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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(6):554-559.
The Effects of Pressure Relief Methods at Wheelchair Seated Spinal Cord Injured Patients.
Kim, Dong A , Nam, Kee Young , Lee, Bum Suk , Kang, Sae Young , Kim, Eun Soo , Kim, Soo Whan
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. ky215@nate.com
2Graduate School of Public Health, Seoul National University, Korea.
휠체어에 앉은 척수손상인에서 둔부 압력 감소 방법의 효과
국립재활병원 재활의학과, 1서울대학교 보건대학원
To find most effective pressure relief method in wheelchair seated spinal cord injured patients and to evaluate effectiveness of trunk lateral bending, trunk pulling and trunk forward flexion methods in practical environment
Twenty spinal cord injury patients were included in this study. After 5 cm air-filled cushion (ROHO) was placed on wheelchair seat, patients were seated on wheelchair with neurtal position and interface pressure of buttock was measured by X-sensor 4.0 system. Patients took a posture lateral bending, trunk pulling, forward flexion methods. Mean and maximal pressure of buttock were measured at each pressure relief methods.
Mean and maximal pressure of buttock were reduced by 90o trunk forward flexion (p<0.05). In trunk lateral bending method, pressure was reduced in non-weight bearing side of buttock, but pressure was highly elevated in weight bearing side. In trunk pulling method, pressure was elevated in both weigth bearing and non-weight bearing side.
90o trunk forward flexion method can be recommended to wheelchiar seated spinal cord injured patients for pressure relief of buttock. (J Korean Acad Rehab Med 2006; 30: 554-559)
Key Words: Seating, Spinal cord injury, Pressure relief method


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