circumference (WC) and waist-to-height ratio (WHtR) are common surrogate measures of adiposity. It is not known whether alternate scaling powers for height might improve the relationships between these measures and indices of obesity or cardiovascular disease (CVD) risk in individuals with spinal cord injury (SCI).

Development and evaluation of an affordable lift device to reduce musculo-skeletal injuries among home support workers.

Home support workers (HSWs) work in clients' homes assisting with rehabilitation and activities of daily living. Like all health-care professionals, HSWs are at an increased risk for developing back injuries. Lift devices have been shown to reduce injuries to the worker.