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Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions
Dáňová, Petra ; Pfeiffer, Jan (advisor) ; Neuwirthová, Svatava (referee)
Title: Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions. Objectives: The objective of this work was to evaluate the adjustments of wheelchair and to determine their impact on the work of the upper limbs and posture while sitting. This work was done on a group of patients with spinal lesions with their own wheelchairs. Another objective was to assess how education of proper propulsion pattern and form and type of a grip of handrim affects the correct propulsion pattern. Methods: In the group of 26 patients with spinal cord injuries in different levels of the spinal cord, I tested the adjusments of wheelchair, in particular the centre of gravity and maximum seat height from the ground. I also investigated what education on correct propulsion pattern the patients received, and observed any home-made adjustments to handrim, as well as patients' techniques of handrim grip. Finally, I examined how the subjects drove his/her wheelchair. During all the tests, I recorded video and photo documentation. The results were statistically evaluated using the Fisher test. Results: Despite the fact that only a small group was investigated, I showed the effect of wheelchair seatings on the correct posture. I...
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Consequences due to Inappropriate Movement Stereotype on a Wheelchair Described by an Occupational Therapist. Subtitle: Used Propulsive Mechanics in Paraplegics
Jarošová, Zuzana ; Hradilová, Iva (advisor) ; Rodová, Zuzana (referee)
This bachelor thesis is focused on consequences of an inappropriate movement stereotype while driving on a mechanical wheelchair. The examined population of clients suffered from paraplegia. The analysis of propulsion mechanics is the main goal of the bachelor thesis. The theoretical part of the thesis is focused on causes involved in the inappropriate propulsion pattern. The main investigated causes can be consequences of spinal lesion and inappropriate choice or setting of the mechanical wheelchair components. In case of the spinal lesion, we are focused on the height of the lesion with regard to the posture and propulsion. When speaking about the setting the wheelchair components, we are mainly interested in the appropriate components selection and components adjustment, especially the seat and backrests, which most affect the seat on the wheelchair. Tests, that can be used to examine the presence of painful states of client, are included in the thesis. The thesis also contains the possibilities of intervention from the occupational therapist's point of view. The theoretical knowledge of propulsion mechanics is used in the practical part, where the analysis of propulsion patterns (with use of video records) as well as the tests of painful states were performed. The conclusion of the thesis...
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Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions
Dáňová, Petra ; Pfeiffer, Jan (advisor) ; Neuwirthová, Svatava (referee)
Title: Evaluation of wheelchair adjustments and their impact on proper propulsion pattern upper extremities and sitting posture in patients with spinal cord lesions. Objectives: The objective of this work was to evaluate the adjustments of wheelchair and to determine their impact on the work of the upper limbs and posture while sitting. This work was done on a group of patients with spinal lesions with their own wheelchairs. Another objective was to assess how education of proper propulsion pattern and form and type of a grip of handrim affects the correct propulsion pattern. Methods: In the group of 26 patients with spinal cord injuries in different levels of the spinal cord, I tested the adjusments of wheelchair, in particular the centre of gravity and maximum seat height from the ground. I also investigated what education on correct propulsion pattern the patients received, and observed any home-made adjustments to handrim, as well as patients' techniques of handrim grip. Finally, I examined how the subjects drove his/her wheelchair. During all the tests, I recorded video and photo documentation. The results were statistically evaluated using the Fisher test. Results: Despite the fact that only a small group was investigated, I showed the effect of wheelchair seatings on the correct posture. I...
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