Research and Applications to WC Propulsion
Research on FOG reveals applications for WC mobility because freezing occurs in a variety of motor tasks, and UE kinematics have been shown to improve with the use of auditory cues.
OTs and PTs can innovate in low-tech and high-tech ways to apply this evidence to functional activities beyond gait. An example of a low-tech intervention would be attaching a laser to the wheelchair or using a bell, a metronome or music during WC propulsion. An example of a high-tech intervention would be designing a smartphone app that utilizes a smart watch or other sensor to monitor freezing and triggers visual cues or auditory cues. Therapists should also stay up to date on products that are in development and testing.
OTs and PTs can combine multiple sensory cues to increase effectiveness. OTs/PTs should also experiment with continuous and on-demand cuing.