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  4. Sitting Pressure Measurements in Wheelchair Users—Can the Effects of Daily Relief Activities Be Depicted?

Sitting Pressure Measurements in Wheelchair Users—Can the Effects of Daily Relief Activities Be Depicted?

Sensors, 2024 · DOI: 10.3390/s24123806 · Published: June 12, 2024

Spinal Cord InjuryAssistive TechnologyDermatology

Simple Explanation

This study investigates whether a pressure mat can reflect the daily relief activities of wheelchair users. The research involved measuring the pressure of 33 wheelchair users with spinal cord injuries after 30 and 90 minutes of sitting. The study used a commercial pressure mat and graph-based surface analyses to assess parameters like maximum pressure area and pressure-area ratio. Participants were divided into those who could actively change their position and those who could not. The findings suggest that the pressure-area ratio, which is the ratio of maximum pressure area to total pressure-loaded area, should be considered when measuring seat pressure in wheelchair users, as it reflects their daily relief activities.

Study Duration
90 minutes
Participants
33 adult wheelchair-dependent people with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    For participants able to actively change position, pressure mat parameters and graph-based analyses remained unchanged.
  • 2
    In participants unable to actively change position, the area of maximum pressure and the pressure–area ratio increased.
  • 3
    Significant differences between 30 and 90 minutes were found only in the pressure–area ratio for inactive participants.

Research Summary

The study aimed to determine if a pressure mat could reflect daily relief activities in wheelchair users by analyzing various pressure parameters. Measurements were taken on 33 participants with spinal cord injuries after 30 and 90 minutes, distinguishing between those who could and could not actively change position. The key finding was that the pressure–area ratio reflects the daily relief activities of wheelchair users, particularly for those unable to actively reposition themselves.

Practical Implications

Clinical Practice

The pressure–area ratio should be considered when assessing seating pressure for wheelchair users, especially those with limited mobility.

Future Research

Further studies should investigate the effects of specific relief activities on the dispersion index using newer pressure mats.

Technology Development

Pressure mats should be enhanced to measure pressures beyond 200 mmHg for more accurate assessments.

Study Limitations

  • 1
    Sensor saturation limited maximum pressure measurements to 200 mmHg.
  • 2
    The pressure of the pressure sensors, which slowly increases over time (sensor creep), influences the measurement results
  • 3
    Specific activities of participants during the 90 minutes were not recorded.

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