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  4. Monitoring standing wheelchair use after spinal cord injury: A case report

Monitoring standing wheelchair use after spinal cord injury: A case report

Disabil Rehabil, 2005 · DOI: 10.1080/09638280400009337 · Published: February 4, 2005

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study monitored how a man with a spinal cord injury used a standing wheelchair over two years. A special device recorded when and how long he stood. The goal was to see if standing could offer health benefits and to understand how people use these devices in their daily lives. The man used the standing wheelchair more than the minimum suggested amount. He seemed to like using it and reported some positive changes in his spasticity and bowel movements. This suggests that standing wheelchairs can be useful for people with spinal cord injuries. The monitoring system worked well, providing detailed information about the man's standing habits. This information can help researchers design better studies to figure out the right amount of standing needed to improve health after a spinal cord injury.

Study Duration
2 years
Participants
One 25-year-old male with T-10 complete paraplegia
Evidence Level
Level 4, Case Report

Key Findings

  • 1
    The client exceeded a suggested minimum dosage of standing per month (130.4% of goal).
  • 2
    The client stood for short bouts (mean = 11.57 min) at an average angle of 61 °, on an average 3.86 days per calendar week.
  • 3
    The subject provided subjective reports of improved spasticity and bowel motility.

Research Summary

This case report describes a standing and surveillance system that allows quantification of standing dose. Preliminary investigation with a single subject indicates that compliance with this device is good. This case report lays the foundation for a method to quantify dose of standing so that effective and economically feasible standing interventions can be developed.

Practical Implications

Improved Monitoring

The study demonstrates a method for precisely monitoring standing wheelchair usage, which can be used in future research.

Potential Health Benefits

Standing may offer benefits such as improved spasticity and bowel motility for individuals with SCI, warranting further investigation.

Personalized Standing Protocols

The data logging system can help tailor standing protocols to individual needs and preferences, optimizing the benefits of standing interventions.

Study Limitations

  • 1
    Single case study limits generalizability
  • 2
    Subjective reports of benefits may be influenced by placebo effect
  • 3
    The study focuses on one specific standing wheelchair model

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