Skip to main content
Top
Published in: European Spine Journal 4/2004

01-07-2004 | Original Article

Measuring seating pressure, area, and asymmetry in persons with spinal cord injury

Authors: Elena M. Gutierrez, Marie Alm, Claes Hultling, Helena Saraste

Published in: European Spine Journal | Issue 4/2004

Login to get access

Abstract

The goal of this study was to measure characteristics of seat loading in manual wheelchair users with complete spinal cord injury (SCI). Pressure distribution on the seating area of 25 adult males with SCI and eight non-injured adult males was measured in a relaxed and an upright posture on a standardized hard surface. Subjects with SCI were also tested in their wheelchairs. Maximum pressure, contact area, area of the highest pressure, and three asymmetry indices were compared. Subjects with SCI have higher pressure distributed over a smaller area, have a much smaller contact area, and distribute the loading more asymmetrically than non-injured subjects. Upright posture only corrects for some loading problems, while the wheelchair corrects for more loading parameters. Routine clinical seat loading evaluation may lead to improved chair and cushion selection for patients with SCI and may even alert clinicians to patients at high risk for complications due to high or unbalanced loads.
Literature
1.
go back to reference Aissaoui R, Kauffmann C, Dansereau J, de Guise JA (2001) Analysis of pressure distribution at the body-seat interface in able-bodied and paraplegic subjects using a deformable active contour algorithm. Med Eng Phys 23:359–367CrossRefPubMed Aissaoui R, Kauffmann C, Dansereau J, de Guise JA (2001) Analysis of pressure distribution at the body-seat interface in able-bodied and paraplegic subjects using a deformable active contour algorithm. Med Eng Phys 23:359–367CrossRefPubMed
2.
go back to reference Alm M, Gutierrez E, Hultling C, Saraste H (2003) Clinical evaluation of seating in persons with complete thoracic spinal cord injury. Spinal Cord 41:563–571 Alm M, Gutierrez E, Hultling C, Saraste H (2003) Clinical evaluation of seating in persons with complete thoracic spinal cord injury. Spinal Cord 41:563–571
3.
go back to reference Apatsidis DP, Solomonidis SE, Michael SM (2002) Pressure distribution at the seating interface of custom-molded wheelchair seats: effect of various materials. Arch Phys Med Rehabil 83:1151–1156CrossRefPubMed Apatsidis DP, Solomonidis SE, Michael SM (2002) Pressure distribution at the seating interface of custom-molded wheelchair seats: effect of various materials. Arch Phys Med Rehabil 83:1151–1156CrossRefPubMed
4.
go back to reference Burney RE, Maio RF, Maynard F, Karunas R (1993) Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America. Arch Surg 128:596–599PubMed Burney RE, Maio RF, Maynard F, Karunas R (1993) Incidence, characteristics, and outcome of spinal cord injury at trauma centers in North America. Arch Surg 128:596–599PubMed
5.
go back to reference Garber SL, Krouskop TA, Carter RE (1978) A system for clinically evaluating wheelchair pressure-relief cushions. Am J Occup Ther 32:565–570PubMed Garber SL, Krouskop TA, Carter RE (1978) A system for clinically evaluating wheelchair pressure-relief cushions. Am J Occup Ther 32:565–570PubMed
6.
go back to reference Gerhart KA, Bergstrom E, Charlifue SW, Menter RR, Whiteneck GG (1993) Long-term spinal cord injury: functional changes over time. Arch Phys Med Rehabil 74:1030–1034PubMed Gerhart KA, Bergstrom E, Charlifue SW, Menter RR, Whiteneck GG (1993) Long-term spinal cord injury: functional changes over time. Arch Phys Med Rehabil 74:1030–1034PubMed
7.
go back to reference Hobson DA, Tooms RE (1992) Seated lumbar/pelvic alignment. A comparison between spinal cord-injured and noninjured groups. Spine 17:293–298PubMed Hobson DA, Tooms RE (1992) Seated lumbar/pelvic alignment. A comparison between spinal cord-injured and noninjured groups. Spine 17:293–298PubMed
8.
go back to reference Koo TK, Mak AF, Lee YL (1996) Posture effect on seating interface biomechanics: comparison between two seating cushions. Arch Phys Med Rehabil 77:40–47PubMed Koo TK, Mak AF, Lee YL (1996) Posture effect on seating interface biomechanics: comparison between two seating cushions. Arch Phys Med Rehabil 77:40–47PubMed
9.
go back to reference Levi R, Hultling C, Nash MS, Seiger A (1995) The Stockholm spinal cord injury study. 1. Medical problems in a regional SCI population. Paraplegia 33:308–315PubMed Levi R, Hultling C, Nash MS, Seiger A (1995) The Stockholm spinal cord injury study. 1. Medical problems in a regional SCI population. Paraplegia 33:308–315PubMed
10.
go back to reference Levi R, Hultling C, Seiger A (1995) The Stockholm Spinal Cord Injury Study. 2. Associations between clinical patient characteristics and post-acute medical problems. Paraplegia 33:585–594PubMed Levi R, Hultling C, Seiger A (1995) The Stockholm Spinal Cord Injury Study. 2. Associations between clinical patient characteristics and post-acute medical problems. Paraplegia 33:585–594PubMed
11.
go back to reference Luo ZP, Berglund LJ, An KN (1998) Validation of F-Scan pressure sensor system: a technical note. J Rehabil Res Dev 35:186–191PubMed Luo ZP, Berglund LJ, An KN (1998) Validation of F-Scan pressure sensor system: a technical note. J Rehabil Res Dev 35:186–191PubMed
12.
go back to reference Maynard FM Jr, Bracken MB, Creasey G, Ditunno JF Jr, Donovan WH, Ducker TB, Garber SL, Marino RJ, Stover SL, Tator CH, Waters RL, Wilberger JE, Young W (1997) International Standards for Neurological and Functional Classification of Spinal Cord Injury. American Spinal Injury Association. Spinal Cord 35:266–274 Maynard FM Jr, Bracken MB, Creasey G, Ditunno JF Jr, Donovan WH, Ducker TB, Garber SL, Marino RJ, Stover SL, Tator CH, Waters RL, Wilberger JE, Young W (1997) International Standards for Neurological and Functional Classification of Spinal Cord Injury. American Spinal Injury Association. Spinal Cord 35:266–274
13.
go back to reference Samuelsson K, Larsson H, Thyberg M, Tropp H (1996) Back pain and spinal deformity: common among wheelchair users with spinal cord injuries. Scand J Occ Ther 3:28–32 Samuelsson K, Larsson H, Thyberg M, Tropp H (1996) Back pain and spinal deformity: common among wheelchair users with spinal cord injuries. Scand J Occ Ther 3:28–32
14.
go back to reference Shields RK, Cook TM (1992) Lumbar support thickness: effect on seated buttock pressure in individuals with and without spinal cord injury. Phys Ther 72:218–226PubMed Shields RK, Cook TM (1992) Lumbar support thickness: effect on seated buttock pressure in individuals with and without spinal cord injury. Phys Ther 72:218–226PubMed
15.
go back to reference Takechi H, Tokuhiro A (1998) Evaluation of wheelchair cushions by means of pressure distribution mapping. Acta Med Okayama 52:245–254PubMed Takechi H, Tokuhiro A (1998) Evaluation of wheelchair cushions by means of pressure distribution mapping. Acta Med Okayama 52:245–254PubMed
16.
go back to reference Thorfinn J, Sjoberg F, Lidman D (2002) Sitting pressure and perfusion of buttock skin in paraplegic and tetraplegic patients, and in healthy subjects: a comparative study. Scand J Plast Reconstr Surg Hand Surg 36:279–283CrossRefPubMed Thorfinn J, Sjoberg F, Lidman D (2002) Sitting pressure and perfusion of buttock skin in paraplegic and tetraplegic patients, and in healthy subjects: a comparative study. Scand J Plast Reconstr Surg Hand Surg 36:279–283CrossRefPubMed
Metadata
Title
Measuring seating pressure, area, and asymmetry in persons with spinal cord injury
Authors
Elena M. Gutierrez
Marie Alm
Claes Hultling
Helena Saraste
Publication date
01-07-2004
Publisher
Springer-Verlag
Published in
European Spine Journal / Issue 4/2004
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-003-0635-7

Other articles of this Issue 4/2004

European Spine Journal 4/2004 Go to the issue

Announcements

July 2004