Monitoring standing wheelchair use after spinal cord injury: A case report

Monitoring standing wheelchair use after spinal cord injury: A case report
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DOI:
10.1080/09638280400009337
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发表时间:
2005-02-04
影响因子:
2.2
通讯作者:
Dudley-Javoroski, S
Dudley-Javoroski, S
中科院分区:
医学3区
文献类型:
--
作者:
Shields, RK;Dudley-Javoroski, S

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Purpose: An important issue in spinal cord injury (SCI) research is whether standing can yield positive health benefits. However, quantifying dose of standing and establishing subject compliance with a standing protocol is difficult. This case report describes a method to monitor dose of standing outside the laboratory, describes the standing patterns of one subject, and describes this subject's satisfaction with the standing protocol.Method: A man with T-10 complete paraplegia agreed to have his commercially available standing wheelchair instrumented with a custom-designed logging device for a 2-year period. The micro-controller-based logger, under custom software control, was mounted to the standing wheelchair. The logger recorded date, duration, angle of standing, and start/stop times.Results: The client exceeded a suggested minimum dosage of standing per month (130.4% of goal), choosing to stand for short bouts (mean=11.57 min) at an average angle of 618, on an average 3.86 days per calendar week. He was generally very satisfied with the standing device and provided subjective reports of improved spasticity and bowel motility.Conclusions: This case report describes a standing and surveillance system that allows quanti. cation of standing dose. Future controlled studies are needed to evaluate whether standing can beneficially affect secondary complications after SCI.