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Seating and wheeled mobility in the disabled elderly population

J B Redford1

  • 1Department of Rehabilitation Medicine, University of Kansas Medical Center, Kansas City 66103.

Archives of Physical Medicine and Rehabilitation
|August 1, 1993
PubMed
Summary

Elderly wheelchair users face challenges with seating due to high costs and overlooked comfort needs. Improving seating technology is crucial for enhancing functional independence and mobility in aged populations.

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Area of Science:

  • Rehabilitation Engineering
  • Gerontology
  • Assistive Technology

Background:

  • Elderly individuals represent the primary demographic utilizing wheelchairs.
  • Existing research on seating solutions for the elderly, particularly those in long-term care, is limited.
  • Current seating technology often fails to meet the specific needs of disabled elderly persons.

Purpose of the Study:

  • To review existing studies on wheelchair seating for the elderly.
  • To identify challenges in current seating practices for aged individuals in long-term care.
  • To explore strategies for aligning available seating technology with the needs of disabled elderly users.

Main Methods:

  • Literature review focusing on studies concerning wheelchair seating for the elderly.

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  • Analysis of barriers hindering the adoption of advanced seating technologies.
  • Categorization of elderly wheelchair users into distinct groups based on mobility and needs.

    • Main Results:

    • Key barriers include the high cost of durable medical equipment and a lack of clinical recognition of posture and comfort's importance for functional independence.
    • Seating needs vary significantly across different elderly user groups: nonmobile dependents, mobile nonambulatory, and ambulatory with special needs.
    • There is a critical need for research in areas such as improved mobility-function matching, cost-effective cushions, modular seating, and advanced transfer devices.

    Conclusions:

    • Addressing the high cost of equipment and improving clinician/administrator awareness are vital for better wheelchair seating outcomes.
    • Future research should focus on developing more effective, affordable, and adaptable seating and mobility solutions for the elderly.
    • New performance standards for wheelchairs may influence future accessibility and technology adoption.