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  4. Microclimate evaluation of strap-based wheelchair seating systems for persons with spinal cord injury: A pilot study

Microclimate evaluation of strap-based wheelchair seating systems for persons with spinal cord injury: A pilot study

J Tissue Viability, 2018 · DOI: 10.1016/j.jtv.2018.06.001 · Published: August 1, 2018

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study looks at how well different wheelchair cushions manage temperature and moisture, which are important for preventing skin problems in people with spinal cord injuries. The researchers compared two types of strap-based cushions to standard foam and air-cell cushions to see which ones kept the skin cooler and drier. The study found that the strap-based cushions, especially the solid strap version, cooled down faster after someone got up, which could help reduce the risk of pressure injuries.

Study Duration
Not specified
Participants
6 male subjects with SCI
Evidence Level
Pilot Study

Key Findings

  • 1
    The solid strap-based seating system was significantly cooler than the other seating systems immediately following transfer out of the seat.
  • 2
    Five minutes after transferring out of the seat, both the perforated and solid strap seats were significantly cooler than the comparator seats.
  • 3
    There were no significant differences in interface temperature or relative humidity measured with the single sensor near the skin-seat interface.

Research Summary

This pilot study measured temperature of seats pre- and post-use, and microclimate characteristics adjacent to the skin-seat interface in two strap-based seating systems as well as in subjects’ current wheelchair seating systems. Using thermal imagery, we found that the solid strap-based seating system was cooler immediately after use, and that both strap-based seating systems cool down faster after being vacated than the standard seating systems tested. For now, it appears that the strap-based system does allow for more rapid cooling when vacated, meaning that a full forward lean pressure relief maneuver may allow more air flow to cool off, more than that of the comparator foam based or air cell based seating system.

Practical Implications

Potential for Improved Microclimate Management

Strap-based seating systems may offer an alternative for individuals struggling with microclimate management, potentially reducing the risk of pressure injuries.

Faster Cooling During Pressure Relief

The rapid cooling of strap-based systems after being vacated suggests they could enhance the effectiveness of pressure relief maneuvers.

Need for Further Research

Further studies are necessary to fully understand the microclimate management capabilities of strap-based systems and their long-term impact on clinical outcomes.

Study Limitations

  • 1
    Small sample size (n=6)
  • 2
    Single sensor placement near, not directly at, the skin-seat interface
  • 3
    Variability in initial skin temperature and moisture between subjects

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