Medhat M A, Redford J B
Int Orthop. 1985;9(4):279-85. doi: 10.1007/BF00266517.
Patients who cannot walk, particularly those with orthopaedic deformities, need more than a simple wheelchair; they require a special seating system. Since the early 1970's many different systems have been introduced to the field of orthotics and prescribed through "Seating Clinics" in many centres in North America and around the world. Our experience in the Seating Clinic at the University of Kansas Medical centre is presented. Most patients were children (70%) with 69% male and 31% female. Various seating systems were prescribed, including the Safety Travel Chair, the Moulded Plastic Insert, the Orthopaedic Body Support (foam on plywood), the Spinal Support System, the Moulded Seat Total Contact Shell (sitting support orthosis) and the DESEMO support system. The majority of patients had cerebral palsy (58%) and muscular dystrophy (33%). Other conditions included spinal cord injury, spina bifida and multiple orthopaedic deformities. Sixty five percent of the custom made seating systems prescribed were the Orthopaedic Body Support. Unilateral dislocation of the hip presents a major problem in seating because of pelvic obliquity.
无法行走的患者，尤其是那些有骨科畸形的患者，需要的不仅仅是一把普通轮椅；他们需要一种特殊的座椅系统。自20世纪70年代初以来，许多不同的系统已被引入矫形领域，并在北美和世界各地的许多中心通过“座椅诊所”进行处方。本文介绍了我们在堪萨斯大学医学中心座椅诊所的经验。大多数患者是儿童（70%），其中男性占69%，女性占31%。开出了各种座椅系统，包括安全旅行椅、模压塑料插入物、矫形身体支撑（胶合板上的泡沫）、脊柱支撑系统、模压座椅全接触外壳（坐姿支撑矫形器）和DESEMO支撑系统。大多数患者患有脑瘫（58%）和肌肉萎缩症（33%）。其他病症包括脊髓损伤、脊柱裂和多种骨科畸形。所开定制座椅系统的65%是矫形身体支撑。由于骨盆倾斜，髋关节单侧脱位在座椅方面是一个主要问题。
