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| Name | Class |
|---|---|
| GHICL | UNKNOWN |
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The choice of the most suitable chair as well as the improvement of the patient's positioning on this wheelchair is important to limit the discomfort, to prevent the risks of bedsores, the pains related to prolonged sitting and finally to support the interaction of the patient with its environment. The goal of this prospective, longitudinale, monocentric study is to evaluate the impact of standardized positioning in wheelchair-bound patients at risk of slipping.
The main questions on the positioning actions are:
Participation in this study will involve an increase in the number of transfers required for shear sheet placement and removal, as well as the time required for ischial measurement and the time to complete the (Tool for Assessing Wheelchair disComfort) TAWC questionnaire.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All patients meeting the study eligibility criteria | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Choice and adjustment of the wheelchair according to the patient's needs | Procedure | After a personalized analysis of the patient and his needs, the occupational therapists define the equipment necessary for the good positioning of the patient:
|
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of shear measurement with the Shear® sensor | Shear will be measured over a period of one hour (shear evolution over one hour), during which the patient will follow a standardized activity program. | Day 0 therefore before the implementation of the positioning actions then at Day 1 and Day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of the sliding distance | The sliding distance is measured by the position of the ischiums. It is the difference between the position measured before and after 1 hour of standardized activities. | Day 0 therefore before the implementation of the positioning actions then at Day 1 and Day 7 |
| Evolution of the score on the TAWC scale |
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Inclusion Criteria:
Non inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marine Deseur | Contact | +33362882780 | marine.deseur@fondation-hopale.org | |
| Julien PAGER | Contact | julien.pager@fondation-hopale.org |
| Name | Affiliation | Role |
|---|---|---|
| Jean Gabriel PREVINAIRE, MD | Fondation Hopale | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Julien PAGER | Recruiting | Berck | Hauts-de-France | 62608 | France |
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| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
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The TAWC (Tool for Assessing Wheelchair discomfort) scale assesses 2 discomfort scores:
|
| Day 0 therefore before the implementation of the positioning actions then at Day 7 |
| Evolution of the caregiver questionnaire score (Likert scale) | Day 0 therefore before the implementation of the positioning actions then at Day 7 |