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Evaluating the Relationships between the Postural Adaptation of Patients with Profound Cerebral Palsy and the Configuration of the Seating Buggy's Seating Support Surface

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Title: Evaluating the Relationships between the Postural Adaptation of Patients with Profound Cerebral Palsy and the Configuration of the Seating Buggy's Seating Support Surface
Authors: Hatta, Tatsuo Browse this author
Nishimura, Shigeo Browse this author
Inoue, Kaoru Browse this author →KAKEN DB
Yamanaka, Masanori Browse this author →KAKEN DB
Maki, Makoto Browse this author
Kobayashi, Norikazu Browse this author
Kishigami, Hirotoshi Browse this author
Sato, Masahiko Browse this author
Issue Date: Mar-2007
Publisher: 日本生理人類学会
Journal Title: Journal of physiological anthropology and applied human science
Volume: 26
Issue: 2
Start Page: 217
End Page: 224
Publisher DOI: 10.2114/jpa2.26.217
Abstract: We are currently investigating the physiological polymorphism of wheelchair users with profound cerebral palsy and the properties of the Seating Buggy (developed by S. Nishimura, 1998) to clarify important and general elements of wheelchairs for widespread use. Cerebral palsy is a diagnostic term used to describe a group of motor syndromes resulting from disorders in early brain development. Recently, it has been shown that the Seating Buggy produces functional head-neck alignments and active control of sitting balance for people with profound cerebral palsy. The Seating Buggy is a wheelchair for the profoundly disabled and features a wide adjustment range from heights of 120 cm to 175 cm. Its seating support surface is comprised of a sling-seat. To examine the relationships between the postural adaptation of patients with profound cerebral palsy and the configuration of the Seating Buggy's seating, we assessed the postural alignment of the Seating Buggy's user and then measured the configuration of its resulting seating support surface with a three dimensional scanning system. Twenty-one subjects were used for the purposes of this investigation in their everyday environment. Postural adaptation and wheelchair fitting in the Seating Buggy were assessed from the viewpoint of the Active Balanced Seating by a seating expert. The subjects fell into two categories, as follows: 11 for appropriate or nearly appropriate fitting, and 10 for ill-fitting. The depth of thoracic support and the forward distance of lumbar support for those who claimed that it was ill-fitting were significantly reduced compared with that of those who claimed that the Seating Buggy offered an appropriate or nearly appropriate fitting. It was suggested that the properly adjusted depth of thoracic support and distance of the lumbar support were related to the resulting satisfactory head-neck alignment and sitting balance of the patients with profound cerebral palsy.
Rights: 日本生理人類学会. 本文データは学協会の許諾に基づきCiNiiから複製したものである
(Relation)isversionof: http://ci.nii.ac.jp/naid/110006243415
Type: article
URI: http://hdl.handle.net/2115/43833
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 山中 正紀

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