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dc.contributor.authorMallette, Matthew M.
dc.contributor.authorHodges, Gary J.
dc.contributor.authorKlentrou, Panagiota
dc.contributor.authorCheung, Stephen S.
dc.contributor.authorFalk, Bareket
dc.date.accessioned2019-07-09T19:39:50Z
dc.date.available2019-07-09T19:39:50Z
dc.date.issued2019-04-24
dc.identifier.citationJournal of Tissue Viability 28 (2019) 144–151en_US
dc.identifier.issn0965-206X
dc.identifier.urihttp://hdl.handle.net/10464/14271
dc.description.abstractWe examined the effects of 4 different wheelchair seatings on physiological and perceptual measures in 21 healthy, pre-pubertal children (9 ± 2 years). Participants were able-bodied and did not regularly use a wheelchair. Participants sat for 2 h in Neutral (∼22.5 °C, ∼40%RH) and Hot (∼35 °C, ∼37%RH) conditions. Four seating technologies were: standard incontinent cover and cushion (SEAT1); standard incontinent cover with new cushion (SEAT2) were tested in Neutral and Hot; new non-incontinent cover with new cushion (SEAT3); new incontinent cover and new cushion (SEAT4) were tested in Neutral only. Measurements included skin blood flow (SkBF), sweating rate (SR) and leg skin temperature (TlegB) on the bottom of the leg (i.e. skin-seat interface), heart rate (HR), mean skin temperature, tympanic temperature, thermal comfort, and thermal sensation. During Neutral, SkBF and TlegB were lower (∼50% and ∼1 °C, respectively) and SR higher (∼0.5 mg cm−2·min−1) (p < 0.05) with SEAT3 compared to all other seats. SkBF was ∼30% lower (p p > 0.05). During Hot, HR and temperatures were higher than in Neutral but there were no differences (p > 0.05) between SEATs. New cover and cushion improved thermoregulatory responses during Neutral but not Hot. An impermeable incontinent cover negated improvements from cushion design. Seat cover appears more important than seat cushion during typical room conditions.en_US
dc.language.isoen_USen_US
dc.publisherElsevier Ltden_US
dc.subjectAutonomic nervous systemen_US
dc.subjectSympatheticen_US
dc.subjectParasympatheticen_US
dc.subjectPressure injuryen_US
dc.subjectSkin blood flowen_US
dc.subjectSweatingen_US
dc.subjectThermoregulationen_US
dc.titleComparison of different wheelchair seating on thermoregulation and perceptual responses in thermoneutral and hot conditions in childrenen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.jtv.2019.04.003


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