Pilot study of strap-based custom wheelchair seating system in persons with spinal cord injury

Custom wheelchair seats can be used to help prevent pressure ulcers in individuals with spinal cord injury. In this study, a strap-based system was evaluated in three Veterans with spinal cord injury. Interface pressure distributions were measured after transfers, wheeling, and pressure relief maneuvers and after fittings by three different therapists. We found that pressure distribution measures were not generally affected after transfers and wheeling using the strap-based wheelchair and that pressure relief maneuvers were able to be performed. Additionally, all therapists were able to customize the wheelchair seat to clinically acceptable levels in 4 to 40 min for the three subjects. Future studies can test the long-term effects of using the strap-based wheelchair seat and identifying individuals that would most benefit from a rapidly customizable wheelchair seat.