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Power wheelchair users with ALS: Impact of an alerting system on complications with prolonged sitting and power feature utilization.

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Τίτλος: Power wheelchair users with ALS: Impact of an alerting system on complications with prolonged sitting and power feature utilization.
Συγγραφείς: Ward AL; Neurology Specialty Care-Edgehill, Atrium Health, Charlotte, North Carolina, USA., Nooijen C; Sweden., Bernstein J; Permobil, Inc., Group R&D, Lebanon, Tennessee, USA.
Πηγή: Assistive technology : the official journal of RESNA [Assist Technol] 2026 Sep; Vol. 38 (5), pp. 421-430. Date of Electronic Publication: 2025 May 09.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 8917250 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1949-3614 (Electronic) Linking ISSN: 10400435 NLM ISO Abbreviation: Assist Technol Subsets: MEDLINE
Imprint Name(s): Publication: Philadelphia, PA : Taylor & Francis
Original Publication: [New York, NY] : Demos, [1989-
Ιατρικοί όροι (MeSH): Wheelchairs*/adverse effects , Amyotrophic Lateral Sclerosis*/rehabilitation , Amyotrophic Lateral Sclerosis*/physiopathology , Amyotrophic Lateral Sclerosis*/complications , Pressure Ulcer*/prevention & control , Sitting Position* , Mobile Applications*, Humans ; Female ; Male ; Middle Aged ; Aged ; Adult
Περίληψη: An interventional technology called Virtual Seating Coach (VSC) provided alerts via an app to perform pressure redistribution using power wheelchair seat functions. The objective was whether alerts can contribute to more function utilization and thereby reduce pressure injuries and pain. Thirty-nine individuals with Amyotrophic Lateral Sclerosis (ALS) participated, 14 consented to use VSC, and 25 controls. The duration of the study was 27 months, with follow-up at 1 month or 3 months. Due to multiple technological and disease-related difficulties, three of those consented for the VSC received alerts once per hour to move into prescribed positions for one minute. These participants were able to use the VSC through the study end, and two of the three adhered to performing pressure redistribution after receiving alerts. The three using the VSC did not report pressure injuries; 12 of 21 controls reported development of a pressure injury. Furthermore, those using VSC noted a decrease in pain; most controls showed an increase during the same time period. The study thus highlighted the potential for such alerting technology while at the same time revealing many limitations due to disease progression and diminishing access to wheelchair controls.
Contributed Indexing: Keywords: amyotrophic Lateral Sclerosis; pain; pressure injuries; technology; wheelchairs
Entry Date(s): Date Created: 20250509 Date Completed: 20260827 Latest Revision: 20260905
Update Code: 20260905
DOI: 10.1080/10400435.2025.2497865
PMID: 40340591
Βάση Δεδομένων: MEDLINE
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  Data: Power wheelchair users with ALS: Impact of an alerting system on complications with prolonged sitting and power feature utilization.
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  Data: <searchLink fieldCode="AU" term="%22Ward+AL%22">Ward AL</searchLink>; Neurology Specialty Care-Edgehill, Atrium Health, Charlotte, North Carolina, USA.<br /><searchLink fieldCode="AU" term="%22Nooijen+C%22">Nooijen C</searchLink>; Sweden.<br /><searchLink fieldCode="AU" term="%22Bernstein+J%22">Bernstein J</searchLink>; Permobil, Inc., Group R&D, Lebanon, Tennessee, USA.
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  Data: <searchLink fieldCode="JN" term="%228917250%22">Assistive technology : the official journal of RESNA</searchLink> [Assist Technol] 2026 Sep; Vol. 38 (5), pp. 421-430. <i>Date of Electronic Publication: </i>2025 May 09.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Taylor+%26+Francis%22">Taylor & Francis </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>8917250 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1949-3614 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2210400435%22">10400435 </searchLink><i>NLM ISO Abbreviation: </i>Assist Technol <i>Subsets: </i>MEDLINE
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  Data: <i>Publication</i>: Philadelphia, PA : Taylor & Francis<br /><i>Original Publication</i>: [New York, NY] : Demos, [1989-
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  Label: MeSH Terms
  Group: Su
  Data: <searchLink fieldCode="MM" term="%22Wheelchairs%22">Wheelchairs*</searchLink>/<searchLink fieldCode="MM" term="%22Wheelchairs+adverse+effects%22">adverse effects</searchLink> <br /><searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis%22">Amyotrophic Lateral Sclerosis*</searchLink>/<searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis+rehabilitation%22">rehabilitation</searchLink> <br /><searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis%22">Amyotrophic Lateral Sclerosis*</searchLink>/<searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis+physiopathology%22">physiopathology</searchLink> <br /><searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis%22">Amyotrophic Lateral Sclerosis*</searchLink>/<searchLink fieldCode="MM" term="%22Amyotrophic+Lateral+Sclerosis+complications%22">complications</searchLink> <br /><searchLink fieldCode="MM" term="%22Pressure+Ulcer%22">Pressure Ulcer*</searchLink>/<searchLink fieldCode="MM" term="%22Pressure+Ulcer+prevention+%26+control%22">prevention & control</searchLink> <br /><searchLink fieldCode="MM" term="%22Sitting+Position%22">Sitting Position*</searchLink> <br /><searchLink fieldCode="MM" term="%22Mobile+Applications%22">Mobile Applications*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink> ; <searchLink fieldCode="MH" term="%22Middle+Aged%22">Middle Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Aged%22">Aged</searchLink> ; <searchLink fieldCode="MH" term="%22Adult%22">Adult</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: An interventional technology called Virtual Seating Coach (VSC) provided alerts via an app to perform pressure redistribution using power wheelchair seat functions. The objective was whether alerts can contribute to more function utilization and thereby reduce pressure injuries and pain. Thirty-nine individuals with Amyotrophic Lateral Sclerosis (ALS) participated, 14 consented to use VSC, and 25 controls. The duration of the study was 27 months, with follow-up at 1 month or 3 months. Due to multiple technological and disease-related difficulties, three of those consented for the VSC received alerts once per hour to move into prescribed positions for one minute. These participants were able to use the VSC through the study end, and two of the three adhered to performing pressure redistribution after receiving alerts. The three using the VSC did not report pressure injuries; 12 of 21 controls reported development of a pressure injury. Furthermore, those using VSC noted a decrease in pain; most controls showed an increase during the same time period. The study thus highlighted the potential for such alerting technology while at the same time revealing many limitations due to disease progression and diminishing access to wheelchair controls.
– Name: SubjectMinor
  Label: Contributed Indexing
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  Data: <i>Keywords: </i>amyotrophic Lateral Sclerosis; pain; pressure injuries; technology; wheelchairs
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  Label: Entry Date(s)
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  Data: <i>Date Created: </i>20250509 <i>Date Completed: </i>20260827 <i>Latest Revision: </i>20260905
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  Label: Update Code
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  Data: 20260905
– Name: DOI
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  Data: 10.1080/10400435.2025.2497865
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  Label: PMID
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  Data: 40340591
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=40340591
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      – Type: doi
        Value: 10.1080/10400435.2025.2497865
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      – Code: eng
        Text: English
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        StartPage: 421
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Female
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Middle Aged
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      – SubjectFull: Aged
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      – SubjectFull: Adult
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      – SubjectFull: Wheelchairs adverse effects
        Type: general
      – SubjectFull: Amyotrophic Lateral Sclerosis rehabilitation
        Type: general
      – SubjectFull: Amyotrophic Lateral Sclerosis physiopathology
        Type: general
      – SubjectFull: Amyotrophic Lateral Sclerosis complications
        Type: general
      – SubjectFull: Pressure Ulcer prevention & control
        Type: general
      – SubjectFull: Sitting Position
        Type: general
      – SubjectFull: Mobile Applications
        Type: general
    Titles:
      – TitleFull: Power wheelchair users with ALS: Impact of an alerting system on complications with prolonged sitting and power feature utilization.
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            NameFull: Ward AL
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            NameFull: Nooijen C
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            NameFull: Bernstein J
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            – D: 01
              M: 09
              Text: 2026 Sep
              Type: published
              Y: 2026
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            – TitleFull: Assistive technology : the official journal of RESNA
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