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  4. A Functionally Relevant Tool for the Body following Spinal Cord Injury

A Functionally Relevant Tool for the Body following Spinal Cord Injury

PLoS ONE, 2013 · DOI: 10.1371/journal.pone.0058312 · Published: March 6, 2013

Spinal Cord InjuryNeurologyRehabilitation

Simple Explanation

This study investigates how people with spinal cord injuries (SCI) incorporate their wheelchairs into their body image and body schema. The research explores whether this incorporation is due to changes in sensory and motor input or prolonged wheelchair use. Researchers analyzed reports from 55 wheelchair users with SCI, focusing on their experiences with wheelchair use. They used principal component analysis (PCA) to identify key factors influencing the sense of embodiment of the wheelchair. The findings suggest that the brain can integrate assistive tools like wheelchairs into the body schema. This integration depends on the degree of sensorimotor function remaining after the injury, particularly in the upper body.

Study Duration
Not specified
Participants
55 wheelchair-bound individuals with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Regular wheelchair use leads to a perception that the body's boundaries are flexible and can include the wheelchair.
  • 2
    The functional aspect of wheelchair embodiment is modulated by the degree of disconnected body segments, with patients retaining upper body movement showing a higher degree of functional embodiment.
  • 3
    The study found that the wheelchair became a tangible substitute for the functionality of the affected body part, rather than just an extension of immobile limbs.

Research Summary

This study explored how individuals with spinal cord injury (SCI) experience wheelchair embodiment, examining whether the wheelchair is perceived as part of their body image and schema. Using principal component analysis (PCA) on structured reports from 55 wheelchair users, the study identified key components influencing wheelchair embodiment, focusing on the impact of sensorimotor function and wheelchair use. The findings revealed that the degree of sensorimotor function, particularly in the upper body, modulates the functional embodiment of the wheelchair. The wheelchair became a tangible substitution for the functionality of the affected body part.

Practical Implications

Rehabilitation Strategies

Rehabilitation programs should focus on enhancing the integration of assistive devices into the patient's body schema to improve their sense of embodiment and overall functionality.

Assistive Device Design

The design of assistive devices should consider the functional and emotional aspects of embodiment, aiming to create tools that feel like a natural extension or substitute for the body.

Psychological Well-being

Promoting the embodiment of assistive devices can improve the psychological well-being of individuals with physical impairments by enhancing their self-perception and autonomy.

Study Limitations

  • 1
    The study relies on introspective data, which may be subject to subjective biases.
  • 2
    The use of PCA, while powerful, requires empirical measures to validate the findings.
  • 3
    The findings may not be generalizable to all occurrences of corporeal awareness of a tool due to the specific population studied.

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