The clinical effectiveness of custom-contoured seating for wheelchair users with neuromuscular disorders: a scoping review.

IF 2.5 4区医学 Q1 REHABILITATION

Assistive Technology Pub Date : 2023-08-22 DOI:10.1080/10400435.2023.2250404

Jonathan Hosking

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引用次数: 0

Abstract

Despite its widespread use, the clinical effectiveness of custom-contoured wheelchair seating for individuals with neuromuscular disorders remains unclear. A scoping review was conducted using PubMed, Scopus, and Web of Knowledge databases in November 2021 and updated April 2022. A total of 17 full text articles were included. Discussion themes were grouped based on three outcomes of interest: (1) posture and musculoskeletal deformity, (2) quantitative measures of body structures and functions, and (3) qualitative perceptions, opinions, and quality of life indicators. This review highlighted the lack of literature exploring the impact of custom-contoured seating on cardiopulmonary function, pressure injury management, and upper limb function; although, there was no indication that risk is increased compared to alternative seating and it performed well in terms of perceived user satisfaction, comfort, and function. The findings also demonstrated immediate benefits to postural alignment, although, the longitudinal effect on progression of musculoskeletal deformity compared to alternative seating is more ambiguous. This review aimed to scope the evidence-base for custom-contoured seating for wheelchair users with neuromuscular disorders to synthesize information from the existing literature, inform current practice, and identify knowledge gaps for further experimental investigation.

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为患有神经肌肉疾病的轮椅使用者定制轮廓座椅的临床有效性：范围界定综述。

尽管它被广泛使用，但定制轮廓轮椅座椅对神经肌肉疾病患者的临床效果仍不清楚。2021年11月，使用PubMed、Scopus和Web of Knowledge数据库进行了范围界定审查，并于2022年4月更新。共收录了17篇全文文章。讨论主题根据三个感兴趣的结果进行分组：（1）姿势和肌肉骨骼畸形，（2）身体结构和功能的定量测量，以及（3）定性感知、意见和生活质量指标。这篇综述强调了缺乏探索定制轮廓座椅对心肺功能、压力损伤管理和上肢功能影响的文献；尽管如此，没有迹象表明与替代座位相比风险会增加，而且它在感知用户满意度、舒适度和功能方面表现良好。研究结果也证明了姿势调整的直接好处，尽管与替代座位相比，对肌肉骨骼畸形进展的纵向影响更为模糊。这篇综述旨在为患有神经肌肉疾病的轮椅使用者确定定制轮廓座椅的证据基础，以综合现有文献中的信息，为当前的实践提供信息，并确定知识差距，以进行进一步的实验研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Assistive Technology REHABILITATION-

CiteScore

4.00

自引率

5.60%

发文量

期刊介绍： Assistive Technology is an applied, scientific publication in the multi-disciplinary field of technology for people with disabilities. The journal"s purpose is to foster communication among individuals working in all aspects of the assistive technology arena including researchers, developers, clinicians, educators and consumers. The journal will consider papers from all assistive technology applications. Only original papers will be accepted. Technical notes describing preliminary techniques, procedures, or findings of original scientific research may also be submitted. Letters to the Editor are welcome. Books for review may be sent to authors or publisher.