Analysis of Body-Slip and Buttock Pressure Characteristics during Operation of a Double-Sliding Reclining Wheelchair in Patients with Spinal Cord Injury

To minimize body collapse due to repetitive reclining and repositioning when using a reclining wheelchair, reclining wheelchairs with a sliding backrest function have been developed. This study compared the differences in body-slip and buttock pressure according to the presence or absence of the sliding function of the backrest during reclining and repositioning motions in 10 patients with spinal cord injury. When reclining from 100° to 130°, backrest sliding and total body-slip in the double-sliding wheelchair were significantly decreased by 21.4 mm and 16.4 mm, respectively, compared to a non-sliding wheelchair, and the peak pressure on the ischial tuberosity was significantly decreased by 8.7 kPa. Upon comparison of the buttock pressure between the initial upright position before reclining and the return upright position after repositioning, the force and mean pressure with the double-sliding wheelchair were significantly reduced compared with those with the non-sliding wheelchair. It was confirmed that the double-sliding system improved body-slip and buttock pressure more effectively than the non-sliding system. This study’s results are expected to provide the basic data necessary for the prescription and selection of wheelchairs in clinical practice and to be utilized in the development of related devices.

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Efeito de posturas estáticas e dinâmicas na distribuição da pressão nádega-almofada em um caso de tetraplegia por lesão medular/The effect of statistical and dynamic positions in the distribution of buttock-cushion pressure in a case of tetraplegia

Revista Interinstitucional Brasileira de Terapia Ocupacional - REVISBRATO ◽

10.47222/2526-3544.rbto15997 ◽

2018 ◽

Vol 2 (3) ◽

pp. 555-566

Author(s):

Paulo Vinicius Braga Mendes ◽

Daniel Marinho Cezar Da Cruz

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Contact Area ◽

Pressure Ulcers ◽

Peak Pressure ◽

Interface Pressure ◽

High Profile ◽

Cord Injury ◽

Mean Pressure ◽

Pressure Peak

Introdução: as úlceras por pressão são complicações frequentes em pacientes com lesão medular. Almofadas de ar são apontadas como as mais indicadas para aliviar a pressão de interface e prevenir úlceras. Objetivo: Analisar, em um caso de tetraplegia por lesão medular, o efeito da distribuição da pressão de interface nádega/almofada em posturas estáticas e dinâmicas e verificar se o uso de uma almofada nova interfere na distribuição da pressão. Método: A análise da pressão de interface foi realizada durante duas situações distintas: com o participante sentado em postura estática; e mais uma etapa utilizando a cadeira de rodas para a locomoção. Para a avaliação da pressão de interface foram utilizadas duas almofadas Roho® Quadtro Select High Profileâ„¢: uma em uso pela participante e outra fornecida pelos pesquisadores. Resultados: Foram analisados: pressão média, pico de pressão e área de contato na interface nádega/almofada nas duas etapas de coletas de dados. A almofada fornecida pelo estudo apresentou índices melhores para pressão média, pico de pressão e área de contato. Conclusão: O estudo traz evidências da importância de manter a calibração de almofadas para sujeitos lesados medulares para prevenção de úlceras de pressão. Abstract Introduction: pressure ulcers are frequent complications in patients with spinal cord injury. Air cushions are appointed as the most appropriate to relieve the interface pressure and prevent pressure ulcers. Objective: To analyze the effect of the distribution of the buttock / cushion interface pressure under static and dynamic posture and check the use of a new cushion interferes with the pressure distribution in a case of tetraplegia after spinal cord injury. Method: Analysis of interface pressure was performed for two different situations, with the participant sitting in static and one more step using the wheelchair for locomotion. For the evaluation of interface pressure were used two Roho® Quadtro Select High Profile â„¢ cushions: one used by the participant and another provided by the researchers. Resulted: Was analyzed the mean pressure, peak pressure and the contact area in buttock/cushion in both data collect. The cushion provided by the study presented better indices for mean pressure, peak pressure and contact area. Conclusion: The study provides evidence of the importance of maintaining cushion calibration for spinal cord injured individuals to prevent pressure ulcers.Keywords: Cushion; Spinal Cord Injury; Assistive Technology.

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Spinal Cord Injury and Sexuality: The Pragmatics of Broad-Based Clinical Practice and Practical Application

PsycEXTRA Dataset ◽

10.1037/e623642013-001 ◽

2013 ◽

Author(s):

Sigmund Hough ◽

Marika J. Hess

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Clinical Practice ◽

Practical Application ◽

Cord Injury

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Faculty Opinions recommendation of Clinical practice guidelines: Neurogenic bowel management in adults with spinal cord injury. Spinal Cord Medicine Consortium.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.736787129.793566450 ◽

2019 ◽

Author(s):

Anton Emmanuel

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Clinical Practice ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Bowel Management ◽

Cord Injury ◽

Neurogenic Bowel

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Bacteriophages: what role may they play in life after spinal cord injury?

Spinal Cord ◽

10.1038/s41393-021-00636-2 ◽

2021 ◽

Author(s):

Lorenz Leitner ◽

Shawna McCallin ◽

Thomas M. Kessler

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Clinical Practice ◽

High Risk ◽

General Population ◽

Bacterial Infections ◽

Phage Therapy ◽

Drug Resistant ◽

Cord Injury ◽

High Risk Populations

AbstractBacterial infections are the leading cause of death in people with a spinal cord injury (SCI). Bacteriophages (phages) are viruses that solely infect and kill bacteria. The idea of using phages to treat bacterial infections, i.e., phage therapy, is very promising and potentially allows a more specific and personalized treatment of bacterial infections than antibiotics. While multi-drug resistant infections affect individuals from the general population, alternative therapeutic options are especially warranted in high-risk populations, such as individuals with SCI. However, more clinical data must be collected before phage therapy can be implemented in clinical practice, with numerous possible, subsequent applications.

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