DMDの椅座位姿勢保持に関する研究(3部機能回復に向けて)

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The conventional wheelchair sling provides little or no support for the spine of patients with myopathy or neurogenic muscular weakness. As the spinal muscles become weaker scoliosis may develop with associated deformity, pain and restriction of cardiorespiratory function. The purpose of this study is to resolve seating problems for children with myopathy or neurogenic musclar weakness. This paper describes a measurement system of pressure distribution in the buttock region that is used with a pressure senser and mini-computer, and describes new ideas for electric wheelchairs using a Magic Moulded Seat and recliner-type wheelchair. A study of 34 Duchenne Muscular Dystrophy (DMD) patients analyzing pressure distributions was conducted. The following results were observed: (1) Scoliotic-type DMD patients exhibit a single supporing pattern of pressure distribution while in the seated position. (2) When compared to healthy subjects of the same age, DMD patients, who have difficulties with sitting balance and posture, exhibit unequal weight pressure. This imbalance results in muscular pain and reduced contact on the gluteus maximus. (3) Severe scoliotic-type DMD patients are unable to tolerate this pressure area with lateral flexion of the trunk. These results led us to attempt to develop a method to provide comfortable seating posture using a Magic Moulded Seat and an reclining-type electric wheelchair (Lowver R) that would help control spinal deformity and reduce pain in DMD patients.
バイオメカニズム学会の論文
1986-09-25

DMDの椅座位姿勢保持に関する研究(3部機能回復に向けて)

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DMDの椅座位姿勢保持に関する研究(3部 機能回復に向けて)

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DMDの椅座位姿勢保持に関する研究(3部機能回復に向けて)