RESNA position on the application of tilt, recline, and elevating legrests for wheelchairs

Assistive Technology

Volumn 21, Issue 1, 2009, Pages 13-22

  Dicianno, Brad E ^a,b,c   Arva, Juliana ^d   Lieberman, Jenny M ^e   Schmeler, Mark R ^b,c   Souza, Ana ^b,c   Phillips, Kevin ^f   Lange, Michelle ^g   Cooper, Rosemarie ^b,c   Davis, Kim ^h   Betz, Kendra L ⁱ  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b UNIVERSITY OF PITTSBURGH   (United States)

^c Human Engineering Research Laboratories   (United States)

^d Mount Sinai Hospital ^*

^e MOUNT SINAI HOSPITAL   (United States)

^f Access to Independence Inc   (United States)

^g Access to Independence Inc   (United States)

^h SHEPHERD CENTER   (United States)

ⁱ Veterans Administration Central Office   (United States)

Author keywords

Legrests; Power features; Recline; Rehabilitation; Tilt; Wheelchair

Indexed keywords

ASSISTIVE TECHNOLOGY; BOARD OF DIRECTORS; CLINICAL APPLICATION; LEGRESTS; POWER FEATURES; RECLINE; REHABILITATION ENGINEERING; TILT;

HUMAN REHABILITATION EQUIPMENT; PATIENT REHABILITATION;

WHEELCHAIRS;

4 AMINOBENZOIC ACID;

ADULT; AGED; ARTICLE; CASE REPORT; EQUIPMENT DESIGN; FEMALE; HUMAN; MALE; MIDDLE AGED; SELF HELP; WHEELCHAIR;

4-AMINOBENZOIC ACID; ADULT; AGED, 80 AND OVER; EQUIPMENT DESIGN; FEMALE; HUMANS; MALE; MIDDLE AGED; SELF-HELP DEVICES; WHEELCHAIRS; YOUNG ADULT;

EID: 67651081554     PISSN: 10400435     EISSN: 19493614     Source Type: Journal    
DOI: 10.1080/10400430902945769     Document Type: Article

References (78)

1. Abu-Own, A., Scurr, J. H., & Coleridge Smith, P. D. (1994). Effect of leg elevation on the skin microcirculation in chronic venous insufficiency. Journal of Vascular Surgery, 20, 705-710.
2. Adams, M., & Hutton, W. (1983). The effect of posture on the fluid content of lumbar intervertebral discs. Spine, 8, 665-671.
3. Adams, M., & Hutton, W. (1985). The effect of posture on the lumbar spine. Journal of Bone & Joint Surgery, British Volume, 67, 625-629.
4. Adams, M. A., Green, T. P., & Dolan, P. (1994). The strength in anterior bending of lumbar intervertebral discs. Spine, 19, 2197-2203.
5. Aissaoui, R., Heydar, S., Dansereau, J., & Lacoste, M. (2000). Biomechanical analysis of legrest support of occupied wheelchairs: Comparison between a conventional and a compensatory legrest. IEEE Transactions on Rehabilitation Engineering, 8, 140-148.
6. Aissaoui, R., Kauffmann, C., Dansereau, J., & de Guise, J. A. (2001). Analysis of pressure distribution at the body-seat interface in ablebodied and paraplegic subjects using a deformable active contour algorithm. Medical Engineering and Physics, 23, 359-367.
7. Aissaoui, R., Lacoste, M., & Dansereau, J. (2001). Analysis of sliding and pressure distribution during a repositioning of persons in a simulator chair. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 9, 215-224.
8. Andersson, G. B. (1981). Epidemiologic aspects on low-back pain in industry. Spine, 6, 53-60.
9. Andersson, G. B., Murphy, R. W., Ortengren, R., & Nachemson, A. L. (1979). The influence of backrest inclination and lumbar support on lumbar lordosis. Spine, 4, 52-58.
10. Bayley, J. C., Cochran, T. P., & Sledge, C. B. (1987). The weight-bearing shoulder: The impingement syndrome in paraplegics. Journal of Bone and Joint Surgery, American Volume, 69, 676-678.
11. Bendix, T., & Biering-Sorensen, F. (1983). Posture of the trunk when sitting on forward inclining seats. Scandinavian Journal of Rehabilation Medicine, 15, 197-203.
12. Bennett, L., Kavner, D., Lee, B. K., & Trainor, F. A. (1979). Shear vs pressure as causative factors in skin blood flow occlusion. Archives of Physical Medicine and Rehabilitation, 60, 309-314.
13. Bhatnager, V., Drury, C. G., & Schiro, S. G. (1985). Posture, postural discomfort, and performance. Human Factors, 27, 189-199.
14. Boninger, M., & Stripling, T. (2007). Preserving upper-limb function in spinal cord injury. Archives of Physical Medicine and Rehabilitation, 88, 817.
15. Bradley, J. G., & Davis, K. A. (2003). Orthostatic hypotension. American Family Physician, 68, 2393-2398.
16. Branton, P. (1969). Sitting posture. In E. Grandjean (Ed.), Proceedings of a symposium held in September 1958 at the Swiss Federal Institute of Technology (pp. 202-213). London: Taylor & Francis.
17. Carlson, J. M., Payette, M. J., & Vervena, L. (1995). Seating orthosis design for prevention of decubitus ulcers. Journal of Prosthetics and Orthotics, 7(2), 51-60.
18. Claydon, V. E., Steeves, J. D., & Krassioukov, A. (2006). Orthostatic hypotension following spinal cord injury: Understanding clinical pathophysiology. Spinal Cord, 44, 341-351.
19. Coggrave, M. J., & Rose, L. S. (2003). A specialist seating assessment clinic: Changing pressure relief practice. Spinal Cord, 41, 692-695.
20. Cooper, D. (2004). A retrospective of three years of lateral tilt-in-space. Proceedings of the International Seating Symposium, 20, 205-209.
21. Cooper, R. A., Dvorznak, M. J., O'Connor, T. J., Boninger, M. L., & Jones, D. K. (1998). Braking electric-powered wheelchairs: Effect of braking method, seatbelt, and legrests. Archives of Physical Medicine and Rehabilitation, 79, 1244-1249.
22. de Looze, M. P., Kuijt-Evers, L. F., & van Dieen, J. (2003). Sitting comfort and discomfort and the relationships with objective measures. Ergonomics, 46, 985-997.
23. Douglas, W. S., & Simpson, N. B. (1995). Guidelines for the management of chronic venous leg ulceration: Report of a multidisciplinary workshop. British Journal of Dermatology, 132, 446-452.
24. Edlich, R. F., Heather, C. L., & Galumbeck, M. H. (2003). Revolutionary advances in adaptive seating systems for the elderly and persons with disabilities that assist sit-to-stand transfers. Journal of the Long Term Effects of Medical Implants, 13, 31-39.
25. Edlich, R. F., Winters, K. L., Woodard, C. R., Buschbacher, R. M., Long, W. B., Gebhart, J. H., et al. (2004). Pressure ulcer prevention. Journal of the Long Term Effects of Medical Implants, 14, 285-304.
26. Engstrom, B. (1993). Fundamental seating principles, correcting the trunk. Retrieved from http://www.posturalis.se/eng/EngView.pdf
27. Fragala, G., & Bailey, L. P. (2003). Addressing occupational strains and sprains: Musculoskeletal injuries in hospitals. AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses, 51, 252-259.
28. Garcia-Navarro, M. E., Tacoronte, M., Sarduy, I., Abdo, A., Galvizu, R., Torres, A., et al. (2000). Influence of early stimulation in cerebral palsy. Revista de Neurologia, 31, 716-719.
29. Gilsdorf, P., Patterson, R., Fisher, S., & Appel, N. (1990). Sitting forces and wheelchair mechanics. Journal of Rehabilitation Research and Development, 27, 239-246.
30. Goossens, R. H., Teeuw, R., & Snijders, C. J. (2005). Sensitivity for pressure difference on the ischial tuberosity. Ergonomics, 48, 895-902.
31. Graf, M., Guggenbuhl, H., & Kreuger, H. (1991). Movement dynamics of sitting behaviour during different activities. In Y. Queinnec & F. Daniellou (Eds.), Designing for everyone: Proceedings of the 11th Congress of the International Ergonomics Association (pp. 15-17). London: Taylor & Francis.
32. Grandjean, E., Hunting, W., & Pidermann, M. (1983). VDT workstation design: Preferred settings and their effects. Human Factors, 25, 161-175.
33. Gyi, D. E., & Porter, J. M. (1998). Musculoskeletal problems and driving in police officers. Occupational Medicine, 48, 153-160.
34. Gyi, D. E., & Porter, J. M. (1999). Interface pressure and the prediction of car seat discomfort. Applied Ergonomics, 30, 99-107.
35. Hardwick, K. (2002). Insightful options. Rehab Management. Retrieved from http://www.rehabpub.com/features/102002/4.asp
36. Henderson, J. L., Price, S. H., Brandstater, M. E., & Mandac, B. R. (1994). Efficacy of three measures to relieve pressure in seated persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 75, 535-539.
37. Herberts, P., Kadefors, R., Hogfors, C., & Sigholm, G. (1984). Shoulder pain and heavy manual labor. Clinical Orthopaedics and Related Research, 191, 166-178.
38. Hobson, D. A. (1992). Comparative effects of posture on pressure and shear at the body-seat interface. Journal of Rehabilitation Research and Development, 29(4), 21-31.
39. Holm, S., & Nachemson, A. (1983). Variations in the nutrition of the canine intervertebral disc induced by motion. Spine, 8, 866-874.
40. Janssen-Potten, Y. J., Seelen, H. A., Drukker, J., Spaans, F., & Drost, M. R. (2002). The effect of footrests on sitting balance in paraplegic subjects. Archives of Physical Medicine and Rehabilitation, 83, 642-648.
41. Keegan, J. (1953). Alterations of the lumbar curve related to posture and seating. Journal of Bone and Joint Surgery, 35, 589.
42. Kelsey, J. L. (1975). An epidemiological study of the relationship between occupations and acute herniated lumbar intervertebral discs. International Journal of Epidemiology, 4, 197-205.
43. Kinzer, S. M., & Convertino, V. A. (1989). Role of leg vasculature in the cardiovascular response to arm work in wheelchair-dependent populations. Clinical Physiology, 9, 525-533.
44. Kolditz, D., Kramer, J., & Gowin, R. (1985). Water and electrolyte content of human intervertebral disks under varying load. Zeitschrift für Orthopädie und ihre Grenzgebiete, 123, 235-238.
45. Kolich, M. (2003). Automobile seat comfort: Occupant preferences vs. anthropometric accommodation. Applied Ergonomics, 34, 177-184.
46. Koo, T. K., Mak, A. F., & Lee, Y. L. (1996). Posture effect on seating interface biomechanics: Comparison between two seating cushions. Archives of Physical Medicine and Rehabilitation, 77, 40-47.
47. Kosiak, M. (1959). Etiology and pathology of ischemic ulcers. Archives of Physical Medicine and Rehabilitation, 40, 62-69.
48. Kosiak, M. (1961). Etiology of decubitus ulcers. Archives of Physical Medicine and Rehabilitation, 42, 19-29.
49. Kreutz, D. (1997, March). Power tilt, recline or both. Team Rehab Report, pp. 29-32.
50. Kroemar, R. (1994). Sitting at the computer workplace. In R. Leuder & K. Noro (Eds.), Hard facts about soft machines: The ergonomics of sitting (pp. 181-191). London: Taylor & Francis.
51. Kumar, S. (2004). Ergonomics and biology of spinal rotation. Ergonomics, 47, 370-415.
52. Lacoste, M., Weiss-Lambrou, R., Allard, M., & Dansereau, J. (2003). Powered tilt/recline systems: Why and how are they used? Assistive Technology, 15, 58-68.
53. Landis, E. (1930). Micro-injection studies of capillary blood pressure in human skin. Heart, 15, 209-228.
54. Lange, M. (2000a, May 8). Tilt and recline systems. OT Practice, pp. 21-22.
55. Lange, M. (2000b). Tilt in space versus recline: New trends in an old debate. Technology Special Interest Section Quarterly, 10(2), 1-3.
56. Lange, M. (2006, March). Positioning: It's all in the angles. Advance for Occupational Therapy Practitioners, pp. 42.
57. Levy, C., Berner, T. F., Sandhu, P. S., McCarty, B., & Denniston, N. L. (1999). Mobility challenges and solutions for fibrodysplasia ossificans progressiva. Archives of Physical Medicine and Rehabilitation, 80, 1349-1353.
58. Lueder, R. (2005). Ergonomics review. Retrieved from http://www.humanics- es.com/ergonomics-movement.htm
59. Nachemson, A. (1981). Disc pressure measurements. Spine, 6, 93-97.
60. Nwaobi, O. M. (1987). Seating orientations and upper extremity function in children with cerebral palsy. Physical Therapy, 67, 1209-1212.
61. O'Brien, J. G., Chennubhotla, S. A., & Chennubhotla, R. V. (2005). Treatment of edema. American Family Physician, 71, 2111-2117.
62. Paralyzed Veterans of America. (2000). Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health care professionals. Retrieved from http://www.pva.org/site/DocServer/PU.pdf? docID=688
63. Pellow, T. R. (1999). A comparison of interface pressure readings to wheelchair cushions and positioning: A pilot study. Canadian Journal of Occupational Therapy, 66, 140-149.
64. Pfaff, K. (1993, October). Recline and tilt: Making the right match. Team Rehabilitation Report, pp. 23-27.
65. Porter, J. M., & Gyi, D. E. (2002). The prevalence of musculoskeletal troubles among car drivers. Occupational Medicine (London), 52, 4-12.
66. Porter, J. M., Gyi, D. E., & Tait, H. A. (2003). Interface pressure data and the prediction of driver discomfort in road trials. Applied Ergonomics, 34, 207-214.
67. Reinecke, S., Bevins, T., Weisman, J., Krag, M., & Pope, M. (1985, June). The relationship between seating postures and low back pain. Paper presented at the annual meeting of the Rehabilitation Engineering Society of North America, Memphis, TN.
68. Reinecke, S. M., Hazard, R. G., & Coleman, K. (1994). Continuous passive motion in seating: A new strategy against low back pain. Journal of Spinal Disorders, 7, 29-35.
69. Reyes, M. L., Gronley, J. K., Newsam, C. J., Mulroy, S. J., & Perry, J. (1995). Electromyographic analysis of shoulder muscles of men with low-level paraplegia during a weight relief raise. Archives of Physical Medicine and Rehabilitation, 76, 433-439.
70. Salomon, J., Denys, P., Merle, C., Chartier-Kastler, E., Perronne, C., Gaillard, J. L., et al. (2006). Prevention of urinary tract infection in spinal cord-injured patients: Safety and efficacy of a weekly oral cyclic antibiotic (WOCA) programme with a 2 year follow-up-An observational prospective study. Journal of Antimicrobial Chemotherapy, 57, 784-788.
71. Sommerfreund, J., & Masse, M. (1995, October). Combining tilt and recline. Team Rehabilitation Report, pp. 18-20.
72. Sprigle, S. (2000). Prescribing pressure ulcer treatment. Rehabilitation Management, 13(5), 72-77.
73. Sprigle, S., Dunlop, W., & Press, L. (2003). Reliability of bench tests of interface pressure. Assistive Technology, 15, 49-57.
74. Stinson, M. D., Porter-Armstrong, A., & Eakin, P. (2003). Seat-interface pressure: A pilot study of the relationship to gender, body mass index, and seating position. Archives of Physical Medicine and Rehabilitation, 84, 405-409.
75. Ten Harkel, A. D., Van Lieshout, J. J., & Wieling, W. (1992). Treatment of orthostatic hypotension with sleeping in the head-up tilt position, alone and in combination with fludrocortisone. J Internal Medicine, 232, 139-145.
76. Trail, M., Nelson, N., Van, J. N., Appel, S. H., & Lai, E. C. (2001). Wheelchair use by patients with amyotrophic lateral sclerosis: A survey of user characteristics and selection preferences. Archives of Physical Medicine and Rehabilitation, 82, 98-102.
77. Vaisbuch, N., Meyer, S., & Weiss, P. L. (2000). Effect of seated posture on interface pressure in children who are able-bodied and who have myelomeningocele. Disability and Rehabilitation, 22, 749-755.
78. Wyndaele, J. J. (2002). Intermittent catheterization: Which is the optimal technique? Spinal Cord, 40, 432-437.