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Skip search results from other journals and go to results- 4 JMIR Rehabilitation and Assistive Technologies
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The World Health Organization (WHO) has estimated that 90 million people require a wheelchair to assist their mobility. Yet, only 18 million people can access an appropriate wheelchair [1]. Official statistics for Mexico in 2024 indicate that 8.3 million individuals live with a disability, with 3.3 million experiencing difficulty walking or rising from a seated position using their legs [2]. Furthermore, 4.1 million of this population lives in poverty [3].
JMIR Rehabil Assist Technol 2025;12:e68612
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Wheelchair Servicing for Older Adults: Cross-Sectional Study
Cross-sectional studies evaluating wheelchair durability in the community have reported manual wheelchair part failures within 2‐3 months of use [3]. They lead to physical, social, psychological, and economic consequences for the user [4] as well as device abandonment [5]. This problem is particularly severe in older adults; a higher incidence of failures was observed with elderly wheelchair users in a study conducted in El Salvador [6].
JMIR Rehabil Assist Technol 2025;12:e66472
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Similarly, an interview study [28] explored the barriers that people with SCI face to staying physically active: (1) lack of tailored physical activity forums with wheelchair users with SCI and (2) lack of personalized fitness-tracking technology tailored to wheelchair-based activities.
Mo et al [29] explored the information needs of wheelchair users, and they identified a lack of tailored, accurate, and affordable tracking for wheelchair users both commercially and academically.
JMIR Hum Factors 2025;12:e65207
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The chest placement of the accelerometer enables movement measurement in a seated position, which is expected to have advantages in activity monitoring in wheelchair (WC) users. The utility of the MSDA as an activity-quantification measure has been validated previously, showing a strong correlation between the MSDA and percentage oxygen uptake reserve in healthy participants and between MSDA and percentage heart rate reserve in patients with motor dysfunction due to cerebrovascular disease [13].
JMIR Form Res 2025;9:e63064
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Therefore, the aim of this study was to assess the accuracy of the AW Series 4 (in the wheelchair-specific setting “outdoor push walking pace”) and the Fitbit Versa (in the treadmill running mode) for estimating EE and HR during wheelchair propulsion at different intensities. We decided to include both wheelchair users and a control group consisting of people without a disability to investigate if the wheelchair setting was specifically adjusted for wheelchair users.
JMIR Form Res 2024;8:e52312
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However, after sustaining a spinal cord injury (SCI), up to 60% of individuals use a wheelchair as their primary mode of locomotion—leading to a chronic reduction in lower-extremity weight bearing and reduced mechanical loading [3]. As a result, these individuals experience an accelerated loss in lower-extremity bone mass, particularly if no mitigation strategies are implemented during the first 18 to 24 months following the SCI [4].
JMIR Rehabil Assist Technol 2024;11:e53084
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Furthermore, the developed system is embedded in a wheelchair with the capability of remote management by the professional and self-management by the wheelchair user using smart mobile devices.
On the basis of the exposed content, there are still doubts about ways to help prevent pressure injuries in wheelchair users, aiming at self-management; self-maintenance of health care; and changing angles, frequency, and duration.
JMIR Form Res 2023;7:e49102
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Therapists teach new wheelchair users how to perform effective weight shifts using written materials and demonstration of techniques. Further, therapists use seat interface pressure mapping (IPM) as an effective way to visualize how pressure is distributed and to guide wheelchair positioning [6,7].
JMIR Rehabil Assist Technol 2023;10:e49813
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Although efforts are being made, there continues to be a pressing need to make AVG controllers accessible to people who are unable to stand for long periods, cannot stand on a small platform because of poor balance or extreme obesity, or those who use a wheelchair for all daily activities.
JMIR Serious Games 2023;11:e38484
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One-third of wheelchair breakdowns result in adverse events, including injuries, pain, depression, and hospitalization [2,4,6,12,13]. Overall, wheelchair part failures negatively affect the lives of older wheelchair users globally, thus increasing public health and personal burden.
JMIR Aging 2022;5(4):e39301
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