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研究躺式轮椅中腿部支撑抬高时机对作用于臀部的水平力的影响。

Investigation of effect of leg support elevation timing on the horizontal force acting on the buttocks in a reclining wheelchair.

作者信息

Kobara Kenichi, Takahashi Hisashi, Fujita Daisuke, Osaka Hiroshi, Ito Tomotaka, Suehiro Tadanobu, Watanabe Susumu

机构信息

Department of Rehabilitation, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Japan.

出版信息

J Phys Ther Sci. 2015 Aug;27(8):2605-10. doi: 10.1589/jpts.27.2605. Epub 2015 Aug 21.

DOI:10.1589/jpts.27.2605
PMID:26356643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4563324/
Abstract

[Purpose] The purpose of this study was to investigate the effect of the timing of leg support elevation on the horizontal force acting on the buttocks in a reclining wheelchair. [Subjects and Methods] The participants were 17 healthy men. Two experimental conditions were tested: the leg-down and leg-up conditions. The back support was reclined at increasing angles, from the initial upright position (IUP), proceeding to the fully reclined position (FRP), and returned to the upright position (RUP). The posterior inclination phase was from IUP to FRP, and the returning inclination phase was from FRP to RUP. [Results] The horizontal force under the leg-up condition was significantly higher than that under the leg-down condition in all positions of back support. [Conclusion] The leg supports should be positioned downward before reclining the back support of a wheelchair.

摘要

[目的] 本研究旨在探讨在躺式轮椅中腿部支撑抬高时机对作用于臀部的水平力的影响。[对象与方法] 参与者为17名健康男性。测试了两种实验条件:腿部放下和腿部抬起条件。靠背从初始直立位置(IUP)以递增角度倾斜至完全躺平位置(FRP),然后再回到直立位置(RUP)。后倾阶段为从IUP到FRP,返回倾斜阶段为从FRP到RUP。[结果] 在靠背的所有位置,腿部抬起条件下的水平力均显著高于腿部放下条件下的水平力。[结论] 在倾斜轮椅靠背之前,腿部支撑应向下放置。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf3/4563324/2f344ab4cb84/jpts-27-2605-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf3/4563324/5528ab39e73a/jpts-27-2605-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf3/4563324/2f344ab4cb84/jpts-27-2605-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf3/4563324/5528ab39e73a/jpts-27-2605-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdf3/4563324/2f344ab4cb84/jpts-27-2605-g002.jpg

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2
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J Phys Ther Sci. 2014 May;26(5):701-6. doi: 10.1589/jpts.26.701. Epub 2014 May 29.
3
The impact of abnormal muscle tone from hemiplegia on reclining wheelchair positioning: a sliding and pressure evaluation.
偏瘫导致异常肌肉张力对斜倚轮椅体位的影响:滑动和压力评估。
Eur J Phys Rehabil Med. 2013 Oct;49(5):619-28. Epub 2013 Oct 9.
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Effect of durations of wheelchair tilt-in-space and recline on skin perfusion over the ischial tuberosity in people with spinal cord injury.轮椅倾斜和后倾时间对脊髓损伤患者坐骨结节皮肤灌注的影响。
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The influence of backrest inclination on buttock pressure.靠背倾斜度对臀部压力的影响。
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Wheelchair evaluation for the older adult.老年人轮椅评估
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