Adaptive Seating for Motor Handicap: Problems, a Solution, Assessment and Prescription

Abstract

An analysis of the problems of available adaptive seating has led to the development of a modular seating system capable of assembly and adjustment without workshop facilities. Seven levels of sitting ability are defined and a methodical assessment procedure and prescription criteria for the provision of adaptive seating are described.

Long-term follow-up of functioning after spinal surgery in patients with Rett syndrome

“…A combination of new and existing instruments was used [10][11][12] consisting of general information, activities and function, and a follow-up questionnaire. The parents were asked about the motive for surgery and were given the following yes/no response alternatives: respiration, pain, seating position, and cosmetic concerns.…”

“…The results were trichotomized to positive (very positive and positive), unchanged, or negative (very negative and negative). The part of the instrument with activities and function consists of sitting balance on a seven-point scale, and was rated from no ability (1 point) to full ability to sit with ability to attain the position (7 points) [11], weight distribution on Sitting posture 9…”

Kinematic and kinetic analysis of static sitting of patients with neuropathic spine deformity

“…Many current clinical assessment methods are semi-quantitative [7,8], in some cases questionnaire-based [9]. Whether classic radiological measurements of pelvic and spine position correspond to sitting is debatable [6,9,10].…”

Radiographic and Functional Outcome After Surgical Management of Severe Scoliosis in Skeletally Immature Patients with Muscular Dystrophy

“…Nonetheless, spine balance and appropriate pelvis location are important even in wheelchair-bound nonambulatory patients for their ability to use their upper extremities and to provide a relatively independent life style. 15 Surgery for spinal scoliosis could improve these functions. Furthermore, most patients with MD scoliosis are in their preteenage years, so they pay much attention to their body images.…”

“…Among the functional evaluations made before and after the surgery, the sitting ability was measured according to the guideline of Mulcahy et al 15 The ability to use both hands was measured according to the guideline of Rhyu et al 16,17 (Tables 1 and 2). Aside from evaluating these bodily functions, the patients were surveyed with respect to the body image, and satisfaction with the surgery was expressed by the patients and their guardians.…”