A systematic review of the effectiveness of pressure relieving cushions in reducing pressure injury

This systematic review seeks to gather and analyze the evidence on wheelchair pressure relieving cushions, and report on the optimal materials and designs for reducing pressure injury risk. The following research question guides this study: Which wheelchair cushions best reduce pressure injury risk?...

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Published inAssistive technology Vol. 36; no. 5; pp. 373 - 377
Main Authors Damiao, John, Gentry, Tony
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 02.09.2024
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Abstract This systematic review seeks to gather and analyze the evidence on wheelchair pressure relieving cushions, and report on the optimal materials and designs for reducing pressure injury risk. The following research question guides this study: Which wheelchair cushions best reduce pressure injury risk? PIs continue to impact the health and function of wheelchairs users with significant mobility impairments. Pressure relieving cushions are typically prescribed to provide pressure relief in the pre-wound, wound, and post-wound phases. Presently, no published reviews analyze all of the commonly available cushion materials. Most comparison studies typically address a specific population such as spinal cord injury, or only a few styles of cushion design/materials. Results suggest air-cell cushions provide optimal pressure relief and shear reduction. Furthermore, small sample single cohort studies suggest off-loading cushions provide superior pressure relief beyond that of air-celled cushions but require additional research for greater generalizability.
AbstractList This systematic review seeks to gather and analyze the evidence on wheelchair pressure relieving cushions, and report on the optimal materials and designs for reducing pressure injury risk. The following research question guides this study: Which wheelchair cushions best reduce pressure injury risk? PIs continue to impact the health and function of wheelchairs users with significant mobility impairments. Pressure relieving cushions are typically prescribed to provide pressure relief in the pre-wound, wound, and post-wound phases. Presently, no published reviews analyze all of the commonly available cushion materials. Most comparison studies typically address a specific population such as spinal cord injury, or only a few styles of cushion design/materials. Results suggest air-cell cushions provide optimal pressure relief and shear reduction. Furthermore, small sample single cohort studies suggest off-loading cushions provide superior pressure relief beyond that of air-celled cushions but require additional research for greater generalizability.
This systematic review seeks to gather and analyze the evidence on wheelchair pressure relieving cushions, and report on the optimal materials and designs for reducing pressure injury risk. The following research question guides this study: Which wheelchair cushions best reduce pressure injury risk? PIs continue to impact the health and function of wheelchairs users with significant mobility impairments. Pressure relieving cushions are typically prescribed to provide pressure relief in the pre-wound, wound, and post-wound phases. Presently, no published reviews analyze all of the commonly available cushion materials. Most comparison studies typically address a specific population such as spinal cord injury, or only a few styles of cushion design/materials. Results suggest air-cell cushions provide optimal pressure relief and shear reduction. Furthermore, small sample single cohort studies suggest off-loading cushions provide superior pressure relief beyond that of air-celled cushions but require additional research for greater generalizability.This systematic review seeks to gather and analyze the evidence on wheelchair pressure relieving cushions, and report on the optimal materials and designs for reducing pressure injury risk. The following research question guides this study: Which wheelchair cushions best reduce pressure injury risk? PIs continue to impact the health and function of wheelchairs users with significant mobility impairments. Pressure relieving cushions are typically prescribed to provide pressure relief in the pre-wound, wound, and post-wound phases. Presently, no published reviews analyze all of the commonly available cushion materials. Most comparison studies typically address a specific population such as spinal cord injury, or only a few styles of cushion design/materials. Results suggest air-cell cushions provide optimal pressure relief and shear reduction. Furthermore, small sample single cohort studies suggest off-loading cushions provide superior pressure relief beyond that of air-celled cushions but require additional research for greater generalizability.
Author Damiao, John
Gentry, Tony
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crossref_primary_10_1080_17483107_2024_2349712
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Cites_doi 10.1682/JRRD.2009.09.0145
10.1016/j.nurpra.2012.09.015
10.1016/j.jtv.2017.05.002
10.12968/jowc.2017.26.9.537
10.1111/j.1532-5415.2010.03168.x
10.1016/j.apmr.2016.04.004
10.1093/jamia/ocw118
10.1682/JRRD.2010.05.0102
10.4276/030802213X13651610908371
10.1016/j.apmr.2012.11.019
10.1016/J.WNDM.2018.05.004
10.1016/j.apmr.2010.07.227
10.1177/0309364613486918
10.1111/jgs.15495
10.1136/bmj.b2535
10.1016/j.jtv.2017.09.004
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  start-page: 22, 24
  issue: 2
  year: 2011
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  article-title: Custom molded seating: Choosing the right system for your client
  publication-title: Rehab Management
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SubjectTerms Equipment Design
Humans
mobility
neuromuscular impairment
positioning and support surfaces
Pressure Ulcer - prevention & control
seating
Wheelchairs
wheeled mobility aids
Title A systematic review of the effectiveness of pressure relieving cushions in reducing pressure injury
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