Vos-Draper Tamara L, Morrow Melissa M B
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Mayo Clinic, Rochester, MN, 55905, USA.
Rehabilitation Medicine Research Center, Mayo Clinic, Mayo Clinic, Rochester, MN, 55905, USA.
Curr Phys Med Rehabil Rep. 2016 Dec;4(4):320-328. doi: 10.1007/s40141-016-0140-7. Epub 2016 Nov 25.
The purpose of this review was to (1) assess the factors related to the occurrence of pressure injuries in people with a spinal cord injury (SCI), (2) review methods of pressure injury prevention, and (3) examine compensatory technologies developed to promote in-seat movement to reduce the risk of pressure injuries.
Risk factors for seating-related pressure injuries are well documented, yet, ulceration remains a daily concern for individuals with SCI. While prompts and alarms have been shown to be effective at increasing in-seat movement, the devices thus far were not designed for long-term use. Wheelchair users will benefit from continued development of novel technologies designed to help them self-manage pressure injury prevention.
Optimized feedback about pressure and movement will help wheelchair users with SCI perform more effective movements to relieve pressure, perform movements more frequently and consistently, and maintain effective and frequent movement behaviors over time while feedback is available.
A 综述目的:本综述的目的是:(1)评估与脊髓损伤(SCI)患者发生压疮相关的因素;(2)回顾压疮预防方法;(3)研究为促进座位内移动以降低压疮风险而开发的补偿技术。
B 最新发现:与座位相关的压疮风险因素已有充分记录,但溃疡仍是SCI患者每天都要面对的问题。虽然提示和警报已被证明能有效增加座位内移动,但目前的这些装置并非为长期使用而设计。轮椅使用者将受益于持续开发旨在帮助他们自我管理压疮预防的新技术。
C 总结:关于压力和移动的优化反馈将有助于SCI轮椅使用者进行更有效的移动以减轻压力,更频繁且持续地进行移动,并在有反馈的时间段内保持有效且频繁的移动行为。