Effects of adjustments to wheelchair seat to back support angle on head, neck, and shoulder postures in subjects with cerebral palsy.

A wheelchair is usually a source of mobility for people with moderate to severe cerebral palsy, who are unable to walk. They spend long periods of time sitting in their wheelchair, which can affect their head and neck alignment. Opening the seat to back support angle of the wheelchair can modify rea...

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Publicado en:Assistive Technology Vol. 33; no. 6; pp. 326 - 333
Autores principales: Alkhateeb, Afnan M., Daher, Noha S., Forrester, Bonnie J., Martin, Bradford D., Jaber, Hatem M.
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/10400435.2019.1641167
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        atl: Effects of adjustments to wheelchair seat to back support angle on head, neck, and shoulder postures in subjects with cerebral palsy.
      aug:
        au:
          Alkhateeb, Afnan M.
          Daher, Noha S.
          Forrester, Bonnie J.
          Martin, Bradford D.
          Jaber, Hatem M.
        affil: Physical Therapy Department, Faculty of Medical Rehabilitation Sciences, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia
      sug:
        subj:
          Wheelchairs
          Posture Evaluation
          Cerebral Palsy
          Human
          Wheelchair Fitting
          Cross Sectional Studies
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Furniture Design
          Mobile Applications
          Data Analysis Software
          Friedman Test
          One-Way Analysis of Variance
          Wilcoxon Signed Rank Test
          Repeated Measures
          Post Hoc Analysis
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: A wheelchair is usually a source of mobility for people with moderate to severe cerebral palsy, who are unable to walk. They spend long periods of time sitting in their wheelchair, which can affect their head and neck alignment. Opening the seat to back support angle of the wheelchair can modify realignment of body segments and improve posture. Aims: To examine the effect of seat to back support angle adjustments on head, neck, and shoulder postural alignment in people with cerebral palsy. Methods: Nine participants with cerebral palsy who use a wheelchair for mobility sat in a research wheelchair. Sagittal head angle (SHA), cervical angle (CVA), and shoulder angle (SA) from photographs were examined using the Coach's Eye device during three different seat to back support angles of the wheelchair (90°, 100°, 110°). Results: There were significant differences in mean SHA and CVA among the different seat to back support angles (p <.001). However, there was no significant difference in mean SA. Conclusion: Head (SHA) and (CVA) alignment was closest to neutral posture with seat to back support angles set at 110°. Thus, adjusting the wheelchair back support to a 110º would provide the most appropriate sagittal head and cervical angle for this population.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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