Ekiz Timur, Özbudak Demir Sibel, Sümer Hatice Gözde, Özgirgin Neşe
Department of Physical Medicine and Rehabilitation, Elbistan State Hospital, Kahramanmaraş, Turkey.
Department of Physical Medicine and Rehabilitation, Ankara Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.
J Back Musculoskelet Rehabil. 2017;30(4):825-828. doi: 10.3233/BMR-150522.
Although wheelchair appropriateness has been studied in general wheelchair users and spinal cord injury patients, it has not been studied in children with cerebral palsy yet.
To describe the wheelchair appropriateness in children with cerebral palsy.
Thirty children with cerebral palsy were included. Demographical and clinical features of the children were noted. All wheelchair parts were evaluated by the same rehabilitation physician who has attended a wheelchair-training course. Overall, the wheelchair was accepted as inappropriate if at least three parts were inappropriate.
There were 30 children (15 M, 15 F) with a mean age of 10.8 ± 3.5 years. Seat depth (n= 21, 70%), cushion (n= 17, 56.7%), seat height (n= 16, 53.3%), and footrest (n= 16, 53.3%) were the most common inappropriate parts. Overall, 24 (80%) of the children use inappropriate wheelchair. Two (6.7%) children obtained wheelchairs by prescription, 28 (93.3%) obtained without prescription. Twenty-nine wheelchairs were manual and one wheelchair was motorized. Among 30 children, five (16.7%) experienced at least one wheelchair-related fall.
In the light of our results, 80% of the children with cerebral palsy seem to use inappropriate wheelchair. Individually designed wheelchairs should be maintained for these children.
尽管已经对普通轮椅使用者和脊髓损伤患者的轮椅适配性进行了研究，但尚未对脑瘫儿童进行过此类研究。
描述脑瘫儿童的轮椅适配性。
纳入30名脑瘫儿童。记录这些儿童的人口统计学和临床特征。所有轮椅部件均由参加过轮椅培训课程的同一位康复医师进行评估。总体而言，如果至少有三个部件不合适，则该轮椅被视为不合适。
共有30名儿童（男15名，女15名），平均年龄为10.8±3.5岁。座深（n = 21，70%）、座垫（n = 17，56.7%）、座高（n = 16，53.3%）和脚托（n = 16，53.3%）是最常见的不合适部件。总体而言，24名（80%）儿童使用的轮椅不合适。两名（6.7%）儿童通过处方获得轮椅，28名（93.3%）儿童未通过处方获得。29辆轮椅为手动轮椅，1辆为电动轮椅。在30名儿童中，5名（16.7%）至少经历过一次与轮椅相关的跌倒。
根据我们的研究结果，80%的脑瘫儿童似乎在使用不合适的轮椅。应为这些儿童配备个性化设计的轮椅。
