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  4. Pressure Relieving Effect of Adding a Pelvic Well Pad to a Wheelchair Cushion in Individuals With Spinal Cord Injury

Pressure Relieving Effect of Adding a Pelvic Well Pad to a Wheelchair Cushion in Individuals With Spinal Cord Injury

Annals of Rehabilitation Medicine, 2018 · DOI: https://doi.org/10.5535/arm.2018.42.2.270 · Published: April 1, 2018

Spinal Cord InjuryAssistive TechnologyDermatology

Simple Explanation

This study investigates whether adding a special pad, called a 'pelvic well pad,' to a wheelchair cushion can help reduce pressure on the ischium (the lower part of the hip bone) for people with spinal cord injuries. The pelvic well pad is a firm, 2.5-cm thick pad with a cut-out area designed to relieve pressure specifically around the ischial area when placed under a standard wheelchair cushion. The study found that using this pad in addition to a regular pressure-relieving cushion reduced both the average and peak pressures on the buttock-thigh area and increased the contact area, potentially helping to prevent pressure ulcers.

Study Duration
September 2014 to June 2015
Participants
77 individuals with SCI
Evidence Level
Not specified

Key Findings

  • 1
    Adding a pelvic well pad resulted in a decrease in the average and peak pressures of the buttock-thigh area.
  • 2
    The contact area of the buttock-thigh area increased when the pelvic well pad was added.
  • 3
    The study suggests that the pelvic well pad redistributes pressure from the ischial area to the thigh.

Research Summary

This study evaluated the pressure-relieving effects of adding a pelvic well pad to a wheelchair cushion for individuals with spinal cord injury (SCI). The results showed that the addition of the pelvic well pad led to a statistically significant reduction in average and peak pressures, along with an increase in contact area in the buttock-thigh region. The authors conclude that using a pelvic well pad in combination with existing pressure relieving cushions may be an effective strategy for preventing pressure ulcers in individuals with SCI.

Practical Implications

Pressure Ulcer Prevention

The pelvic well pad may be a useful tool in preventing pressure ulcers in wheelchair users with SCI.

Improved Seating Comfort

The pad helps redistribute pressure, potentially leading to increased comfort for individuals who spend prolonged periods in wheelchairs.

Cost-Effective Intervention

The pelvic well pad is more cost-effective and convenient than purchasing a new cushion.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Single-center study
  • 3
    Rater bias may have been introduced

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