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Journal articles on the topic 'Wheelchair and seating systems'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Nace, Susan, John Tiernan, and Aisling Ní Annaidh. "Manufacturing custom-contoured wheelchair seating: A state-of-the-art review." Prosthetics and Orthotics International 43, no. 4 (March 21, 2019): 382–95. http://dx.doi.org/10.1177/0309364619836028.

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Background:Custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while custom-contoured wheelchair seating lowers risk of pressure injury and postural deterioration while increasing the stability and functional activity of the wheelchair occupant. Producing custom-contoured seating systems has historically been a labour-intensive process custom-contoured seating systems is historically labour-intensive.Objectives:Evaluate the strengths and limitations of current manufacturing processes for custom-contoured wheelchair seating to suggest potential future manufacturing processes.Study Design:Literature review of the state of the art.Methods:Research conducted through a literature review focused on the performance of different types of custom-contoured wheelchair seating products and processes over the last 40 years. Recent literature in orthotics and prosthetics was also consulted to assess future trends in seating.Results:There are five main manufacturing processes currently used to produce custom-contoured wheelchair seating systems. No single process is yet suitable for all wheelchair users, but many manufacturers are transitioning to computer numerical controlled (CNC) milling to reduce manual labour. Adjustable micro-modular seating and moulded seat insert manufacturing are also prevalent and offer alternative seating to soft foam carving.Conclusion:There is a need in the custom wheelchair seating sector for processes that are fast, cost-effective, produce little to no material waste, and that can effectively maintain a comfortable seating micro-climate. Additive manufacturing may meet these criteria, but further evaluation is required.Clinical relevanceThis review suggests that the custom-contoured wheelchair seating manufacturers are moving away from labour-intensive processes towards digital techniques, like CNC foam milling. Additive manufacturing is a potential new process that may reduce overall costs, the lead time in preparing seats and has the potential to better manage the seating micro-climate.

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Kernozek, Thomas W., and Jeff E. K. Lewin. "Dynamic Seating Interface Pressures during Wheelchair Locomotion: Influence of Cushion Type." Occupational Therapy Journal of Research 18, no. 4 (October 1998): 182–92. http://dx.doi.org/10.1177/153944929801800404.

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Seat interface pressure distribution is measured statically in a clinical or research environment with the patient in a fixed position (static) if measured at all. The purpose of this study was to compare the dynamic seat interface pressures between three cushion types [2″ foam, Roho Low Profile (air), and Jay Active (gel)] during wheelchair locomotion. A total of 9 volunteer subjects (7 males, 2 females) participated in a study to determine seat interface pressure fluctuations between each of the 3 different wheelchair cushions. Seat interface pressures were measured with the Novel Pliance System, consisting of a 320×32 sensor matrix mat interfaced with a PC. Each sensor had an area of 1.5 cm2. Sampling rate was fixed at 10 Hz. Average pressures under the ischial tuberosities were determined and the average maxima and minima were calculated from 3 wheelchair locomotion cycles of 3 trials. Wheelchair locomotion speed was constant across trials and conditions (±107). A repeated measures analysis of variance (RM ANOVA) exhibited a main effect for cushion type [F(2, 16)=16.6, p < .05]. A Newman-Keuls pairwise multiple comparison found differences between the 2” foam cushion and both the air and gel cushions, but no differences between the gel and air cushions during wheelchair locomotion. It is important that clinicians and cushion designers understand the dynamic performance characteristics of specific cushion types. Cushion performance may enhance the effectiveness of seating systems in minimizing pressure fluctuations.

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Rogers, P. D., C. Gibson, S. J. Wilcox, and A. Chong. "Computer simulation to aid the risk assessment of wheelchair and special seating systems used in transport." Journal of Medical Engineering & Technology 33, no. 8 (November 2009): 642–49. http://dx.doi.org/10.3109/03091900903151004.

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4

Olney, Christine M., Amanda Simone, Kristin Hanowski, Thomas S. Rector, Gary D. Goldish, Andrew H. Hansen, and John E. Ferguson. "Microclimate evaluation of strap-based wheelchair seating systems for persons with spinal cord injury: A pilot study." Journal of Tissue Viability 27, no. 3 (August 2018): 181–87. http://dx.doi.org/10.1016/j.jtv.2018.06.001.

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5

Reid, Denise, Deborah Laliberte-Rudman, and Deborah Hebert. "Impact of Wheeled Seated Mobility Devices on Adult Users' and Their Caregivers' Occupational Performance: A Critical Literature Review." Canadian Journal of Occupational Therapy 69, no. 5 (December 2002): 261–80. http://dx.doi.org/10.1177/000841740206900503.

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The prescription of wheeled seated mobility devices for clients with mobility impairment is a growing area in occupational therapy practice. The goal is to enhance client participation in occupation through technical intervention. This critical review examines the body of knowledge concerning the impact and effectiveness of the provision of wheeled seated mobility on the occupational performance of wheelchair users and their caregivers. The scope and gaps in the literature are defined to identify areas for future research. While the focus is on the methodological issues of the research reports, the relevance of findings to occupational therapy practice will also be reviewed. The results of the 46 studies in this review indicate that the majority of research conducted thus far have methodological limitations, which limits the extent to which this body of research can be drawn upon to provide evidence for the effectiveness of wheeled mobility systems. While most of the studies reviewed addressed constructs of relevance to occupational therapy practice, there was an emphasis on performance components and inadequate attention to engagement in occupations. This review is an important first step in building the ability of occupational therapists to demonstrate effectiveness in wheeled seating interventions.

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6

Lachmann, SM, Eve Greenfield, and Alan Wrench. "Assessment of need for special seating and/or electronic control systems for wheelchairs among people with severe physical disabilities." Clinical Rehabilitation 7, no. 2 (May 1993): 151–56. http://dx.doi.org/10.1177/026921559300700210.

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7

Crane, Barbara A., Margo B. Holm, Douglas Hobson, Rory A. Cooper, and Matthew P. Reed. "A Dynamic Seating Intervention for Wheelchair Seating Discomfort." American Journal of Physical Medicine & Rehabilitation 86, no. 12 (December 2007): 988–93. http://dx.doi.org/10.1097/phm.0b013e3181583ed9.

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8

Ham, RO. "Monitoring wheelchair and seating provision." Clinical Rehabilitation 7, no. 2 (May 1993): 139–45. http://dx.doi.org/10.1177/026921559300700208.

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9

Babinec, Michael, Elizabeth Cole, Barbara Crane, Steven Dahling, Delia Freney, Barbara Jungbluth-Jermyn, Michelle L. Lange, et al. "The Rehabilitation Engineering and Assistive Technology Society of North America (RESNA) Position on the Application of Wheelchairs, Seating Systems, and Secondary Supports for Positioning Versus Restraint." Assistive Technology 27, no. 4 (October 2, 2015): 263–71. http://dx.doi.org/10.1080/10400435.2015.1113802.

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10

Takada, Makoto, Shuichi Wakimoto, Takero Oshikawa, Takeji Ueda, and Takefumi Kanda. "Active Cloth Fabricated by a Flat String Machine and its Application to a Safe Wheelchair System." Journal of Robotics and Mechatronics 32, no. 5 (October 20, 2020): 1010–18. http://dx.doi.org/10.20965/jrm.2020.p1010.

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In this study, a pneumatically contracting active cloth has been developed; its application is proposed for a safe sitting-posture recovery system for wheelchair users to avoid fall-related accidents. The active cloth consists of thin artificial muscles knitted via a flat string machine. The safe wheelchair system is configured with an active cloth and seating pressure sensor. The seating pressure sensor, located on the seating surface of the wheelchair, estimates the inclination of the upper body of the user; when this reaches an angle that is dangerous for falling from the wheelchair, the active cloth contracts to correct the posture of the upper body. In this paper, we clarify the fabrication process and fundamental characteristics of the active cloth and indicate its potential as a mechanical element for welfare apparatuses by demonstrating a safe wheelchair system.

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Ouellet, Béatrice, Krista L. Best, Deb Wilson, and William C. Miller. "Exploring the Influence of a Community-Based Peer-Led Wheelchair Skills Training on Satisfaction with Participation in Children and Adolescents with Cerebral Palsy and Spina Bifida: A Pilot Study." International Journal of Environmental Research and Public Health 19, no. 19 (September 21, 2022): 11908. http://dx.doi.org/10.3390/ijerph191911908.

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Background: Peer-led approaches improve satisfaction with participation, wheelchair skills and wheelchair use self-efficacy in adults, but the evidence is limited in children. This pilot study aimed to explore the influence of community-based, peer-led, group wheelchair training program (i.e., Seating To Go) on satisfaction with participation (primary outcome), wheelchair skills, and wheelchair use self-efficacy in children and adolescents with cerebral palsy and spina bifida. Methods: A single group pre-post design was used. Invitations were shared online and diffused by clinicians and advocacy and provider groups to recruit a convenience sample of eight pediatric wheelchair users. Participants completed the Seating To Go program in groups that were facilitated by adult wheelchair users. Satisfaction with participation (Wheelchair Outcome Measure-Young People), wheelchair skills (Wheelchair Skills Test), wheelchair use self-efficacy (Wheelchair Use Confidence Scale), and perceived wheelchair skills capacity (Wheelchair Skills Test Questionnaire; proxy rating: parents) were evaluated before and after the Seating To Go program. Descriptive statistics and nonparametric longitudinal data analysis were conducted to explore changes in all outcomes from baseline to post-intervention. Results: Pediatric wheelchair users (ranging in age from 5 to 15 years) and their parents reported statistically significant improvements in satisfaction with participation. The improvements in wheelchair skills and wheelchair confidence were also statistically significant, but not the parents’ perception of their children’s wheelchair skills. Conclusions: A community-based peer-led approach to wheelchair skills training seems promising for improving wheelchair outcomes in pediatric wheelchair users. Further controlled studies with larger samples are warranted.

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12

White, Elizabeth A. "Wheelchair special seating: need and provision." British Journal of Therapy and Rehabilitation 6, no. 6 (June 1999): 285–89. http://dx.doi.org/10.12968/bjtr.1999.6.6.13970.

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13

Lewin, Jeffrey E. K. "Dynamic Seating Pressure during Wheelchair Locomotion." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 41, no. 2 (October 1997): 1402. http://dx.doi.org/10.1177/1071181397041002211.

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14

Weishaupt, W. A. "Improvement of seating comfort due to a new wheelchair seating system." International Journal of Rehabilitation Research 10 (December 1987): 90–100. http://dx.doi.org/10.1097/00004356-198700105-00019.

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Weishaupt, W. A. "Improvement of seating comfort due to a new wheelchair seating system." International Journal of Rehabilitation Research 10 (December 1987): 90–100. http://dx.doi.org/10.1097/00004356-198712005-00019.

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16

Sakakibara, Brodie M., William C. Miller, Janice J. Eng, François Routhier, and Catherine L. Backman. "Health, Personal, and Environmental Predictors of Wheelchair-Use Confidence in Adult Wheelchair Users." Physical Therapy 95, no. 10 (October 1, 2015): 1365–73. http://dx.doi.org/10.2522/ptj.20140537.

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Background There are no predictive models of wheelchair-use confidence. Therefore, clinicians and researchers are limited in their ability to screen for and identify wheelchair users who may be more prone to low wheelchair-use confidence and may benefit from clinical intervention. Objective The purpose of this study was to identify health-related, personal, and environmental factors that predict perceived wheelchair-use confidence in community-dwelling adults who use manual wheelchairs. Design A cross-sectional study was conducted. Methods Community-dwelling manual wheelchair users (N=124) were included in the study if they were ≥50 years of age, had ≥6 months of wheelchair use experience, and had no cognitive impairment. The Wheelchair Use Confidence Scale was used to assess wheelchair-use confidence. The sociodemographic information form, Functional Comorbidity Index, Seating Identification Tool, Interpersonal Support and Evaluation List, and Home and Community Environment Instrument captured the independent variables. Blocks of health, personal, and environmental variables were sequentially entered into the regression model. Results Five personal variables (age, standardized beta [β]=−0.18; sex, β=−0.26; daily hours of wheelchair occupancy, β=0.20; wheelchair-use training, β=0.20; and wheelchair-use assistance, β=−0.34) and one environmental variable (need for seating intervention, β=−0.18) were statistically significant predictors, explaining 44% of the confidence variance. Limitations The sample comprised volunteers and, therefore, may underrepresent or overrepresent particular groups within the population. The study's cross-sectional research design does not allow for conclusions to be made regarding causality. Conclusion Older women who use wheelchairs and who require assistance with wheelchair use may have low wheelchair-use confidence. The same is true for individuals who have no formal wheelchair-use training, who are in need of a seating intervention, and who report few hours of daily wheelchair use. These wheelchair users may require clinical attention and benefit from intervention.

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Ross, E. Van. "Pushchairs." Prosthetics and Orthotics International 15, no. 1 (April 1991): 46–50. http://dx.doi.org/10.3109/03093649109164274.

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Pushchairs for adults are used by two distinct groups: the high dependency users who cannot walk or use a self-propelling chair and the occasional users who may be able to walk indoors but are unable to walk significant distances outdoors. In the past, both disparate groups were provided with similiar wheelchairs described as Model 9 or Model 10 in the United Kingdom. For the high dependency user the wheelchair may be individually adapted to accept specialized supportive seating and pressure relief cushions. The standard wheelchair without adaptation is supplied to the occasional user. For disabled children, the UK wheelchair service provides about 1200 pushchairs and buggies. About 400 of those are the more specialized type such as the Avon, while the rest are standard children's buggies, openly available at a High Street shop. The continued free supply of the standard buggy through the UK Wheelchair Service is questionable. A recent survey carried out by the UK Wheelchair Service showed that prescribers were not aware of the importance of lightness. foldability and appearance to parents and carers and conversely that parents often did not understand the necessity for supportive seating. The prevention of deformities in children by providing correctly supportive wheelchair seating is accepted. The Disablement Services Authority in the UK is investigating the possibilities of producing children's wheelchairs that will satisfy the requirements of user, parent and prescriber.

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18

Weiss-Lambrou, Rhoda, Camille Tremblay, Richard LeBlanc, Michèle Lacoste, and Jean Dansereau. "Wheelchair Seating Aids: How Satisfied Are Consumers?" Assistive Technology 11, no. 1 (June 30, 1999): 43–53. http://dx.doi.org/10.1080/10400435.1999.10131984.

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Lewis, Amy R., David S. Haydon, Elissa J. Phillips, Paul N. Grimshaw, William S. P. Robertson, and Marc Portus. "Monitoring seating interface pressure in wheelchair sports." Sports Engineering 21, no. 4 (April 25, 2018): 311–19. http://dx.doi.org/10.1007/s12283-018-0272-3.

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20

Barlow, Ingrid G., Lili Liu, and Angela Sekulic. "Wheelchair Seating Assessment and Intervention: A Comparison between Telerehabilitation and Face-to-Face Service." International Journal of Telerehabilitation 1, no. 1 (September 4, 2009): 17–28. http://dx.doi.org/10.5195/ijt.2009.868.

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This study compared outcomes of wheelchair seating and positioning interventions provided by telerehabilitation (n=10) and face-to-face (n=20; 10 in each of two comparison groups, one urban and one rural). Comparison clients were matched to the telerehabilitation clients in age, diagnosis, and type of seating components received. Clients and referring therapists rated their satisfaction and identified if seating intervention goals were met. Clients recorded travel expenses incurred or saved, and all therapists recorded time spent providing service. Wait times and completion times were tracked. Clients seen by telerehabilitation had similar satisfaction ratings and were as likely to have their goals met as clients seen face-to-face; telerehabilitation clients saved travel costs. Rural referring therapists who used telerehabilitation spent more time in preparation and follow-up than the other groups. Clients assessed by telerehabilitation had shorter wait times for assessment than rural face-to-face clients, but their interventions took as long to complete. Keywords: Telerehabilitation, Telehealth, Videoconferencing, Wheelchair Seating, Outcomes, Rehabilitation

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Trefler, E., and S. J. Taylor. "Prescription and positioning: Evaluating the physically disabled individual for wheelchair seating." Prosthetics and Orthotics International 15, no. 3 (December 1991): 217–24. http://dx.doi.org/10.3109/03093649109164291.

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Within the past 10 years, technology has provided members of the seating team with new approaches in dealing with severely physically disabled children and adults. Positioning is often the first step in overall provision of technical aids. Before physically disabled individuals can operate augmentative communication devices, computer keyboards or other assistive or rehabilitative devices, they should be provided with the optimum seated posture from which to operate. The proximal stability provided by a therapeutically designed seating system will enhance motor potential. Presently, there are many approaches to providing dynamic seating. A thorough evaluation, with input from all team members including the client and his family is necessary to define clearly the goals for the seating device. Once these goals are defined, the team can investigate the possible technical solutions. Thorough ongoing re-evaluation and follow-up of both the client's needs and the possible technical solutions will ensure that persons with physical disabilities will be in the best possible posture to perform the tasks of daily living.

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A. Costa, Carlos, Suzete Grandi, Andre F. Bona, and João R.F. Basso. "Manufacturing of Custom Seating Devices for Wheelchair Users." Journal of Mechanical Engineering and Biomechanics 3, no. 5 (April 10, 2019): 35–41. http://dx.doi.org/10.24243/jmeb/3.5.201.

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23

Timm, Marina, and Kersti Samuelsson. "Wheelchair seating: A study on the healthy elderly." Scandinavian Journal of Occupational Therapy 23, no. 6 (March 9, 2016): 458–66. http://dx.doi.org/10.3109/11038128.2016.1152297.

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Suzuki, Kathy M., Ginger Lockerte, and Kathryn L. Braun. "Client Satisfaction Survey of a Wheelchair Seating Clinic." Physical & Occupational Therapy In Geriatrics 17, no. 2 (January 2000): 55–65. http://dx.doi.org/10.1080/j148v17n02_05.

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Oshikawa, T., S. Koura, N. Ogawa, and H. Hirose. "PROBLEMS ASSOCIATED WITH WHEELCHAIR SEATING DURING HORTICULTURAL THERAPY." Acta Horticulturae, no. 954 (July 2012): 145–50. http://dx.doi.org/10.17660/actahortic.2012.954.17.

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26

Turner, Christine. "Posture and seating for wheelchair users: an introduction." British Journal of Therapy and Rehabilitation 8, no. 1 (January 2001): 24–28. http://dx.doi.org/10.12968/bjtr.2001.8.1.13714.

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27

Geyer, Mary Jo, David M. Brienza, Gina E. Bertocci, Barbara Crane, Douglas Hobson, Patricia Karg, Mark Schmeler, and Elaine Trefler. "Wheelchair Seating: A State of the Science Report." Assistive Technology 15, no. 2 (December 31, 2003): 120–28. http://dx.doi.org/10.1080/10400435.2003.10131896.

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28

Barnard, Sue. "Wheelchair Users and Postural Seating A clinical approach." Physiotherapy 85, no. 8 (August 1999): 444. http://dx.doi.org/10.1016/s0031-9406(05)65513-7.

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Presperin, Jessica. "Seating Systems:." Physical & Occupational Therapy In Pediatrics 10, no. 2 (January 1990): 11–45. http://dx.doi.org/10.1080/j006v10n02_02.

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Presperin, Jessica. "Seating Systems:." Physical & Occupational Therapy In Pediatrics 10, no. 2 (October 31, 1990): 11–45. http://dx.doi.org/10.1300/j006v10n02_02.

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31

White, Elizabeth, and Bill Lemmer. "Effectiveness in Wheelchair Service Provision." British Journal of Occupational Therapy 61, no. 7 (July 1998): 301–5. http://dx.doi.org/10.1177/030802269806100702.

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Services that provide wheelchairs to permanently disabled people have undergone fundamental changes following the recommendations of the McColl report in 1986. The devolution of centralised wheelchair services to the National Health Service (NHS) health districts in 1991 coincided with the implementation of the government's proposals for NHS reforms and community care initiatives. This paper describes a four-part research study, undertaken to identify and investigate key factors which propose effectiveness in the post-devolution wheelchair service. The sample comprised 125 wheelchair therapists as service providers and a total of 130 service users. The user sample consisted of 84 people issued with NHS manual wheelchairs, 27 indoor powered wheelchair users and 19 special seating users. An integrated methodology was employed, including questionnaires, interviews, participant observation and case studies. The research identified the development of client-centred referral and assessment procedures for wheelchairs and seating, and highlighted the need for increased therapist training. Close links between wheelchair services and local therapists were found, providing greater access to assessment for wheelchair users. An increased demand for wheelchairs outside the NHS range and a rising number of referrals for elderly people were recorded, although the management of finite resources resulted in eligibility criteria designed to control supply and provision variations between districts.

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Minkel, Jean L. "Seating and Mobility Considerations for People With Spinal Cord Injury." Physical Therapy 80, no. 7 (July 1, 2000): 701–9. http://dx.doi.org/10.1093/ptj/80.7.701.

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Abstract For people with spinal cord injuries, the selection of a wheelchair and seating system involves many factors. This clinical perspective describes a model that includes consideration of the person, the wheelchair, the immediate environment between the person and the wheelchair, the intermediate environment of the home and work, and the community environment. The seated posture is examined biomechanically, and literature is reviewed that highlights the differences in the seated position of people with spinal cord injuries and people without spinal cord injuries. Reports regarding overuse injuries of the shoulder and wrists are discussed along with methods of relieving pressure at the buttock and seat interface. The impact that research findings should have on current clinical practice and the need for more research to provide evidence to either support or change current practice are discussed.

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Dolan, Michael John, and Graham Iain Henderson. "Patient and equipment profile for wheelchair seating clinic provision." Disability and Rehabilitation: Assistive Technology 9, no. 2 (June 19, 2013): 136–43. http://dx.doi.org/10.3109/17483107.2013.807441.

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Masse, Louise C., Mario Lamontagne, and Micheal D. O'Riain. "Biomechanical analysis of wheelchair propulsion for various seating positions." Journal of Rehabilitation Research and Development 29, no. 3 (1992): 12. http://dx.doi.org/10.1682/jrrd.1992.07.0012.

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35

Masselink, Cara. "Trends in Wheelchair Recommendations in a Dedicated Seating Department." American Journal of Occupational Therapy 74, no. 4_Supplement_1 (August 1, 2020): 7411510307p1. http://dx.doi.org/10.5014/ajot.2020.74s1-po6715.

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Taylor, S. J. "Evaluating the Client With Physical Disabilities for Wheelchair Seating." American Journal of Occupational Therapy 41, no. 11 (November 1, 1987): 711–16. http://dx.doi.org/10.5014/ajot.41.11.711.

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MOTOJIMA, Yasuhisa, Shigeru TADANO, Junichi SHIBANO, and Kouhei OKIMOTO. "Seating Pressure of Electric Wheelchair Driving on Snowy Road." Proceedings of Conference of Hokkaido Branch 2003.43 (2003): 232–33. http://dx.doi.org/10.1299/jsmehokkaido.2003.43.232.

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Thyberg, Mikael, Bjorn Gerdle, Kersti Samuelsson, and Harriet Larsson. "Wheelchair seating intervention. Results from a client-centred approach." Disability and Rehabilitation 23, no. 15 (January 2001): 677–82. http://dx.doi.org/10.1080/09638280110049900.

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Edlich, Richard F., Charles R. Woodard, Sheryl A. Pine, and Elise M. Jackson. "Bony prominence pain caused by elevated wheelchair seating pressures." American Journal of Emergency Medicine 19, no. 2 (March 2001): 164–65. http://dx.doi.org/10.1053/ajem.2001.21336.

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Vanlandewijck, Yves C., Joeri Verellen, and Sean Tweedy. "Towards evidence-based classification in wheelchair sports: Impact of seating position on wheelchair acceleration." Journal of Sports Sciences 29, no. 10 (July 2011): 1089–96. http://dx.doi.org/10.1080/02640414.2011.576694.

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41

Belle, Marie, Caroline Terracol, Evelyne Castel-Lacanal, Gaelle Le Floch, Sylvie Hidalgo, Philippe Marque, and Xavier de Boissezon. "Evaluation of seating intervention effect for patient at Toulouse University Hospital's wheelchair seating clinic (WSC)." Annals of Physical and Rehabilitation Medicine 59 (September 2016): e27. http://dx.doi.org/10.1016/j.rehab.2016.07.062.

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42

Klawitter, Thomas, Bernhard Rother, Matthias Franz, and Andreas Müller. "Innovative Seating Systems." Auto Tech Review 1, no. 1 (January 2012): 42–47. http://dx.doi.org/10.1365/s40112-012-0009-9.

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Klawitter, Thomas, Bernhard Rother, Matthias Franz, and Andreas Müller. "Innovative seating systems." ATZ worldwide 112, no. 10 (October 2010): 26–31. http://dx.doi.org/10.1007/bf03225147.

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44

Michael, Erin, Terin Sytsma, and Rachel E. Cowan. "A Primary Care Provider’s Guide to Wheelchair Prescription for Persons With Spinal Cord Injury." Topics in Spinal Cord Injury Rehabilitation 26, no. 2 (March 2020): 100–107. http://dx.doi.org/10.46292/sci2602-100.

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The wheelchair is an essential tool for individuals with spinal cord injury (SCI). When the capacity and fit of a wheelchair is matched to the needs and abilities of an individual with SCI, health, function, community participation, and quality of life are maximized. Throughout an individual’s life, function and health status can decline (or improve), necessitating a new wheelchair and/or seating components (eg, cushions and backrests). Additionally, a patient’s current wheelchair may be identified as a factor contributing to a health concern or functional deficit, again necessitating wheelchair adjustments. Primary care physicians often manage the complex and lifelong medical needs of individuals with SCI and play a key role in wheelchair evaluation and prescription. This article provides a broad overview of indicators that a new wheelchair is needed, describes the wheelchair prescription process, identifies important team members, reviews the major wheelchair components, and provides guidance to match components to patients’ needs and abilities.

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Fujita, Hitomi, Atsushi Tsukada, and Tomoko Ohura. "Surveying Therapists on Seating Approaches for Patients with Muscular Dystrophy in Japan." Healthcare 9, no. 6 (May 25, 2021): 631. http://dx.doi.org/10.3390/healthcare9060631.

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Patients with muscular dystrophy (MD) need fitted wheelchairs. This study aimed to ascertain physiotherapists and occupational therapists’ opinions about the current wheelchair seating process for patients with MD in Japan. We identified 266 academic papers published between August 2014 and July 2019 with the keywords “muscular dystrophy” and either “physiotherapy” or “occupational therapy.” We then sent survey requests to 140 physiotherapists and occupational therapists (who were among the authors of the aforementioned papers), of whom 41 agreed to partake in this study. We found that the time required for each seating was 30–60 min for three types of MD, and the most commonly reported time to trial fitting was 1–3 months. In addition, health insurance reimbursements for seating were considered part of disease-specific rehabilitation in most cases, and most therapists were more or less satisfied with the current seating procedure. Physiotherapists had the highest degree of reflection of their views (wishes) regarding seating, followed by MDs and their families. In Japan, seating has been regarded as a medical practice since 2017. In the future, we would like to investigate the seating concept for individual therapists in detail.

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Ulfa, Dwi Arnia, Sunardi Sunardi, and Zaini Rohmad. "Identification of Classroom Physical Environmental for Wheelchair Users in Inclusive Schools." International Journal of Multicultural and Multireligious Understanding 5, no. 5 (September 29, 2018): 273. http://dx.doi.org/10.18415/ijmmu.v5i5.413.

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Abstract:

This study aims to determine the classroom physical environment of wheelchair users in inclusive schools. This research was conducted in two inclusion schools in Surakarta City. This study used descriptive qualitative method. Data collection is done by interview, observation and documentation. The results showed that some of the things that teachers have done related classroom arrange for wheelchair users are an easy door for wheelchair users, non-slip floors, seating is easy to reach by students, provided ventilation and light enough, and available device have been modified. While the obstacles experienced by wheelchair users are the distance between the table is difficult to pass the wheelchair, difficulty in using modified device, difficulty move in building multi-storey school building and path to a class that has not been smooth.

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White, Elizabeth. "Book Review: Wheelchair Users and Postural Seating: A Clinical Approach." British Journal of Occupational Therapy 62, no. 7 (July 1999): 333–34. http://dx.doi.org/10.1177/030802269906200714.

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Kenny, Siobhan, and Rosemary Joan Gowran. "Outcome Measures for Wheelchair and Seating Provision: A Critical Appraisal." British Journal of Occupational Therapy 77, no. 2 (February 2014): 67–77. http://dx.doi.org/10.4276/030802214x13916969447119.

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Watson, Nick, and Brian Woods. "The Origins and Early Developments of Special/Adaptive Wheelchair Seating." Social History of Medicine 18, no. 3 (December 1, 2005): 459–74. http://dx.doi.org/10.1093/shm/hki047.

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Shaw, Greg, and Susan Johnson Taylor. "A Survey of Wheelchair Seating Problems of the Institutionalized Elderly." Assistive Technology 3, no. 1 (June 30, 1991): 5–10. http://dx.doi.org/10.1080/10400435.1991.10132175.

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