Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study

The postural control assessments in patients with neurological diseases lack reliability and sensitivity to small changes in patient functionality. The appearance of pressure mapping has allowed quantitative evaluation of postural control in sitting. This study was carried out to determine the evalu...

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Main Authors: María Mercedes Reguera-García, Raquel Leirós-Rodríguez, Lorena Álvarez-Barrio, Beatriz Alonso-Cortés Fradejas
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/20/22/6488
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author María Mercedes Reguera-García
Raquel Leirós-Rodríguez
Lorena Álvarez-Barrio
Beatriz Alonso-Cortés Fradejas
author_facet María Mercedes Reguera-García
Raquel Leirós-Rodríguez
Lorena Álvarez-Barrio
Beatriz Alonso-Cortés Fradejas
author_sort María Mercedes Reguera-García
collection DOAJ
description The postural control assessments in patients with neurological diseases lack reliability and sensitivity to small changes in patient functionality. The appearance of pressure mapping has allowed quantitative evaluation of postural control in sitting. This study was carried out to determine the evaluations in pressure mapping and verifying whether they are different between the three sample groups (multiple sclerosis, spinal cord injury and Friedreich’s ataxia), and to determine whether the variables extracted from the pressure mapping analysis are more sensitive than functional tests to evaluate the postural trunk control. A case series study was carried out in a sample of 10 adult patients with multiple sclerosis (<i>n</i> = 2), spinal cord injury (<i>n</i> = 4) and Friedreich’s ataxia (<i>n</i> = 4). The tests applied were: pressure mapping, seated Lateral Reach Test, seated Functional Reach Test, Berg Balance Scale, Posture and Postural Ability Scale, Function in Sitting Test, and Trunk Control Test. The participants with Friedreich’s ataxia showed a tendency to present a higher mean pressure on the seat of subject’s wheelchair compared to other groups. In parallel, users with spinal cord injury showed a tendency to present the highest values of maximum pressure and area of contact. People with different neurological pathologies and similar results in functional tests have very different results in the pressure mapping. Although it is not possible to establish a strong statistical correlation, the relationships between the pressure mapping variables and the functional tests seem to be numerous, especially in the multiple sclerosis group.
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spelling doaj.art-325c98401b764d6bb1c75274cc30bffa2023-11-20T20:53:20ZengMDPI AGSensors1424-82202020-11-012022648810.3390/s20226488Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series StudyMaría Mercedes Reguera-García0Raquel Leirós-Rodríguez1Lorena Álvarez-Barrio2Beatriz Alonso-Cortés Fradejas3SALBIS Research Group, Nursing and Physiotherapy Department, Faculty of Health Sciences, Universidad de León, 24401 León, SpainFaculty of Physical Therapy, Universidade de Vigo, 36156 Pontevedra, SpainNursing and Physiotherapy Department, Faculty of Health Sciences, Universidad de León, 24401 León, SpainSALBIS Research Group, Nursing and Physiotherapy Department, Faculty of Health Sciences, Universidad de León, 24401 León, SpainThe postural control assessments in patients with neurological diseases lack reliability and sensitivity to small changes in patient functionality. The appearance of pressure mapping has allowed quantitative evaluation of postural control in sitting. This study was carried out to determine the evaluations in pressure mapping and verifying whether they are different between the three sample groups (multiple sclerosis, spinal cord injury and Friedreich’s ataxia), and to determine whether the variables extracted from the pressure mapping analysis are more sensitive than functional tests to evaluate the postural trunk control. A case series study was carried out in a sample of 10 adult patients with multiple sclerosis (<i>n</i> = 2), spinal cord injury (<i>n</i> = 4) and Friedreich’s ataxia (<i>n</i> = 4). The tests applied were: pressure mapping, seated Lateral Reach Test, seated Functional Reach Test, Berg Balance Scale, Posture and Postural Ability Scale, Function in Sitting Test, and Trunk Control Test. The participants with Friedreich’s ataxia showed a tendency to present a higher mean pressure on the seat of subject’s wheelchair compared to other groups. In parallel, users with spinal cord injury showed a tendency to present the highest values of maximum pressure and area of contact. People with different neurological pathologies and similar results in functional tests have very different results in the pressure mapping. Although it is not possible to establish a strong statistical correlation, the relationships between the pressure mapping variables and the functional tests seem to be numerous, especially in the multiple sclerosis group.https://www.mdpi.com/1424-8220/20/22/6488neurologypressure ulcerposturesitting positiondiagnostic equipmentprevention &amp
spellingShingle María Mercedes Reguera-García
Raquel Leirós-Rodríguez
Lorena Álvarez-Barrio
Beatriz Alonso-Cortés Fradejas
Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
Sensors
neurology
pressure ulcer
posture
sitting position
diagnostic equipment
prevention &amp
title Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
title_full Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
title_fullStr Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
title_full_unstemmed Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
title_short Analysis of Postural Control in Sitting by Pressure Mapping in Patients with Multiple Sclerosis, Spinal Cord Injury and Friedreich’s Ataxia: A Case Series Study
title_sort analysis of postural control in sitting by pressure mapping in patients with multiple sclerosis spinal cord injury and friedreich s ataxia a case series study
topic neurology
pressure ulcer
posture
sitting position
diagnostic equipment
prevention &amp
url https://www.mdpi.com/1424-8220/20/22/6488
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