Promotion of Pressure-relief Exercising in a Spinal Injury Patient: A Multiple Baseline Across Settings Design

Carr, Sally; Wilson, Barbara A.

doi:10.1017/s0141347300008636

Cited by 8 publications

(11 citation statements)

References 5 publications

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“…There was one N‐of‐1 study and one RCT [73,64]. Two studies [67,74], which were also the 2 studies conducted with community‐dwelling subjects, were graded as evidence class IV. The remaining studies were graded as class III.…”

Section: Resultsmentioning

confidence: 99%

“…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. The total number of subjects examined across the 25 identified studies was 1148.…”

Section: Resultsmentioning

confidence: 99%

“…Of these subjects, 321 were able‐bodied individuals, 137 had paraplegia, 100 had tetraplegia, and the level of injury was not specified for 590 subjects with SCI. 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].…”

Section: Resultsmentioning

confidence: 99%

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

Groah

Schladen

Pineda

et al. 2014

PM&R

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Although there is no clear optimal positioning or turning frequency in bed, the evidence suggests avoiding the 90° lateral position because of high pressures and PU risk over the trochanters. During sitting, pressures are linearly redistributed from the sitting area during recline and tilt; however, reclining carries with it an increased risk of shear forces on this skin. The evidence does not support conclusive guidelines on positioning or repositioning techniques for PU prevention in bed or during sitting. We conclude that PU risk is highly individualized, with the SCI population at a higher risk, which demands flexible PU prevention strategies for bed/seated positioning and pressure relief maneuvers. Education has and will remain our most powerful ally to thwart this pervasive public health problem.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

Groah

Schladen

Pineda

et al. 2014

PM&R

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“…An illustration may be seen in Figure 3, where the procedure was used with a spinal patient (P.W.) who forgot (or refused) to lift himself from his wheelchair frequently enough (Carr & Wilson, 1983). This resulted in the development of pressure sores.…”

Section: Single-case Experimental Designsmentioning

confidence: 99%

Single-Case Experimental Designs in Neuropsychological Rehabilitation

Wilson

1987

Journal of Clinical and Experimental Neuropsychology

Self Cite

119

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It is becoming accepted that single-case studies can offer important contributions to theoretical aspects of neuropsychology. Such recognition has not been so forthcoming in the field of rehabilitation, where single-case studies can be employed to evaluate neuropsychological treatments. This paper describes behavioural approaches to treatment of the neurologically impaired which include single-case experimental designs that have originated in the field of behavioural psychology. Examples of behaviour programmes for the treatment of apraxia and alexia are provided together with examples of single-case experimental designs used to evaluate memory therapy. The paper concludes with a brief discussion of the role of statistics in single-case studies.

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“…In two of the studies (Table 2), feedback was provided to the participants either verbally or through printed charts of prior performance with intent to use the information to shape future behavior [27, 32]. Carr and Wilson (1983) presented a single case report of an individual with acute SCI learning to complete push-ups during inpatient rehabilitation.…”

Section: Compensatory Technologies To Promote In-seat Movementmentioning

confidence: 99%

Seating-Related Pressure Injury Prevention in Spinal Cord Injury: a Review of Compensatory Technologies to Improve In-Seat Movement Behavior

Vos-Draper

Morrow

2016

Curr Phys Med Rehabil Rep

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Structured Abstract a) Purpose of review 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. b) Recent findings 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. c) Summary 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.

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Promotion of Pressure-relief Exercising in a Spinal Injury Patient: A Multiple Baseline Across Settings Design

Cited by 8 publications

References 5 publications

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

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

Single-Case Experimental Designs in Neuropsychological Rehabilitation

Seating-Related Pressure Injury Prevention in Spinal Cord Injury: a Review of Compensatory Technologies to Improve In-Seat Movement Behavior

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