Lephart Kim, Kaplan Sandra L
School-Based Therapy and Resources (Dr Lephart), LLC (STARs), Culpeper, Virginia; Department of Rehabilitation and Movement Science (Dr Kaplan), Doctoral Programs in Physical Therapy, Rutgers, the State University of New Jersey, Newark, New Jersey.
Pediatr Phys Ther. 2015 Fall;27(3):258-66. doi: 10.1097/PEP.0000000000000163.
To compare physiological functioning, communication switch activation, and response accuracy in a 19-year-old young man with quadriplegic cerebral palsy and neurological scoliosis using 2 seating systems within the school setting.
Prospective single-subject alternating treatment design with 2 conditions: baseline phase with standard planar inserts (A1), custom-molded back with original seat (B), and return to baseline (A2). Measures included oxygen saturation (SaO2), heart rate (HR), respiration rate (RR), body temperature (BT), processing time to activate switches, and response accuracy.
SaO2 levels increased from "distressed" to "normal"; variability decreased. HR, RR, and BT fluctuations decreased with the custom-molded back. Processing time decreased with increased variability, affected by subject's motivation; accuracy improved slightly. Reported social approachability and student-initiated communication increased.
SaO2 increased and HR, RR, and BT fluctuations decreased with a custom-molded back. Graphing data may help determine seating effect with complex clients.
在学校环境中，使用两种座椅系统比较一名19岁患有四肢瘫脑瘫和神经脊柱侧弯的年轻男子的生理功能、通讯开关激活情况及反应准确性。
采用前瞻性单受试者交替治疗设计，有两种情况：使用标准平面插入物的基线期（A1）、定制模压靠背搭配原装座椅（B）以及恢复到基线（A2）。测量指标包括血氧饱和度（SaO2）、心率（HR）、呼吸频率（RR）、体温（BT）、激活开关的处理时间以及反应准确性。
SaO2水平从“危急”升至“正常”；变异性降低。定制模压靠背使HR、RR和BT波动减少。处理时间随变异性增加而减少，受受试者动机影响；准确性略有提高。报告显示社交亲和力和学生主动交流增加。
定制模压靠背使SaO2升高，HR、RR和BT波动减少。绘制数据可能有助于确定复杂患者的座椅效果。
