ABSTRACT I 中文摘要 III ACKNOWLEGEMENTS V TABLE OF CONTENTS VI LIST OF TABLES VIII LIST OF FIGURES IX CHAPTER 1 INTRODUCTION 1 1.1 Epidemiology of Stroke and The Impact 4 1.2 The Types of Stroke and Pathophysiology 6 1.2.1 Clinical Classification of Stroke by Pathology 7 1.2.2 Specific Types of Impairments and The Pathophysiology 7 1.2.3 Left Hemiplegia versus Right Hemiplegia 11 1.3 Stroke Patients in Long Term Care and The Burden of Care 11 1.4 Pressure Ulcers 13 1.4.1 Epidemiology 13 1.4.2 Pathogenesis 14 1.4.3 Classification 21 1.4.4 Prevention 21 1.5 Specialized Wheelchairs on Stroke 23 1.6 Motivation and Objectives 26 1.6.1 Purpose and Specific Aims 27 1.6.2 Research Hypothesis 27 1.6.3 Significances 27 CHAPTER 2 MATERIALS AND METHODS 28 2.1 Evaluate The Effectiveness of V-shaped Seats for Stroke Patients 29 2.1.1 Subjects 29 2.1.2 Equipment and Facilities 30 2.1.3 Experimental Design and Procedures 33 2.1.4 Data Collection of Sliding and Seating Pressure Parameters 36 2.1.5 Statistical Analysis 37 CHAPTER 3 RESULTS AND DISCUSSION 38 3.1 Demographics of Subjects 38 3.2 The Effects of Different Seats & Muscle Tone on Back Sliding and Sacral Sliding 41 3.3 The Effects of Different Seats & Muscle Tone on Mean / Sacral Peak Pressure 54 3.4 Limitations 63 CHAPTER 4 CONCLUSIONS AND RECOMMENDATION 64 REFERENCES 66 BIOGRAPHY 73
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