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The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women

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Title: The effect of a newly developed wheelchair with thoracic and pelvic support on cervical movement and muscle activity in healthy elderly women
Authors: Sawada, N. Browse this author
Hatta, T. Browse this author →KAKEN DB
Kishigami, H. Browse this author
Shimizu, M. Browse this author →KAKEN DB
Yoda, T. Browse this author
Goda, H. Browse this author
Keywords: Wheelchair
Forward head posture
Head-neck alignment
Cervical muscle
Issue Date: Jun-2015
Publisher: Elsevier
Journal Title: European geriatric medicine
Volume: 6
Issue: 3
Start Page: 286
End Page: 290
Publisher DOI: 10.1016/j.eurger.2014.11.001
Abstract: Background: As the population ages, the number of elderly individuals using a wheelchair is increasing. A standard wheelchair with a vertical backrest (S-WC) pushes on a kyphotic spine and exacerbates forward head posture. Forward head posture limits cervical movement. We used a new wheelchair (N-WC) that does not exacerbate thoracic kyphosis. The N-WC does not have a flat backrest, but has a support belt for the thorax and pelvis. The purpose of this study was to compare head-neck angle, cervical range of motion, and cervical muscle activity in the N-WC and the S-WC in healthy elderly women. Methods: We measured head-neck alignment, trunk tilt angle, cervical muscle activity, and pressure distribution on the backrest. Data from 17 subjects were analyzed. Results: Head-neck angle was close to neutral in the N-WC. The trunk was tilted further back and the area over which pressure was distributed on the backrest was expanded in the N-WC. Cervical range of motion and cervical muscle activity during neck extension were significantly greater in the N-WC than in the S-WC, but during neck flexion, there was no significant difference between the wheelchairs. Conclusion: In the N-WC, head-neck alignment was close to the neutral posture because the wheelchair support belt accommodated kyphosis and did not push the spine forward, so cervical muscle activity may be reduced when at rest. These results suggest that the N-WC prevented forward head posture and improved cervical movement and muscle activity. (C) 2014 Elsevier Masson SAS and European Union Geriatric Medicine Society. All rights reserved.
Rights: ©2015. This manuscript version is made available under the CC-BY-NC-ND 4.0 license
Type: article (author version)
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: 八田 達夫

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