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Development and initial validation of the Seated Posture Scale.

Lelia Barks1, Stephen L Luther, Lisa M Brown

  • 1Center of Innovation for Disability and Rehabilitation Research, James A. Haley Veterans' Hospital, Tampa, FL; and Rehabilitation Research and Development Service, Department of Veterans Affairs, Washington, DC;

Journal of Rehabilitation Research and Development
|August 1, 2015
PubMed
Summary
This summary is machine-generated.

A new Seated Posture Scale (SPS) effectively assesses wheelchair posture in older adults. This validated tool aids research into posture

Keywords:
SPSVeteraneldergeriatriclong-term careposturereliabilityseatvaliditywheelchair

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Area of Science:

  • Rehabilitation Science
  • Gerontology
  • Biomedical Engineering

Background:

  • Posture significantly impacts health outcomes like eating, breathing, and speaking.
  • Research on wheelchair seated posture's effects is limited, primarily focusing on interface pressure, physical function, and safety.

Purpose of the Study:

  • To develop and validate a rapid, low-burden, paper-pencil assessment for wheelchair seated posture in research.
  • To evaluate the feasibility of using this assessment with older adults.

Main Methods:

  • Prospective design with a convenience sample of 49 older wheelchair users in a community living center.
  • Validated the Seated Posture Scale (SPS) using expert ratings (S-CVI), correlation with physical function (Barthel Index) and muscle tone (Modified Ashworth Scale), internal consistency (Cronbach alpha), and test-retest reliability.

Main Results:

  • The Seated Posture Scale (SPS) achieved an overall content validity score (S-CVI) of 0.744.
  • SPS scores positively correlated with physical function (r = 0.46) and negatively with muscle tone (r = -0.44), supporting construct validity.
  • High test-retest reliability (Pearson correlations 0.89–0.99) and acceptable internal consistency (Cronbach alpha 0.66) were observed.

Conclusions:

  • The Seated Posture Scale (SPS) demonstrates sufficient preliminary validity and reliability for evaluating wheelchair seated posture.
  • The SPS is suitable for use in outcomes research, particularly with older adult populations.