This patient did not improve his level of function but experienced a better sitting position in the wheelchair as well as a higher degree of comfort for postural changes and hygienic care.
Non-ambulant boys are advised to perform mobilizing passive or actively-assisted mobilizing exercises to maintain postural symmetry and sitting comfort[ 20].
Articles were included if they investigated the influence of chair modifications as an intervention; participants were in predominantly seated occupations; employed a pre/post design (with or without control or randomising) and if the outcome measure included neuro-musculoskeletal comfort and/or postural alignment.
Moreover, the foundations of the chair were constrained, lowering arm rests and fixing the base to prevent rolling, to limit alternate strategies for changing comfort other than postural shifts with respect to the seat pan.
Standard treatment of acute whiplash has been providing the patient with information on injury mechanisms (according to the organic model), advice on suitable activities, recommendations to rest the neck the first weeks, instructions on postural correction, and information on comfort and prevention from excessive movement of the neck that soft collars can provide [ 86].
In recent years, methods that allow for an objective evaluation of perceived comfort, in terms of postural, physiological, cognitive and environmental comfort, have received a great deal of attention from researchers.
The vertical keyboard caused lower muscular activity in especially finger extensor muscles, did not increase postural muscle activity, and self-reported comfort was higher.
Finally, while shorter term (30 minutes) static postural environments are reportedly adequate to determine comfort levels [ 22], the results may not generalize to longer seated exposure.
