IDEAS home Printed from https://ideas.repec.org/a/hin/jnlnrp/860396.html
   My bibliography  Save this article

Spinal Cord Injury and Pressure Ulcer Prevention: Using Functional Activity in Pressure Relief

Author

Listed:
  • May Stinson
  • Rachel Schofield
  • Cathy Gillan
  • Julie Morton
  • Evie Gardner
  • Stephen Sprigle
  • Alison Porter-Armstrong

Abstract

Background . People with spinal cord injury (SCI) are at increased risk of pressure ulcers due to prolonged periods of sitting. Concordance with pressure relieving movements is poor amongst this population, and one potential alternative to improve this would be to integrate pressure relieving movements into everyday functional activities. Objectives. To investigate both the current pressure relieving behaviours of SCI individuals during computer use and the application of an ergonomically adapted computer-based activity to reduce interface pressure. Design. Observational and repeated measures design. Setting. Regional Spinal Cord Injury Unit. Participants. Fourteen subjects diagnosed with SCI (12 male, 2 female). Intervention. Comparing normal sitting to seated movements and induced forward reaching positions. Main Outcome Measures. Interface pressure measurements: dispersion index (DI), peak pressure index (PPI), and total contact area (CA). The angle of trunk tilt was also measured. Results. The majority of movements yielded less than 25% reduction in interface pressure compared to normal sitting. Reaching forward by 150% of arm length during an adapted computer activity significantly reduced DI ( ), angle of trunk tilt (p<0.05), and PPI for both ischial tuberosity regions ( ) compared to normal sitting. Conclusion. Reaching forward significantly redistributed pressure at the seating interface, as evidenced by the change in interface pressures compared to upright sitting.

Suggested Citation

  • May Stinson & Rachel Schofield & Cathy Gillan & Julie Morton & Evie Gardner & Stephen Sprigle & Alison Porter-Armstrong, 2013. "Spinal Cord Injury and Pressure Ulcer Prevention: Using Functional Activity in Pressure Relief," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-8, April.
    • Handle: RePEc:hin:jnlnrp:860396
    DOI: 10.1155/2013/860396
    as

    Download full text from publisher

    File URL: http://downloads.hindawi.com/journals/NRP/2013/860396.pdf
    Download Restriction: no
    File URL: http://downloads.hindawi.com/journals/NRP/2013/860396.xml
    Download Restriction: no
    File URL: https://libkey.io/10.1155/2013/860396?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Zena Moore & Seamus Cowman & Ronán M Conroy, 2011. "A randomised controlled clinical trial of repositioning, using the 30° tilt, for the prevention of pressure ulcers," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(17‐18), pages 2633-2644, September.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Seol‐Heui Han & Yoon‐Sook Kim & Jeonghae Hwang & Jongmin Lee & Mi Ryeong Song, 2018. "Predictors of hospital‐acquired pressure ulcers among older adult inpatients," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3780-3786, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sirpa Mäki‐Turja‐Rostedt & Minna Stolt & Helena Leino‐Kilpi & Elina Haavisto, 2019. "Preventive interventions for pressure ulcers in long‐term older people care facilities: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2420-2442, July.
    2. Soo-Yeon Kim & Yong-Soon Shin, 2021. "A Comparative Study of 2-Hour Interface Pressure in Different Angles of Laterally Inclined, Supine, and Fowler’s Position," IJERPH, MDPI, vol. 18(19), pages 1-14, September.
    3. Dorothy Li Bai & Tsai-Wen Liu & Hsiu-Ling Chou & Yeh-Liang Hsu, 2020. "Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-14, November.
    4. Aglecia Moda Vitoriano Budri & Zena Moore & Declan Patton & Tom O’Connor & Linda Nugent & Aisling Mc Cann & Pinar Avsar, 2020. "Impaired mobility and pressure ulcer development in older adults: Excess movement and too little movement—Two sides of the one coin?," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 2927-2944, August.
    5. Beáta Grešš Halász & Anna Bérešová & Ľubomíra Tkáčová & Dagmar Magurová & Ľubomíra Lizáková, 2021. "Nurses’ Knowledge and Attitudes towards Prevention of Pressure Ulcers," IJERPH, MDPI, vol. 18(4), pages 1-9, February.
    6. Heidrun M. Pickenbrock & Antonia Zapf & Dirk Dressler, 2015. "Effects of therapeutic positioning on vital parameters in patients with central neurological disorders: a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3681-3690, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hin:jnlnrp:860396. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Mohamed Abdelhakeem (email available below). General contact details of provider: https://www.hindawi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.