Titre : | Seated postural in wheelchair in NMD |
Revue : | Annals of physical and rehabilitation medicine, 59S |
Auteurs : | Pellegrini N, Auteur |
Type de document : | Article |
Année de publication : | 2016 |
Pages : | p e82 |
Langues: | Anglais |
Mots-clés : | douleur aiguë ; dystrophie musculaire de Duchenne ; dystrophie musculaire facio-scapulo-humérale ; dystrophie myotonique de type 1 ; étude rétrospective ; fauteuil roulant ; maladie neuromusculaire ; position assise ; positionnement ; posture |
Résumé : |
Abstract no. CO022
OBJECTIVE: To study seated postural control in neuromuscular disorder. MATERIALS/PATIENTS AND METHODS: We conducted a retrospective observational cohort study of 130 neuromuscular adult patients having a positioning wheelchair consultation in Foundation of Garches. The assessment is done with the seated postural control measure for adults. RESULTS: Most of the patients had severe intensity illness, only10% were walking and 29% were with tracheostomial ventilation. The reasons of consultation where: positioning, choice or change of wheelchair, pain and prevention (rarely). The own wheelchair's patient was powered wheelchair with seat adapted to the person type 2 in only 91 cases. 109 patients (84%) experienced pain in their wheelchair. In Duchenne muscular dystrophy patients, 44 (88%) were painful in there wheelchair. The topography of pain is frequently ischiatic. 19 patients (14%) had a pressure ulcer. All the patients examined have deformities. In Duchenne muscular dystrophy, pelvic obliquity and trunc tilt are frequently observed; in FSHD pelvic anterior tilt is frequent, and in steinert myotonic posterior tilt is frequent. DISCUSSION/CONCLUSION: In order to improve the quality of life of this population, a study about the posture in wheelchair is therefore essential, most precociously. |
Pubmed / DOI : | DOI : 10.1016/j.rehab.2016.07.189 |
En ligne : | http://www.ncbi.nlm.nih.gov/pubmed/27677015 |