| Factors influencing optimal seating pressure after spinal cord injury. | |
| | |
MedLine Citation:
|
PMID: 23295471 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Study design:Retrospective, cross-sectional design.Objectives:To identify factors that predict unsatisfactory seating pressure in spinal cord-injured (SCI) individuals.Setting:Seating Clinic at the University Hospital, Norway.Methods:All wheelchair users with traumatic SCI hospitalized between 1 January 2007 and 31 December 2010 were included. Individual assessment by a team was performed. To measure seating pressure, a computerized seating pad with sensing points 40 × 40 cm was used. Primary end points were defined as satisfactory or unsatisfactory seating position based on measured pressure (more or less 100 mm Hg), clinical findings and physical activity level. To explore possible risk factors for high seating pressure, both univariate and multivariate regression analysis were performed.Results:A total of 75 persons with SCI were assessed, 39 (52%) with unsatisfactory result. Statistical analysis revealed that use of manual wheelchair (odds ratio (OR)=6.86, confidence interval (CI) 1.77-26.63) and history of pressure ulcer (OR=8.47, CI 2.46-29.13) significantly increase the risk of unsatisfactory seating pressure. Paraplegia caused significantly higher risk (OR=2.5, CI 0.99-6.34) in the univariate model, probably because the SCI with tetraplegia do prefer electrically powered wheelchairs.Conclusions:Use of manually driven wheelchairs and persons with previous pressure ulcer are at significant risk of high seating pressure and consequently developing new pressure ulcers. The patients from these subcategories need close follow-up regarding seating position and prevention of pressure ulcers.Spinal Cord advance online publication, 8 January 2013; doi:10.1038/sc.2012.163. |
| | |
Authors:
|
T Taule; K Bergfjord; E E Holsvik; T Lunde; B H Stokke; H Storlid; M V Sørheim; T Rekand |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2013-1-08 |
Journal Detail:
|
Title: Spinal cord Volume: - ISSN: 1476-5624 ISO Abbreviation: Spinal Cord Publication Date: 2013 Jan |
Date Detail:
|
Created Date: 2013-1-8 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9609749 Medline TA: Spinal Cord Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
1] Department of Occupational Therapy, Haukeland University Hospital, Bergen, Norway [2] Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway [3] Institute of Clinical Medicine, University of Bergen, Bergen, Norway. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Validation of the Screening Tool for the Assessment of Malnutrition in Paediatrics (STAMP) in patien...
Next Document: The effect of low-frequency TENS in the treatment of neuropathic pain in patients with spinal cord i...