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Effect of durations of wheelchair tilt-in-space and recline on skin perfusion over the ischial tuberosity in people with spinal cord injury.

Abstract：

OBJECTIVE:To compare the efficacy of various durations of wheelchair tilt-in-space and recline on enhancing skin perfusion over the ischial tuberosity in people with spinal cord injury (SCI). DESIGN:Repeated-measures, intervention and outcomes measure design. SETTING:University research laboratory. PARTICIPANTS:Power wheelchair users with SCI (N=9). INTERVENTIONS:Three protocols of various durations (3min, 1min, and 0min) of wheelchair tilt-in-space and recline were randomly assigned to the participants. Each protocol consisted of a baseline 15-minute sitting, a duration of 0- to 3-minute reclined and tilted, a second 15-minute sitting, and a 5-minute recovery. The position at the baseline and the second sitting was no tilt/recline of the participant and at the reclined and tilted and recovery was at 35° tilt-in-space and 120° recline. MAIN OUTCOME MEASURES:Skin perfusion response to tilt and recline was assessed by laser Doppler and was normalized to mean skin perfusion at the baseline sitting. RESULTS:The results showed that mean skin perfusion during recovery at the 3-minute duration was significantly higher than that at the 1-minute duration (P<.017) and mean skin perfusion was not significantly different between the 1-minute and 0-minute durations (not significant). Skin perfusion during the second sitting was significantly higher at the 3-minute duration than at the 1-minute and 0-minute durations (P<.017). CONCLUSIONS:Our findings suggest that performing the 3-minute duration of wheelchair tilt-in-space and recline is more effective than the 1-minute duration in enhancing skin perfusion of weight-bearing soft tissues.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Jan YK,Liao F,Jones MA,Rice LA,Tisdell T

doi

10.1016/j.apmr.2012.11.019

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

667-72

issue

4

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(12)01121-5

journal_volume

94

pub_type

杂志文章,随机对照试验

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