Article Review #2: Adaptive equipment used in TR Activites

Name: "A simple ergometer modification can expand the exercise options for wheelchair clients"

Author:  Linda S. Lamont

Journal: Disability and Rehabilitation: Assistive Technology

Date Retrieved: March 19th, 2012

How Located: 

  I utilized the Murphy Library article database search. I used the Therapeutic Recreation Subject guide and EBSCOhost to find this article by typing in the keywords "adapted equipment" into the search box.

What I learned: 

  This article provides an adaptation that can be made to an ergometer in order to provide an alternative exercise activity for individuals with lower extremity disabilities.  An ergometer is simply a dual action exercise bike or stationary bike.  The modification to an ergometer involves adding PVC tubing to an existing ergometer.  The PVC tubing units are slipped onto the hand pedals and extension units of PVC tubing are then slipped onto these. The individual is able to use the tubing to move the hand pedals and exercise while seated in their wheelchair. This modification is simple and the supplies/tools are minimal.

  I learned about the benefits this modification creates which include a larger and more fluid movement of the upper body.  It also adds variety to an exercise routine for an individual with limited options which will ultimately increase motivation, overall health, self-esteem, and quality of life. The modified ergometer is also able to target upper body muscles at different joint angles. I better understood how the adaptation was made from reading the article and looking at the provided photos. I also was able to understand which populations this would work best for including individuals with  spinal cord injuries, amputations, and  other individuals who may have limited range of motion in their lower body.

Application of Knowledge: 

  In my future, I will use this modification if presented with a situation in which I am able to do so.  I think most importantly I learned how as a recreational therapist you must be able to think "outside of the box" when it comes to  equipment and adaptations.  Although there is an expansive amount of adaptive equipment available for activities, there will be times that the more cost-efficient version may need to be created.  I thought this adaptation was clever and also very beneficial for individuals who are not able to use their lower body. I hope to use the innovative aspect similar to this modification in my future as a recreational therapist.

Recommend article?: 

  Yes, I would recommend this article for other TR students.  I think it is essential to learn about adaptive equipment and adaptations in order to create a wide range of options that will be useful when working with a variety of individuals who have different ability levels. This article provides an innovative adaptation made to an existing piece of exercise equipment and this concept of adapting existing equipment is important to understand as a certified recreational therapy specialist.