Evidence map›Paper›PMID 28851369›Full record

ArticleBiomedical engineering online2017

Evaluation of the effect of different sitting assistive devices in reclining wheelchair on interface pressure.

Chun-Ting Li, Kuo-Yuan Huang, Chien-Feng Kung, Yen-Nien Chen, Yen-Ting Tseng, Kuen-Horng Tsai

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Biomedical engineering online, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chun-Ting LiApplied Biomechanics Laboratory, Graduate Institute of Mechatronic System Engineering, National University of Tainan, No. 33, Sec. 2, Shu-Lin St., West Central Dist., Tainan, 70005, Taiwan.
Kuo-Yuan HuangDepartment of Orthopedics, College of Medicine, National Cheng Kung University Hospital, No.138, Sheng-Li Rd., North Dist., Tainan, 70403, Taiwan.
Chien-Feng KungGraduate Institute & Department of Information Management, National Kaohsiung University of Applied Sciences, No. 415, Chien-Kung Rd., Sanmin Dist., Kaohsiung, 80778, Taiwan.
Yen-Nien ChenDepartment of BioMedical Engineering, National Cheng Kung University, No. 1, University Rd., East Dist., Tainan, 70101, Taiwan.
Yen-Ting TsengApplied Biomechanics Laboratory, Graduate Institute of Mechatronic System Engineering, National University of Tainan, No. 33, Sec. 2, Shu-Lin St., West Central Dist., Tainan, 70005, Taiwan.
Kuen-Horng TsaiApplied Biomechanics Laboratory, Graduate Institute of Mechatronic System Engineering, National University of Tainan, No. 33, Sec. 2, Shu-Lin St., West Central Dist., Tainan, 70005, Taiwan. khnutn@gmail.com.ORCID http://orcid.org/0000-0002-4360-3712

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundReclining wheelchair users often add one or more sitting assistive devices to their wheelchairs, but the effect of these additional sitting assistive devices on the risk of pressure ulcers has rarely been investigated. This study examined the four modes of reclining wheelchair without and with different sitting assistive devices, namely the back reclined mode, the lumbar support with back reclined mode, the femur upward with back reclined mode, and the lumbar support with femur upward with back reclined mode, in terms of their effects on human-wheelchair interface pressure.

methodsThis study recruited 16 healthy participants to undergo the aforementioned four modes in random order and have their human-wheelchair interface pressure measured. The initial setting of experimental reclining wheelchair backrest was pushed backward to reach a 150° recline. The data on interface pressure were collected for 5 s while the participant maintained a stable sitting position. The contact area, average pressure, and peak pressure on the back area, ischial area, and femur area were recorded and calculated.

resultsAmong all tested modes, the lumbar support with femur upward with back reclined mode provided the most significant reduction in stress load on the ischial area (P ≤ 0.010) and shifted part of the load to the femur area (P ≤ 0.009).

conclusionsThis study quantified the effects of and differences between various reclining wheelchair-sitting assistive device combination modes. These findings are useful for the decision-making processes of rehabilitation physicians, wheelchair users, and manufacturers.

Indexed as

PosturePressureWheelchairsEquipment DesignFemaleHumansMaleYoung AdultInterface pressurePressure ulcerSitting assistive deviceWheelchair

Identifiers

PMID28851369
PMCPMC5576165

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.