<REPORTS>Re-ordering a wheelchair for a spastic cerebral palsy adolescent : a case study

URI http://harp.lib.hiroshima-u.ac.jp/pu-hiroshima/metadata/3447
File
Title
<REPORTS>Re-ordering a wheelchair for a spastic cerebral palsy adolescent : a case study
Author
氏名 SHIMIZU Michele Eisemann
ヨミ シミズ ミシェル アイズマン
別名 清水 ミシェル・アイズマン
氏名 SAKAI Shigemi
ヨミ サカイ シゲミ
別名 坂井 茂美
氏名 NAKAMORI Hiroko
ヨミ ナカモリ ヒロコ
別名 中森 浩子
Subject
wheelchair positioning
seating
spastic cerebral palsy
adolescent
wheelchair ordering
adaptive equipment
Abstract

The purpose of this case study was specifically intended to reinforce the necessity for proper positioning in the wheelchair using a spastic cerebral palsy patient as an example. The patient sat in the wheelchair with the pelvis sliding forward, uneven weight distribution on both hips, hip adduction, neck extension, and forward trunk bending. The abnormal posture observed was first corrected by seating the patient well back in the wheelchair with the patient's weight evenly distributed between both hips and with no observable pelvic obliquity. A seat belt, firm foot rest, abduction wedge, and special "H" chest strap were inserted to help the patient maintain the corrected posture. Points to consider when ordering a wheelchair and adaptive equipment are reviewed. The optimal sitting position and positioning objectives and considerations, as well as the selection process, are also presented. Inclusion of the patient and the caregivers in the selection and decision-making processes helps lead to successful results. A thorough assessment of the patient's prognosis and environment is important to prevent harmful, expensive, and disappointing results. On-going reviews of the patient and use of the equipment is helpful in preventing deformities and other problems. As is already known, increasing the patient's function and ability to move around and explore the environment can effect the patient's attitude as well as quality of life.

Description

国立情報学研究所で電子化

Journal Title
広島県立保健福祉短期大学紀要
Volume
1
Issue
1
Spage
141
Epage
145
Published Date
1996-03
Publisher
広島県立保健福祉短期大学
ISSN
1342-0070
NCID
AA11318754
Language
eng
NIIType
Departmental Bulletin Paper
Text Version
出版社版
Sort Key
24
Old URI
Set
pu-hiroshima