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Design and Evaluation of a Stand-Up Motorized Prone Cart

By Harrow, Jeffrey J., MD, PhD, FACP; Malassigne, Pascal, MID, FAIID; Nelson, Audrey L., PhD, RN, FAAN; Jenson, Robert P., BFA; Amato, Margaret, BS, RN; Palacios, Polly L., BS; Journal of Spinal Cord Medicine, Vol. 30, No. 1, pp. 50-58
Publication Date: 2007

Study conducted to design and evaluate an improved prone cart that allows for easier standing for people with spinal cord injury. Prone carts are used for mobility purposes by people with spinal cord injury who are at-risk for ischial or sacral pressure ulcers. Standard prone carts are generally uncomfortable, as users report neck and shoulder strain, as well as difficulty in social interaction and performing activities of daily living. A marketing survey was conducted with nurse managers on spinal cord injury units, while two prototype carts were designed and built. The carts were able to tilt up to 45 degrees, and featured a joystick-controlled motor for propulsion, a workspace storage shelf, and rearview mirrors. The carts were evaluated by clients and caregivers at two Veteran's Administration hospitals, all of whom filled out detailed questionnaires following a brief trial. All of the participants liked the carts, and were impressed with the ability to maintain a non-horizontal body angle. The only major complaint about the cart was that the wait was too long when it came to making turns. The authors contend that his study provided valuable information that will be useful in the next-generation prone cart design project. This study was conducted by researchers at the James J. Haley VA Medical Center in Tampa, Florida.
Published by: American Paraplegia Society   (Website:http://www.apssci.org)

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