Analysis of the influence of an articulated seat position for wheelchair on the pressure distribution in the gluteal region

• Autor(a) principal: Lana,Mariana Ribeiro Volpini
• Data de Publicação: 2014
• Outros Autores: Silva,Paul Campos Santana, Barbosa,Marcos Pinotti
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Engenharia Biomédica (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1517-31512014000200004
• topic: Bioengineering; Wheelchair; Pelvic alignment; Cerebral palsy

INTRODUCTION: The present study proposes a new scientific project for the seat of a wheelchair, suggesting that, through the properties of a three plan mobile seat, the pelvis of individuals with neuromotor dysfunctions may position themselves adequately, allowing a chain effect, with innumerable benefits to the users, such as prevention of deformities, of muscle shortening, of pressure ulcers and improved functionality. In spite of innumerable wheelchair models available in market, none presents the ample properties resembling the articulated seat, allowing the pelvic alignment that is crucial for the adoption of an adequate posture. METHODS: The articulated seat was set over a ball and socket articulation made of two components, one convex that is fixed in the chair's structure and the other concave, attached to a mobile platform. The property of the articulated seat, to change the pressure distribution in the gluteal region, was tested on 34 typical individuals, without neurological injury, through a measurement system composed by 27 sensors. RESULTS: The significance of the statistic model proposed determined that the articulated seat was capable of altering the pressure distribution in the gluteal region in several positions on the frontal and sagittal planes, in healthy subjects. CONCLUSION: Despite the fact that this equipment is capable of redistributing the pressure in a seating position, future research to examine other parameters such as time of use, the use in subjects with neurological dysfunction, the angle of pelvic inclination, the criterions of indication and non-indication, inter alia, must be conducted to appropriately qualify this device.