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Executive SummaryPatients in wheelchairs, especially those with new spinal cord injuries, have a difficult time adjusting to the changes. In terms of rehabilitation and therapy, it is important for patients to learn to do their pressure relief exercises. Existing methods of creating pressure relief focus mainly on the cushion that the patient sits on. However, the patient must still remember to shift his or her weight regularly while seated on any type of cushion. The weight shift may be side to side, front to back, or lifting entirely off the wheelchair seat. The device will serve as a training device to help patients remember to do their pressure relief exercises and to do them for the proper duration. The device has two main components a timer system and a pressure sensor system. The timer system will audibly and visually alert the patient to do their pressure relief and it will be triggered by the presence or absence of weight on the pressure sensor system. |
Design Criteria• Alerts must go off every 25 ± 5 minutes and sound for 30 ± 5 seconds if exercises are not detected.• Pressure sensor will be designed for use under seat cushion of wheelchair. • Pressure sensors must not detect weights less than 15 ± 5 pounds in order to avoid confusion between the user and the seat cushion. • Device must easily attach to the wheelchair. • Battery supply must be available for at least 8 hours. • User must be able to turn off the device entirely. |
Final DesignThe overall schematic of the design is shown in Figure 1. The final design for the timer circuit includes a 555 timer chip whose output oscillates between 0 and 9V (off and on states). This output is shown in Figure 2. The amount of time the chip spends in each state depends on the values of the two resistors and one capacitor, as shown in Figure 3. The off-state lasts for approximately 25 minutes and the on-state lasts for about 30 seconds, during which the speaker and LED circuits (Figures 4 and 5, respectively) are activated. If the user performs pressure relief properly (lifting off of the seat), the pressure switch will be opened and thus the alarm circuits will not be powered. After the 30 second on-state, the 555 timer chip will automatically reset to the off-state. The LED circuit of Figure 5 is similar to the timer circuit because it utilizes the oscillating output in order to create a flashing LED effect.In order to allow the user to completely turn off the device, an on/off switch is located at the 9V battery source, as shown in Figure 1. Another switch allows for the user to select between a silent, visual alarm only and both the visual and audible alarms together. This feature may be useful in quiet environments where a loud alarm is not appropriate. | ||
![]() Figure 1: Overall Schematic of Design | ||
![]() Figure 2: Timer Circuit Output | ||
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| Figure 3: Timer circuit Schematic | Figure 4: Speaker Circuit Schematic | Figure 5: LED Circuit Schematic |
In Figure 6, the pressure switch design incorporates the use of a momentary pushbutton switch to monitor the pressure relief exercises. If the button is pushed down, then the user must be seated and the alarms will sound as usual. If the button is not pushed down, then the user has lifted off of the center of the seat and the alarms will not sound. In order to avoid preventing the weight of the cushion itself to push down the button, a ring of polyurethane cylinders are placed around the switch to provide enough resistance against the cushion. They will compress under the weight of a user weighing more than 15lbs. The polyurethane cylinders also serve a second purpose of preventing damage to the button from excessive force. The button and the cylinders are attached to a clear, hard plastic disc to keep everything in place. Another plastic disc is used to make contact with the pushbutton switch. This entire assembly is enclosed within foam and then wrapped in a vinyl fabric to simulate a typical wheelchair seat cushion. | ||
![]() Figure 6: Pressure Switch Design | ||
Alternative DesignsAn alternative design was to use a similar timer circuit which incorporated a reset button to begin counting the 25 minute interval. The circuit must be reset by the user after every cycle. Another complication of this design was determining when and how to activate the alarm circuits after the initial 25 minute interval. This design would be insufficient for training purposes because the user may not remember to reset the cycle. |
Final Budget
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Final Deliverables |
| Results | ||||
| Run 1 | Run 2 | Run 3 | Average | |
| Off State | 27 min, 10 sec | 27 min, 20 sec | 24 min, 35 sec | 26 min, 22 sec |
| On State | 38 sec | 30 sec | 45 sec | 37.66 sec |
| The final product was tested and the following data was collected and tabulated. The results indicate that the design criteria were met. | ||||
Contact Info | ||||
| Design Team | Project Sponsor | |||
| AnaLisa Cremar Gretchen Reed Larry Wang |
azc108@psu.edu glr128@psu.edu luw116@psu.edu |
Catherine Donovan, P.T. | catherine.donovan@healthsouth.com | |