Seating and positioning system in wheelchairs of people with disabilities: a retrospective study

Pontes, Fernando Vicente de; Luzo, Maria Cândida de Miranda; Silva, Talita Dias da; Lancman, Selma

doi:10.1080/17483107.2019.1684580

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…Intrinsic myotendinous structural changes and extrinsic factors often cause joint contractures around the hips, knees, elbows and wrists in both SMA and DMD [8]. Furthermore, prolonged WC use causes other comorbidities such as chronic pain and pressure injuries [9][10][11][12][13]. Pain in DMD is mainly ischial or around spinal deformity sites [9,11].…”

Section: Introductionmentioning

confidence: 99%

Identification of wheelchair seating criteria in adults with neuromuscular diseases: A Delphi study

Dupitier,

Voisin,

Stalens

et al. 2023

PLoS ONE

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Background Adults with neuromuscular diseases like spinal muscular atrophy or Duchenne muscular dystrophy require full-time use of a wheelchair (WC) and perform all activities of daily living in a sitting position. Optimal configuration of the WC and seating system is essential to maintain the health and quality of life of users. However, few recommendations for configuration exist. The aim of this study was to identify and select 10 WC seating criteria that ensure an optimal sitting posture for health and quality of life. Methods A four round Delphi method was used to collect the opinions of WC users and health professionals (HP), separately. First, the HP were asked if they believed that different criteria would apply to each disease. Then the HP and SMA II and DMD WC user experts responded to electronic surveys in 4 rounds. Results Overall, 74 experts took part: 31 HP, 21 WC users with SMA II and 22 WC users with DMD. In total, 52% of HP believed that different criteria would apply to each disease. Ten criteria were identified by the HP for SMA II and 10 for DMD. Of the 40 criteria selected, 30 (75%) were common to each panel. Six topics were similar across panels: comfort, access to the joystick, prevention of pain, stability, pressure management and power seat functions. However, power seat functions did not reach consensus between HP and WC users (30–33% of agreement for HP and 93–100% for the WC user panels, p < 0.001). Conclusion Adults with SMA II and DMD had similar WC seating needs. Therefore, the same recommendations can be applied to these groups. Further research is necessary to understand the impact of cost on the prescription of power seat functions by health professionals.

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Section: Introductionmentioning

confidence: 99%

Identification of wheelchair seating criteria in adults with neuromuscular diseases: A Delphi study

Dupitier,

Voisin,

Stalens

et al. 2023

PLoS ONE

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“…Em consonância com o edital da CAPES e compondo esse projeto, foi realizada entre 2015 e 2017 a pesquisa de mestrado intitulada "Adequação postural em cadeiras de rodas de pessoas com deficiência: estudo retrospectivo", com vistas a compreender melhor a clientela atendida e os equipamentos que vinham sendo dispensados pelo serviço ao longo dos anos, cujos resultados foram publicados na revista Disabilities and Rehabilitation: assistive technology no ano de 2019 (PONTES et al, 2019).…”

Section: Apresentaçãounclassified

“…Indivíduos com déficits de mobilidade funcional podem ser incapazes de andar ou mesmo permanecer sentados, podendo passar a maior parte de suas vidas deitados ou em posturas únicas. Essas deficiências podem ocorrer após um traumatismo repentino como uma lesão na medula espinal, podem resultar da progressão gradual de uma doença como a esclerose múltipla, além dos déficits de mobilidade menos visíveis, como as amputações de membros (PONTES et al, 2019;CARVER et al, 2015).…”

Section: Tecnologia Assistiva E Cadeiras De Rodasunclassified

“…O uso de uma CR pode ser comumente relacionado a dificuldades e inaptidão. Entretanto, a viabilização de deslocamento em diferentes lugares que este recurso oferece, propicia mobilidade e está muito mais relacionado a melhora da qualidade de vida, bem-estar, independência e participação de usuários e cuidadores em atividades importantes da vida diária, em casa e na comunidade (PONTES et al, 2019;STEFANAC et al, 2018).…”

Section: Tecnologia Assistiva E Cadeiras De Rodasunclassified

“…A maioria das CR é indicada junto a um SAP, que fornece ao indivíduo o controle postural que é requerido para as atividades diárias, preservação da independência e relacionamento com o meio ambiente. Os SAP usados conjuntamente com uma CR são aparatos indicados para pessoas que fazem uso cotidiano e prolongado de sua CR e precisam de itens de apoio para permanecer na postura sentada (PONTES et al, 2019).…”

Section: Tecnologia Assistiva E Cadeiras De Rodasunclassified

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Estudo das causas de adesão, uso e abandono de cadeiras de rodas dispensadas por hospital de alta complexidade

Pontes

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Minimal Clinically Important Differences for Measures of Pain, Lung Function, Fatigue, and Functionality in Spinal Cord Injury

Sobreira¹,

Almeida

Gomes

et al. 2020

Physical Therapy

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Objective The objective of this study was to determine the MCIDs for the numerical pain rating scale (NPRS), peak cough flow (PCF), peak expiratory flow (PEF), fatigue severity scale (FSS), and London chest activities of daily living scale (LCADL) in patients with SCI after rehabilitation. Methods Inpatients with SCI from two rehabilitation centres participating in a daily rehabilitation programme were recruited. The NPRS, PCF, PEF, FSS, and LCADL were collected at baseline and discharge. The global rating of change (GRC) scale was performed at discharge. MCIDs were calculated using anchor (linear regression, mean change and receiver operating characteristic curves) and distribution-based methods (0.5 times the baseline standard deviation, standard error of measurement (SEM), 1.96 times SEM, and minimal detectable change) and pooled using arithmetic weighted mean. Results Sixty inpatients with SCI (36 males; 54.5 (15.9) years) participated. On average their rehabilitation programme lasted 7.3 (1.7) weeks. Pooled MCID estimates were − 1.6 points for the NPRS, 69.8 L/min for the PCF, 77.4 L/min for the PEF, 1.1 points for the FSS, and 1.4 points for the LCADL. Conclusion Established MCIDs for NPRS, PCF, PEF, FSS, and LCADL will help health professionals to interpret results and guide rehabilitation interventions in patients with SCI.

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Seating and positioning system in wheelchairs of people with disabilities: a retrospective study

Cited by 5 publications

References 11 publications

Identification of wheelchair seating criteria in adults with neuromuscular diseases: A Delphi study

Identification of wheelchair seating criteria in adults with neuromuscular diseases: A Delphi study

Estudo das causas de adesão, uso e abandono de cadeiras de rodas dispensadas por hospital de alta complexidade

Minimal Clinically Important Differences for Measures of Pain, Lung Function, Fatigue, and Functionality in Spinal Cord Injury

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