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 in | Assistive technology Vol. 36; no. 5; pp. 373 - 377 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Taylor & Francis
02.09.2024
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Subjects | |
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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. |
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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 |
Author_xml | – sequence: 1 givenname: John surname: Damiao fullname: Damiao, John email: johndamiao1@gmail.com organization: Pace University – sequence: 2 givenname: Tony surname: Gentry fullname: Gentry, Tony organization: Virginia Commonwealth University |
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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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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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