Goselink, M.M. (2015) Developing environmental changes to improve sitting posture and thereby eating performance in end-stage Parkinson patients. thesis, Human Movement Sciences.
Full text available on request.Abstract
Introduction: A common problem in end-stage PD patients is sitting instability during eating. In this study sitting instability was systematically observed, and environmental adaptations were developed to improve sitting posture and eating performance. Method: Eight end-stage PD patients (H&Y IV/V) were included. Based on direct and video observation of sitting posture, use of cutlery, and food intake, environmental adaptations to improve sitting posture were implemented and evaluated for each participant individually. Results: Four patients dropped out due to absence of distinct problems or unwillingness to change the sitting conditions. The most frequently observed symptoms included lateral and forward trunk flexion, trunk extension and dyskinesia. The effectiveness of four environmental adaptations were evaluated. For one participant the adaptations to her wheelchair, including trunk, head and legs support, gave more support and comfort and seemed to result in less redundant movement. For another participant the wheelchair was installed with a brace around the waist prevented partially lateral and forwards trunk flexion. A third participant received a pelvic harness in the wheelchair which prevented her from sitting tilted backwards. In all three patients eating performance improved. For a fourth patient a table on wheels with adjustable height was not effective. Conclusion: By implementing environmental adaptations sitting posture and eating performance in end stage PD patients can be improved. Keywords: end-stage Parkinson patients, sitting posture, use of cutlery, food-intake and environmental adaptations
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Kamsma, dr. Y.P.T. and Ottens, drs. N. and Westmaas, drs. M. |
| Faculty: | Medical Sciences |
| Date Deposited: | 08 Apr 2022 13:51 |
| Last Modified: | 08 Apr 2022 13:51 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3084 |
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