Tag Archives: mobility

Fibromyalgia Awareness

What Is Fibromyalgia?
Fibromyalgia is a disorder that causes muscle pain and fatigue (feeling tired). People with fibromyalgia have “tender points” on the body. Tender points are specific places on the neck, shoulders, back, hips, arms, and legs. These points hurt when pressure is put on them.

People with fibromyalgia may also have other symptoms, such as:

  • Trouble sleeping
  • Morning stiffness
  • Headaches
  • Painful menstrual periods
  • Tingling or numbness in hands and feet
  • Problems with thinking and memory (sometimes called “fibro fog”).

A person may have two or more coexisting chronic pain conditions. Such conditions can include chronic fatigue syndrome, endometriosis, fibromyalgia, inflammatory bowel disease, interstitial cystitis, temporomandibular joint dysfunction, and vulvodynia. It is not known whether these disorders share a common cause.

What Causes Fibromyalgia?
The causes of fibromyalgia are unknown. There may be a number of factors involved. Fibromyalgia has been linked to:

  • Stressful or traumatic events, such as car accidents
  • Repetitive injuries
  • Illness
  • Certain diseases.

Fibromyalgia can also occur on its own.

Some scientists think that a gene or genes might be involved in fibromyalgia. The genes could make a person react strongly to things that other people would not find painful.

Who Is Affected by Fibromyalgia?
Scientists estimate that fibromyalgia affects 5 million Americans 18 or older. Between 80 and 90 percent of people diagnosed with fibromyalgia are women. However, men and children also can have the disorder. Most people are diagnosed during middle age.

People with certain other diseases may be more likely to have fibromyalgia. These diseases include:

  • Rheumatoid arthritis
  • Systemic lupus erythematosus (commonly called lupus)
  • Ankylosing spondylitis (spinal arthritis).

Women who have a family member with fibromyalgia may be more likely to have fibromyalgia themselves.

How Is Fibromyalgia Treated?
Fibromyalgia can be hard to treat. It’s important to find a doctor who is familiar with the disorder and its treatment. Many family physicians, general internists, or rheumatologists can treat fibromyalgia. Rheumatologists are doctors who specialize in arthritis and other conditions that affect the joints or soft tissues.

Fibromyalgia treatment often requires a team approach. The team may include your doctor, a physical therapist, and possibly other health care providers. A pain or rheumatology clinic can be a good place to get treatment.

What Can I Do to Try to Feel Better?
There are many things you can do to feel better, including:

  • Taking medicines as prescribed
  • Getting enough sleep
  • Exercising
  • Eating well
  • Making work changes if necessary.

What Research Is Being Done on Fibromyalgia?
The NIAMS sponsors research to help understand fibromyalgia and find better ways to diagnose, treat, and prevent it. Researchers are studying:

  • Why people with fibromyalgia have increased sensitivity to pain.
  • Medicines and behavioral treatments.
  • Whether there is a gene or genes that make a person more likely to have fibromyalgia.
  • The use of imaging methods, such as magnetic resonate imaging (MRI), to better understand fibromyalgia.
  • Inflammation in the body and its relationship to fibromyalgia.
  • Nondrug therapies to help reduce pain.
  • Methods to improve sleep in people with fibromyalgia.

Everything You Need to Know About Your Wheelchair Vans A/C

Everything You Need to Know About Your Wheelchair Vans A:C


How does the A/C system work?

We all want the ultimate chill blasting out of our vents; especially when it comes to surviving summers heat. When the A/C system kicks in on those hot, sweaty days, that’s something we all cherish. But, believe it or not, there’s no ice machine inside your van (but at one time ice was used to cool people’s rides down). In fact, the cold air generated by your A/C system is actually hot air with hot gases removed during a multi-step process.

It really is thermodynamics but we’re not get into that. The cliff’s note version is simply about changes in pressure causing changes in temperature. Turn the A/C on and the compressor compresses the system’s refrigerant (Freon) raising its temperature. It loses heat as it flows through the condenser (that second radiator looking thing in front of the radiator). It passes through the receiver/dryer where contaminants and moisture are removed, and then on to the expansion valve/accumulator where the refrigerant is slowed down further, causing it to lose pressure and temperature before it gets to the evaporator. The evaporator is like a mini radiator (not to be confused with the heater core — they are two separate things) inside the dash of your vehicle that gets cold as it further lowers the refrigerants temperature and, additionally, removes moisture from the air. The ventilation system’s blower motor blows air over the cold evaporator and pushes cool air into the passenger compartment. Complicated, but refreshing!

Now that you know what being cool is all about, if you have problems being cool, call us to set up an appointment for an A/C Performance Check.

How often should my A/C be inspected?
You tell us. How’s the air feeling in your wheelchair van? Are you refreshed and cooled with full air flow when your A/C is pumping? Well, if you answered “Yes, I am  cooler than bein’ cool (ICE COLD!),” you can cross A/C inspection off your list.

For all the “No” respondents: do you fall into the “my A/C is not cold enough” or the “it’s taking way too long to cool down,” side of the spectrum? Stop sweating and stop in for an A/C Performance Check, we’ll have you back rolling down those hot summer streets cooler than ever. So chill, your A/C is only an inspection away from cooler days.

How often do I need my A/C system “recharged”?
Only when the cool breeze no longer feels as chilly as you remember. Simple enough. Now, it is true that a well maintained A/C system can go its entire life without needing a recharge. But, that’s if you’re extremely lucky.

If you start noticing your A/C isn’t reaching those refreshingly cool temperatures, have your system inspected. In this situation, most vans Honda, Toyota, Dodge and Ford will be low on Freon. And since the A/C is a sealed system, low Freon is a big sign that something is not right. It could be a small leak that needs attention or possibly part of the A/C is failing – bring it in and we’ll perform an A/C Performance Check and get to the root of the problem. We’ll get you back out there cruising with a nice, cool breeze again.

What is refrigerant?
Typically referred to by the DuPont trade name Freon, the most common Freons are R-12, R-134A, and soon, HFO-1234yf. Freon is pretty similar to motor oil and radiator coolant in that it is a working fluid designed for a specific system; In this case, your car’s A/C system.

Refrigerant is a specially formulated mixture that’s sole purpose for transforming hot air into cold air. It does this by absorbing and releasing heat, ultimately leaving cool air behind.

What exactly is Freon?
Sounds like an automotive A/C history lesson is in order. Well, welcome, pull up a seat and put on your thinking cap.

Freon, better known as R-12, was the primary chlorofluorocarbon (CFC) used in car A/C systems up until it was banned in the mid 1990s after the EPA discovered that it was depleting our planet’s ozone Layer. Talk about toxic.

The auto industry has since switched to the CFC free R-134a. Since the elimination of CFCs from the auto industry —and all industries for that matter—the ozone layer has regained its structure, and the ozone holes caused by CFCs are expected to fully close by about 2050 according to the EPA.

What is the Montreal Protocol? (R-12)
No, this isn’t a treaty you learned about in history class. The Montreal Protocol is actually the official title of the banishment of R-12 (Freon) and other CFC (Chlorofluorocarbons) emitting products from further use anywhere on the planet. And for good reason—CFCs were discovered to be tearing big holes in our ozone layer.

The Montreal Protocol was first signed into law in 1987. If the entire industrial world follows the environmental standards meant to eliminate the use of ozone depleting gases (in place in the United States since 1996), the ozone is said to fully recover by 2050.

The Montreal Protocol is why we now use R-134a instead of the ozone depleting R-12. Starting in 2013, certain U.S. vehicle models will begin transitioning to an even more efficient and safer cooling agent called HFO-1234yf. Talk about a mouthful. HFO-1234yf is said to have almost no environmental impact what-so-ever. And that’s something we can all look forward to.

What’s the difference between R-134a and R-12?
You can say the difference is so big that it has spared the fate of the entire planet. Not to get all deep on your psyche and all, but after it was discovered that R-12 and a whole multitude of products containing Chlorofluorocarbons (CFC) were destroying the ozone layer, environmental scientists immediately started work on an alternative cooling agents free of ozone depleting CFCs. That formula is R-134a: the standard and only refrigerant permitted in automotive A/C systems today.

R-134a, though safer, is not perfect:
Beginning in 2013, R-134a is being replaced by a new formula, HFO-1234yf, available on select U.S. car models. HFO-1234yf is the cleanest, safest refrigerant yet. And what’s even more important is that it has been studied and certified as leaving no impact on the environment what-so-ever. Talk about a great advancement in A/C technology that will help protect our planet for all those driven to cruise the open roads for many years to come.

But why replace R-134a?
Well, although R-134a was designed with the ozone layer in mind, it’s still made with chemicals that can harm the environment if they leak out of your A/C system or are disposed of improperly. With that known fact, international environmental scientists knew an even safer A/C refrigerant was out there waiting to be formulated.

HFO-1234yf is set to become the refrigerant standard:

  • It has been tested and found to leave behind virtually no impact on the environment.
  • If your A/C system should leak, there’s no longer an environmental freak out.

It’s all about the future generations of drivers. Our goal as automotive professionals is to provide the best care for your mobility vehicle while preserving the natural environment of the road your vehicle cruises down for many years to come.

How many parts make up a wheelchair van A/C system?
Your A/C system consists of five major parts, all working together to cool you off and all your passengers.

Most A/C systems are built with:

  • Compressor
  • Condenser
  • Receiver dryer or Accumulator
  • Orifice tube or Expansion valve
  • Evaporator

Your A/C system also consists of hoses and refrigerant charging ports, but the significant work occurs in the five parts listed above. You can learn more about each part that makes up your A/C system starting with the next question. Cool.

What is the A/C compressor?
The compressor is the core, primary part of every A/C system. If you want to stay cool, a working compressor is essential. We’ve seen people try to create cold air with out one. Trust us, it doesn’t work.

The compressor:

  • Pressurizes the refrigerant that cools the air in your mobility van.
  • Senses temperature changes: Compressors monitor and control temperature output with an electrically operated clutch. This clutch turns on and off whenever you change the temperature, choose a different airflow setting or just when plain old air from outside drops or rises in temperature.
  • Powered by the serpentine belt: That winding belt under your hood is responsible for powering many crucial components, including your A/C compressor.

Signs of a worn compressor: Oil or Freon leaks, noise, and erratic or no operation are indications that a compressor may need to be replaced. We can inspect your car for leaks using special refrigerant detecting dyes and devices. You may not be able to see a leak, but our equipment, sometimes referred to as a “sniffer,” can detect—or sniff-out—a chemical leak even if no liquid is visible. Yea, you can say we’re pretty advanced over here.

What is an A/C condenser?
Consider it the master of turning hot refrigerant gasses into liquid. The condenser is mounted at the front of most vehicles, usually in front of the radiator. Air passes through the condenser, turning the hot refrigerant gas into a condensed, cooler refrigerant liquid.

An A/C condenser is:

  • Found In front of the radiator and often referred to as a mini-radiator
  • The master refrigerant cooler. And still champion. The Condenser radiates the hot refrigerant gasses that have entered from the compressor, reducing its temperature and pressure, turning it into a liquid that moves on to the A/C Dryer.

Signs of a worn condenser:

  • Leaks
  • Clogged, corroded or damaged fins or tubes
  • Poor air conditioning performance

What’s a receiver/dryer?
The receiver or dryer is found on vehicles with a thermal expansion valve. It’s the safety net responsible for trapping all harmful debris, moisture and liquids from reaching the compressor and other vital A/C parts.

The roles of the receiver/dryer:

  1. Separates gas from liquid. If liquid isn’t contained in the dryer, it can enter and destroy your compressor (Compressors aren’t designed to handle liquids. Only gas).
  2. Removes moisture. To trap moisture, a desiccant is used. Desiccant is similar to those moisture killing packets you find in the packaging of new electronic devices.
  3. Filters out contaminants. No one wants a contaminated A/C system. Contaminants can lead to accelerated parts wear and damaging corrosion.

Quick fact: If there’s any moisture present in your compressor, it can mix with the Refrigerant and create very damaging corrosive acids.

Symptoms of a worn receiver/dryer:

  • Poor air conditioner performance
  • Moisture on glass and/or inability of defroster to remove moisture from glass and windows

The receiver/dryer must be replaced in the following situations:

  • Anytime the A/C system is opened for repair, the reciever/dryer will need to be replaced.
  • Whenever a technician has determined moisture or debris has permanently damaged your receiver/dryer performance.

What is an accumulator?
An accumulator is similar to a receiver-dryer but only found on vehicles with an orifice tube. If you have an accumulator, that means you don’t have a thermal expansion valve.

The accumulator:

  • Monitors and controls the amount of refrigerant that enters the evaporator.
  • Stores excess Refrigerant so that it cannot enter and damage the compressor.
  • Filters debris and removes moisture from the A/C System.

When to replace the accumulator:

  • Anytime the A/C system is opened for repair, the accumulator will need to be replaced.
  • Whenever a technician has determined moisture or debris has permanently damaged your accumulator’s performance.

What is a thermal expansion valve/orifice tube?
The orifice tube or thermal expansion valve is located between the condenser and the evaporator. Its job is to constantly monitor the pressure and temperature of you’re A/C system in order to determine the exact amount of refrigerant that can safely enter your evaporator. An orifice tube may also contain a fine mesh screen to block contaminants from the rest of the system.

Quick fact: If too much or too little refrigerant enters the evaporator, you could have a big problem on your hands. The proper function of the thermal expansion valve or orifice tube is crucial for successful A/C system operation.

Signs of a worn orifice tube or thermal expansion valve:

  • Poor A/C system performance
  • When a technician has determined it has become dirty or clogged

What is an evaporator?
The evaporator is responsible for cooling air and removing moisture. If cold, refreshing air is hitting your face, your evaporator is working like a champ.

The evaporator:

  • Located right behind your dash. The evaporator is the last and most important stop before cold air can hit your face.
  • Cools air with refrigerant. Low pressure Refrigerant traveling through the evaporator absorbs heat from the passenger compartment dropping the temperature of the evaporator. Air blown over the cool surface of the evaporator then comes out the vents providing the chill you expect.
  • Commences cold air flow. The best and final stage. Cold air should now be blowing out your vents thanks to the hard work of the evaporator.

Symptoms of a worn evaporator:

  • Poor A/C system performance

What is a compressor clutch?
Before the compressor turns on, a special electro-magnetic clutch, conveniently called the “compressor clutch,” is necessary to engage and disengage the compressor cycle. The compressor clutch tells the compressor when to turn on or off so that the Freon (refrigerant) is correctly pressurized for use by the condenser which is then delivered to the evaporator where the chill begins.

Experiencing A/C problems with your Braun, VMI or Eldorado wheelchair van? call to schedule a A/C inspection today.

What is the clutch cycling switch?
The clutch cycling switch senses and controls the temperature in the evaporator core to prevent it from freezing. Although most cars can blow air at temperatures as low as 60 degrees, the temperatures inside the evaporator core can get cold enough to completely freeze the entire core. Not good! The clutch cycle’s job is to make sure the evaporator temperature doesn’t reach the point of glacier temperatures.

Symptoms of a failing clutch cycling switch:

  • Evaporator freezing up
  • Evaporator does not get cold enough

What is a refrigerant charge port?
This is where the magic happens. The refrigerant charge port is the connection point where new refrigerant can enter the system during an A/C system recharge. Your port is usually located on the bigger A/C hose near or on the accumulator.

Caution: Only properly equipped and qualified persons should perform A/C recharging services.

Hand Control Options

Before going out and purchasing any type of modified device for a vehicle, it’s important to know exactly which hand controls are right for you and your particular needs to ensure that you are in control behind the wheel.

What type of hand control options are available?
Hand controls are designed to help drivers operate the vehicle with limited or no use of their legs. Hand controls are used to control the accelerator and brake pedals along with the steering wheel.

Mechanical hand controls can include a spinner knob, which you position and adjust to your liking on your steering wheel. A spinner knob allows drivers to steer with one hand, while the other hand is free to control the lever that is connected to the accelerator and brake. There are multiple types of hand controls but one of the common ways the device works is by pulling it down to accelerate and pushing it forward to brake.

Another option includes electrical hand controls. An accelerator ring, which is a halo-like device that can be placed on any steering wheel, turns with the steering wheel and the amount of pressure being placed on the ring controls the speed of the car. The brake function is controlled by a lever located on the side of the steering wheel that can be installed either on the left of the right depending on the comfort of the driver.

Which kind of controls fit your needs?
Decision-making can be overwhelming, especially when there are different hand control options to choose from. Luckily, a Certified Driver Rehabilitation Specialist can help you determine what type of hand control is best for your mobility needs, as well as let you test each option to evaluate the efficiency. These specialists can also recommend other kinds of adaptive technology to make your time behind the wheel safer and more comfortable.

How do I install mobility equipment?
Installation of hand controls or any other type of adaptive mobility equipment should always be done by a qualified adaptive mobility specialist. Once you’ve determined what type of equipment is right for you, you should contact your local mobility dealer to determine how you can go about implementing these technologies within your current vehicle.

BraunAbility MXV™: Wheelchair Accessible SUV

BraunAbility MXV™

The BraunAbility MXV™ features a never-before-seen door operation, an innovative in-floor ramp and removable seating. This innovative wheelchair accessible SUV represents a brand new era in mobility and we want you to be a part of it. Availability of this vehicle begins Summer 2015.

 

BraunAbility MXV™ Features

  • Fold flat 3rd row seats for extra cargo space
  • Integrated Ford keyfob
  • Nerf bar
  • Sliding shifter for increased space
  • In-floor and lighted ramp
  • Innovative seat design allowing more interior space
  • Removable driver and passenger seats

Sporty Looks and Feel

  • EPA Estimated 17city / 24 hwy / 20 combined
  • 6-Speed Automatic
  • Wheelbase 112.6″
  • Maximum Towing Capacity (estimated) – 5000 lbs.
  • Power Glide Door Integrated w/Factory Key Fob
  • 28″ In-Floor Ramp Width
  • 54 1/4″ Door Entry Height
  • LED Ramp Lighting System
  • Cantilever Seat Bases For Easy Removal

Interior View
The interior of the MXV allows for both front seats to be removed, and the middle seating is removed for wheelchair access. The 3rd row seats remain and allow for 4 passengers in the vehicle.

Tips to Help Overcome the Fear of Driving

Practice practice practice:

  • To boost your confidence, drive to the end of the block and back or around an empty parking lot, then gradually go for longer drives.
  • Ask someone to accompany you if that helps you relax.

Patience:

  • Don’t start driving if you’re not calm and collected. Sit in the car and take deep breaths until you attain peace of mind and only then start the car and drive away.
  • Yoga classes may help you become a more focused, calm and less distracted driver.
  • If you get lost or experience panic, pull over until you calm down. Take as much time as you need. If you have a cell phone, call for directions.

Never get lost!

  • A Global Positioning System (GPS) may lessen the fear of getting lost.
  • No GPS? Print out the map directions from the Internet for those places you go frequently and keep them in the glove box.

Therapy:

Simple solutions to physical problems may help the mental and emotional pangs. For example, a spinner knob on the steering wheel allows accurate one-handed steering; hand controls replace feet for acceleration or braking—whatever the problem, there are solutions.

Occupational Therapists and Driver Rehabilitation Specialists can help. You can get a behind-the-wheel evaluation and recommendations for adaptive driving aids to help overcome many physical drawbacks. Whether the problem is muscle weakness, spasms or something else, therapists can address them.