Exploring repositioning movements in sitting with ‘at risk’ groups using accelerometry and interface pressure mapping technologies |
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| Institution: | 1. Institute of Nursing and Health Research, Ulster University, Jordanstown, Newtownabbey, N. Ireland, BT37 0QB, UK;2. Institute of Nursing and Health Research, Ulster University, Jordanstown, Newtownabbey, N. Ireland, BT37 0QB, UK;1. TexiSense, Montceau-les-Mines, France;2. UJF-Grenoble1/CNRS/TIMC-IMAG UMR 5525, Grenoble, F-38041, France;3. ANSYS, Lyon, France;4. IDS, Montceau-les-Mines, France;1. Advanced Platform Technology Center, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH 44106, USA;2. Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, USA;3. SCI/D Service, Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH 44106, USA;4. Department of Orthopaedics, Case Western Reserve University, Cleveland, OH 44106, USA;1. Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel;2. Research & Innovation, Permobil Group, Belleville, IL, USA;3. Department of Medical Engineering, Afeka Tel Aviv Academic College of Engineering, Tel Aviv, Israel;1. Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Cleveland, OH;2. Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH;3. Exercise Physiology Program, Kent State University, Kent, OH;4. Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH;5. Department of Orthopaedics, Case Western Reserve University, Cleveland, OH |
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| Abstract: | BackgroundDespite high quality guidelines underpinning pressure ulcer care (NPUAP/EPUAP/PPPIA, 2014), pressure ulceration still poses a significant financial impact on health care services in treatment and staff costs as well as having a profound effect on the health and quality of life of individuals experiencing them. Repositioning is a key preventative technique recommended by occupational therapists and other health care professionals. The frequency and quality of repositioning movements performed by individuals, however, can be difficult to determine. This paper explores the use of technology in monitoring repositioning movements in sitting.ObjectiveTo explore the outputs of technologies such as interface pressure mapping systems and accelerometers in enabling the therapist to accurately monitor seated behaviour and enhance practice through targeted interventions to prevent sitting acquired pressure ulceration.MethodReviewing the findings of two recent research studies with ‘at risk’ cohorts (spinal cord injury; elderly orthopaedic), using accelerometry and seated interface pressures, this paper will highlight how useful this technology is in clinical practice to monitor weight shifts and repositioning behaviours.ResultBoth studies illustrated that the majority of individuals did not adhere to the frequency or magnitude of movements currently recommended to redistribute seating interface pressures. When repositioning was performed it was ineffective in reducing seated pressures.ConclusionIn an era of personalised medicine, technology has an important role to play in providing the service user, caregivers and healthcare staff with important biofeedback information about seated behaviours, particularly those that minimise the risk of developing sitting acquired pressure ulcers. This information can augment occupational therapists' clinical decision-making in maximising active pressure ulcer prevention. |
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