Measuring static seated pressure distributions and risk for skin pressure ulceration in ice sledge hockey players
| Autor: | Shaun D. Darrah, Andrew McCoy, Rory A. Cooper, Brad E. Dicianno, Matthew Haas, Justin Berthold |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Knee Joint Posture Biomedical Engineering Physical Therapy Sports Therapy and Rehabilitation Knee extension Cerebral palsy Young Adult 03 medical and health sciences Speech and Hearing 0302 clinical medicine Skin Ulcer Pressure medicine Humans Disabled Persons Orthopedics and Sports Medicine 030212 general & internal medicine Pressure mapping business.industry Rehabilitation Knee angle Cushioning medicine.disease Biomechanical Phenomena Hockey Physical therapy business human activities 030217 neurology & neurosurgery |
| Zdroj: | Disability and Rehabilitation: Assistive Technology. 11:241-246 |
| ISSN: | 1748-3115 1748-3107 |
| DOI: | 10.3109/17483107.2014.921939 |
| Popis: | To determine whether sledge hockey players with physical disability have higher average seated pressures compared to non-disabled controls.Fifteen age-matched controls without physical disability and 15 experimental participants with physical disability were studied using a pressure mapping device to determine risk for skin pressure ulceration and the impact of cushioning and knee angle positioning on seated pressure distributions.Regardless of participant group, cushioning, or knee angle, average seated pressures exceeded clinically acceptable seated pressures. Controls had significantly higher average seated pressures than the disability group when knees were flexed, both with the cushion (p = 0.013) and without (p = 0.015). Knee extension showed significantly lower average pressures in controls, both with the cushion (p 0.001) and without (p 0.001). Placement of the cushion resulted in significantly lower average pressure in controls when knees were extended (p = 0.024) but not when flexed (p = 0.248). Placement of the cushion resulted in no difference in pressure (p = 0.443) in the disability group.Pressures recorded indicate high risk for skin ulceration. Cushioning was effective only in the control group with knees extended. That knee extension significantly lowered average seated pressures is important, as many sledge hockey players utilize positioning with larger knee flexion angles. Implications for Rehabilitation Ice sledge hockey is a fast growing adaptive sport. Adaptive sports have been associated with several positive improvements in overall health and quality of life, though may be putting players at risk for skin ulceration. Measured static seated pressure in sledges greatly exceeds current clinically accepted clinical guidelines. With modern improvements in wheelchair pressure relief/cushioning there are potential methods for improvement of elevated seated pressure in ice hockey sledges. |
| Databáze: | OpenAIRE |
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