Patterns of recurrent pressure ulcers after spinal cord injury: Identification of risk and protective factors 5 or more years after onset11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Krause, James S.; Broderick, Lynne

doi:10.1016/j.apmr.2003.08.108

Cited by 157 publications

(29 citation statements)

References 17 publications

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“…Partial weight shifts may also allow for better sustainability by persons with SCI. Three recent studies inve stigating PU prevalence in an SCI cohort considered weight shift behavior as a potential risk factor [49][50][51]. None of the st udies found weight shift behavior or frequency of weight shifts to be associated with PU occ urrence.…”

Section: Weight Shiftingmentioning

confidence: 99%

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Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Sprigle¹,

Sonenblum²

2011

JRRD

102

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Abstract-The formation and underlying causes of p ressure ulcers (PUs) are quite complex, with multiple influencing factors. However, by definition pressure ulcers cannot form without loading, or pressure, on tissue. Clinical interventions typically target the magnitude and/or duration of loading. Pressure magnitude is managed by the selection of support surfaces and postural supports as well as body posture on supporting surfaces. Duration is addressed via turning and weight shifting frequency as well as with th e use of dynamic s urfaces that actively redistribute pressure on the body surfaces. This article shows that preventative interventions must be targeted to both magnitude and duration and addresses the rationale behind several common clinical interventions-some with more scientific evidence than others.

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Section: Weight Shiftingmentioning

confidence: 99%

“…In a study of more than 600 persons with SCI with and without a history of recurrent PUs, Krause and Broderick identif ied behaviors that were shown to be protective [50]. These behaviors included a healthy lifestyle, fitness, and exercise.…”

Section: Weight Shift and Turning Frequencymentioning

confidence: 99%

Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: A review

Sprigle¹,

Sonenblum²

2011

JRRD

102

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“…A few studies have investigated self-reported measures of PR behaviors but have found no significant relationship with the occurrence of pressure ulcers [22][23][24][25]. Self-reported behaviors might not have been accurate or sensitive enough to be adequately evaluated.…”

Section: Introductionmentioning

confidence: 99%

Everyday sitting behavior of full-time wheelchair users

Sonenblum

Sprigle

Martin³

2016

J Rehabil Res Dev

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Abstract-The objective of this study was to describe the inseat movement and weight-shifting behavior of full-time wheelchair users. We measured everyday sitting behavior for 192 d across 28 individuals who used manual wheelchairs as their primary mobility device. To obtain the measurements, we used eight thin force sensors placed under participants' wheelchair cushions. On a typical day, participants spent an average of 10.6 +/ 3.0 h in their wheelchair and transferred out of the wheelchair 8.4 +/ 4.3 times. Participants only performed pressure reliefs (90% off-loading of the entire buttocks for at least 15 s) 0.4 +/ 0.5 times per hour they were seated in the chair, but they performed weight shifts (WSs) (30%-90% off-loading of at least one side of the buttocks for 15 s) with a frequency of 2.4 +/ 2.2 times per hour. Despite the higher frequency of WSs, they were not performed in a routine manner. Half of the days studied included one segment of upright sitting lasting at least 2 h without a WS. Given these observations, we conclude that seating evaluations should emphasize positioning individuals in a way that facilitates reaching, leaning, and transferring in a safe manner, not only to improve function but also to affect buttocks loading.

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“…While techniques to prevent PrUs must be incorporated into work routines, employment may actually reduce the risk of PrUs by improving the employee's adherence to care routines to avoid missing work and by leading to a more active, healthier lifestyle [22][23]. This is a significant benefit because skin problems such as PrUs were the second most common cause for rehospitalization and were associated with the second leading cause of death among those followed in SCI Model Systems programs [24].…”

Section: Pressure Ulcersmentioning

confidence: 99%