EDUARDO INGLEZ YAMANAKA

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P IMREA, Hospital das Clínicas, Faculdade de Medicina

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  • article 4 Citação(ões) na Scopus
    Developing a rigid frame wheelchair in Brazil
    (2021) SUGAWARA, Andre Tadeu; OSHIRO, Milton Seigui; YAMANAKA, Eduardo Inglez; RAMOS, Vinicius Delgado; BATTISTELLA, Linamara Rizzo
    Purpose: Describing the development process of a rigid frame wheelchair using user-centered and open innovation approaches, as envisaged by the WHO Wheelchair Guidelines.Methods: Unstructured interviews and group discussions with conveniently sampled active wheelchair users oriented the initial brief, product design and selection. The initially approved prototype was subject to ISO 7176 tests, leading to further product adjustments. The long-term follow-up was inclusive of a new group of purposively selected active wheelchair users and measured user satisfaction and safety, as well as user mobility and wheelchair fitting. Data on user satisfaction, safety and effectiveness was produced using QUEST 2.0 and WHO Wheelchair Service Training Package's forms and checklists in Portuguese.Results: Iterative design and selection led to a prototype that was found appropriate by multiple stakeholders. ISO testing ensured its safety and durability. Follow-up trials included 40 active wheelchair users, who used the studied wheelchair for at least two months. They were 80% male, on average 36.3years old, and had received their rigid frame wheelchair approximately 4.7years after disability onset. 92.5% of them had SCI, 7.5% had bilateral transfemoral amputations. Users' assessments showed satisfaction with products (4.4) and services (4.1). Users spent an average of 4.2h/day sat in their wheelchairs. 7.5% and 20% of users reported pressure sores and falls, respectively.Conclusion: A user-centered, open innovation approach led to the development of a good quality, affordable, and acceptable rigid frame wheelchair model that increased the range of manual wheelchairs available through the Brazilian public healthcare system.Implications for rehabilitationThe feedback of rehabilitation professionals with respect to new products' features is fundamental in order to understand how these devices will be adequately serviced and delivered to users.Engaging users of assistive products and rehabilitation professionals in developing new and innovative products facilitates the iteration and selection of the best project alternatives and saves considerable time and resources.Rehabilitation professionals are in the best position to work with user of assistive products and other stakeholders, such as the industry and research and development centres, to identify the impact of new assistive products in users' functionality, acknowledging their conditions and environments and exploring their potential.Working with users and other stakeholders from different backgrounds and areas of expertise makes the moto ""Nothing about us, without us"" real. Working towards improving functionality often requires developers to challenge the usual top-down development process in order to adopt a user-centered perspective.
  • article
    Lucy Montoro Rehabilitation Network mobile unit: an alternative public healthcare policy
    (2015) BATTISTELLA, Linamara Rizzo; JUCA, Sueli Satie H.; TATEISHI, Mariane; OSHIRO, Milton Seigui; YAMANAKA, Eduardo Inglez; LIMA, Eliana; RAMOS, Vinicius Delgado
    Purpose: The aim is to analyze rehabilitation services provided by a mobile rehabilitation clinic (MU) in nine regions of the State of Sao Paulo, demonstrating the distribution of orthoses, prostheses and other mobility aids for persons with physical disabilities according to age groups and impairments, as well as the number of persons with physical disabilities as estimated by Brazilian official data sources. Method: The number of persons with disabilities in each region was obtained through estimations from the 2010 Brazilian IBGE Census. The number of assistive technologies suppliers and technicians were provided by the Brazilian Technical Orthopedics Association (ABOTEC). Patients were referred to the MU by Regional Health Departments. After examination of a multidisciplinary team, assistive devices are prescribed and delivered according to patients' needs. Data on patients were also assessed according to questionnaires on their age, diagnosis, gender, marital status and education level. Results: From 2009 to 2011, the MU went through 15 000 km providing rehabilitation services through the Public Health System to 1801 patients. Additionally, 3328 devices were delivered in this period. Different age, diagnosis, gender, marital status and schooling profiles are highlighted in each of the analyzed regions. Conclusion: Data on patients' profiles were made available through services provided by the MU -including the average index of 1.85 devices delivered to each patient and demand projections-which can be used in the planning of public policies. The MU made rehabilitation services more accessible, trained professionals, raised awareness on the correct delivery and use of assistive devices, and identified and organized people's demand in each region.
  • conferenceObject
    Developing A Rigid Frame Wheelchair In Brazil
    (2021) SUGAWARA, Andre Tadeu; OSHIRO, Milton Seigui; YAMANAKA, Eduardo Inglez; RAMOS, Vini'cius Delgado; BATTISTELLA, Linamara Rizzo