Document Detail


Distinct tilting behaviours with power tilt-in-space systems.
MedLine Citation:
PMID:  21561230     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To characterise the use of tilt-in-space systems and to form recommendations for tilt prescription and training based upon its use.
METHOD: Wheelchair occupancy and seat position of 45 full-time power wheelchair users were monitored for 1-2 weeks using an accelerometer, occupancy switch and data logger. Demographics, pressure ulcer history, functional and physical presentations of their disability, and sensation were also documented.
RESULTS: Participants spent 12.1 h in their wheelchairs daily, with a median typical position of 8° (0°-47°). The median participant tilted every 27 min (0.1-16.6 tilts per occupancy hour). Pressure-relieving tilts (i.e. a tilt ≥30° for ≥1 min) were performed, on average, once every 10 h (0-2.2/h). Participants spent 19% of their seated time tilted past 15°. Seventeen participants utilised the tilt feature frequently and spent >20% of the time in multiple positions. The remaining participants sat in a single tilt range for >80% of the time.
CONCLUSIONS: Given the limited pressure relief compliance, alternative approaches to pressure relief and improved training may be needed for some clients. Wheelchair design and prescriptions may also need to reflect participants' preferences for sitting in small and medium tilts and changing position frequently.
Authors:
Sharon Eve Sonenblum; Stephen Sprigle
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2011-05-11
Journal Detail:
Title:  Disability and rehabilitation. Assistive technology     Volume:  6     ISSN:  1748-3115     ISO Abbreviation:  Disabil Rehabil Assist Technol     Publication Date:  2011  
Date Detail:
Created Date:  2011-06-07     Completed Date:  2011-10-13     Revised Date:  2012-10-12    
Medline Journal Info:
Nlm Unique ID:  101255937     Medline TA:  Disabil Rehabil Assist Technol     Country:  England    
Other Details:
Languages:  eng     Pagination:  526-35     Citation Subset:  IM    
Copyright Information:
© 2011 Informa UK, Ltd.
Affiliation:
Rehabilitation Engineering and Applied Research Laboratory, Georgia Institute of Technology, 490 10th St., NW, Atlanta, GA 30318, USA. sharon.sonenblum@coa.gatech.edu
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MeSH Terms
Descriptor/Qualifier:
Acceleration
Adult
Aged
Confidence Intervals
Disabled Persons*
Female
Humans
Male
Middle Aged
Multiple Sclerosis / rehabilitation
Posture*
Pressure*
Spinal Cord Injuries / rehabilitation
Statistics as Topic
Statistics, Nonparametric
Time Factors
Wheelchairs*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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