Evaluation of seating intervention effect for patient at Toulouse University Hospital's wheelchair seating clinic (WSC)

Belle, Marie; Terracol, C.; Castel-Lacanal, É.; Floch, Gaelle Le; Hidalgo, Sylvie; Marqué, P.; Boissezon, X. De

doi:10.1016/j.rehab.2016.07.062

Cited by 1 publication

(2 citation statements)

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“…This fatigue may be explained by the effect of gravity on the paralyzed body and the energy costs of the body to work against gravity. When no adequate fitting of the wheelchair to the user is realized, support may be lacking in the right locations and fatigue and/or (back) pain may occur [15,17]. Vice-versa, there is support from literature that pain and discomfort may be reduced after interventions to the wheelchair [15,17].…”

Section: Fatiguementioning

confidence: 99%

“…Literature on seating and sitting-related problems in SCI is scarce and sample sizes are small [2,3,11,12,[14][15][16][17][18]. Moreover, results of some studies [12,15,17,18] may have been biased as people with sitting-related problems were probably more willing to participate. Two studies reported only 40% of the participants being satisfied with their sitting posture [3,12] whereas another study reported 68% to be satisfied with seating comfort.…”

Section: Introductionmentioning

confidence: 99%

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Experienced sitting-related problems and association with personal, lesion and wheelchair characteristics in persons with long-standing paraplegia and tetraplegia

Valent

Nachtegaal²,

Faber

et al. 2019

Spinal Cord

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Study Design Cross-sectional study. Objectives To describe experienced sitting-related health and stability problems among persons with paraplegia (PP) or tetraplegia (TP) and to investigate associations with personal, lesion and wheelchair characteristics as well as satisfaction with sitting posture. Setting Dutch community. Methods A self-report questionnaire on seating was developed and completed by wheelchair-users living with Spinal Cord Injury (SCI) for ≥10 years (N = 264). Sitting-related problems and satisfaction with sitting posture were compared between participants with PP and TP using Chi-square and t-tests. Logistic regression analyses were performed to investigate associated characteristics. Results Reported sitting-related problems comprised: sitting to be tiring (regularly to always) (33%), sitting to be painful (28%), pressure ulcers in the last three months (29%), instability while sitting (8%) and instability during reaching (33%). Except for instability during reaching, no differences in occurrence of sitting-problems were found between lesion-group. Persons with TP were more dissatisfied with their sitting posture than persons with PP: 51% vs 36% (p = 0.022) and 51% and 47% respectively thought their sitting posture could be improved (p = 0.670). 'Experienced lack of support in the wheelchair' was associated with most sitting-problems. Pain and instability were associated with dissatisfaction with sitting posture. Conclusion Sitting-related problems and dissatisfaction with sitting posture were frequently reported by persons with longstanding SCI. Sitting problems appeared to associate with lacking support in the wheelchair/seating. A comprehensive feedback from the wheelchair user and a stability check (reach task), as part of the wheelchair/seating-user fitting, may contribute to prevention of sitting-related problems.

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Section: Fatiguementioning

confidence: 99%