Evaluation of Positioning Protocols on a Wheelchair in Hemiplegic Patients

Launched by HÔPITAL NOVO · Feb 12, 2020

Keywords

ClinConnect Summary

The stroke is the main cause of hemiplegia in developed countries. Fifteen percent of people who say they have a stroke need, at home, a wheelchair to get from one room to another. The use of a wheelchair can cause postural disorders which can lead to pain, orthopedic deformity and pressure ulcers.

This study aims to assess the interest of using wheelchair positioning equipment (Seat back, Positioning cushion and Belt) on the decrease of postural disorders.

This decrease will be assessed after a standardized course, performed under three different conditions: with the positioning equipmen...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Hemiplegic patient following a stroke
• • Hospitalized in a follow-up and rehabilitative care service, after hospital stays in a MCO service (neurology, neurosurgery or reanimation)
• • With a planned exit from hospital (homecoming, residential care facilities, nursing home, Long Term Care Unit ...)
• • Patient whose wheelchair choice should be already done
• • Patient who propels the wheelchair with the valid hand and/or valid foot
• • Written informed consent (IC) obtained
• • Patients with affiliation to the social security system
• Exclusion Criteria:
• • Good walk recovery (FAC scale \>3)
• • Wheelchair with a double hand rim
• • Patient who cannot use his2 wheelchair independently
• • Cognitive disorders which prevent the ability to well understanding the instructions
• • Other pathology which can interfere with this protocol (Spinal disorder, morbid overweight (BMI\>40...)