Trial reportPloS one2022
Different temporal weight-bearing tendencies of persons with right and left hemiplegia while sitting in a wheelchair.
Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
The trial behind it
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The tendency of persons with hemiplegia to sit for prolonged periods can cause excessive interface pressure (IP) on their buttocks. Due to the different neuromusculoskeletal conditions, different buttock IP relief methods are required for persons with left hemiplegia (LH) and right hemiplegia (RH). Therefore, this study investigates temporal characteristics of IP on the right and left buttocks for RH, LH, and able-bodied individuals (AB) sitting in a wheelchair for 30 min. Thirty-five males participated in the study: 13 LH, 12 RH, and 10 AB. In the initial adjustment phase, the participants maintained an erect sitting posture for 7 min (2 min for posture and 5 min for creep adjustments). After the adjustments, experiments were conducted for 30 min to measure the IP. In the experiments, significant right-sided asymmetries of the mean IP were found for each group (P < 0.05). The right buttocks of LH exhibited significantly more right-sided asymmetry of the mean IP than that of AB (p < 0.01). Moreover, the right buttocks of RH exhibited insignificant asymmetry of the mean IP compared to that of AB (p >0.21). The peak IPs of RH and LH were significantly higher than those of AB (p <0.05), and temporal changes of the mean and peak IP of hemiplegia were significant (p <0.05) and not significant (p >0.05), respectively. The RH exhibited affected-side weight-bearing based on the mean IP. In contrast, the LH relieved the mean IP on the affected-side buttock. Due to the right-sided asymmetric mean and high peak IP, hemiplegia in acute and recovery stages using wheelchairs can cause ulceration. Therefore, different rehabilitation approaches are required for the RH and LH to reduce the peak IP and avoid an uneven distribution of the mean IP.
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