Cargando…

Trunk function in hemiplegic wheelchair users when using wheelchair cushions

[Purpose] The purpose of this study was to investigate adapting wheelchair cushions to hemiplegic individuals based on trunk function and a single-leg driving motion. [Subjects and Methods] Subjects were 18 hemiplegic adults who were able to use and sit up in a wheelchair. Subjects were grouped into...

Descripción completa

Detalles Bibliográficos
Autor principal: Kawada, Kyohei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5599831/
https://www.ncbi.nlm.nih.gov/pubmed/28931998
http://dx.doi.org/10.1589/jpts.29.1607
_version_ 1783264129814888448
author Kawada, Kyohei
author_facet Kawada, Kyohei
author_sort Kawada, Kyohei
collection PubMed
description [Purpose] The purpose of this study was to investigate adapting wheelchair cushions to hemiplegic individuals based on trunk function and a single-leg driving motion. [Subjects and Methods] Subjects were 18 hemiplegic adults who were able to use and sit up in a wheelchair. Subjects were grouped into Able and Unable groups according to the Functional Assessment for Control of the Trunk (FACT). The posterior pelvic tilt angle and the driving speed and muscle activity at the long head of the biceps femoris at the start of wheelchair use were measured for three wheelchair cushion conditions, and FACT factors and cushion factors were then analyzed. [Results] The cushion with anchoring functionality and no thigh pad on the driving side resulted in significantly lower posterior pelvic tilt and muscle activity of the long head of the biceps femoris. No significant difference was found among the FACT factors. The Unable group did not exhibit a difference in driving speed between no cushion and a single-layer urethane foam cushion. [Conclusion] The results suggest that the cushion with anchoring functionality and thigh pad removed on the driving side was well adapted to hemiplegic wheelchair users and particularly effective for those with low trunk control ability.
format Online
Article
Text
id pubmed-5599831
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher The Society of Physical Therapy Science
record_format MEDLINE/PubMed
spelling pubmed-55998312017-09-20 Trunk function in hemiplegic wheelchair users when using wheelchair cushions Kawada, Kyohei J Phys Ther Sci Original Article [Purpose] The purpose of this study was to investigate adapting wheelchair cushions to hemiplegic individuals based on trunk function and a single-leg driving motion. [Subjects and Methods] Subjects were 18 hemiplegic adults who were able to use and sit up in a wheelchair. Subjects were grouped into Able and Unable groups according to the Functional Assessment for Control of the Trunk (FACT). The posterior pelvic tilt angle and the driving speed and muscle activity at the long head of the biceps femoris at the start of wheelchair use were measured for three wheelchair cushion conditions, and FACT factors and cushion factors were then analyzed. [Results] The cushion with anchoring functionality and no thigh pad on the driving side resulted in significantly lower posterior pelvic tilt and muscle activity of the long head of the biceps femoris. No significant difference was found among the FACT factors. The Unable group did not exhibit a difference in driving speed between no cushion and a single-layer urethane foam cushion. [Conclusion] The results suggest that the cushion with anchoring functionality and thigh pad removed on the driving side was well adapted to hemiplegic wheelchair users and particularly effective for those with low trunk control ability. The Society of Physical Therapy Science 2017-09-15 2017-09 /pmc/articles/PMC5599831/ /pubmed/28931998 http://dx.doi.org/10.1589/jpts.29.1607 Text en 2017©by the Society of Physical Therapy Science. Published by IPEC Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Original Article
Kawada, Kyohei
Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title_full Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title_fullStr Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title_full_unstemmed Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title_short Trunk function in hemiplegic wheelchair users when using wheelchair cushions
title_sort trunk function in hemiplegic wheelchair users when using wheelchair cushions
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5599831/
https://www.ncbi.nlm.nih.gov/pubmed/28931998
http://dx.doi.org/10.1589/jpts.29.1607
work_keys_str_mv AT kawadakyohei trunkfunctioninhemiplegicwheelchairuserswhenusingwheelchaircushions