POSITIONING IN WHEELCHAIR BOUND PATIENTS

The choice of the most suitable chair as well as the improvement of the patient's positioning on this wheelchair is important to limit the discomfort, to prevent the risks of bedsores, the pains related to prolonged sitting and finally to support the interaction of the patient with its environment. The goal of this prospective, longitudinale, monocentric study is to evaluate the impact of standardized positioning in wheelchair-bound patients at risk of slipping.The main questions on the positioning actions are:their actions impact of positioning actions on shear forcestheir impact on sliding in the chairtheir impact on the feeling of discomfort in the chairtheir impact on the caregivers' feelings about the patient's difficulties (eating, transfers, sliding)Participation in this study will involve an increase in the number of transfers required for shear sheet placement and removal, as well as the time required for ischial measurement and the time to complete the (Tool for Assessing Wheelchair disComfort) TAWC questionnaire.

Inclusion Criteria:Patient hospitalized for a minimum of 9 days (minimum 48-hour reflection period after information)Patient aged between 18 and 80 years,Patient with a sitting time in a wheelchair > or equal to 1 hour,Patient with a neurological condition : multiple sclerosis, stroke, spinal cord injury, Parkinson disease, neurodegenerative diseases...Patient informed of the study and having given his written consent,Non inclusion Criteria:Cognitive disorders that do not allow the understanding of instructionsPatient with a pressure sorePregnant or breastfeeding womanPatient under legal protection