Document Detail


Development and evaluation of a universal contoured cushion.
MedLine Citation:
PMID:  6522089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A new wheelchair seat cushion has been developed which reduces the ischaemia producing forces and redistributes them to the more tolerant areas of the posterior thighs and lateral gluteal muscles. The cushion is fabricated of foam materials and designed to stabilise the pelvis and promote proper spinal-pelvic alignment. Pressure measurements were recorded at the skin cushion interface for 66 subjects while seated on the cushion in their own wheelchair. The cushion was considered effective if maximum interface pressures recorded were: coccyx: less than 20 mmHg, ischii: less than 65 mmHg, trochanters: less than 70 mmHg, and posterior thighs: less than 80 mmHg. The cushion was considered ineffective if the interface pressure at any one location exceeded these criteria. The cushion was found effective for 52 of the subjects. The cushion was more effective (90 per cent versus 58 per cent) for subjects without certain skeletal deformities (pelvic obliquity, bony resections). Eighty-three per cent of the respondents who were followed on the cushion reported that they preferred the cushion to their previous cushions with improved posture, balance and comfort being the most commonly cited reasons. This study has shown the cushion to be a preferred alternative to other commercially available wheelchair cushions for those who are paraplegic.
Authors:
I Perkash; H O'Neill; D Politi-Meeks; C L Beets
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Paraplegia     Volume:  22     ISSN:  0031-1758     ISO Abbreviation:  Paraplegia     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1985-03-20     Completed Date:  1985-03-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  2985038R     Medline TA:  Paraplegia     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  358-65     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Equipment Design
Evaluation Studies as Topic
Humans
Middle Aged
Orthopedic Equipment*
Pressure / adverse effects
Skin Diseases / etiology,  prevention & control
Wheelchairs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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