17 results match your criteria Seating Evaluation and Wheelchair Prescription

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A Primary Care Provider's Guide to Wheelchair Prescription for Persons With Spinal Cord Injury.

Top Spinal Cord Inj Rehabil 2020 ;26(2):100-107

Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, Alabama.

The wheelchair is an essential tool for individuals with spinal cord injury (SCI). When the capacity and fit of a wheelchair is matched to the needs and abilities of an individual with SCI, health, function, community participation, and quality of life are maximized. Throughout an individual's life, function and health status can decline (or improve), necessitating a new wheelchair and/or seating components (eg, cushions and backrests). Read More

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December 2020

Manufacturing custom-contoured wheelchair seating: A state-of-the-art review.

Prosthet Orthot Int 2019 Aug 21;43(4):382-395. Epub 2019 Mar 21.

1 School of Mechanical and Materials Engineering, University College Dublin, Dublin, Ireland.

Background: Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seating systems has historically been a labour-intensive process custom-contoured seating systems is historically labour-intensive.

Objectives: Evaluate the strengths and limitations of current manufacturing processes for custom-contoured wheelchair seating to suggest potential future manufacturing processes. Read More

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Developing a process for assessing equivalency of wheelchair cushion pressure redistribution performance.

Assist Technol 2020 19;32(2):92-99. Epub 2018 Sep 19.

Rehabilitation Engineering and Applied Research Lab, Georgia Institute of Technology, Atlanta, Georgia, USA.

For wheelchair users who are at risk for developing pressure ulcers, cushion prescription seeks to address tissue integrity. Because many designs of wheelchair cushions exist, a need exists to estimate their performance in supporting the body. The objective of this research was to develop an approach to assess the equivalency of cushions with respect to their pressure redistribution performance. Read More

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January 2021

Clinical features of children and adults with a muscular dystrophy using powered indoor/outdoor wheelchairs: disease features, comorbidities and complications of disability.

Disabil Rehabil 2018 May 25;40(9):1007-1013. Epub 2017 Feb 25.

b The Institute of Environment, Health and Societies, Brunel University London , Middlesex , UK.

Purpose: To describe the clinical features of electric powered indoor/outdoor wheelchair users with a muscular dystrophy, likely to influence optimal prescription; reflecting features of muscular dystrophies, conditions secondary to disability, and comorbidities impacting on equipment provision.

Methods: Cross-sectional retrospective case note review of recipients of electric powered indoor/outdoor wheelchairs provided by a specialist regional wheelchair service. Data on demography, diagnostic/clinical, and wheelchair prescription were systematically extracted. Read More

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Patient satisfaction with telerehabilitation assessments for wheeled mobility and seating.

Assist Technol 2010 ;22(4):215-22

Department of Rehabilitation Science and Technology, University of Pittsburgh, 5044 Forbes Tower at Atwood, Pittsburgh, PA 15260, USA.

Wheeled mobility and seating assessments for individuals with mobility impairments living in rural or distant locations are problematic due to the lack of expertise and available resources. The objective of this study was to measure satisfaction based on one's evaluation and prescription as well as comfort level when being evaluated by telerehabilitation (TR). Patient satisfaction data from real-time interactive TR clinical consultations between an expert practitioner located at least 125 miles away and four remote wheelchair clinics set up by the research team were collected and evaluated. Read More

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Establishing best practice in seating assessment for children with physical disabilities using qualitative methodologies.

Disabil Rehabil Assist Technol 2010 Jan;5(1):34-47

James Leckey Design Ltd, Research & Design, 19D Weaver's Court, Linfield Industrial Estate, Belfast BT12 5GH, UK.

Purpose: To identify best practice in children's seating assessment in the UK and Ireland.

Method: The researchers observed six children's seating assessments performed by four therapists at three regional centres, to capture routine seating assessment practice. Observed assessment components were recorded on an 83-item checklist derived from existing published literature, and supported by video-recording. Read More

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January 2010

Electric powered wheelchairs for those with muscular dystrophy: problems of posture, pain and deformity.

Disabil Rehabil Assist Technol 2009 May;4(3):181-8

Stanmore Specialist Wheelchair Service, Royal National Orthopedic Hospital, Brockley Hill, Stanmore, UK.

Purpose: To identify areas of difficulty encountered by a regional wheelchair service in providing Electric Powered Indoor/outdoor wheelchairs (EPIOCs) to those with muscular dystrophy (MD) in the early years of their provision--particularly posture, pain and deformity.

Method: Wheelchair service records of all users between April 1997 and March 2000 were reviewed retrospectively and issues relating to weakness, pain/discomfort, deformities, other medical issues, weight change, function, posture and driving were documented on a purpose-designed proforma. Adjustments and modifications were documented over the 2-year period following chair delivery. Read More

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Development of a service delivery protocol used for remote wheelchair consultation via telerehabilitation.

Telemed J E Health 2008 Nov;14(9):932-8

Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, Pennsylvania 15203, USA.

The purpose of this paper is to explain the development, methodology, and implementation of an assistive technology (AT) service delivery protocol using a telerehabilitation consultation model for evaluation of remote wheelchair prescriptions. The provision of wheeled mobility and seating interventions can be complex when considering people with intricate seating and positioning needs, environmental factors, and wide array of product interventions. The availability of qualified practitioners with specialty expertise in this area is limited, especially outside of urban areas. Read More

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November 2008

Measuring wheelchair intervention outcomes: development of the wheelchair outcome measure.

Disabil Rehabil Assist Technol 2007 Sep;2(5):275-85

Long-Term Care, Vancouver Coastal Health, Canada.

Purpose: Provision of a wheelchair has immediate intuitive benefits; however, it can be difficult to evaluate which wheelchair and seating components best meet an individual's needs. As well, funding agencies now prefer evidence of outcomes; and therefore measurement upon prescription of a wheelchair or its components is essential to demonstrate the efficacy of intervention. As no existing tool can provide individualized goal-oriented measure of outcome after wheelchair prescription, a research project was undertaken to create the Wheelchair Outcome Measure (WhOM). Read More

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September 2007

A randomized control trial to evaluate pressure-reducing seat cushions for elderly wheelchair users.

Adv Skin Wound Care 2001 May-Jun;14(3):120-9; quiz 131-2

University of Pittsburgh, Department of Rehabilitation Science and Technology, PA, USA.

Objective: To determine if the use of pressure-reducing wheelchair cushions for elderly nursing home resident wheelchair users who are at high risk for developing sitting-acquired pressure ulcers would result in a lower incidence rate of pressure ulcers, a greater number of days until ulceration, and lower peak interface pressures compared with the use of convoluted foam cushions over a 12-month period. To determine the feasibility of conducting a subsequent full-scale definitive trial to evaluate the use of pressure-reducing seat cushions for elderly nursing home resident wheelchair users.

Design: Randomized control trial

Setting: 2200-bed skilled nursing facilities (1 suburban and 1 urban academic medical center)

Patients: 32 male and female at-risk nursing home residents who were wheelchair users > or = 65 years of age. Read More

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Comparative biomechanical evaluation of different wheelchair seat cushions.

J Rehabil Res Dev 2000 May-Jun;37(3):315-24

Centro di Bioingegneria, Fondazione Pro Juventute Don Carlo Gnocchi, Istituto di Ricovero e Cura a Carattere Scientifico-Politecnico di Milano, Milan, Italy.

The aim of the present study was to perform a comparative biomechanical analysis of four antidecubitus wheelchair cushions. Thirty wheelchair users were considered divided into three groups: paraplegic subjects (with no cutaneous sensation), neurologic subjects (with intact cutaneous sensation), and elderly subjects. The biomechanical evaluation was performed using a piezoresistive sensor matrix system to quantify parameters referred to pressure distribution, seating surface and posture. Read More

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December 2000

Seating assessment and planning.

J D Hastings

Phys Med Rehabil Clin N Am 2000 Feb;11(1):183-207, x

Department of Physical Therapy, University of Puget Sound, Tacoma, Washington, USA.

The primary mobility for persons with spinal cord injury (SCI) is seated. This article addresses ways to maximize the SCI patient's functional mobility with proper prescription of seating. Critical components of seating are defined and goals for seating are identified. Read More

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February 2000

Prototype development and comparative evaluation of wheelchair pressure mapping system.

Assist Technol 1993 ;5(2):78-91

Center for Rehabilitation Technology, Helen Hayes Hospital, West Haverstraw, New York 10993.

Wheelchair pressure mapping devices used in the prescription of seat cushions and postural supports have been limited in durability, data presentation, and/or clinical efficiency. This project sought to establish the ideal specifications for clinically useful pressure mapping systems, and to use these specifications to influence the design of an innovative wheelchair pressure mapping system (Tekscan "Seat"). Technology, previously developed for measurement of forces of dental occlusion and of the foot during gait, was applied to wheelchair seat mapping. Read More

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December 1993

Prescription and positioning: evaluating the physically disabled individual for wheelchair seating.

Prosthet Orthot Int 1991 Dec;15(3):217-24

Rehabilitation Engineering Program, University of Tennessee, Memphis.

Within the past 10 years, technology has provided members of the seating team with new approaches in dealing with severely physically disabled children and adults. Positioning is often the first step in overall provision of technical aids. Before physically disabled individuals can operate augmentative communication devices, computer keyboards or other assistive or rehabilitative devices, they should be provided with the optimum seated posture from which to operate. Read More

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December 1991

Evaluating the client with physical disabilities for wheelchair seating.

S J Taylor

Am J Occup Ther 1987 Nov;41(11):711-6

Rehabilitation Engineering Program, University of Tennessee-Memphis, College of Medicine 38163.

Positioning through wheelchair seating allows many severely physically disabled individuals to use their motor skills to access technical aids. In the last 10 years, many products relating to wheelchair seating have been developed and are now being used. This article outlines evaluation and prescription guidelines that lead to the accompanying recommendations for seating. Read More

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November 1987
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