Lampe Renée, Mitternacht Jürgen
J Child Orthop. 2010 Aug;4(4):291-300. doi: 10.1007/s11832-010-0257-7. Epub 2010 Apr 21.
Most children with cerebral palsy classification Levels IV and V in the Gross Motor Function Classification System (GMFCS) are unable to walk and, therefore, spend almost all day in a sitting position in their wheelchairs. As a result of the spastic muscle contraction, malpositions of joints or a scoliosis develop, which require a decision to be made on whether to correct the posture or simply find the best soft bedding position.
The distribution of pressure on the seat while sitting in a wheelchair was measured with a pressure distribution measuring mat. The different distribution patterns were analyzed.
Pressure distribution measurement allows to find a compromise between posture correction and soft bedding. Additionally, pressure-reducing seats were examined on their effectiveness. We also focused our measurements and data analyses on recognizing the causes for pain. Sometimes, the origin of the problems and pain of children in wheelchairs is not clear.
Using the above-mentioned measuring equipment, the causes of these problems can be detected much more easily than just by clinical examination. The pressure measuring mat can help to optimize the seating position for the spastically handicapped children and adapt technical aids. Examples demonstrate the most frequently occurring problems of these children in their wheelchairs which are typical for neuro-orthopedic diseases.
大多数在粗大运动功能分类系统（GMFCS）中处于IV级和V级的脑瘫儿童无法行走，因此几乎整天都坐在轮椅上。由于肌肉痉挛性收缩，会出现关节错位或脊柱侧弯，这就需要决定是纠正姿势还是仅仅找到最佳的柔软卧姿。
使用压力分布测量垫测量坐在轮椅上时座位上的压力分布。分析不同的分布模式。
压力分布测量有助于在姿势矫正和柔软卧姿之间找到折衷方案。此外，还检查了减压座椅的有效性。我们还将测量和数据分析重点放在识别疼痛原因上。有时，轮椅上儿童问题和疼痛的根源并不明确。
使用上述测量设备，比仅通过临床检查更容易检测出这些问题的原因。压力测量垫有助于为痉挛性残疾儿童优化坐姿并适配辅助器具。实例展示了这些儿童在轮椅上最常出现的问题，这些问题是神经骨科疾病的典型表现。
