Biomechanical analysis of different dynamic sitting techniques: an exploratory study

Abstract Prolonged static sitting in wheelchairs increases the risk of pressure ulcers. This exploratory study proposed three dynamic sitting techniques in order to reduce the risk of developing pressure ulcer during wheelchair sitting, namely lumbar prominent dynamic sitting, femur upward dynamic s...

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Main Authors: Chun-Ting Li, Yen-Nien Chen, Yen-Ting Tseng, Kuen-Horng Tsai
Format: Article
Language:English
Published: BMC 2019-01-01
Series:BioMedical Engineering OnLine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12938-018-0621-2
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author Chun-Ting Li
Yen-Nien Chen
Yen-Ting Tseng
Kuen-Horng Tsai
author_facet Chun-Ting Li
Yen-Nien Chen
Yen-Ting Tseng
Kuen-Horng Tsai
author_sort Chun-Ting Li
collection DOAJ
description Abstract Prolonged static sitting in wheelchairs increases the risk of pressure ulcers. This exploratory study proposed three dynamic sitting techniques in order to reduce the risk of developing pressure ulcer during wheelchair sitting, namely lumbar prominent dynamic sitting, femur upward dynamic sitting, and lumbar prominent with femur upward dynamic sitting. The purpose of this study was to analyze the biomechanical effects of these three techniques on interface pressure. 15 able-bodied people were recruited as subjects to compare the aforementioned sitting techniques in a random order. All parameters, including dynamic contact area, dynamic average pressure, and dynamic peak pressure on backrest and seat were measured and compared. In result, when compared with lumbar prominent dynamic sitting, femur upward dynamic sitting and lumbar prominent with femur upward dynamic sitting appeared to yield significantly lower dynamic average and peak pressure on the back part of seat, and significantly higher dynamic average and peak pressure on the front part of seat. This study can serve as a reference point for clinical physicians or wheelchair users to identify a suitable dynamic sitting technique.
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spelling doaj.art-db58a98d039c4a7caf697a6378795ffd2022-12-21T17:17:55ZengBMCBioMedical Engineering OnLine1475-925X2019-01-011811710.1186/s12938-018-0621-2Biomechanical analysis of different dynamic sitting techniques: an exploratory studyChun-Ting Li0Yen-Nien Chen1Yen-Ting Tseng2Kuen-Horng Tsai3Graduate Institute of Mechatronic System Engineering, National University of TainanDepartment of BioMedical Engineering, National Cheng Kung UniversityGraduate Institute of Mechatronic System Engineering, National University of TainanGraduate Institute of Mechatronic System Engineering, National University of TainanAbstract Prolonged static sitting in wheelchairs increases the risk of pressure ulcers. This exploratory study proposed three dynamic sitting techniques in order to reduce the risk of developing pressure ulcer during wheelchair sitting, namely lumbar prominent dynamic sitting, femur upward dynamic sitting, and lumbar prominent with femur upward dynamic sitting. The purpose of this study was to analyze the biomechanical effects of these three techniques on interface pressure. 15 able-bodied people were recruited as subjects to compare the aforementioned sitting techniques in a random order. All parameters, including dynamic contact area, dynamic average pressure, and dynamic peak pressure on backrest and seat were measured and compared. In result, when compared with lumbar prominent dynamic sitting, femur upward dynamic sitting and lumbar prominent with femur upward dynamic sitting appeared to yield significantly lower dynamic average and peak pressure on the back part of seat, and significantly higher dynamic average and peak pressure on the front part of seat. This study can serve as a reference point for clinical physicians or wheelchair users to identify a suitable dynamic sitting technique.http://link.springer.com/article/10.1186/s12938-018-0621-2Pressure ulcersWheelchairDynamic sittingInterface pressure
spellingShingle Chun-Ting Li
Yen-Nien Chen
Yen-Ting Tseng
Kuen-Horng Tsai
Biomechanical analysis of different dynamic sitting techniques: an exploratory study
BioMedical Engineering OnLine
Pressure ulcers
Wheelchair
Dynamic sitting
Interface pressure
title Biomechanical analysis of different dynamic sitting techniques: an exploratory study
title_full Biomechanical analysis of different dynamic sitting techniques: an exploratory study
title_fullStr Biomechanical analysis of different dynamic sitting techniques: an exploratory study
title_full_unstemmed Biomechanical analysis of different dynamic sitting techniques: an exploratory study
title_short Biomechanical analysis of different dynamic sitting techniques: an exploratory study
title_sort biomechanical analysis of different dynamic sitting techniques an exploratory study
topic Pressure ulcers
Wheelchair
Dynamic sitting
Interface pressure
url http://link.springer.com/article/10.1186/s12938-018-0621-2
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AT yennienchen biomechanicalanalysisofdifferentdynamicsittingtechniquesanexploratorystudy
AT yentingtseng biomechanicalanalysisofdifferentdynamicsittingtechniquesanexploratorystudy
AT kuenhorngtsai biomechanicalanalysisofdifferentdynamicsittingtechniquesanexploratorystudy