Evaluation of Positioning Protocols on a Wheelchair in Hemiplegic Patients
Evaluation of Positioning Protocols on a Wheelchair in Hemiplegic Patients
The main purpose of this study is to assess the interest of using wheelchair positioning
 equipment on the decrease of postural disorders, compared to the standard use of a wheelchair
The stroke is the main cause of hemiplegia in developed countries. Fifteen percent of people
 who say they have a stroke need, at home, a wheelchair to get from one room to another. The
 use of a wheelchair can cause postural disorders which can lead to pain, orthopedic deformity
 and pressure ulcers.

 This study aims to assess the interest of using wheelchair positioning equipment (Seat back,
 Positioning cushion and Belt) on the decrease of postural disorders.

 This decrease will be assessed after a standardized course, performed under three different
 conditions: with the positioning equipment (Positioning cushion and Seat back), with the
 positioning equipment and the belt and with the wheelchair alone.

 Clinical tool used to assess the decrease is the Seated Postural Control Measure for Adults
 2.0 (SPCMA 2.0).

 This study, which will be the first prospective, interventional, multicenter, controlled and
 randomized study, could pave the way for guidelines of good practice, for wheelchair
 positioning of hemiplegic patients in France
Inclusion Criteria:

 -  Hemiplegic patient following a stroke

 -  Hospitalized in a follow-up and rehabilitative care service, after hospital stays in a
 MCO service (neurology, neurosurgery or reanimation)

 -  With a planned exit from hospital (homecoming, residential care facilities, nursing
 home, Long Term Care Unit …)

 -  Patient whose wheelchair choice should be already done

 -  Patient who propels the wheelchair with the valid hand and/or valid foot

 -  Written informed consent (IC) obtained

 -  Patients with affiliation to the social security system

 Exclusion Criteria:

 -  Good walk recovery (FAC scale >3)

 -  Wheelchair with a double hand rim

 -  Patient who cannot use his2 wheelchair independently

 -  Cognitive disorders which prevent the ability to well understanding the instructions

 -  Other pathology which can interfere with this protocol (Spinal disorder, morbid
 overweight (BMI>40…)