Departmental Bulletin Paper 車椅子シーティング対象者の実態調査
Actual status of individuals with disabilities targeted for wheelchair seating intervention

押川, 武志  ,  亀ヶ谷, 忠彦  ,  宮寺, 亮輔  ,  森田, 智之  ,  オシカワ, タケシ  ,  カメガヤ, タダヒコ  ,  ミヤデラ, リョウスケ  ,  モリタ, トモユキ  ,  Takeshi, OSHIKAWA  ,  Tadahiko, KAMEGAYA  ,  Ryosuke, MIYADERA  ,  Tomoyuki, MORITA

Wheelchair seating is a method of supporting individuals with disabilities that utilizes modular wheelchairs and seating posture-supporting devices to maintain a stable posture, facilitating the execution of functional movements while using a wheelchair. With the cooperation of 18 physical and occupational therapists, this study examined the actual status of 164 individuals with disabilities for whom seating intervention was being provided.The results revealed an association between decreased ability to maintain a sitting posture in a wheelchair and lower Braden Scale scores, indicating an increased risk for pressure ulcers (r=‒0.756, p<0.001). Likewise, among individuals targeted for seating intervention, the ability to maintain a sitting posture was also significantly correlated with Functional Independence Measure scores. This assessment demonstrated that poorer seating ability was associated with a lower total score (r=‒0.778, p<0.001) as well as with eating (r=‒0.727, p<0.001) and wheelchair locomotion (r=‒0.666, p<0.001). These results suggest the requirement for active assessment of and intervention for individuals with disabilities targeted for seating intervention to prevent the development of pressure ulcers and to support their activities of daily living.In order to develop wheelchair seating-related knowledge and intervention techniques, it is necessary to conduct large-scale studies and to promote more accurate recognition of the status of individuals with disabilities targeted for seating intervention.

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