Abstract

BackgroundBecause of the adverse environmental conditions present in less-resourced environments (LREs), the World Health Organization (WHO) has recommended that specialised wheelchair test methods may need to be developed to support product quality standards in these environments. A group of experts identified caster test methods as a high priority because of their common failure in LREs, and the insufficiency of existing test methods described in the International Organization for Standardization (ISO) Wheelchair Testing Standards (ISO 7176).ObjectivesTo develop and demonstrate the feasibility of a caster system test method.MethodBackground literature and expert opinions were collected to identify existing caster test methods, caster failures common in LREs and environmental conditions present in LREs. Several conceptual designs for the caster testing method were developed, and through an iterative process using expert feedback, a final concept and a design were developed and a prototype was fabricated. Feasibility tests were conducted by testing a series of caster systems from wheelchairs used in LREs, and failure modes were recorded and compared to anecdotal reports about field failures.ResultsThe new caster testing system was developed and it provides the flexibility to expose caster systems to typical conditions in LREs. Caster failures such as stem bolt fractures, fork fractures, bearing failures and tire cracking occurred during testing trials and are consistent with field failures.ConclusionThe new caster test system has the capability to incorporate necessary test factors that degrade caster quality in LREs. Future work includes developing and validating a testing protocol that results in failure modes common during wheelchair use in LRE.

Highlights

  • There is an estimated unmet need of 95 million wheelchairs worldwide (Borg & Khasnabis 2008; Handicap International 2013; Mhatre et al 2017; World Health Organization 2011)

  • The WHO in collaboration with the United Nations (UN) and United States Agency for International Development (USAID) initiated the Global Cooperation on Assistive Technology (GATE) programme to accelerate Convention for Rights of People with Disabilities (CRPD) initiatives (World Health Organization 2014) and published a Priority Assistive Products List that emphasises the access for high-quality products and recognises four distinct wheelchair designs as appropriate products for provision

  • The group members reported several wheelchair parts failures evident in less-resourced environments (LREs), identified factors that contribute to field failures and evaluated whether these factors are included in International Organization for Standardization (ISO) 7176 fatigue tests of multi-drum tests (MDT) and curb-drop tests (CDT)

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Summary

Introduction

There is an estimated unmet need of 95 million wheelchairs worldwide (Borg & Khasnabis 2008; Handicap International 2013; Mhatre et al 2017; World Health Organization 2011). A consensus conference was held that brought together groups involved in the provision of wheelchair services in LREs and wheelchair experts to discuss wheelchair needs and issues with products and services (Sheldon & Jacobs 2006) The outcomes of this conference influenced WHO in developing the Guidelines on Provision of Manual Wheelchairs in Lessresourced Settings (WHO Guidelines) and the wheelchair service training packages in partnership with the USAID (Borg & Khasnabis 2008; World Health Organization 2012, 2013). A group of experts identified caster test methods as a high priority because of their common failure in LREs, and the insufficiency of existing test methods described in the International Organization for Standardization (ISO) Wheelchair Testing Standards (ISO 7176)

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