Evaluating the Relationships between the Postural Adaptation of Patients with Profound Cerebral Palsy and the Configuration of the Seating Buggy's Seating Support Surface
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概要
- 論文の詳細を見る
We are currently investigating the physiological polymorphism of wheelchair users with profound cerebral palsy and the properties of the Seating Buggy (developed by S. Nishimura, 1998) to clarify important and general elements of wheelchairs for widespread use. Cerebral palsy is a diagnostic term used to describe a group of motor syndromes resulting from disorders in early brain development. Recently, it has been shown that the Seating Buggy produces functional head-neck alignments and active control of sitting balance for people with profound cerebral palsy. The Seating Buggy is a wheelchair for the profoundly disabled and features a wide adjustment range from heights of 120 cm to 175 cm. Its seating support surface is comprised of a sling-seat. To examine the relationships between the postural adaptation of patients with profound cerebral palsy and the configuration of the Seating Buggy's seating, we assessed the postural alignment of the Seating Buggy's user and then measured the configuration of its resulting seating support surface with a three dimensional scanning system. Twenty-one subjects were used for the purposes of this investigation in their everyday environment. Postural adaptation and wheelchair fitting in the Seating Buggy were assessed from the viewpoint of the Active Balanced Seating by a seating expert. The subjects fell into two categories, as follows: 11 for appropriate or nearly appropriate fitting, and 10 for ill-fitting. The depth of thoracic support and the forward distance of lumbar support for those who claimed that it was ill-fitting were significantly reduced compared with that of those who claimed that the Seating Buggy offered an appropriate or nearly appropriate fitting. It was suggested that the properly adjusted depth of thoracic support and distance of the lumbar support were related to the resulting satisfactory head-neck alignment and sitting balance of the patients with profound cerebral palsy.
- 日本生理人類学会の論文
著者
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Yamanaka Masanori
Department Of Health Sciences Hokkaido University School Of Medicine
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NISHIMURA Shigeo
Division of Rehabilitation Engineering Counseling Office
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HATTA Tatsuo
Department of Health Sciences, Hokkaido University School of Medicine
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INOUE Kaoru
Department of Health Sciences, Hokkaido University School of Medicine
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MAKI Makoto
Department of Health Sciences, Hokkaido University School of Medicine
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KISHIGAMI Hirotoshi
Department of Health Sciences, Hokkaido University School of Medicine
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SATO Masahiko
Nagasaki Junior College
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Kobayashi Norikazu
Faculty of Health Sciences, Tokyo Metropolitan University
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佐藤 方彦
九州芸術工科大学
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佐藤 方彦
日本整理人類学会:長崎短期大学
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佐藤 方彦
九州芸術工科大学生理人類学教室
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Inoue Kaoru
Department Of Health Sciences Hokkaido University School Of Medicine
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Maki Makoto
Department Of Health Sciences Hokkaido University School Of Medicine
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Maki Makoto
Department Of Health Science Hokkaido University
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Hatta Tatsuo
Department Of Health Sciences Hokkaido University School Of Medicine
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Nishimura Shigeo
Division Of Rehabilitation Engineering Counseling Office Hokkaido Government
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Kishigami Hirotoshi
Department Of Health Sciences Hokkaido University School Of Medicine
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Yamanaka Masanori
Department Of Applied Physics Science University Of Tokyo
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Inoue Kaoru
Department Of Bacteriology Okayama University Medical School
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Kobayashi Norikazu
Faculty Of Health Sciences Tokyo Metropolitan University
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Inoue Kaoru
Department Of Anatomy Hokkaido University School Of Medicine
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