Kennedy et al. 2003
UK
Downs & Black score=18
Cohort
N=50

Population: SCI: Age = 16-74 yrs; Gender: males = 37, females = 13.
Treatment: Postural assessment took place while the individual adopted their usual posture in the wheelchair.  Physical alignment was documented and correct positioning of adjustable parts of the chair was checked.  Any abnormal posture was then checked for correct alignment and the set-up of the seating was adjusted where required.
Outcome Measures: Skin management subscale of the NAC to assess skin management abilities.

1. Significant differences were identified between group 1 & 3 at both NAC (Needs Assessment Checklist) 1 (p<0.05) and NAC 2 (p<0.01).
2. Skin management “to be achieved” scores were significantly lower for patients who had attended specialized seating assessment clinic (SSA) before their first NAC at both time points.
3. Significant differences were also observed between the skin management “to be achieved” scores at the first & second NAC within all groups: Group 1 (p<0.0001), Group 2 (p<0.01) & Group 3 (p<0.01)