MedPath

Supportive Wheelchair Back Compared to Fabric Back

Not Applicable
Completed
Conditions
Spinal Cord Injuries
Interventions
Device: Matrix back
Registration Number
NCT03962582
Lead Sponsor
Shirley Ryan AbilityLab
Brief Summary

This study tests using a wheelchair back that supports the spine in a neutral position and one that allows the spine and pelvis to fall into a posterior pelvic tilt.

Detailed Description

Individuals will randomly start with the supportive back vs the unsupportive back. Measurements of the spine and pelvis will be taken. Forward upward reach, one stroke push, times forward push and ramp skills will be assessed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • complete spinal cord injury with levels
  • Full time wheelchair users
  • English speaking in order to understand the consent
Exclusion Criteria
  • Over 250 pounds in body weight
  • Inability to grip a wheelchair push rim
  • Individual with pressure ulcer
  • Individual with shoulder pain

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Supportive Back ComparisonMatrix backMotion Concepts matrx back to be attached to individual's wheelchair in place of the individual's back. It will be adjusted for size and to support the spinal curves as compared to a fabric back
Primary Outcome Measures
NameTimeMethod
Seated Body Measurements performed.2 hour session (one visit)

Angle measurements will be taken when sitting. These include the pelvic angle (femur to pelvis) and Spinal Angle of Kyphosis (femur to acromion).

Vertical Forward Reach Test (VFRT):2 hour session (one visit)

Assesses stability by measuring the maximum distance an individual can reach forward vertically (upward) while sitting in a fixed position.

Breathing status:2 hour session (one visit)

An instrument called a spirometer is placed into the mouth with the nose clipped and the individual is instructed to take a deep breath and blow out. Peak effort flow, peak cough flow, and functional capacity will be recorded.

One stroke push:2 hour session (one visit)

This measures how far the wheelchair moves forward with one stroke over carpet.

Timed forward Wheeling/Wheelchair Propulsion Test (WPT):2 hour session (one visit)

The WPT is a brief test measuring the number of wheelchair pushes and time needed to cross a distance of 23 meters

Ramp Ascent (forward wheeling2 hour session (one visit)

This is a timed test on a 10.3 meter ramp with a 1:13 grade slope

Pain Scale:2 hour session (one visit)

The participant will rate any pain felt while sitting in the test wheelchairs after all activities using a numerical scale of 0-10, with 0 being no pain.

Survey2 hour session (one visit)

The study team developed a survey for patients to fill out asking questions such as comfort of back support and opinions of practicality of back support.

Secondary Outcome Measures
NameTimeMethod
Breathing status:2 hour session (one visit)

Pulse oximetry will be taken with the person sitting in each testing wheelchair.

Trial Locations

Locations (1)

Shirley Ryan AbilityLab

🇺🇸

Chicago, Illinois, United States

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