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Research ArticleBiomechanics

How Do Everyday Life Activities Affect Seating Pressure Measurements?

Clara Oette, Roy Müller, Lucas Schreff and Rainer Abel
International Journal of Spine Surgery October 2023, 17 (5) 698-705; DOI: https://doi.org/10.14444/8530
Clara Oette
1 Department of Orthopedic Surgery, Klinikum Bayreuth GmbH, Bayreuth, Germany
PhD
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Roy Müller
1 Department of Orthopedic Surgery, Klinikum Bayreuth GmbH, Bayreuth, Germany
2 Bayreuth Center of Sport Science, University of Bayreuth, Bayreuth, Germany
PhD
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  • For correspondence: roy.mueller@klinikum-bayreuth.de
Lucas Schreff
1 Department of Orthopedic Surgery, Klinikum Bayreuth GmbH, Bayreuth, Germany
2 Bayreuth Center of Sport Science, University of Bayreuth, Bayreuth, Germany
PhD
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Rainer Abel
1 Department of Orthopedic Surgery, Klinikum Bayreuth GmbH, Bayreuth, Germany
MD
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  • Article
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Figures

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  • Figure 1
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    Figure 1

    Measurement setup. Measurements were taken using a pressure mat (BodiTrak2, 16 × 16 = 256 sensors) placed on the participants own seat cushion in their own wheelchair. Using the standard supplied FSA.1 software package, the following parameters were measured: maximum pressure (mm Hg), mean pressure (mm Hg), measurement area (cm2) as well as the coordinates of the center of pressure (cm).

  • Figure 2
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    Figure 2

    Examples of a seat measurement. Examples of a seat measurement at minute 0, at minute 30, and at minute 90 for 5 active spinal cord injury participants.

Tables

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    Table 1

    Participant characteristics.

    CharacteristicsDistributionMean ± SD
    Weight, kg35–115 kg75.4 ± 9.1
    Height, cm140–190174.5 ± 10.9
    Age, y18–8047.5 ± 16.8
    Se
     Male28NA
     Female6NA
    American Spinal Injury Association Impairment Scale
     A14NA
     B3NA
     C10NA
     D7NA
    Wheelchair behavior
     Active28NA
     Not active6NA
    Cushion type
     KUBIVENT DualPlus12NA
     KUBIVENT TheraCubus10NA
     ROHO Dry Floatation5NA
     StimuLITE3NA
     Other4NA
    • Note: Active behavior in the wheelchair means that the participant was able to reposition him/herself as needed and desired.

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    Table 2

    ICCs of the seat pressure measurements.

    Measurement0/30/90 min0/30 min30/90 minEvery 5 min Over 90 min
    ICC of the pressure mean values
     All participants0.530.430.85NA
      Active participants0.610.380.87NA
      Inactive participants0.780.690.85NA
     Weight measurements (all cushions)0.920.900.960.99
    ICC of the pressure-loaded measuring surface
     All participants0.970.950.98NA
      Active participants0.980.950.99NA
      Inactive participants0.520.650.92NA
     Weight measurements (all cushions)0.750.570.970.99
    ICC of the vertical center of pressure position
     All participants0.970.960.96NA
      Active participants0.970.960.97NA
      Inactive participants0.990.980.99NA
     Weight measurements (all cushions)0.980.970.990.99
    ICC of the horizontal center of pressure position
     All participants0.990.980.91NA
      Active participants0.990.990.91NA
      Inactive participants0.860.740.98NA
     Weight measurements (all cushions)0.960.940.980.99
    • Abbreviations: ICC, intraclass correlation coefficient; NA, not applicable.

    • Note: In general, an ICC above 0.75 is an indicator of excellent reliability, while an ICC below 0.75 indicates good to poor reliability.19 ICCs of maximum pressure cannot be calculated due to missing variance after 90 minutes (Table 3).

    • View popup
    Table 3

    Mean ± SD of the seat pressure measurements.

    MeasurementMinute 0Minute 30Minute 90
    Maximum pressure (mm Hg)
     All participants192.9 ± 16.4199.7 ± 2.0200.0 ± 0.0
      Active participants194.4 ± 16.1199.6 ± 2.2200.0 ± 0.0
      Inactive participants181.8 ± 15.0200.0 ± 0.0200.0 ± 0.0
     Weight measurements (all cushions)143.6 ± 32.3174.2 ± 35.9a 178.2 ± 35.0a
    Pressure mean value (mm Hg)
     All participants73.5 ± 17.798.6 ± 20.8a 100.9 ± 19.6a
      Active participants74.5 ± 18.499.3 ± 20.9a 100.9 ± 20.2a
      Inactive participants61.9 ± 10.790.31 ± 19.999.7 ± 17.6a
     Weight measurements (all cushions)59.5 ± 17.871.3 ± 20.9a 77.4 ± 21.4a
    Pressure-loaded measuring surface (cm2)
     All participants1198.8 ± 272.51295.3 ± 281.7a 1294.9 ± 288.4a
      Active participants1218.9 ± 278.11292.5 ± 285.8a 1280.6 ± 296.1a
      Inactive participants957.0 ± 95.51268.3 ± 237.1a 1307.4 ± 256.1a
     Weight measurements (all cushions)150.2 ± 26.6189.5 ± 36.1a 201.0 ± 39.2a ,b
    Vertical center of pressure position (cm)
     All participants28.4 ± 4.729.0 ± 4.428.6 ± 4.9
      Active participants28.2 ± 5.028.7 ± 4.528.2 ± 5.3
      Inactive participants28.1 ± 2.229.8 ± 2.629.4 ± 2.6
     Weight measurements (all cushions)24.2 ± 1.324.5 ± 1.524.6 ± 1.6
    Horizontal center of pressure position (cm)
     All participants23.0 ± 3.122.2 ± 2.822.5 ± 2.8
      Active participants22.9 ± 3.322.4 ± 3.022.7 ± 3.1
      Inactive participants23.6 ± 2.021.6 ± 1.621.8 ± 1.3
     Weight measurements (all cushions)22.1 ± 0.622.2 ± 0.622.1 ± 0.6
    • ↵a Significant difference from measurement at minute 0 (min 0) (P < 0.05).

    • ↵b Significant difference from measurement at minute 30 (min 30) (P < 0.05).

Supplementary Materials

  • Figures
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  • Supplementary Material 1.

    [8530supp001.docx]

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How Do Everyday Life Activities Affect Seating Pressure Measurements?
Clara Oette, Roy Müller, Lucas Schreff, Rainer Abel
International Journal of Spine Surgery Oct 2023, 17 (5) 698-705; DOI: 10.14444/8530

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How Do Everyday Life Activities Affect Seating Pressure Measurements?
Clara Oette, Roy Müller, Lucas Schreff, Rainer Abel
International Journal of Spine Surgery Oct 2023, 17 (5) 698-705; DOI: 10.14444/8530
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