Periodically Relieving Ischial Sitting Load to Decrease the Risk of Pressure Ulcers

Abstract

A sitting protocol periodically reducing the ischial support helps lower the sitting load on the buttocks, especially the area close to ischial tuberosities.

Activation of lower back muscles via FES for pressure aores prevention in paraplegia: a case study

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Prevention of Pressure Ulcers Among People With Spinal Cord Injury: A Systematic Review

“…As with the studies on bed positioning, there was significant heterogeneity of methods and outcomes of seated positioning and pressure relief maneuvers, precluding aggregation of study results. Study designs were primarily case series [51‐57], cohort [44,58‐63], or cross‐sectional [64‐72]. There was one N‐of‐1 study and one RCT [73,64].…”

“…Most studies (19) were conducted in a laboratory setting [44,51‐63,68‐72]. Six studies [64‐66,73] were conducted in the clinic, and two of these studies [67,74] were with community‐dwelling subjects.…”

“…Nine studies examined seated pressures exclusively in able‐bodied persons [51‐57,70,71], and a like number of studies examined persons with SCI exclusively [64‐69,72‐74]. The remaining 7 studies examined both able‐bodied persons and those with SCI [44,58‐63].…”

“…The ischium was an anatomic site of interest in 17 studies [44,52,55,56,58,59,61,62,64‐71,73]. The next most common sites examined were the seating interface as a whole [51,53,54,57,60,63,72,74] and the buttocks.…”