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This feasibility study explored the utility of using a pressure mapping instrument to explore the variable of pressure under subjects sitting on a commonly used tractor seat, and four other cushion interventions. The research model used single-subject with repeated measures during simulated tractor operation. In examining the graphical images and pressure mapping data available from the instrument; the contour tractor seat used in this study was not sufficient in redistributing pressure for people with paraplegia operating tractors, putting them at greater risk for acquiring a pressure ulcer. The use of pressure mapping equipment to study seated pressure within dynamic environments is achievable, and further studies need to be performed and replicated in simulated or in vivo environments. The data in this study suggest people with paraplegia operating agricultural equipment may not have acceptable pressure distribution using the manufacturer's installed seat and must rely on adding wheelchair cushions or other materials to the seat surface to create acceptable pressure distribution. However, doing so changes other aspects of the seating micro or macro climate that can also be problematic.

Limited attention has been devoted to the cultural and practice competencies needed by occupational therapy and physical therapy professionals who provide services to farming families impacted by chronic health or disability issues. Agricultural occupational safety and health should represent a continuum of services responsive to individuals, families, and agricultural communities across a life span and range of health status changes. Physical rehabilitation professionals have a key role in impacting an agricultural producer's sense of self-efficacy and capacities for returning to agricultural living and work. However, demonstration of competency is essential in providing person-centered rehabilitation services of assessment, evaluation, treatment planning, interventions, referrals, and discharge issues. The paper highlights methods utilized by a state AgrAbility program and a former National AgrAbility Project to develop a model of continuing education programming for occupational and physical therapists that evaluate and treat agricultural workers after acute injury or exacerbation of chronic health conditions.

Date Presented 4/21/2018 People with spinal cord injuries are at risk for integument injury and systemic illness arising from inadequate seating supports while participating in the occupation of work, especially when operating vehicles and machinery. This research is applicable to safety, health, and seating and mobility. Primary Author and Speaker: Carla Wilhite Contributing Authors: William E. Field