Exploring the lived experience of people using ultralight wheelchairs with on-the-fly adjustable seating function
Bibliographic record
Abstract
Introduction: Manual wheelchairs with spontaneous, user-initiated seating adjustability allow users to independently adjust both rear seat height and backrest angle on-the-fly to optimize positioning for various activities throughout the day.Purpose: This study aimed to examine the lived experience of users of wheelchairs with user-initiated seating adjustability and investigate the impact of this functionality in their day-to-day lives.Methods: This exploratory study involved eight participants who used manual wheelchairs with spontaneous, user-initiated adjustability. Participants engaged in semi-structured qualitative interviews, during which they were asked general open-ended questions about a typical day using their wheelchair, as well as specific questions addressing day-to-day usage, activity participation, and unique seating applications and situations where adjustments were used.Results: Our analysis identified three primary themes: (1) “New Angles on Function and Participation” revealed the impact adjustments had on physical function and participation; (2) “Comfort to Reach New Heights” described experiences related to positioning for comfort, and comments related to convenience and general usability; and (3) “Elevating Health and Social Standing” identified perceived effects of the wheelchair on user health and psychosocial parameters such as social interactions and self-esteem.Conclusions: Our study indicates that adjustable seating can have a significant impact on ultralight wheelchair users. Results may help with prescription of this class of wheelchair, and may also provide potential users and therapists some insight into the range of applications and benefits of on-the-fly adjustment features.Implications for rehabilitationFunctional ability can be improved through the use of on-the-fly adjustable seating functions, leading to heightened participation at home and in the community.Users of wheelchairs with adjustable seating experience psychosocial benefits including increased social interaction and social inclusion.Clinicians and consumers may want to consider the functions that are impacted by adjustable seating as a method of improving reach, transfers, comfort and social interactions of manual wheelchair users.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.004 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".