Visualization of user interactions with a pressure mapping mobile application for wheelchair users at risk for pressure injuries

Mobile Health Self-management Support for Spinal Cord Injury: Systematic Literature Review

“…The included publications were published between 2015 and 2022, and most (18/24, 75%) were published from 2018 onward [ 41 - 57 , 59 ]. The research teams were mainly based in North America (15/24, 62%) [ 38 , 40 - 42 , 44 - 47 , 50 , 52 , 53 , 55 , 56 , 58 , 59 ], followed by Europe (6/24, 25%) [ 36 , 37 , 48 , 49 , 54 , 57 ], Asia (2/24, 8%) [ 43 , 51 ], and Europe and Asia (1/24, 4%) [ 39 ].…”

“…Of the 20 included studies, 7 (35%) were quasi-experimental [ 37 , 42 , 43 , 50 , 51 , 53 , 57 ], 5 (25%) were mixed methods [ 46 - 48 , 54 ], 4 (20%) were qualitative [ 49 , 52 , 56 , 59 ], 2 (10%) were observational [ 45 , 55 ], and 2 (10%) were experimental [ 36 , 44 ]. The risk of bias was deemed low in just over half (11/20, 55%) of the included studies [ 44 , 45 , 47 , 49 , 51 , 52 , 55 - 57 , 59 ] ( Multimedia Appendix 4 [ 36 - 59 ]).…”

“…No studies were excluded based on the risk assessment. Study participants experienced various limitations in body functions, including musculoskeletal and movement-related functions [ 37 , 39 , 43 ], sensory functions and pain [ 36 , 47 , 51 , 59 ], urination and defecation [ 40 , 45 , 47 , 50 , 58 , 59 ], skin [ 38 , 45 - 50 , 52 , 53 , 59 ], sleep [ 54 ], and functions that help manage the psychological and social demands of daily life [ 44 , 45 , 47 , 54 , 59 ]. The sample sizes of the 20 included studies ranged from 4 to 75 participants where reported [ 36 , 37 , 40 , 42 - 57 , 59 ].…”

“…In total, 4 tools were unnamed (4/24, 17%) [ 38 , 40 , 43 , 48 , 49 ]. The included publications documented mHealth tools mainly at their testing stage (10/19, 53%) [ 36 , 40 , 43 - 45 , 47 , 50 - 52 , 54 , 55 , 58 ], followed by the developmental (6/19, 32%) [ 38 , 39 , 41 , 46 , 48 , 56 , 59 ], proof-of-concept (3/19, 16%) [ 37 , 42 , 49 ], proposal (1/19, 5%) [ 57 ], and launch (1/19, 5%) [ 53 ] stages.…”

Wireless, multimodal sensors for continuous measurement of pressure, temperature, and hydration of patients in wheelchair

“…Recent advances in technologies for continuous measurement of physical or physiological signals at skin interfaces of individuals support a quantitative approach to evaluating the risk of pressure injury formation. Previous reports suggest multiple pressure sensors embedded in the cushion of a wheelchair for pressure mapping under changes in posture 6,[22][23][24] . However, these technologies do not simultaneously track ulcer-related valuables, including pressure, temperature, and skin hydration, at the locations of interest vulnerable to pressure injuries.…”