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Physiological considerations in seating.

C P Stewart1

  • 1Dundee Limb Fitting Centre, Broughty Ferry, UK.

Prosthetics and Orthotics International
|December 1, 1991
PubMed
Summary
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Seating significantly impacts physiological systems, especially in individuals with severe skeletal deformities like kyphoscoliosis. Understanding these effects is crucial for optimizing seating systems and patient care.

Area of Science:

  • Physiology
  • Biomechanics
  • Rehabilitation Engineering

Background:

  • Posture changes induce significant physiological alterations affecting multiple body systems.
  • Severe skeletal deformities, such as kyphoscoliosis, can profoundly modify these responses.
  • Existing conditions like bronchiectasis or hiatus hernia may be exacerbated by specific seating positions.

Purpose of the Study:

  • To analyze the physiological effects of seating on various body systems.
  • To investigate how severe skeletal deformities influence postural physiological responses.
  • To inform the design of seating systems considering these complex interactions.

Main Methods:

  • Review of physiological responses to changes in posture.
  • Analysis of cardiovascular, respiratory, abdominal, renal, and neurological system functions in seated positions.

Related Experiment Videos

  • Consideration of the impact of skeletal deformities on physiological adaptations.
  • Main Results:

    • Seating affects cardiovascular hemodynamics, respiratory function (lung perfusion, ventilation), and abdominal conditions.
    • Flexed postures can worsen conditions like hiatus hernia and impact renal drainage.
    • Neurological reflexes and pain perception are significantly influenced by seating and posture.

    Conclusions:

    • Seating interventions must carefully balance physiological demands with patient-specific requirements.
    • Individuals with severe kyphoscoliosis experience unique and profound physiological challenges with seating.
    • Optimized seating systems require a comprehensive understanding of posture-related physiological changes.