Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 9, 2014
   Pages 1377 — 1382

Abstract — Multidisciplinary approach to converting power chair into motorized prone cart

Steven W. Brose, DO;1–2* Eisha Wali, BS2

1Spinal Cord Injury Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH; Department of Specialty Medicine, Ohio University Heritage College of Osteopathic Medicine, Athens, OH; Cleveland FES Center, Cleveland, OH; 2Department of Physical Medicine and Rehabilitation, Case Western Reserve University School of Medicine, Cleveland, Ohio

Abstract — Pressure ulcers remain a major source of morbidity and mortality in veterans with neurologic impairment. Management of pressure ulcers typically involves pressure relief over skin regions containing wounds, but this can lead to loss of mobility and independence when the wounds are located in regions that receive pressure from sitting. An innovative, low-cost, multidisciplinary effort was undertaken to maximize quality of life in a veteran with a thoracic-4 level complete spinal cord injury and a stage 4 ischial wound. The person???s power wheelchair was converted into a motorized prone cart, allowing navigation of the Department of Veterans Affairs spinal cord injury hospital ward and improving socialization while relieving pressure on the wound. Physical and occupational therapy assisted with the reconfiguration of the power chair and verified safe transfers into the chair and driving of the device. Psychology verified positive psychosocial benefit, while nursing and physician services verified an absence of unwanted pain or skin injury resulting from use of the device. Further investigation of ways to apply this technique is warranted to improve the quality of life of persons with pressure ulcers.

Key words: decubitus, ischial, motorized, power, pressure, prone cart, rehabilitation, spinal cord injury, wheelchair, wound.

View HTML ¦ View PDF ¦ Contents Vol. 51, No.9

This article and any supplementary material should be cited as follows:
Brose SW, Wali E. Multidisciplinary approach to converting power chair into motorized prone cart. J Rehabil Res Dev. 2014;51(9):1377–82.

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