A depressurization motion analysis and its assistance for pressure sore prevention of a seated patient on a wheelchair

For reducing the risk of pressure sore caused by long period sitting on a wheelchair, we have been developed a depressurization motion assistance system for a wheelchair user. Our developed system consists of a sitting surface lifting device and a backrest tension coordination device. Our system assists to realize the suitable posture of the seated patient with these two devices. In previous works, many depressurization schemes are proposed, however, they are based on the experience of nursing specialists. Thus, in this paper, we investigate an index of the pressure sore risk by analyzing unconscious body motions of a healthy person who sits long time. From these analysis results, subjects want to depressurize their buttock or back when their posture is not suitable and a pressure concentration to a specific position on their buttock or back continues the fixed period. Therefore, these conditions seem to be an index of pressure sore risk and we propose a depressurization motion assistance scheme using it. Our proposed system assists a patient to move his body for distributing the pressure concentration on his buttock or back and leads the suitable sitting posture when these conditions are fulfilled. Using our proposed assistance system, the patient can depressurize by a natural body motion when he wants. The performance of our system is verified by experiments using our prototype.

[1]  J. Rader,et al.  Individualized Wheelchair Seating: Reducing Restraints and Improving Comfort and Function , 1999 .

[2]  M. Hirvensalo,et al.  Mobility Difficulties and Physical Activity as Predictors of Mortality and Loss of Independence in the Community‐Living Older Population , 2000, Journal of the American Geriatrics Society.

[3]  G V Cochran,et al.  Development of a modular wheelchair cushion for spinal cord injured persons. , 1986, Journal of rehabilitation research and development.

[4]  Norihiko Saga,et al.  Development of a Pneumatic Artificial Muscle Based on Biomechanical Characteristics , 2008, Adv. Robotics.

[5]  Daisuke Chugo,et al.  A depressurization assistance system with a suitable posture for a seated patient on a wheelchair , 2013, 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR).

[6]  Dirk De Bacquer,et al.  The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers. , 2005, International journal of nursing studies.

[7]  Toyoko Kurihara,et al.  A Study of Relation between Pressure Sores and Seating Positioning Ability in Wheelchair use by Elderly People , 2003 .

[8]  Takako Tsutsui,et al.  Care‐Needs Certification in the Long‐Term Care Insurance System of Japan , 2005, Journal of the American Geriatrics Society.

[9]  Preventing pressure ulcers. A patient's guide. Agency for Health Care Policy And Research. , 1992, Decubitus.

[10]  Hideki Yamamoto,et al.  The study of pressure distribution in sitting position on cushions for patient with SCI (Spinal Cord Injury) , 1998, IEEE Trans. Instrum. Meas..

[11]  Yoshio Tanimoto,et al.  The study of pressure distribution in sitting position on cushions for patient with SCI , 1998, IMTC/98 Conference Proceedings. IEEE Instrumentation and Measurement Technology Conference. Where Instrumentation is Going (Cat. No.98CH36222).

[12]  Hiromi Sanada,et al.  Randomised controlled trial to evaluate a new double-layer air-cell overlay for elderly patients requiring head elevation. , 2003, Journal of Tissue Viability.

[13]  C Hershler,et al.  Pressure ulcer prophylaxis in elderly patients using polyurethane foam or Jay wheelchair cushions. , 1994, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[14]  E Trefler,et al.  The relationship between pressure ulcer incidence and buttock-seat cushion interface pressure in at-risk elderly wheelchair users. , 2001, Archives of physical medicine and rehabilitation.

[15]  Krzystof Gebhardt,et al.  Preventing Pressure Sores in Orthopaedic Patients - is Prolonged Chair Nursing Detrimental? , 1994 .

[16]  H K Yuen,et al.  Comparison of three wheelchair cushions for effectiveness of pressure relief. , 2001, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.