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  4. Subcutaneous Fat Thickness Remarkably Influences Contact Pressure and Load Distribution of Buttock in Seated Posture

Subcutaneous Fat Thickness Remarkably Influences Contact Pressure and Load Distribution of Buttock in Seated Posture

Journal of Healthcare Engineering, 2021 · DOI: https://doi.org/10.1155/2021/4496416 · Published: December 1, 2021

BiomedicalDermatologyBiomechanics

Simple Explanation

This study investigates how the thickness of the fat layer in the buttocks affects pressure and load distribution when sitting, particularly for people with spinal cord injuries who are at risk of developing pressure ulcers. The researchers used computer models to simulate buttocks with different fat thicknesses sitting on various cushions to see how the fat affects the pressure on the skin and the stress within the deeper tissues. The findings suggest that while fat can help reduce pressure on the skin when sitting on hard surfaces, it doesn't always accurately reflect the stress on deeper tissues, especially in those with thicker fat layers.

Study Duration
Not specified
Participants
3D finite element model of male buttock
Evidence Level
Not specified

Key Findings

  • 1
    Fat tissue in the buttock could reduce the contact pressure when sitting on the rigid seat.
  • 2
    Contact pressure solely could not be used to estimate the internal tissue stress of seated buttock, especially in subjects with thicker fat tissue.
  • 3
    The unloading effect of cushion would vary among subjects with different fat thicknesses.

Research Summary

This study aimed to investigate the influence of subcutaneous fat thickness on the interface pressure and load distribution of buttock of seated humans. Four buttock FE models with different subcutaneous fat thicknesses under the ischial tuberosity were built for the analysis. Te results of this study highlight the crucial role of subcutaneous fat thickness in the weight-bearing of seated buttock. The results of the study indicate that contact pressure solely could not be used to estimate the internal tissue stress, especially in subjects with thick fat tissue.

Practical Implications

Cushion Design

Cushion design should account for varying subcutaneous fat thicknesses to effectively reduce internal muscle stress.

Personalized Cushions

Medical imaging and subject-specific finite element modeling can optimize cushion selection for DTI prevention.

Risk Assessment

Contact pressure measurements alone are insufficient for estimating internal tissue stress, especially in individuals with thicker fat tissue.

Study Limitations

  • 1
    The buttock FE model was based only on computed tomography images from a male subject.
  • 2
    The geometry of muscle and bone structure was not changed in the four models.
  • 3
    It is a challenge to identify the neutral state of the soft tissue in the buttock.

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