skip to main content
10.1145/1592700.1592709acmotherconferencesArticle/Chapter ViewAbstractPublication Pagesi-createConference Proceedingsconference-collections
research-article

Development issues and proposed therapeutic seat framework

Published:22 April 2009Publication History

ABSTRACT

Prolonged sitting can have an adverse effect on elderly people, especially those with limited mobility and reduced sensation. It usually results in various medical problems and complexities, with formation of pressure ulcer being one of the most concerned due to its prevalence, harm and high cost for treatment. Various seating systems have been developed to enhance functional ability, provide protection from tissue breakdown (arising from pressure ulcers) and relieve the concentrated interface pressure for these patients. A design based on air inflation of the cushion has been evaluated and verified to be efficient in pressure management and is adaptive for other functional extensions. Some key issues in developing effective air-inflated cushions are identified in this paper, including the interface pressure, sitting condition discrimination, inflation pressure, alternating pressure and some other problems. Efforts made in these aspects and some novel achievements are summarized. The framework of a Computer Controlled Adjustable Seat System (CCASS) is proposed. Specifically the CCASS adopts a structure with multiple air cells incorporating a sensing system. It is suitable as a research tool to identify the various seating factors for the design of a therapeutic seat. The general design and development process of an intelligent air cushion will also be briefly introduced, with the main design concept validated with prototype testing.

References

  1. Brienza, D. M., P. E. Karg, and C. E. Brubaker, Seat cushion design for elderly wheelchair users based on minimization of soft tissue deformation using stiffness and pressure measurements. IEEE Trans Rehabil Eng, 1996. 4(4): p. 320--7.Google ScholarGoogle Scholar
  2. Guimaraes, E. and W. C. Mann, Evaluation of pressure and durability of a low-cost wheelchair cushion designed for developing countries. Int J Rehabil Res, 2003. 26(2): p. 141--3.Google ScholarGoogle Scholar
  3. Brienza, D. M., et al., The Relationship Between Pressure Ulcer Incidence and Buttock-Seat Cushion Interface Pressure in At-Risk Elderly Wheelchair Users. Archives of Physical Medicine and Rehabilitation, 2001. 82(4): p. 529--533.Google ScholarGoogle Scholar
  4. Makhsous, M., et al., Periodically relieving ischial sitting load to decrease the risk of pressure ulcers. Archives of Physical Medicine and Rehabilitation, 2007. 88(7): p. 862--870.Google ScholarGoogle Scholar
  5. Brienza, D. M. and M. J. Geyer, Using support surfaces to manage tissue integrity. Adv Skin Wound Care, 2005. 18(3): p. 151--7.Google ScholarGoogle Scholar
  6. Sy, C. P. L. and E. W. C. Tam. Fabrication of custom contour cushion using pressure mapping method: a preliminary study. in Engineering in Medicine and Biology Society, 2000. Proceedings of the 22nd Annual International Conference of the IEEE. 2000.Google ScholarGoogle ScholarCross RefCross Ref
  7. Brienza, D. M., et al., Seat support surface optimization using force feedback. IEEE Trans Biomed Eng, 1993. 40(1): p. 95--104.Google ScholarGoogle ScholarCross RefCross Ref
  8. Tanimoto, Y., et al., The study of pressure distribution in sitting position on cushions for patient with SCI (Spinal Cord Injury). Instrumentation and Measurement, IEEE Transactions on, 1998. 47(5): p. 1239--1243.Google ScholarGoogle Scholar
  9. Hamanami, K., A. Tokuhiro, and H. Inoue, Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury. Acta Med Okayama, 2004. 58(1): p. 37--44.Google ScholarGoogle Scholar
  10. Staarink., H. A. M., Sitting posture, comfort and pressure: assessing the quality of wheelchair cushions. Series in physical ergonomics 1995, Delft: Delft University Press.Google ScholarGoogle Scholar
  11. Koo, T. K., A. F. Mak, and Y. L. Lee, Evaluation of an active seating system for pressure relief. Assist Technol, 1995. 7(2): p. 119--28.Google ScholarGoogle Scholar
  12. Eitzen, I., Pressure mapping in seating: a frequency analysis approach. Arch Phys Med Rehabil, 2004. 85(7): p. 1136--40.Google ScholarGoogle Scholar
  13. Shelton, F., R. Barnett, and E. Meyer, Full-body interface pressure testing as a method for performance evaluation of clinical support surfaces. Appl Ergon, 1998. 29(6): p. 491--7.Google ScholarGoogle Scholar
  14. Aissaoui, R., et al., Analysis of pressure distribution at the body-seat interface in able-bodied and paraplegic subjects using a deformable active contour algorithm. Med Eng Phys, 2001. 23(6): p. 359--67.Google ScholarGoogle Scholar
  15. Jue, W., et al. Biomechanical analysis of buttock soft tissue using computer-aided seating system. in Engineering in Medicine and Biology Society, 1998. Proceedings of the 20th Annual International Conference of the IEEE. 1998.Google ScholarGoogle Scholar
  16. Gefen, A., Pressure-sensing devices for assessment of soft tissue loading under bony prominences: Technological concepts and clinicail utilization. Wounds-a Compendium of Clinical Research and Practice, 2007. 19(12): p. 350--362.Google ScholarGoogle Scholar
  17. Knight, S. L., et al., Establishing predictive indicators for the status of loaded soft tissues. J Appl Physiol, 2001. 90(6): p. 2231--7.Google ScholarGoogle Scholar
  18. Krouskop, T. A., et al., Inflation pressure effect on performance of air-filled wheelchair cushions. Arch Phys Med Rehabil, 1986. 67(2): p. 126--8.Google ScholarGoogle Scholar
  19. Tanimoto, Y., H. Takechi, and H. Yamamoto. Supporting system for prevention of pressure sores. in Instrumentation and Measurement Technology Conference, 2000. IMTC 2000. Proceedings of the 17th IEEE. 2000.Google ScholarGoogle ScholarCross RefCross Ref
  20. Rithalia, S. V. and M. Gonsalkorale, Quantification of pressure relief using interface pressure and tissue perfusion in alternating pressure air mattresses. Arch Phys Med Rehabil, 2000. 81(10): p. 1364--9.Google ScholarGoogle Scholar
  21. Mingqiong, C., Study and development of instrumentation for interface pressure measurement, in Department of Mechanical Engineering. 2008, National University of Singapore: Singapore.Google ScholarGoogle Scholar
  22. Rong, W. S., Study of sensor systems for a computer controllable adjustable seating system (CCASS), in Department of Mechanical Engineering. 2008, National University of Singapore: Singapore.Google ScholarGoogle Scholar
  23. Hsuan, H. W., An intelligent cushion for the prevention of pressure ulcer, in Department of Mechanical Engineering. 2008, National University of Singapore: Singapore.Google ScholarGoogle Scholar

Index Terms

  1. Development issues and proposed therapeutic seat framework

                Recommendations

                Comments

                Login options

                Check if you have access through your login credentials or your institution to get full access on this article.

                Sign in
                • Published in

                  cover image ACM Other conferences
                  i-CREATe '09: Proceedings of the 3rd International Convention on Rehabilitation Engineering & Assistive Technology
                  April 2009
                  222 pages
                  ISBN:9781605587929
                  DOI:10.1145/1592700
                  • Conference Chairs:
                  • Wei Tech Ang,
                  • Wantanee Phantachat

                  Copyright © 2009 ACM

                  Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

                  Publisher

                  Association for Computing Machinery

                  New York, NY, United States

                  Publication History

                  • Published: 22 April 2009

                  Permissions

                  Request permissions about this article.

                  Request Permissions

                  Check for updates

                  Qualifiers

                  • research-article
                • Article Metrics

                  • Downloads (Last 12 months)7
                  • Downloads (Last 6 weeks)1

                  Other Metrics

                PDF Format

                View or Download as a PDF file.

                PDF

                eReader

                View online with eReader.

                eReader