맞춤형 전방웨지의 높이가 착석 압력에 미치는 영향
Effect of Wedge Height of Inner on Seated Pressures
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
이 연구의 목적은 맞춤형 전방웨지의 높이가 착석압력에 미치는 영향을 알아보기 위해 지체장애와 뇌병변장애를 갖고 있는 남, 여 각각 6명의 피험자를 대상으로 연구를 실시하였다. 실험은 착석면에 추가되는 전방웨지 0, 2, 4, 6, 8, 10cm의 각각에 따른 착석 압력 분포를 측정하였다. 전방웨지 높이에 따른 착석면의 평균압력을 비교하기 위해 반복측정 일원분산분석(Repeated One way-ANOVA)을 실시하였다. 분석결과 전방웨지 높이에 따른 압력 지수 DI, CA, PPI, SPI가 통계적으로 유의한 차이가 있다고 나타났으며, 전방웨지 높이가 6cm일 때 착석 압력분포가 낮게 나타났고, 압력을 재분배하는 올바른 착석자세를 유지시킬 수 있는 적정높이라고 제언할 수 있다.
Abstract
The objective of this study was to examine the effect of wedge height of inner on seated pressures. Six male and six female subjects (mean age= 27.42 years, SD=5.23) with physical disability and cerebral palsy were tested. Subjects sat on pressure mat placed over a foam cushion. Pressure readings were taken at inner reflecting wedge height increases of 0, 2, 4, 6, 8, 10cm of the front of the seat relative to back of the seat. Repeated one way an analysis of variance were used for data analysis. Meaningful differences were found in measurements of Dispersion Index(DI), Contact Area(CA), Peak Pressure Index(PPI), and Seat Pressure Index(SPI) with wedge height of inner on seat. The data indicate meaningful evidence that a height of wedge noted 6cm.
참고문헌 (25)
- 권혁철, "휠체어 추진속도 및 등받이 경사각도에 따른 둔부 압력 변화 특성", 한국전문물리치료학회지, 12(2), pp.1~10 (2005), 한국전문물리치료학회
- "한국인 인체치수조사", 기술표준원[URL]
- 보건복지가족부, "장애인실태조사" (2008)
- 이근민, "휠체어 사용자를 위한 효과적인 착석 및 자세 접근 방법", 중복지체부자유아교육, 37(1), pp.61~77 (2001)
- 정동훈, "휠체어 사용 학생의 자세변형: 인체측정 자료와 휠체어 크기의 비교", 중복·지체부자유연구, 50(3), pp.1~21 (2007), 한국지체부자유아교육학회
- Allen, V., "Accuracy of interface pressure measurement systems", Journal of Biomedical Engineering, 15(4), pp.344~348 (1993)
- Batavia, M., "Wheelchair Evaluation" (1998), Elsevier Inc.
- Breinza, D. M., "The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair user", Archives of Physical Medicine and Rehabilitation, 82(4), pp.529~533 (2001)
- Defloor, T., "Do pressure relief cushions really relieve pressure?", Western Journal of Nursing Research, 22(3), pp.335~350 (2000)
- Desroches, D., "Effect of system tilt and seat-to-backrest angles on load sustained by shoulder during wheelchair propulsion", Journal of Rehabilitation Research and Development, 43(7), pp.871~882 (2006)
- Edlich, R. F., "Pressure ulcer prevention", Journal of Long-Term Effects of Medical Implants, 14(4), pp.285~304 (2004)
- Eitzen, I., "Pressure Mapping in Seating: A frequency analysis approach", Archives of Physical Medicine and Rehabilitation, 85(7), pp.1135~1140 (2004)
- Gil-Agudo, A., "Comparative study of pressure distribution at the user-cushion interface with different cushions in a population with spinal cord injury", Clinical Biomechanics, 24(7), pp.558~563 (2009)
- Ham, R., "Wheelchair users and postural seating: a clinical approach" (1998), WB Saunders Company
- Hasting, J. D., "Seating assessment and planning", Physical Medicine Rehabilitation Clinics of North America, 11(1), pp.183~207 (2000)
- ISO, "Wheelchair Seating, Part 2: Test methods for devices intended to manage tissue integrity-seat cushions", Draft ISO, SC, pp.2001, 1(338)[DOI]
- Kosiak, M., "Prevention and rehabilitation of pressure ulcers", Decubitus, 4(2), pp.60~62 (1991)
- Lacoste, M., "Assessment of seated postural control in children: comparison of a force platform versus a pressure mapping system", Archives of Physical Medicine and Rehabilitation, 87(12), pp.1623~1629 (2006)
- Maurer, C. L., "Effect of seat inclination on seated pressures of individuals with spinal cord injury", Physical Therapy, 84(3), pp.255~261 (2004)
- Nicholson, G., "Comparative evaluation of pressure mapping systems(1): Bench Testing Results" (2006)
- Simpson, A., "Preventive management in: Pressure sore prevention", pp.47~57 (1996), Whurr Publishers
- Sprigle, S., "Reliability of bench tests of interface pressure", Assistive Technology: the official journal of RESNA, 15(1), pp.49~57 (2003)
- Stockton, L., "Pressure relief seating: are your patients comfortable?", Community Nurse, 4(1), pp.47~48 (1998)
- Wallis, S., "The seating clinic", Current Paediatrics, 11(1), pp.68~72 (2001)
- Willis, J., "Pressure-relief seating", Professional Nurse, 10(11), pp.713~721 (1995)
