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Introduction/Background We developed Qolo, a new personal mobility device for those with motor disability in their lower limbs It assists sit-to-stand and stand-to-sit postural transitions, as well as navigation in standing posture with hands-free operation Its mechanism to assist postural transition is implemented with passive gas springs without using electric actuators, making it compact, light-weight and low cost The purpose of this study is to report a clinical assessment of the device with people with spinal cord injury (SCI), and investigate plausibility of the device and discuss further technical improvements. Material and method Four participants with SCI (age: 31–52y, 3 males and one female, neurological level: T10-L3, AIS: A-C, MMT Hip Ext: 0-1, Knee Ext: 1–5) were asked to conduct stand-up and sit-down postural transitions using the device ( Fig. 1 ) Feasibility and duration of the assisted motions were evaluated. Results Two of the participants conducted stand-up motion by themselves using the device (duration: 14 and 16 s) The other two needed external posture support The main factor that differed in relation to the ability of performing stand-up motion using the device was MMT Knee Ext; greater than 2 for the group that was able to perform, and 1 for the other All participants conducted sit-down motion by themselves using the device without external support (10–15 s). Conclusion Capability of the device to assist posture transition was shown for some SCI people through the experiment At the same time, greater assistance on the knee joint was found to be necessary Because the device utilizes voluntary control of the trunk to induce assisted motion of knee and ankle joints for posture transition, we considered that assistance for trunk motion would be helpful for them For the next step, we plan to introduce a mechanism for lumbar posture stabilization that can support motion of hip in coordination with knee.

Opinion/Feedback: Introduction The Motor Education Institute (IEM) of Couzeix set up in June 2015 workshops of therapeutic education, with the aim of helping adolescents to better understand their motor disabilities and to reinforce their motivation for the rehabilitation. Method Between March and April 2015, the educational supports of this workshop entitled “understanding my motor disability” were elaborated in collaboration by the paramedical and the educative staffs, with the participation of volunteer teenagers. An interactive virtual support, with video animations, was realised in informatics course and a wooden mannequin was built in the carpentry workshop. Next, from June 2015, workshops of therapeutic education were proposed to the IEM volunteer customers. These sessions lasted one hour and were led by a PRM doctor, a physiotherapist and an occupational therapist. Anonymous questionnaires were delivered to the young participants at the beginning and the end of each session in order to evaluate their perceived interest. Results Between June 2015 and March 2016, 4 workshops “understanding my motor disability” were performed, among 12 adolescents, from 13 to 18 years old. The questionnaires filled before the session showed that a quarter of them are unable to explain their disability and that a third of them was poorly motivated by rehabilitation. The questionnaires filled at the end of the session revealed that all participants showed an important interest to the workshop and learnt something about their disability and that some of them rediscovered some motivation to participate to their rehabilitation. For the caregivers, the interest of these workshops was to facilitate the free expression of the young customers, to offer supports allowing to deal with personal problematic difficult to evocate spontaneously and to generate a peer group dynamic. Consecutively, they observed an improvement of the implication of the customers in their rehabilitation. Conclusion The supports of therapeutic education developed in our IEM appear useful to help adolescents to better understand their motor disability and to improve their participation to their rehabilitation.

Objectives To estimate the quality of health prevention among persons with severe motor disabilities. Methods Descriptive study conducted by questionnaire among adults from 18 to 74 years old, users of wheelchair. Survey led from June 2013 until June 2014, on various sites of Ile-de-France (specialized hospitals, “SAMSAHs”, “MAS”, “Salon Autonomic”). Results The study population included 145 persons. If cardiovascular prevention (screening for hypertension, current smoking and dyslipidemia) appears to be satisfactory, the same cannot be said for other prevention topics such as vaccinations, gynecological follow-up or cancer screening. Only 53% of respondents thought their vaccinations were up to date, 28% thought their vaccinations were not and 18% did not know. Among the 57 women in our study, only 26% had had a gynecological examination within a year. Among the women aged 50 to 74 in our sample, 22 of 34 (64,7%) had done a mammography in the previous 2 years. Of the 26 women in our sample involved by cervical cancer screening, only 15 (57,7%) had made a smear in the past 3 years. Regarding the colorectal cancer screening, among people aged 50 to 74 with no history of colonoscopy, only 9 of 47 (19%) had made an Hemoccult test within 2 years. Discussion Our results concerning the vaccinations are less good than those observed in the investigation “Health Barometer 2010 [1] ” led in general population: in our study, vaccinations appear less often up to date and more frequently unknown. Our participation rates reported for cancer screening are lower than those observed in the “Cancer Barometer 2010 [2] ” where they reached 87.5% for mammography, 81.4% for smears and 44.5% for colorectal cancer screening test. Health prevention should be improved with people with severe motor disabilities by organizing regular checkups on prevention and improving the accessibility of health care settings.

IntroductionChildren with motor disability and loss of independence who require multidisciplinary care are followed in paediatric rehabilitation centres. They undergo many care activities which can be painful. The aim of this study was to evaluate the feasibility, clinical relevance and the validity of a methodological paradigm for the continuous assessment of care-related pain.MethodTwo paediatric rehabilitation centres participated in the study. Each week, 1–3 children were randomly selected from each centre. The level of pain or discomfort produced by each care activity was rated using the FLACC-r scale and a visual analogue scale rated by the carer (VAScarer) and the patient (VASpatient) for 5 days and 1 night.ResultsThirty-two children aged from 1–15 years (med=7 years) were included in the study. 1302 care activities were evaluated. A total of 3.6% were rated as painful and 11% as uncomfortable. The most frequently painful activities were mouth care, transfers, standing and dressing. The most frequently uncomfortable activities were passive limb mobilisation and dressing. There was an excellent correlation between the FLACC-r and VAScarer scores (r=0.888; P