Biomechanical analysis of legrest support of occupied wheelchairs: comparison between a conventional and a compensatory legrest

This study was undertaken to investigate the effects of elevating legrest on posture and pressure distribution in a group of ten able-bodied subjects sitting in a manual wheelchair. Two types of legrest were tested: a conventional elevating legrest with a fixed axis of rotation, and a compensatory elevating legrest with a moving axis of rotation. A three-dimensional (3-D) kinematics analysis was carried out to assess body posture simultaneously with pressure measurement data collected at the back, seat, calf and foot supports. The compensatory legrest enables to lengthen foot support as the legrest proclines. This compensation at the knee joint level has a beneficial effect in minimizing pelvic and thigh motion as well as in reducing pressure distribution under seat and foot supports. In contrast, the use of a conventional legrest modifies significantly the subject's posture and induces a substantial increase of 40% on pressure data under ischial tuberosities in procline position. These findings are important for disabled and elderly people who need to elevate their lower leg frequently.