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OBJECTIVE To investigate the relation between pressure ulcer incidence and buttock-wheelchair seat cushion interface pressure measurements. DESIGN Secondary analysis of data from a randomized clinical trial. SETTING Skilled nursing facility. PATIENTS Thirty-two elderly patients (age, > or = 65 yr), with Braden score < or = 18 and Braden mobility and(More)
OBJECTIVE To determine if the use of pressure-reducing wheelchair cushions for elderly nursing home resident wheelchair users who are at high risk for developing sitting-acquired pressure ulcers would result in a lower incidence rate of pressure ulcers, a greater number of days until ulceration, and lower peak interface pressures compared with the use of(More)
The interface pressure distributions between flat foam cushions and the buttocks of seated test subjects were compared to custom-contoured cushion surface shapes generated with a seated-buttock contour gauge. Our hypothesis was that pressure measurements could be used to generate a contour equivalent to that obtained with a force-deflection contour gauge.(More)
OBJECTIVES To provide insight into the physiologic mechanisms associated with alternating pressure, using wavelet analysis of skin blood flow (SBF) oscillations, and to determine whether the application of alternating pressure induces myogenic responses, thereby enhancing SBF as compared with constant loading. DESIGN Repeated-measures design. SETTING(More)
OBJECTIVE A method for designing tissue deformation minimizing seat surfaces was evaluated. Pressure and stiffness criteria were used to optimize surface shape. The method's efficacy for patients with spinal cord injuries (SCI) and a comparison of cushion performance and interface characteristics with a group of 30 elderly patients are presented. DESIGN(More)
A method for designing seat support surfaces using interface pressure and soft tissue stiffness criteria was evaluated. An algorithm designed to drive a rigid support surface on a programmable seating system to a shape for which the externally applied pressure is inversely related to the measured stiffness of adjacent soft tissue was evaluated on 30 elderly(More)
A sensor for in vivo biomechanical characterization of buttock soft tissue has been developed and evaluated. The sensor measures interface pressure, applied force, tilt, and rotation angle of the sensor head, and the thicknesses of multiple soft tissue layers. A composite ultrasonic transducer using a 1-3 ceramic-polymer structure was developed for the(More)
Although the primary risk factors for pressure ulcer development - pressure, shear, skin temperature, moisture, and friction - have been identified for decades, the relative contribution of each to this risk remains unclear. To confirm the results of and expand upon earlier research into the relative contributions of interface pressures, shear stress, and(More)
People with spinal cord injuries are at high risk for developing pressure ulcers. Increased skin temperature is one of the extrinsic causative factors for this multi-factorial disease. Previous animal studies revealed that local skin cooling reduced the severity of ulceration, and cooling is widely used in plastic surgery and organ transplants for tissue(More)
For the 2.2 million people who use wheelchairs in the United States, transportation is often needed for independence in the community. The purpose of this study was to investigate the characteristics of transportation use in a population of wheelchair users and to examine the motor vehicle crash involvement and injury frequency of these users. Responses(More)