Spinal Cord Injury and Pressure Ulcer Prevention : Using Functional Activity in Pressure Relief
Joint Authors
Sprigle, Stephen
Gillan, Cathy
Stinson, May
Morton, Julie
Porter-Armstrong, Alison P.
Gardner, Evie
Schofield, Rachel
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-04-09
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
People with spinal cord injury (SCI) are at increased risk of pressure ulcers due to prolonged periods of sitting.
Concordance with pressure relieving movements is poor amongst this population, and one potential alternative to improve this would be to integrate pressure relieving movements into everyday functional activities.
Objectives.
To investigate both the current pressure relieving behaviours of SCI individuals during computer use and the application of an ergonomically adapted computer-based activity to reduce interface pressure.
Design.
Observational and repeated measures design.
Setting.
Regional Spinal Cord Injury Unit.
Participants.
Fourteen subjects diagnosed with SCI (12 male, 2 female).
Intervention.Comparing normal sitting to seated movements and induced forward reaching positions.
Main Outcome Measures.
Interface pressure measurements: dispersion index (DI), peak pressure index (PPI), and total contact area (CA).
The angle of trunk tilt was also measured.
Results.
The majority of movements yielded less than 25% reduction in interface pressure compared to normal sitting.
Reaching forward by 150% of arm length during an adapted computer activity significantly reduced DI (P<0.05), angle of trunk tilt (p<0.05), and PPI for both ischial tuberosity regions (P<0.001) compared to normal sitting.
Conclusion.
Reaching forward significantly redistributed pressure at the seating interface, as evidenced by the change in interface pressures compared to upright sitting.
American Psychological Association (APA)
Stinson, May& Schofield, Rachel& Gillan, Cathy& Morton, Julie& Gardner, Evie& Sprigle, Stephen…[et al.]. 2013. Spinal Cord Injury and Pressure Ulcer Prevention : Using Functional Activity in Pressure Relief. Nursing Research and Practice،Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-504078
Modern Language Association (MLA)
Stinson, May…[et al.]. Spinal Cord Injury and Pressure Ulcer Prevention : Using Functional Activity in Pressure Relief. Nursing Research and Practice No. 2013 (2013), pp.1-8.
https://search.emarefa.net/detail/BIM-504078
American Medical Association (AMA)
Stinson, May& Schofield, Rachel& Gillan, Cathy& Morton, Julie& Gardner, Evie& Sprigle, Stephen…[et al.]. Spinal Cord Injury and Pressure Ulcer Prevention : Using Functional Activity in Pressure Relief. Nursing Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-8.
https://search.emarefa.net/detail/BIM-504078
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504078