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Upright vs. supine shape-capturing comparison for custom-contoured cushions
Institution:1. National Health and Medical Research Council Centre of Research Excellence in Wiser Wound Care, Menzies Health Institute Queensland, Griffith University, Australia;2. Nursing and Midwifery Education and Research Unit, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Australia;3. School of Nursing and Midwifery, Griffith University, Australia;4. Skin Wounds and Trauma (SWaT) Research Centre, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Ireland;5. Department of Marketing, Griffith University, Australia;6. Consumer Advisory Group, Gold Coast University Hospital, Gold Coast Hospital and Health Service, Australia;7. Department of Surgery, Amsterdam UMC, Netherlands;8. St Vincent''s Health Network Sydney, Australia;9. St Vincent''s Hospital Melbourne (SVHM), Australia;10. Australian Catholic University, Australia;11. School of Nursing & Midwifery, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Ireland;12. School of Health Sciences, Faculty of Life and Health Sciences Ulster University, Northern Ireland, United Kingdom;13. Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Belgium;14. Lida Institute, Shanghai, China;15. Cardiff University, Cardiff, Wales, United Kingdom;p. Fakeeh College of Health Sciences, Jeddah, Saudi Arabia;q. Department of Clinical Research and Education, Södersjukhuset, Karolinska Institutet, Sweden;r. Division of Surgery, Princess Alexandra Hospital, Metro South Health, Australia;s. Caring Science and Health, University of Gothenburg, Sweden;t. Sahlgrenska University Hospital, Sweden;u. Stomal Therapy Wound Management Department Division of Surgery, Princess Alexandra Hospital, Metro South Health, Australia;1. Division of Surgery, Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia;2. Faculty of Medicine, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia;1. Division of Trauma, Burn & Critical Care, Department of Surgery, Harborview Medical Center, Seattle, Washington;2. Department of Surgery, University of Washington School of Medicine, Seattle, Washington;3. University of California San Francisco East Bay General Surgery Residency Program, Oakland, California;4. University of Washington School of Public Health, Seattle, Washington;5. Department of Radiology, University of Washington School of Medicine, Seattle, Washington;6. Harborview Injury Prevention & Research Center, Seattle, Washington;7. VA Puget Sound Health Care System, Seattle, Washington
Abstract:AimsThis study aims to explore best practices of shape capturing methods for creating custom-contoured wheelchair cushions for the purpose of reducing pressure injury risk.Materials and methodsPressure redistribution qualities were measured by peak pressure index (PPI) and compared between custom-contoured seating systems molded in supine vs. upright shape-capturing positions. Subjects consisted of 14 able-bodied participants in a within-subjects comparison.ResultsA Wilcoxon signed-rank test and paired t-test were calculated to compare the mean differences of the PPI between shape-capturing positions. Supine shape-capturing resulted in a statistically significant lower PPI compared to upright (z = 2.040, p < . 05) (t = −2.28, p < .05).ConclusionShape-capturing in the supine position provided greater pressure distribution as opposed to an upright position. Creating custom-contoured cushions molded in a supine position can reduce the risk of pressure injury to the patient.
Keywords:Pressure injuries  Wheelchair cushion  Custom contour  Position
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