Adaptation and clinical application of assistive device chair for bedside sitting in acute stroke phase: two case reports

• Published in: Disability and rehabilitation: Assistive technology 2024-05, Vol.ahead-of-print (ahead-of-print), p.1-7
• Main Authors: Rodrigues, Priscila Salge Mauad, Shimano, Marcos Massao, de Oliveira, Edimar, Kawamura, Fábio Masao, Silveira, Ana Flávia, José Luvizutto, Gustavo, de Souza, Luciane Aparecida Pacucci Sande
• Format: Article
• Language: English
• Subjects: Adaptation; Adaptive technology; assistive technology; early mobilization; Mobilization; Physical therapists; sitting posture; Stroke; trunk control
• ISSN: 1748-3107; 1748-3115
• DOI: 10.1080/17483107.2023.2166600

The assistive device chair has a low manufacturing cost, and allow an easy handling and storage The assistive device chair has been adapted to facilitate sitting posture; The assistive device chair can be used as an auxiliary tool in early mobilizations protocols and contemporary rehabilitation approaches; The early mobilization protocol associated with the assistive device chair can generate clinical improvements in acute stroke. The mobilization protocol associated with the assistive device chair can promote improvement in International Classification of Functioning, Disability, and Health domains in acute stroke. This report presents the adaptation of an assistive device chair for bedside sitting and its application in two patients with trunk control impairment in the acute stroke phase. The device was built with polyvinylchloride (PVC) pipes and designed by a team of mechanical engineers and physiotherapists to maintain a prolonged sitting position with less demand from therapists. To test the device, two patients were followed up during the acute phase of stroke. Both patients underwent an early mobilization program (30 min, twice a day, for three days) with an assistive device chair for bedside sitting. Patients were evaluated using the National Institutes of Health Stroke Scale (NIHSS), Trunk Impairment Scale (TIS), and International Classification of Functioning, Disability, and Health (ICF) checklist (b: body function; d: activity and participation). The adaptations generated the following equipment: 1) foldable, 2) three levels of backrest inclination, and 3) a safety anterior support or an activity table. Both patients showed clinical improvement after the intervention period, with NIHSS score reduction, TIS improvement, and greater functionality and independence on the ICF framework. The equipment with adaptations seems to be functional, easy to handle, and can potentially contribute to clinical and functional improvements in patients with trunk control deficits after stroke.