Wheelchair configuration and postural alignment in persons with spinal cord injury
Wheelchair configuration and postural alignment in persons with spinal cord injury
复制标题
DOI：
10.1053/apmr.2003.50036
复制
发表时间：
2003-04-01
影响因子：
4.3
通讯作者：
Burns, SP
中科院分区：
文献类型：
--
作者：
Hastings, JD;Fanucchi, ER;Burns, SP
目的：确定脊髓损伤（SCI）患者坐在标准配置的轮椅上与坐在后座椅倾斜和低靠背垂直于地板的轮椅上的姿势对齐和肩关节屈曲范围是否不同。设计：前瞻性重复测量研究。设置：门诊SCI诊所。参与者：14名C6-T10运动完全SCI受试者。干预措施：受试者坐在3辆手动轮椅上：标准设置E&J Premier（S1）、标准设置Quickie Breezy（S2）和测试配置Quickie TNT（T），座椅后部倾斜，低靠背垂直于地板。主要结果测量：根据休息时和最大垂直伸展时的矢状面数码照片确定肩颈对齐和骨盆倾斜度。结果：在休息时，T产生的肩关节前伸小于两种标准配置（平均值之间的差异，S1：1.6cm，P= 0.048; S2：1.2cm，P= 0.013）。S1和S2的头前倾位置大于T（平均值之间的差异，S1：6.5度，P= 0.008; S2：6.3度，P= 0.013）。T组的肱骨屈曲度大于S2组（平均值之间的差异：3.7度，P= 0.036），并且比两种传统构型的肱骨坐平面上方的垂直距离更大（平均值之间的差异：S1：4.7 cm，P= 0.005; S2：4.1 cm，P= 0.002）。间接骨盆倾斜度测量结果显示，S1和S2的骨盆后倾有增加的趋势（P= 0.06）。结论：与标准出厂设置的轮椅相比，交替配置可产生更多的垂直姿势对齐和更大的可达性。
Objective: To determine whether postural alignment and shoulder flexion range differ for persons with spinal cord injury (SCI) seated in wheelchairs with standard configurations versus wheelchairs with posterior seat inclination and a low backrest set perpendicular to the floor.Design: Prospective repeated-measures study.Setting: Outpatient SCI clinic.Participants: Fourteen subjects with C6-T10 motor-complete SCI.Interventions: Subjects sat in 3 manual wheelchairs: standard setup E&J Premier (S1), standard setup Quickie Breezy (S2), and test configuration Quickie TNT (T) with posterior seat inclination and a low backrest set perpendicular to the floor.Main Outcome Measures: Shoulder and neck alignment and pelvic tilt were determined from sagittal plane digital photographs at rest and with maximal vertical reach.Results: At rest, T produced less shoulder protraction than either standard configuration (difference between the mean values, S1: 1.6cm, P=.048; S2: 1.2cm, P=.013). SI and S2 showed a greater head-forward position than T (differences between the mean values, S1: 6.5degrees, P=.008; S2: 6.3degrees, P=.013). T allowed greater humeral flexion than S2 (difference between the mean values: 3.7degrees, P=.036) and greater vertical reach above the seat plane than either conventional configuration (differences between the mean values, S1: 4.7cm, P=.005; S2: 4.1cm, P=.002). The indirect pelvic tilt measurement showed a trend (P=.06) toward greater posterior pelvic tilt with S1 and S2.Conclusion: The alternate configuration produces more vertical postural alignment and greater reach ability versus the standard factory setup wheelchairs.