Evidence map›Paper›PMID 30988398›Full record

ArticleSpinal cord2019

Experienced sitting-related problems and association with personal, lesion and wheelchair characteristics in persons with long-standing paraplegia and tetraplegia.

L Valent, J Nachtegaal, W Faber, C Smit, E Kaandorp, S Pratt-Sutherland, H Houdijk, J Adriaansen, ALLRISC, S Groot de and 1 more

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Article in Spinal cord, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

L ValentResearch & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands. l.valent@heliomare.nl.
J NachtegaalResearch & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands.
W FaberSpinal Cord Injury Department, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands.
C SmitRehabilitation Centre Tolbrug, Den Bosch, The Netherlands.
E KaandorpSpinal Cord Injury Department, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands.
S Pratt-SutherlandSeating Solutions LL, Boulder, USA.
H HoudijkResearch & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands.
J AdriaansenAmsterdam Rehabilitation Research Centre, Reade, Amsterdam, The Netherlands.
ALLRISC
S Groot deAmsterdam Rehabilitation Research Centre, Reade, Amsterdam, The Netherlands.
M W M PostUniversity of Groningen, University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designCross-sectional study.

objectivesTo describe experienced sitting-related health and stability problems among persons with paraplegia (PP) or tetraplegia (TP) and to investigate associations with personal, lesion and wheelchair characteristics as well as satisfaction with sitting posture.

settingDutch community.

methodsA self-report questionnaire on seating was developed and completed by wheelchair-users living with Spinal Cord Injury (SCI) for ≥10 years (N = 264). Sitting-related problems and satisfaction with sitting posture were compared between participants with PP and TP using Chi-square and t-tests. Logistic regression analyses were performed to investigate associated characteristics.

resultsReported sitting-related problems comprised: sitting to be tiring (regularly to always) (33%), sitting to be painful (28%), pressure ulcers in the last three months (29%), instability while sitting (8%) and instability during reaching (33%). Except for instability during reaching, no differences in occurrence of sitting-problems were found between lesion-group. Persons with TP were more dissatisfied with their sitting posture than persons with PP: 51% vs 36% (p = 0.022) and 51% and 47% respectively thought their sitting posture could be improved (p = 0.670). 'Experienced lack of support in the wheelchair' was associated with most sitting-problems. Pain and instability were associated with dissatisfaction with sitting posture.

conclusionSitting-related problems and dissatisfaction with sitting posture were frequently reported by persons with long-standing SCI. Sitting problems appeared to associate with lacking support in the wheelchair/seating. A comprehensive feedback from the wheelchair user and a stability check (reach task), as part of the wheelchair/seating-user fitting, may contribute to prevention of sitting-related problems.

Indexed as

ParaplegiaQuadriplegiaSitting PositionSpinal Cord InjuriesWheelchairsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

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Registered trials

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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.