Sitting forces and wheelchair mechanics. 1990

P Gilsdorf, and R Patterson, and S Fisher, and N Appel
Department of Physical Medicine and Rehabilitation, University of Minnesota, Minneapolis 55455.

The effects of back angle and leg height on sitting forces in a wheelchair were studied, using a force plate mounted on a wheelchair seat. Readings of both normal force (perpendicular to the seat) and shear force were measured while the chair's back angle and footrest height were changed. Pressure under the ischial tuberosities was also measured during the footrest height adjustments. Five normal subjects sat directly on the plate as well as upon ROHO and Jay cushions placed on the force plate. Returning the back to the upright position after a recline caused the normal force (+/- SD) to increase 5.4 +/- 2.5, 9.5 +/- 4.0, and 10.0 +/- 2.3 kg for the hard surface, Jay cushion, and ROHO cushion respectively, while shear at the plate increased to 5.1 +/- 2.2, 11.6 +/- 2.6, and 12.3 +/- 2.7 kg for the hard surface, Jay cushion, and ROHO cushion respectively. Leaning forward (away from the back) caused all the forces to return to measurements close to the starting values. The results suggest that the wheelchair user should momentarily lean forward after a recline to reduce undesired forces. If a cushion with firm thigh support is used, ischial tuberosity pressure can be reduced by lowering the leg height as much as possible, which causes a levering action by lifting the pelvis.

UI MeSH Term Description Entries
D011187 Posture The position or physical attitude of the body. Postures
D011312 Pressure A type of stress exerted uniformly in all directions. Its measure is the force exerted per unit area. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Pressures
D011782 Quadriplegia Severe or complete loss of motor function in all four limbs which may result from BRAIN DISEASES; SPINAL CORD DISEASES; PERIPHERAL NERVOUS SYSTEM DISEASES; NEUROMUSCULAR DISEASES; or rarely MUSCULAR DISEASES. The locked-in syndrome is characterized by quadriplegia in combination with cranial muscle paralysis. Consciousness is spared and the only retained voluntary motor activity may be limited eye movements. This condition is usually caused by a lesion in the upper BRAIN STEM which injures the descending cortico-spinal and cortico-bulbar tracts. Quadriparesis,Spastic Quadriplegia,Tetraplegia,Flaccid Quadriplegia,Flaccid Tetraplegia,Paralysis, Spinal, Quadriplegic,Spastic Tetraplegia,Flaccid Quadriplegias,Flaccid Tetraplegias,Quadripareses,Quadriplegia, Flaccid,Quadriplegia, Spastic,Quadriplegias,Quadriplegias, Flaccid,Quadriplegias, Spastic,Spastic Quadriplegias,Spastic Tetraplegias,Tetraplegia, Flaccid,Tetraplegia, Spastic,Tetraplegias,Tetraplegias, Flaccid,Tetraplegias, Spastic
D003668 Pressure Ulcer An ulceration caused by prolonged pressure on the SKIN and TISSUES when one stays in one position for a long period of time, such as lying in bed. The bony areas of the body are the most frequently affected sites which become ischemic (ISCHEMIA) under sustained and constant pressure. Bedsore,Decubitus Sore,Decubitus Ulcer,Pressure Injury,Pressure Sore,Bed Sores,Bed Sore,Bedsores,Decubitus Sores,Decubitus Ulcers,Injury, Pressure,Pressure Injuries,Pressure Sores,Pressure Ulcers,Sore, Bed,Sore, Decubitus,Sore, Pressure,Ulcer, Decubitus,Ulcer, Pressure
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001696 Biomechanical Phenomena The properties, processes, and behavior of biological systems under the action of mechanical forces. Biomechanics,Kinematics,Biomechanic Phenomena,Mechanobiological Phenomena,Biomechanic,Biomechanic Phenomenas,Phenomena, Biomechanic,Phenomena, Biomechanical,Phenomena, Mechanobiological,Phenomenas, Biomechanic
D014910 Wheelchairs Chairs or seating mounted on wheels and designed to be controlled or propelled by the occupant. Medicare Part B (Medical Insurance) covers power-operated vehicles (scooters), walkers, and wheelchairs as durable medical equipment. Wheel Chairs,Chair, Wheel,Chairs, Wheel,Wheel Chair,Wheelchair

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