Literature DB >> 30008299

Microclimate evaluation of strap-based wheelchair seating systems for persons with spinal cord injury: A pilot study.

Christine M Olney1, Amanda Simone2, Kristin Hanowski2, Thomas S Rector2, Gary D Goldish3, Andrew H Hansen3, John E Ferguson3.   

Abstract

STUDY
PURPOSE: The purpose of this pilot study was to assess microclimate characteristics of two versions of a strap-based wheelchair seating system (perforated and solid straps) and to conduct preliminary microclimate comparisons of subjects' current wheelchair seating systems.
MATERIALS AND METHODS: In this pilot study, the microclimate properties of two variations (solid and perforated) of a strap-based seating system were compared with two commonly used seating systems. Six subjects sat on three different seating systems each for 100-min test periods, while temperature and relative humidity were measured with a single sensor adjacent to the skin-seat interface. Additionally, thermal images of the seat interface were collected before and after each test period.
RESULTS: The thermal images revealed that the maximum surface temperature of the solid-strap-based seating system was significantly lower than the other seating systems, -1.21 °C. (95% CI -2.11 to -0.30, p = 0.02), immediately following transfer out of the seat. Five minutes after transferring out of the seat, the perforated-strap seat was significantly cooler than the other seats -0.94 °C. (95% CI -1.59 to -0.30), p = 0.01, as was the solid-strap-based seat, -1.66 °C. (95% CI -2.69 to -0.63), p = 0.01. There were no significant differences in interface temperature or relative humidity measured with the single sensor near the skin-seat interface.
CONCLUSION: This pilot study offers preliminary evidence regarding the microclimate of the strap-based seating systems compared with other common seating systems. Clinically, the strap-based seating system may offer another option for those who struggle with microclimate management. Published by Elsevier Ltd.

Entities:  

Keywords:  Microclimate; Seating; Spinal cord injury; Strap-based seating; Wheelchair seating

Mesh:

Year:  2018        PMID: 30008299      PMCID: PMC6084472          DOI: 10.1016/j.jtv.2018.06.001

Source DB:  PubMed          Journal:  J Tissue Viability        ISSN: 0965-206X            Impact factor:   2.932


  16 in total

1.  Assessment of autonomic dysfunction following spinal cord injury: rationale for additions to International Standards for Neurological Assessment.

Authors:  Andrei V Krassioukov; Ann-Katrin Karlsson; Jill M Wecht; Lisa-Ann Wuermser; Christopher J Mathias; Ralph J Marino
Journal:  J Rehabil Res Dev       Date:  2007

2.  Assessment of humidity and temperature sensors and their application to seating.

Authors:  P W McCarthy; Z Liu; A I Heusch; V Cascioli
Journal:  J Med Eng Technol       Date:  2009

3.  Pressure-reducing cushions: perceptions of comfort from the wheelchair users' perspective using interface pressure, temperature and humidity measurements.

Authors:  Lesley Stockton; Shyam Rithalia
Journal:  J Tissue Viability       Date:  2008-02-20       Impact factor: 2.932

4.  Thermodynamic rigid cushion loading indenter: a buttock-shaped temperature and humidity measurement system for cushioning surfaces under anatomical compression conditions.

Authors:  Martin Ferguson-Pell; Hideyuki Hirose; Graham Nicholson; Evan Call
Journal:  J Rehabil Res Dev       Date:  2009

5.  Studying thermal characteristics of seating materials by recording temperature from 3 positions at the seat-subject interface.

Authors:  Zhuofu Liu; Vincenzo Cascioli; Andrew I Heusch; Peter W McCarthy
Journal:  J Tissue Viability       Date:  2011-06-08       Impact factor: 2.932

6.  Pilot study of strap-based custom wheelchair seating system in persons with spinal cord injury.

Authors:  John E Ferguson; Becky L Wittig; Mark Payette; Gary D Goldish; Andrew H Hansen
Journal:  J Rehabil Res Dev       Date:  2014

7.  Everyday sitting behavior of full-time wheelchair users.

Authors:  Sharon E Sonenblum; Stephen H Sprigle; James S Martin
Journal:  J Rehabil Res Dev       Date:  2016

8.  Infrared thermography applied to the study of the thermal behavior of wheelchair cushion.

Authors:  H Pron; R Taiar; H T Bui; P Lestriez; G Polidori
Journal:  Comput Methods Biomech Biomed Engin       Date:  2017-10       Impact factor: 1.763

9.  Microclimate and development of pressure ulcers and superficial skin changes.

Authors:  Saldy Yusuf; Mayumi Okuwa; Yoshie Shigeta; Misako Dai; Terumi Iuchi; Sulaiman Rahman; Awaluddin Usman; Sukmawati Kasim; Junko Sugama; Toshio Nakatani; Hiromi Sanada
Journal:  Int Wound J       Date:  2013-03-12       Impact factor: 3.315

10.  How much time does it take to get a pressure ulcer? Integrated evidence from human, animal, and in vitro studies.

Authors:  Amit Gefen
Journal:  Ostomy Wound Manage       Date:  2008-10       Impact factor: 2.629

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