journal article·2021-02-03Open access

Evaluation of Standing-Up Motion from a Forward-Sloping Toilet Seat for Older People

Manabu Chikai, Emi Ozawa, Hiroshi Endo, Shuichi Ino

Applied Sciences· Volume 11· Issue 4

Abstract

(1) Background: In-home assistive systems to help people with physical disabilities stand up from toilets are necessary, and the ease of the standing-up motion should be evaluated. (2) Methods: This study investigated the ease of the standing-up motion using objective and subjective data from healthy participants to facilitate the development of a toilet-seat-tilting system. Participants were divided into younger and older age groups. Objective data concerning muscle activity (EMG), three-dimensional (3D) body motion, and center of pressure distribution (COP) were collected. The participants also provided subjective data related to standing up from a toilet tilted at three different angles. (3) Results: All participants repeated the motion 25 times for each angle and provided feedback regarding their standing-up experience under each condition. Objective EMG, COP, and 3D body motion analysis results varied across individuals and age groups. The older group exhibited a consistent pattern of head motion while standing up. Thus, older individuals prefer a forward trunk-inclination motion. (4) Conclusions: According to the collected subjective data, all participants found it easier to stand when the seat angle was 5° or 10°; objective data on the ankle dorsiflexion angle, muscle activity, and head motion may be related to the subjective ease of the standing-up motion.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Balance, Gait, and Falls Prevention · Pressure Ulcer Prevention and Management · Cerebral Palsy and Movement Disorders

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Human Informatics and Interaction Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Central 6, 1-1-1 Higashi, Tsukuba 305-8566, Japan

Nursing Department, Japanese Red Cross Shimoina Hospital, 3159-1 Moto-oogima, Matsukawa 399-3303, Japan

Funding

Japan Society for the Promotion of Science

References (16)

Show source-provided references
1. Reducing inpatient falls: Human Factors & Ergonomics offers a novel solution by designing safety from the patients’ perspective10.1016/j.ijnurstu.2016.02.007 ↗
2. Epidemiologic and methodologic problems in determining nutritional status of older10.1093/ajcn/50.5.1231 ↗
3. Nonfatal bathroom injuries among persons aged ≥ 15 years—United States, 200810.1016/j.jsr.2011.07.001 ↗
4. A clinical study of inpatients suffering fall accidents
5. Centers for Disease Control and Prevention (CDC) (2020, June 05). Important Facts about Falls, Available online: https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html.
6. Medical Costs of Fatal and Nonfatal Falls in Older Adults10.1111/jgs.15304 ↗
7. Determinants of the Sit-to-Stand Movement: A Review10.1093/ptj/82.9.866 ↗
8. The influence of trunk inclination on muscle activity during sitting on forward inclined seats
9. The influence of seat angle on forward trunk inclination during sit-to-stand
10. Effect of muscle strength and movement speed on the biomechanics of rising from a chair in healthy elderly and young women10.1016/S0966-6362(98)00033-2 ↗
11. Sit-to-Stand Performance Depends on Sensation, Speed, Balance, and Psychological Status in Addition to Strength in Older People10.1093/gerona/57.8.M539 ↗
12. Otis, M.J.-D., Adjelane, A., Jomphe, E., and Youssef, K. (2017). Toilet Assistive System Designed for the Reduction of Accidental Falls in the Bathroom Using Admittance Controller. Machines, 5.10.3390/machines5040023 ↗
13. An Ergonomic Evaluation of Physical and Mental Loads in Standing-up Motion from Forward-Sloping Toilet Seats
14. A study of control mechanism for of standing-up achieving a motion task; biomechanical motion analysis of standing-up10.1589/rika.20.303 ↗
15. The effect of foot position and chair height on the asymmetry of vertical forces during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis10.1016/j.clinbiomech.2006.01.007 ↗
16. Biomechanical analysis of the sit-to-stand motion in elderly persons