Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?

Disabled elderly individuals with kyphosis or loss of muscle strength often display forward head posture (FHP). This study aimed to determine the utility of a wheelchair incorporating pelvic support in preventing FHP in disabled elderly individuals. In this study, 14 disabled elderly individuals (87...

Full description

Bibliographic Details
Main Authors: Hiroshi Goda, Tatsuo Hatta, Hirotoshi Kishigami, Ayaka Suzuki, Tamotsu Ikeda
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4651560?pdf=render
_version_ 1818538677290139648
author Hiroshi Goda
Tatsuo Hatta
Hirotoshi Kishigami
Ayaka Suzuki
Tamotsu Ikeda
author_facet Hiroshi Goda
Tatsuo Hatta
Hirotoshi Kishigami
Ayaka Suzuki
Tamotsu Ikeda
author_sort Hiroshi Goda
collection DOAJ
description Disabled elderly individuals with kyphosis or loss of muscle strength often display forward head posture (FHP). This study aimed to determine the utility of a wheelchair incorporating pelvic support in preventing FHP in disabled elderly individuals. In this study, 14 disabled elderly individuals (87.1 ± 8.1 years) were selected. A wheelchair incorporating pelvic support (RX_ABS Lo) and a basic wheelchair (RX-1) were used. Each individual sat on both wheelchairs for 30 minutes. RX_ABS Lo has two belts to support the pelvic and thorax. Postures were recorded in the sagittal plane using a video camera. Cervical and trunk angles from horizontal were measured every 5 minutes. Simultaneously, contact areas and total pressures applied to the wheelchair seats and back supports were measured every 5 minutes. Comparisons of area under the curve values between the wheelchairs were performed using the paired t-test. Comparisons of time-dependent parameters for each wheelchair were performed using repeated one-way ANOVA. Cervical angles were greater when using RX_ABS Lo than RX-1. Although cervical angles were unchanged during 30 minutes when using RX_ABS Lo, the angles were significantly decreased after 30 minutes of using RX-1. Back support pressures and contact areas were greater for RX_ABS Lo than for RX-1. No significant difference in back support pressure distributions was observed during 30 minutes in the wheelchairs. The RX_ABS Lo may have utility in improving FHP by increasing cervical angles and improving stability with a back support to the upper thorax, lower thorax, and pelvis during prolonged sitting.
first_indexed 2024-12-11T21:32:02Z
format Article
id doaj.art-3f01041e5bb141848e75cc09e7800e1c
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-11T21:32:02Z
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-3f01041e5bb141848e75cc09e7800e1c2022-12-22T00:50:08ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014261710.1371/journal.pone.0142617Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?Hiroshi GodaTatsuo HattaHirotoshi KishigamiAyaka SuzukiTamotsu IkedaDisabled elderly individuals with kyphosis or loss of muscle strength often display forward head posture (FHP). This study aimed to determine the utility of a wheelchair incorporating pelvic support in preventing FHP in disabled elderly individuals. In this study, 14 disabled elderly individuals (87.1 ± 8.1 years) were selected. A wheelchair incorporating pelvic support (RX_ABS Lo) and a basic wheelchair (RX-1) were used. Each individual sat on both wheelchairs for 30 minutes. RX_ABS Lo has two belts to support the pelvic and thorax. Postures were recorded in the sagittal plane using a video camera. Cervical and trunk angles from horizontal were measured every 5 minutes. Simultaneously, contact areas and total pressures applied to the wheelchair seats and back supports were measured every 5 minutes. Comparisons of area under the curve values between the wheelchairs were performed using the paired t-test. Comparisons of time-dependent parameters for each wheelchair were performed using repeated one-way ANOVA. Cervical angles were greater when using RX_ABS Lo than RX-1. Although cervical angles were unchanged during 30 minutes when using RX_ABS Lo, the angles were significantly decreased after 30 minutes of using RX-1. Back support pressures and contact areas were greater for RX_ABS Lo than for RX-1. No significant difference in back support pressure distributions was observed during 30 minutes in the wheelchairs. The RX_ABS Lo may have utility in improving FHP by increasing cervical angles and improving stability with a back support to the upper thorax, lower thorax, and pelvis during prolonged sitting.http://europepmc.org/articles/PMC4651560?pdf=render
spellingShingle Hiroshi Goda
Tatsuo Hatta
Hirotoshi Kishigami
Ayaka Suzuki
Tamotsu Ikeda
Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
PLoS ONE
title Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
title_full Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
title_fullStr Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
title_full_unstemmed Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
title_short Does a Novel-Developed Product of Wheelchair Incorporating Pelvic Support Prevent Forward Head Posture during Prolonged Sitting?
title_sort does a novel developed product of wheelchair incorporating pelvic support prevent forward head posture during prolonged sitting
url http://europepmc.org/articles/PMC4651560?pdf=render
work_keys_str_mv AT hiroshigoda doesanoveldevelopedproductofwheelchairincorporatingpelvicsupportpreventforwardheadpostureduringprolongedsitting
AT tatsuohatta doesanoveldevelopedproductofwheelchairincorporatingpelvicsupportpreventforwardheadpostureduringprolongedsitting
AT hirotoshikishigami doesanoveldevelopedproductofwheelchairincorporatingpelvicsupportpreventforwardheadpostureduringprolongedsitting
AT ayakasuzuki doesanoveldevelopedproductofwheelchairincorporatingpelvicsupportpreventforwardheadpostureduringprolongedsitting
AT tamotsuikeda doesanoveldevelopedproductofwheelchairincorporatingpelvicsupportpreventforwardheadpostureduringprolongedsitting