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The clinical effectiveness of custom-contoured seating for wheelchair users with neuromuscular disorders: a scoping review
Published in Assistive Technology, 2023
Jonathan Hosking
Neuromuscular disorders (NMD) is a broad term describing a group of conditions which progressively impair the neuromuscular system as a result of injury to or dysfunction of the central and/or peripheral nervous system, neuromuscular junction, or skeletal muscle (Haliloglu, 2022; Michel & Collins, 2020). Individuals with NMD may experience musculoskeletal deformities, such as scoliosis or hip dysplasia, excessive movements due to poor motor control regulation or spasticity, and postural instability of the trunk from paralysis, weakness or hypertonicity (Ham et al., 1998). This can limit their ability to counteract the effects of gravity on posture during sitting. Consequently, wheelchair users with NMD may experience secondary complications including heightened risk of pressure injuries, compromise to gastrointestinal and respiratory function, pain, discomfort and functional limitations to activity and participation (Long, 2020; Turner, 2001).